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HomeMy WebLinkAboutPermit Mechanical 2009-12-10 ~.P.Rl.N.GFlfL~... ;,' iet -'~~";'" , i""'. '.. '.;?'t-"" " , ' ~';:> ~-r", ...?J; ~~,..:' ORc.GON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@cLspringfield.or.us I/q'11~ Residential Mechanical Authorization To Begin Work 69600-BMC-09-00210 Approval Code: 097509 12/10/2009 9:17 am E.mailed To: erogers1976@aol.com l~',:}~))~~~');;'1-;;,~:;.;s~:iF:~E':$c~E'c~u'kE'? I Description I Qty, I IrJlinim_l1rri:F:ees'::f~~:l;<'h i..;i:;~;' '-~, I First Appliance Fee 1:::~~ical'~ermit.F,.eS"f':;~ 1 Slate surcharge (12% of permit total) I Technology fee (5% of permillolal) I TOTAL PERMIT FEE Ea. , ,I Total I 1 $79.00 I 'I $79.00 I $9.481 $3.95 I $92.43 I .~';;: ;;Y:a;L ;.;r.!~tTy:eE:'OF.:,WQR,{'~;:~'t:~?:~f~~~f"~:i~::~~~j~~,~~';S~~; D New Construction IKI Addition/alterationlreplacemenl ,':.,-, "." ':!::AfEGORY;9FtOrilSTRUCTIQN";;,~;.,<5.:,' .,:; IKJ 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory >C" ," JOSSITE irilE6RiinATIOril'ANDll6c~;TrON I Job Address: 2750 VILLA WAY City/State/ZIP: SPRINGFIELD, OR 97477 -- .. - Suite/bldg./apt.no,: Project Name: Thomas Montgomery Residence Cross Street/directions to job site: I Tax map/parcel no.: 1703233300203 I~: i _:;,J"~:~'":-~~~i~, ,~tiES'g:f{rpj;ION'.6E:W9Rt<!~\:."~~~:,~ ~t::~~~i~~, 'f~r~, ~J Installation of Fujitsu mini split heat pump system I I Name: Brian Roqers I Phone: 541-554-9331 I.-Em:" I ~;. '"' ~ ':'.:'~.,-:;;.SltE ,CONT~(ci~>,.}~r.~2' :.'<.. '.'~;-~:~;ji':- .~...: ..'" 1 Fax: 541-988-3182 ;'11;,' .~':;~~rC:6NTRAct1'YR~~r~ '.~~1:,?"~~;'io::~:?5:fb~$-1~l~;~~1 cce lie. no.: 171706 Business Name: SUNSET HEATING & AIR INC Contact: Address: 5729 MAIN ST BOX 248 City/State/ZIP: SPRINGFIELD, OR 97478 Phone: 5419883181 Fax: 5419883182 Email: erogers1976@aol.com Metro lie. no.: City lie, no.: Upon review and approval by your local jurisdiction, your permit will bo o.mailed or faxod withi~ one business day. with instructions on how 10 achedule your inspection. {iO/J1 L(TO Y t;2//0/C1<} - {)/7S-? Q~6^ ~<).\\9 ~ \ ':J <:l. ~~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained, The local building department may determine thai an Authorization To BegIn Woril is null and void if it does not meet applicable land use lilws and local ordinances, /7/J~ Inspections Phone: 541-726-3769 This Authorization 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: COM2009-01759 ISSUED: 12/1012009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fux 541,726-3769 Inspection Line SITE ADDRESS: 2750 VILLA WAY ASSESSOR'S PARCEL NO,: 1703233300203 Springfield TYPE OF WORK: Mechunicul Only TYPE OF USE: New Residentiul PROJECT DESCRIPTION: Mini-split heut pump Owner: MONTGOMERY THOMAS R & S K Address: 2750 VILLA WAY SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanic~ll Contractor SUNSET HEATING & AIR INC License 171706 Expiration Date 08/18/20 I 0 Phone 541-988-3181 BUILDING INFORMATION I # of Units: I)rimary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondury Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heut: Wuter Type: Runge Type: Energy Puth: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Busement: Sq Ft Guruge/Curport Sq Ft Other: Occupunt Loud: n/u DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyurd Setbuck: Side I Setbuck: Side 2 Set buck: Reuryard Setback: Sola I' Setbacks: "----- ~ Overluy Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Hundieapped: Compact: Street I mproveWl'tE'Nr ~. rON: Oregon fa Storm Sewer AliI[~~\tbl't:les adopted b w requires you fo speciallnstr\~i1lilieation Center Th y the Oregon Utility n OAR 952-001-0010 those rules are sei forth Notes: 0090. You may obtai rough OAR 952-001_ _ calling the Center ~r,7~~~',e,~ Of the rules bv .......'uC"/ lur tne 0 ' ,"~ ,,--,..-''',.........~ C reooll i !tjl'.'i}'li\!-'~'f' ,.~ I enter is l-i;oo-:';32::2~ . ~'iil\ftiiiOn Descriotion I PUBLIC IMPROVEMIj;~r~tE: THIS PERI\r~ifl<5tMlltrMP1RE IF THE WORK JnRIZc.", 11~ln~R THIS PERMIT IS NOT :\IJTh., , 'UownspotitslDraip,s: NED FOR '>: !iI'~ENCEO OR IS ABANuU - C'. ',\1 PF'iIOD. DescriJltion Type of Construction $ Pel' Sq Ft . or multiplier Squal'e Footage or Bid Amount Value nate Calculated Paee 1 01'2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01759 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fe~~ P~id I Fce Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 12/1 0/09 12/10/09 12/10/09 3200900000000000799 3200900000000000799 3200900000000000799 Total Amonnt 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. Reouired Insnections . . , Ruugh Mechanical: Prior to Cover Final Mcclwnical: 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 that any and all work performed shall be 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 of any structure without permission of the Community Services Division, Building Safety, I further certify that only contractors and employees who arc 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 tim'e, that each address is readable frum 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. O\\-'ner or Contractors Signature Date Pa2e 2 01'2 225 Fifth Street spriD'gfield; Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1759 COM2009-0 1759 COM2009-01759 Payments: Type of Payment ONLINE CHGS cRcceintl RECEIPT #: Description 151 Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 3200900000000000799 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/10/2009 Item Totul: Check Number Authorization Received By Batch Number Number' How Received NJM Page I of I ONLINE SUNSET Online HTG & AIR . Payment Total: JO:22:14AM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 12/1 0/2009