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HomeMy WebLinkAboutPermit Mechanical 2009-12-14 SPRINGfiELD .;,,""- {."~<<..'l."" ,,'" ~",..,,,,,F';:, ,,~.., ,'5ff ~~~, OREGON 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 Ij11fli~~N';ii:iI~cll)OB:SITEHNF:6RMAliON"ANB!i!QCA'flON;':ii~]\1'i'fi~Ti1:~1i 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 JamM~iK)[3 J:lIC ,'13M ...., oct; . . Add..sS.' S7298'~W ~Fdl'i'Ti'ft'V o!:Qlnn 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. c~. (\~~ Residential Mechanical Authorization To Begin Work 69600-BMC-09-00216 Approval Code: 086686 12/14/2009 2,06 pm E-mailedTo:erogers1976@aol.com l~iI'fE~~(,;!:!I::.gill~~~~_ I Description .I aty. J Ea. J Total I l@n!mymlfj~3!~~iZ~~~~~~~@51!~@:rt~~~iil11.K~~1~~ 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 e,q- \i6L-\ \L,\L \~\\L\\li1 . '~'" . ""~. ...,.,...-...."'--"'.. .. 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). \.,.Q~ "\ . 'OCA. \~.\ ~ ~f:?~ ~ .# ~ ~ ,-'V ~, ..~ CO' 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" .,.' ,.," 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 KR . -..;,j ":,," ""-:' . .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