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HomeMy WebLinkAboutPermit Mechanical 2009-10-21 .O City of Springfield Mechanical Authorization To Begin Work E.mailed To: erogers1976@aol.com Che~k on status of permit 69600-BMC-09-00162 10/2,112009 8,55 am App'roval Code: 081967 By Phone: 541-726.3753 or Email: permitcenter@ci.springfield.or.us o NewConstruction I Description ~ Addition/alteration/replacement Illllll!\l1Zi~CA'rEGORYjOF:C'ONSTRD15floN{;Wll;~J!!l~,"i;"":.'ll~1 I Fint Appliance Fee I ~ I m2f,",ilYdWdli~g OM"Ii'-',",'ly 0 Co~m""' OA""""'B"iI"" I 1~'~~JOB!SITE'IN~ORMATrONfANO!liOCA--rioN~.l:'h';f,jl'~~,,;~;'j;1 I Job Address: 1260 LA WNRIDGE AVE I I City/State/ZIP: SPRINGFIELD, OR 97477 I I Suifelbldg.lapt.DO.: I I Project Name: Don Dugdale I !\ I I C,"" S"""d',,,.o."o job .it" I G q - \ <06 ~ I Taxmap/parcelno,:\l03 \ Installation of Fujitsu mini split hCllt pump system I Subtotal I State surchargc (12% orpennit total) . ITeChilO[OgYfeC(5%OfPermil total) !TOTAL PERMIT FEE I Name: Brian Rogers I Phone: 541-554-9331 I Email: erogersI976@ao1.com Fax: 541-988-3182 I City/State/ZIP: SPR :..l. "f'1"" I Phone: 541-988-3181''' { I Email: ~rogerS1976@aoLcom Metrobt,DO:.: 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 pennit 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 I I I I I -4. I $79.00 $9.481 $3.951 $92.431 ~ ,0\ 6\ ~ OC\ ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001;0010 through OAR 952-001. 0090. You mayl,Obta!n copies of the rules by calling the center. (Note: the telephone IIUmber for the Oregon Utility Notification Center!_ 1-8011-332-2344). ~~oC\ ~.~~ ~~ ,This Authorization To Begin Work must be,posted at the job site until replaced by a P~rmjt ~t~ ~'-.J q; '::! ;. LIt i' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01539 ISSUED: 10/21/2009 APPLIED: 10/21/2009 EXPIRES: 04/21/2010 VALUE: Status Issued, 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 1260 LA WNRIDGE AVE ASSESSOR'S PARCEL NO.: 1703261101001 , Springtield TYPE OF WORK: Heating System TYPE OF USE: New:: PROJECT DESCRIPTION: Installation of Fujitsu miui split heat pump system. Residential Owner: DUGDALE AMY L Address: 1260 LA WNRIDGE AVE SPRINGFIELD OR 97477 t I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor SUNSET HEATING & AIR 1NC License 171706 Expiration Date 08/18i2010 Phone 541-988-3181 BUILDING 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 2rd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: J, Occupant Load: Ii n/a REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setback: # Street Trees Rqd: i: Har,,~P&ed: . Side 2 Setback: .. ,r.~ved D~ive Rqd: ATTENTION: Oregon ll\'!'b I! s Y~i~O Rearyard Setl>AA\i,:ICE' . % ofL9.I.Coverage: follow rules adopted ~y the regon tf ~h Solar Setbac~\U I. EXPIRE IF THE WORI\ Notification Center, Those rules are se 0 no"; o~P~~lT ~,H~,Lt; . '-I~ ..n1' I~ nAD Q/:;"-Il.ll1:lll2.1qthrouah OAR 952-001. . AUTHORIZED UNDER I HI:> ...~~DfI\1PROVEMENTSlIll90. You may obtain cop(es onne rUle.. UJ. rnMMENGED OR IS ABAN~ . lcallin.9the~llter. (~ote:.t.hetel~pho~8 Street Improvements. v PERIOD num~lv"",.-U.,"'!lon Utility Notification ANY 180 D.A:. . Canle JB 1,800-332-2344). Storm Sewer Avallable: D(JWtlsV~ rs/Drains:. Special Instruction: -.,..~. I ~11,,~'':;;;~~' ':' I: i:. ~~: ! I DEVELOPMENT INFORMATION I I Va,luation Description I . Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value!. Date Calculated Paee 1 of 2 Status Issued I: eIT\' OF SPRINGFIELD I: 1 Building/C~mbination Permit PERMIT NO: COM2009-01539 ISSUED: 10/21/2009 APPLIED: 10/21/2009 EXPIRES: 0~/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Tola] Value of Project Fees Paid I $9.48 $3,95 $79.00 10/21/09 10/21/09 10;21/09 Receipt Number I 120~900000000001169 l20Q900000000001169 1200900000000001169 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Dale Paid Total Amount Paid $92.43 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections rkquested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. willl:be made the following work day. Reouired Insnections I Rough Mechanical: Prior to Cover Final Mechanical: When all.mechanical work is complete. I: By signature, I state and agree, that 1 have carefully examined the completed application alld do hereby certify that all information hereon is true and correct, and 1 further cerlify lhalany aud all work performed shall, be dOlle ill accordauce 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 Servi~es Division, Building Safety. 1 further certify that only contractors and employees who are in compliauce with ORS 701.005 will' be used on this project. I further agree to ensure that all required inspections are req~ested at the proper time, that each a'ddress is readable from the street, that the permit card is located at the front of the property, and the .approved set of plans wi',l remain on the site at all times during construction. :' Owner or Contractors Signature. Date Paee 2 of 2 i25Fifth Street. .. . Springfield,Oregon97477. 541-726-3759 Phone Job/Journal Number COM2009-01539 CO M2009-0 15 3 9 COM2009-01539 Payments: Type of paymeni ONLINE CHGS cReceintJ RECEIP'r#: Description 1 st Appliance + 5% Techn()logy Fee . + 12% State SUrcharge Paid By. ONLINE PERMIT CHGS l~t~~~.'~"'i lit City of Springfield Official Receipt Developmeht Services Department , Public Works Department 1200900000000001169 Date: 10/~1/2009 Item Total: Checl{ Number Authorization Received By Batch Number Number How-Received KR ONLINE SUNSET Online HEATING & AIR Paym~nt Total: , Page 1 of 1 9:15:18AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 I 0/21/2009