HomeMy WebLinkAboutPermit Mechanical 2009-12-3
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City Of Springfield,
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@cLspringfield.or.us
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o New Construction IKJ Addition/alteration/replacement
""CA'fEGORY'6F,CONst~(jc'noN.)V'-
001 or 2 family dwelling 0 Multi-family 0 Commercial
D Accessory
Ifk .-',' ~ " 'JOS'SITEJNFORMATlONANOTciCATI()N:,o;},
I Job Address: 2727 VILLA WAY
I City/State/ZIP: SPRINGFIELD, OR 97477
I Sultefbldg./aplno.:
I Project Name: Betty Zimmerman Residence
I Cm.. S'".Ud;"cUon. to job .it.,
I Tax map/parcel no.: 1703233300205
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Installation of Fujitsu mini split heat pump system
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I Name: Brian Rooers
I Phone: 541-554-9331
I Email:
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Phone: 54196631ff1 Fa~: 5419883162
I Email: erogers1976@aol.com
I Metro lie. no.: City lie_ no.:
Fax: 541-988-3182
Upon review and approval by your local Jurisdiction, your. permit will be e-malled or faxed
within one business day, with instructions on how to schedule your In spectlon.
The local building department may determine that an Authortullon To
void if it does not meet applicable land use laws and local ordinances.
'.
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00202
Approval Code: 087451 12/3/2009 11:00 am
E-mailedTo:erogers1976@aol.com
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I Description I Qty. J Ea.
IMlhirilujTI!f_ees 'P!~'.,ij~'~;,;~";;o( {-';'~~':;k:N;.=.~ ~ '"~~~' '_' .,,' ,~.,.
Total
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$79,00
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I First Appliance Fee : ,J
IMe~h_8'nica!,PerinifFee;-:~;'-;' .'~~_~' .I.';.~',:;;'t_
I Subtotal
I State surcharge (12% of p.ermit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$3.95
$92.43
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$79.00
$9.48
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ATTEN'T10N: ,,- the OregonlUtillW
follow rules adopted,bY Nip are sfi10lttl
Notification cef~~1~~~~:U9h OAR952~
In OAR 952-00 co ies of theNI8lIiIW
0090. YoU may Obtaln(Nofe. the telephone
calling the center. , u\'\ity No\iligallan
number for the Oregon M~.2344).
'Center 11.1-800-
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Inspections Phone: 541,726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I725
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: 06/03/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 2727 VILLA WAY
ASSESSOR'S PARCEL NO.: 1703233300205
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pump system in residence.
Owner: ZIMMERMAN BETTY L
Address: 2727 VILLA WA Y
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
License
171706
Contractor
SUNSET HEATING & AIR INC
BUILDING INFORMATION I
Residential
Expiration Date
08/18/2010
Phone
541-988-3181
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Ft G a ra gelC a rpo rt
Sq Ft Other:
Occupant Load:
# of Stories:
Height of Structure
Type of Heat:'
Water Type:
Range Type:
,..",:En;.~y Path:. ,
, ,,'A,/"""'j,~~led Bulldmg: nla
. j JlB.~~$K1E~T INFORMA nON I
~~ ~(~. ~J" " REQUIRED PARKING
Front yard Setback: ~\,. ~~S ~<:)~~~OVerlay Dist:' Total:,
Side I Setback: ~. A. S'0~<:)~~ ~~~ # Street Trees Rqd: ~Ha dic'lJW~
Side 2 Setback~,(\'\\~ ~~\' '0~ \'0 ~ Paved Drive Rqd: ON: ....' ",J, law o~\Jti'i\y
Rearyanl Setb~~\S ~'? ~1-~~ ~ <:)~ ~<:)<:). % of Lot COVenlget~e8 adopted by the oreere set folth
Solar Setbacks:"\ \"\'0\:i <.~'V'? ;:l. ~'? ~t!'f1 ation Center. Those NlIl80Af, 952.001-
"\>. ,~~" ,....~ .0 I C __. T."'hrl'll(I~ "" ...,
, '0\~" CO\)'" .' M"""-VV" ieBottn"'u,,'~'"
\I ~-l,\, IPUBLlCIMPROVEME . " Youmayob18lncoP'1tl8telephon&
Street Improvements: ~ ' ,.' , calling tQI!J9!I~~~~tUtmty NollflcatlOft
, number (or \1\11,,- ui"n..~, .2344).
Storm Sewer Available: ' ~spu8n'1f)\'1I'iiis:'
Special Instruction:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# uf Bedrooms:
Notes:
I Valuation"Descriotion, I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Paee I of 2
...... ..........
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009cOI725
ISSUED: 12/03/2009
APPLIED: 12/03/2009
EXPIRES: 06/03/2010
VALUE:
~
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726,3676 Fax
541-726-3769 Inspection Line
Total Value uf Project
I' Fees Paid I
Fee Descriptiun
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3,95
$79,00
1213/09
12/3/09
12/3/09
1200900000000001298
1200900000000001298
1200900000000001298
Total Amonnt Paid
$92.43
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. . ,
Re(Jllir~d Insnections 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 I further certify thatany and all work performed shall he 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 ofany 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 will remain on the site at all
times during construction. '
Owner or Contractors Signat~re Date
,1.1 I:,
Pa2e 2 of 2
.
225 Fifth Street
SJiringfield, Oregon 97477
541-726-3759 Phone,
Job/Journal Number
COM2009,O 1725
COM2009-0 1725
COM2009,O 1725
RECEIPT #:
Description
I sl Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment' Paid By
ONLINE CHGS
cReceinll
ONLINE PERMIT CHGS
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1200900000000001298
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/03/2009
11:18:23AM
Amount Due
79,00
3,95
9.48
$92.43
Item Total:
Check Number Authorization
Received By B.-tch Number Number How Received
KR
Page 1 of 1
Amount Paid
ONLINE SUNSET Online
HEA TING
Payment Total:
$92.43
$92.43
12/3/2009