HomeMy WebLinkAboutPermit Mechanical 2009-12-14
SPRINGfiELD
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City Of Springfield
225 Fifth'SI
Springfield, OR 97477
Phone: 541-72&-3753
Email: pennitcenter@ci.springfield.or.us
I 0 New Construction
IX] Addition/alteration/replacement
I 001 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 1139 DONDEAST
I City/State/ZIP: SPRINGFIELD, O~ 97478
I Suitelbldg.lapt.no.:
I Project Name: Rachel Steinhauer Residence
I CmssS"eeUd;..ctrons to job sri",
I Tax map/parcel no.: 1802061311600
Installation of Fujitsu mini split heal pump system
Name: Brian Rocers
I Phone: 541.554-9331
I Email:
Fax: 541-988-3182
NOTICE: CCBlrc,no,,171706
Bus;ness N'm1HlSd€liJl,Mfilj~LcEXPIRE I~ 1 Ht VVUKI\
AU I HUKILtu UI~Ucn iiii5 fEhf!.\":' 1:3 tJ::JT
Contact: l'''''lcn cnQ
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City/State/ZIP: SPRINGFIELD, OR 97478
I Phone: 5419883181
I Email: eragers1976@aol.com
I Metro lie. no.:
Fax:- 5419883182
City lie. no.:
Upon review and approval by your local jurisdiction, your permit wlll be e-malled or faxed
within one business day, with Instrul.:tJons Oil how to schedule YOllr Inspection.
NOTE: This Authorl:utlon To'Begin Work el(plres within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To Begin' Work is null and
void If II does not meet applil;abre land use laws and local ordinan ces.
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00216
Approval Code: 086686 12/14/2009 2,06 pm
E-mailedTo:erogers1976@aol.com
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I Description .I aty. J Ea. J Total I
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I First Appliance Fee .
1M' "''''"'''hu,''''''''''-,~,'' '" >,~"':,-":-'~''''''.,'~f>'f:-'i!'YP:''--i:tB',~2~:~~H~~''''',.:i<Y!N&-;1'.'1~?ci<u~r;~'f'="~'~1
..__e..<:... aI)J_catR~rI)1J~!.r;,eeSiJ~~o\:'%f;!;od..\$w7,':(..;k~!-rQ&~'.;lI')':!i'll:'~Ih""'~~~~
I Subtol,I' $79,00 I
State surcharge (12% of permit $9.481
total)
Technology fee (5% of permit total) $3.951
I TOTAL PERMIT FEE $92.43 I
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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 may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center 18 1-800-332-2344).
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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
Status
Issued
. .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01784
ISSUED: 12/14/2009
APPLIED: 12/14/2009
EXPIRES: 06/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1139 DONDEA ST
ASSESSOR'S PARCEL NO.: 1802061311600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat puinp system in residence.
Residential
Owner: STEINHAUER RACHELLE K
Address: 1139 DONDEA ST
SPRINGFIELD OR 97478
I CON~RACTOR INFORMATION ,
Contractor Type
Mechanical
Contractor
SUNSET HEATING & AIR INC
License
171706
Expiration Date
08/18/20 I 0
Phone
541-988-3181
BUI~DING IN.FORMA TION 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/.
I.DEVELOPMENT INFORMATION ,,,.,,'"
......-.
REQUIRED PARKING
Front yard Sethack: Overlay Dist:
Side I ~t~;rJJCE:, # Street Trees Rqd:
Side 2 ~'t/tlEcfi'ERMIT SHALL EXPIRE IF THE WOfllt\.ed Drive Rqd:
Rearyar.fIJ~WlMIHD UNDER THIS PERMIT IS N0:T or Lot Coverage:
Solar S~e\\~MENCED OR IS ABANDONED FOR
ANY 1 tlU UAY t'ttiIUU.
Total:
ATTENTION: Oregofff!Wi~il&eli'$s you to
follow rules adopte~t:lregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
::~L "._, .r.t_:". ..e:.- _: 1:0.. ,./...~,
I PUBLIC IMPROVEMENTS' calling the center, (Note: the telephone
, , numll~1.,~qj; t/l.Q p:regon Utility Notification
'C9ntMI'd Hoo-332-2344).
Downspouts/Drains:
Street Improv~ments:
Storm Sewer Available:
Special Instruction:
, ~ ri"
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Notes:
I Vl,llu~tion Descri?ti?n I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 101'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
P,ERMIT NO: COM2009-01784
ISSUED: 12/14/2009
APPLIED: 12/14/2009
EXPIRES: 06/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid I
. ..r,
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fcc
1st Appliance
Amonnt Paid
Date Paid
Receipt Nnmber
$9.48
$3,95
$79,00
'12/14/09
12114/09
12/14/09
1200900000000001327
1200900000000001327
1200900000000001327
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. '
Reollired Insoectioils I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, 1 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 withont 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 time, that each address isreadable 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 ai all
times during construction.
Owner or Contractors Signature Date
',.. ;",'
Page 2 of 2
225 Fifth Street
Sf;'ringfield; Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1784
COM2009-0 1784
COM2009-0 1784
Payments:
Type of Payment
ONLINE CHGS
cReceintl
'.
RECEIPT #:
Description
15t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
1200900000000001327
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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.Page I of I
ONLINE SUNSET Online
HEATING
Payment Total:
2:18:47PM,
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
12114/2009