HomeMy WebLinkAboutPermit Mechanical 2009-9-29
Mechanical Authurizatiun To. Begin Wurk
E-mailedTo:erogers1976@aol.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitce.nter@ci.springfield:or.us
I D NewCollstruc~~n '~'-:~}d~tion/afteratiOnirePJaCernen1
IlI!lL lL~,~/lijt~CAfEGof(YlOF,CONSfRUCTION~~~~';;:~~~1
10,m """lIy dW'.~I" 0 M,h!:~~lri:O C,""+"'I DA"'''~O' B"ildi" 1
I Job Address: 416' _ .,. '
, I .City/State/ZIP:, ~P~~~.oFIELD, .?~' 97477
. I Suite/bldg.lapt;no.:-.'~::'2.:'~'"'":;,,
I Project Name: Lee & Sharon ~esidl:nce '"
'1 em" SI,,,"d;,,,.,., to j,b ,II<:
I TUJ,:map/parcel
Installation of mini split heat pump system
'.
..
I Name: Brian Rogers
Phone: 541-554-9331
I Email: erogers1976@aol.com
Fax: 541-988-3182
I CCBlie.no.: 17Ho6' 1'-'&:',
I BusincssNllmi:'SUNSEi<HEATiNo&'lAlRiN& CAr-in!: ir: Iii!: VJGhr{
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I CODtad:' J-\lJ I nUntLCU UI\lucn I nil,) rcnlVlIl Iv I\lV I
I Address: 5729MAiNisi:B-o'X124SU Uti '~-H~':\l'lJuui~c~ fCF1
I City/SlatelZlp:"SPRINGFIEi6}oi 9~4~iIUU.
I Phone: 541-988-3181 Fax: 541-988-3182
I Emoll; erogers 1976@ool.com
I MetTolic.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 permit is
not obtained.
The local building department may determine that an Authorization To Begin
Work is nuil and void If it does not meet applicable land use laws and local
ordinances . '
69600-BMC-09-00139
9/29/2009 1 :07 pm
App.-oval Code: 067580
I Dfscriplion , - Qty. Ell,. Totol .
l~ijDiill;n;'f~em~~~i4\0~iEJ.::~~~\:t~~it'~~~i~~~Setl
I First Appliance Fee $79.00j
I Subtotal
I Stale surcharge (12% of permit
total)
. I Technology fee (5% of permit
, total)
'ITOTAL PERMIT l<'Ji:E
$79.00
$9.48
$3.95
$92.43
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I'
ATTENTION: OregDn law requires YDU to
follDW rules adopted by the Oregon Utility
NotificatiDn Center, ThDse rules are set fDrth
in OAR 952-001-001 OthrDugh OAF! 952.001-
0090. YDU may Dbtain cDpies Df the rules by
calling the center. (NDte: the telephDne
number for the OregDn Utility NDliiicatiDn
Center is 1.800.332-2344).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
I' ..
"
,
Status
Issued"
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01449
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 03/29/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769 Inspe~H!'~,Line:~
....,..
,SITE ADDRESS: '. ,'4~6 EST
"ASSESSOR'SPARCEL;NO,:; 1703352403000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
',. <
PROJECT DESCRIPTION: Installatiun ufmini split heat pump system in residence
ResidenHal
Owner:
Address:
MIHULKA.CHRISBEN & SHARON M
, 416E ST.;<"; ,"',,/ :'..:: ,
SPRINGFIELD' OR. 97477
t: .'
~ CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
SUNSET HEATING & AIR INC
License
171706
Expiration Date
08/18/2010
Phone
541-988-3181
BUILDING INFORMATION I
# uf Units:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cunstructiun Type
Secundary Cunstructiun Type:
# uf Bedruums:
# uf Sturies:
Height uf Structure
Type uf Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basement:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occup~nt Luad:
n/a
I DEVELOPMENT INFORMATION I
1-11 I <:NTION: OregOIRIi!.Ql!!~Jh!l18!<!tllG
. follow rules adopted !:1\1 the Oregon Utr'/r'ty
'Fruntyard Setback:"E' ' Overlay Dlst: ' , , Tutal,.
