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HomeMy WebLinkAboutPermit Mechanical 2009-9-9 City of Springfield " 69600,BMC-09-00122 ~"?'? V!\/\ Mechanical Authorization To Begin Work ~Mmailed To: erogers1976@aol.com 9/9/2009 1:12 pm Approval Code: 017944 Check oil status of permit By Phone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.or.us I D New ConSlruc~on , 0 ~ddirionlalierationJrep]acement 10 ] o,2f=ily :> D Multj-ramil.y D Commercial DACCeSSOryBUilding Job Address: 223 71ST PL City/Stale/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: Joe & Winie Halley' Ie.." St",tld;,,,"o", '0 job ,;", Ik;;;;'~~~~~~~~T,o~~~~~~:~~%t~T,1 Installation of Fujitsu mini split heat pump system. Phone: 541-554-9331 Fax: 541.988-3182 Email: erogersl976@aoLcom CCOlic.no.: 171706 Business Name: SUNSET HEATING & AIR INC I Contact: Address: 5729 MAIN ST BOX 248 CilyfStatelZIP: SPRINGFIELD, OR 97478 Phone: 541-988-3181 Fax: 541-988-3182 Email:erogersI976@aoLcOlD MefTolie.no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a penn it is not obtained. The local building department may determine that an Authorization To Begin Work is null and void if it does not meet applicable land use laws and local ordinances 1~.CS~~i~tion ~ ~ .~u_ J ~.t)" '. Ea. J. 'I~talq :1::~;~~'~:",:'~~Po~~"~tf",cU"'I~~P:;l f+';f ,~~;" "~~$I'~~~1 I First Appliance Fee '"'~;~.o~'1 I Subtotal ISlatesllrcharge(12%OfPennit total) I Technology fee (5% of penn it total) ITOTAL PERMIT FEE $96.00 $11.52 $4.80 $112.32 ( ~~ ~~.\cQ.\D ~.tf\ ~~Q/ 0." This Aut~orization To Begin Work must be posted at the job site until replaced by 8 Permit Com~rm9 - 01-233 /1/>1 9/09/0 /' Status Issued' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01333 ISSUED: 09/0912009 APPLIED: 09/09/2009 EXPIRES: 09/0912009 VALUE: , 225 Fifth Street, Springfield,.oR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 223 71ST PL ASSESSOR'S PARCEL NO.: 1702353103600 , Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of mini-split heat pump system Residential Owner: HALLEY WILLIAM L & JO ANN Address: 223 N 71ST PL SPRINGFIELD OR 97478 I C:ONTRACTOR INFORMATION 1 Contractor Type Mechanical Contractor I SUNSET HEATING & AIR INC License 171706 Expiration Date 08/18/2010 Phone 541-988-3181 ~U1LUl1~" INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: .. # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC I~PROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: NOTICE: ,,' _,mone Ie T~~ WORK THI::i!-'tKIVIlIi:>1ln" ",,'W -- IF: T~'1~ DFRn"11 I" \~V I I AUTHORIZED UNDE Vahiation,DesCFiption COMMENCED OR IS I'\l)t'\'WV"-- T f,,,"' '-t^ ~ti"l PERllJ[f.er Sq Ft Square Footage ype 0 ~ons tue on . . . , , ..., ,_. or multiplIer or BId Amount Sidewalk Type: Dow'iispoUis/Dr'ains:'egon law requires you to foHow rules adopted by the Owgon Uti/it' Notification Center, Those rules are set fori 1 In OAR 952-001-0010 through OAR 952-00' _ 009~:, Yo~ may obtain copies of the rules b I .........".:;:l ";,\.< ....crllvl. \1'\IUllj. lilt! lelepnone number lOr the Oregon Utility Notification Center is 1-800-332,2344), Value Date Calculated Description Paee 1 of 2 Status Issued CITY UI1 ~rRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01333 ISSUED: 09/09/2009 APPLIED: 09/09/2009 EXPIRES: 09/09/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax ; 541-726-3769 InspeCtion Line Total Value of Project ]Fees Paid. III Ii. $11.52 $4.80 $79.00 $17.00 Date Paid 9/9/09 9/9/09 9/9/09 9/9/09 Receipt Number 2200900000000001024 2200900000000001024 2200900000000001024 2200900000000001024 , Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid Total Amount Paid $112.32 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I, Reollired Insnections 1 , I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the " street, that the permit card is located at the front of the property, and the approved set of.plans wiil remain on tbe site at all times during construction. Owner or Contractors Signature Date Paee 2 0\'2 225 Fifth Street, Springfield, Oregon,97477 541-726-3759 Phon~ ' "P,~~~JIILO. ','Iii.'... ',... 'ik~-,..! "'.. ..~c.~......,...._:.J' _, City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200900000000001024 Date: 09/09/2009 1:40:27PM Job/Journal Number, ~ COM2009.01333 , COM2009..01333 C0M2009-01333 COM2009-0l333 . Qescription " ,,1st Appliance Furnace - up to 100,000 btu . + 5% Technology Fee +' 12% State Surcharge Paid By Item Total: t::heck Number Authorization Received By Batch Number Number How Received Amount Due 79,00 17,00 4.80 11.52 $112.32 Payments: Type of Payment ONLINE CHGS Amount Paid ,ONLINE PERMIT CHGS NJM ONLINE SUNSET Online . Payment Total: $112.32 $112.32 '" cReceintl Page 1 of 1 9/9/2009