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
~
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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