. I~U,llll , ' Notification Center. Tr.0se ",ies Rr.~ set forth
S~de 1 Setbac,R8/S P'ERM/T SHAlL EXPIRE IF TH"#\~mil;l?rees Rqd: in OAR 952-001-0010 M~B~bW~P~~:952.001-
S,de 2 SetbacK: . tp~vea1j)nve Rqd: 0090 Y b ,Cumpact:
R d S t'\i"T,I,.JORIZED UNDER THIS PERMIT Jl:J.!C1T C ". " ou may 0 tarn GUIJ,do of the rules by
earyar e a.... YO' ,'I',9t uverage. callrng the center. (Note: the telephone
SUlarSetbacKs;1MMENCED OR IS ABANDONED FOR numberJor the Oregon Utility Notification
,^,:~\' ~:8 :,::1 ;--:~;X.
1 ':
/ PUBLIC IMPROVEMENTS I
VIJllLIJl l,j l-UVV-vvt:;.-,,:;,v"t't).
Street Impruvements:
, Sturm Sewer Available:,'
Special Instructiun:
Sidewalk Type:
DuwnspuutsfDrains:
Nutes:
.!
I Valuation DescriDtion J
'J
$ Per Sq'Ft
ur multiplier
Square Fuutage
ur Bid Amuunt
Value
Date Calculated
DescriDHun Type uf CunstrucHuu
Paee 1 uf2
Status
Issued
CITY OF SPRI~{JJ:<lELD -
Building/Combination Permit
PERMIT NO: COM2009-01449
ISSUED: 09/29/2009
APPLIED: 09/29/2009
EXPIRES: 03/29/2010
VALUE:
,.,
Tutal Value ufPr'uject
\"'..
~.." .
Fees Paid I
."" ;
; Fee Descriptiuu::;:"";,,,,:j,_~
+ 12% State Surcharge'
+ 5%' Technulugy Fee
1st Appliance
Amuunt Paid
Date Paid
Receipt Number
,
$9.48
$3.95
$79.00
9/29/09
9/29/09
9/29/09
1200900000000001101
1200900000000001101
1200900000000001101
Tutal Amuunt Paid
$92.43
I Plan Reviews , '
f:
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 ~ell~!i~ed J ~,s?~ctiors I
Ruugh Mechanical: Priur to. Cuver
,
Final Mechanical: When all mechauical wurk is cumplete.
By signature, I state and agree, tbat I have carefully examiued the cumpleted applicatiun aud do. hereby certify that all
infurmatiun hereun is trne and currect, and I further certify that any a,~d all wurk perfurmed shall be. dune in accurdance with
the Ordinauces uftbe City uf Springfield and the Laws uf the State uf Oregun pertaining to. the wurk described hereiu, aud
that NO OCCUPANCY will be made uf any structure withuut permissiuu ufthe Cummunity Services Divisiun, Building Safety.
I further certify that unly cuntrilcturs and empluyees who. are in cumpliance with ORS 701.005 will be used un this pruject.
I further agree to. ensure that all required inspectiuns are requested at the pruper time, that each address is readable frum the
street, that the permit card is lucated at the frunt ufthe pruperty, and the appruved set uf plans will remain uu the site at all
times during construction. '
Owner ur Cunt~actu'rs Signature
Date
~i . .
)
, ,0
Pa2e 2 <if 2
J(
225 Fifth Street
Springfield, Oregon 97477
54i-726-3759 Phone
,;"
"",
. RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001101
Date: 09/29/2009
. ,", . ,"
Job/Journal Number'~\} Description
COM2009-0 1449 ',1 5t Appliimce .'. ,.
COM2009-01449 + 5% Techn~lugy Fee
COM2009-01449 + 12% State Surcharge
Paymeuts:
Type of Payment
ONLINE CHGS
,
.Paid,By~"t;
':ONLINE PERMIT CHGS
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'I
cReceiotl
Received By
KR
Page 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How 'Received
ONLINE SUNSET Online
HEATING
Payment Tutal:
1:1O:47PM
Amount Due
79,00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43-
9/29/2009