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Home My WebLink AboutPermit Mechanical 2009-11-23 ; SPRIN~:;';J (~-~ OREGON City Ot Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: .permitcenler@ci.springfield.or.us Residential Mechanical Authorization To-Begin Work 69600-BMC-09-00191 Approval Code: 001775 11/23/2009 10:00 am E-mailedTo:erogers1976@aol.com I 0; New Construction IRJ Addilion/alteration/replac:emenl I Description $79.00 I $9.481 $395 I $92.43 I I First Appliance Fee I 00 1 or ilamily dwelling 0 Multi-family 0 Commercial D Accessory 1i{.'\"~.~..k~uhoB;SrfEiIN~6RMATION)i.No}I2QC:ATI6N;~;:"~Rt';.+1F1J I Jo~Address:2130 19THST CitylStatefZIP: SPRINGFIELD, OR 97~77 I Subtotal I Slale surcharge (12% of permit total) I Technology fee (5% of permit total) .1 TOTAL PERMIT FEE Suite/bldg./apt.no.: I Project Name; Flo Parrish Residence I C.oss St.eeUd;.ections to iob s;te: I Tax map/parcel no.: 1703252111201 C C1-\ loB5 /6{L II / 2317)~ Installation of Fujitsu mini split heat pump system I Name: Brian ROQers I Phone: 541-554-9331 I Email: Fax:.541-988-3182 I _. __ CCBlic.no.:1!,1?~~".,..~;,..... I Bus;ness N.m~~~~~~"r~AIlI~I.'1C PVrMDI: IC~ I ,III... fLn~:-,,- - - Con"" AIITHORIZEO IIND~R THIS PeJMlf. NOT I Address 572geaMfIIIENeI!O OR IS ABANDONED FOR I C;ty/S"te/ZIP: ANVictOO:>DAY9fllifllO D. I Phone: 5419883181 Fax: 5419883182 ATTENTION: Oregon'lawreqtilres':Yl!lll- follow rules adop,ed by the Oregon llJlilllJ NotilicationCenter. Those Nleurultifodlt In OAR 952.001.0010 through OAR9524lD1I- 0090. You may obtaln copies of thenlle8_ calling the center. (Note: the tele~ llUfllber.for the OregonUlilltyNotIficlatiII8 Center IIt--aoa ~"'2344). Email: erogers1976@aol.com Metro lie. no.: City lie. no.: Upon review aocl approval by your local jurisdiction, your permit will be e-malled or faxed within one b~siness day, with instructions on how 10 schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. l ~&\ \\~~~ ~ ~ The local building department may d~ermlne that an Authorlzatlon To Begin. Work Is null and void If Itdoes not meet applli:able land use laws and localordinanc~s. L ~. ~ ~.\tf:J"O Inspections Phone: 541-726-3769 This A~thorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01685 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2130 19TH ST ASSESSOR'S PARCEL NO.: 1703252111201 SpringIield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installing mini split heating system in residence. Residential Owner: PARRISH FLORE1NE T Address: 2130 19TH ST. SPRINGFIELD OR 97477 I CONTRACTO~ INFORMATION I Contractor Type Mechanical Contractor SUNSET HEATING & AIR INC License 171706 Expiration Date 08/18/2010 Phone 541-988-3181 I 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 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I. DEVELOPMENT INFORMATION I ,,' ..';'~'~,.:""': ". REQUIRED PARKING Front yard Setback: . Overlay Dist: Total: Side I SetIII.mTlCE: '.' . .c'., .:'......# Street Trees Rqd: ON' Oregon \A~.t,o Side 2 SetIlMfS PERMrrSHAll EXPIRE IF THIWORI(Drive Rqd: ATTErn: 8 ~dopted by\fieNlJIl@GnUtility Rearyard ~'r1fbRIZED UNDER THIS PERMII' lS'N61Lot Coverage: ::~~a~ro~ Center. Tho~8rule8 are S8t~ Solar SetbetjMMENCED OR IS ABANDONED FOR In OAR 952'()01-O.0~~:~~~;~~ ~~~e8 bY ANY 180 DAY PERIOD. 1 PUBLIC IMPROVEMEN1'i1Jr~il~U~~~~~r."(Noi8: ttl8tel~~hone . . 9 ~9r~n Utility NotificatIOn St t I t . numb"'I" ""''') ree mprovemen s: . "'Ceo sr 18 \ 0-332-- . Storm Sewer Available: DownspoutslDrains: Special Instruction: Notcs: I Valuation D~scriDtion.1 Description TVlle of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: eOM2009-01685 ISSUED: 11/23/2009 APPLIED: 11I23/2009 EXPIRES: OS/23/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 54 J -726-3676 Fax J 541-726-3769 Inspection Line Total Value of Project Fees P,,\id I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amonnt Paid Date Paid Receipt Number $9.48 $3.95 $79.00 1l!23/09 11123/09 11123/09 1200900000000001278 1200900000000001278 1200900000000001278 Total Amount Paid $92.43 I 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 Req~ired In,S1I}ecti.o~s 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 truc'and ~orrect, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Sp'ringfield and the Laws of the State of Oregon pertaining to the work described berein, 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 furlher agree to ensure that all required inspections are requested at the proper time, that each address is readable from the streel, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 01'2 215 Fifth Street Springfield, Oregon 97477 54'-726-3759 Phone Job/Journal Number COM2009-0 1685 COM2009-0 1685 COM2009-0 1685 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Descripti~n I st Appliance + 5% Technology Fee + ] 2% State Surcharge Paid By ONLINE PERMIT CHGS 1200900000000001278 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/23/2009 Item Total: Check Number Authorization Received By Batch Number Number UowReceived KR ~,'. .,;. .'.,'. Page I 01'.1 ONLINE SUNSET Online HEATING Payment Total: 10:32:36AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 11/23/2009