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Home My WebLink AboutPermit Mechanical 2009-12-14 ~~RING. FI~LO, ',.. L. .'\ 'i .,a:$~" 1>"," ". , , .;~C~ Pf;$;'~:-h, OREGON City Of Springfield 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Ir~:;Y'~""'~:~ I 0 New Construction IKl Addition/alteration/replacement ~":~2,t:rCAiEGO-'~Y:QF::CtjNSJIRQ-cffr(jN~:1';~;!i~~~~ I [g] 1 or 2 family dweJJing 0 Multi-family 0 Commer~ial 0 Accessory J;i(os:sffE'iN1;oRMATloN :ANDll!oC';'TfoN,1 ";:",'I,~~'r?,t~ I Job Address: 3310 INDUSTRIAL AVE I City/State/ZIP: SPRINGFIELq, OR 97476 I Suitelbldg.lapt.no.: Project Name: Chris Smith Residence Cross Street/directions to job site: I Tax map/parcel no.: 1702303408400 Installation of Fujitsu mini split heal pump system I~'" I Name: Brian Roqers I Phone: 541-554-9331 I Email: Fax: 541-988-3182 I NnTIr.F~ 'CCB Irc, no,: 171706 I Bus;ne,s N,m, SUNPFM8EptJ!:'f9I'~~TR~~ALL EXPIRE IF THE WORK I Contoc' AUTHORIZED UND~H~HIS!t.K'V~ I~ ,,, NU I I ,11I''''"I"I%tU un ,;) J-\DI'",u0iJELJ (3;1 Address: 5729 MAIN srBOX '248 .',,~~',' ~ ~8 r:.,^X r~n~g2.. I City/State/ZIP: SPRINGFIELD, OR 97478 I Phone: 5419883181 Fax: 5419883182 I Email:-erogers1976@aol.com , Metro lie. no.: City lie. no.: Upon review and approval by your loc;;al Jurisdiction, your permit will .be ,:e.malted ,or fa,,;ed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorilatlon To Begin Work e,,;plres within 180 days If a permit Is not obtained. The local building department may determine that an Authorilatlon To Begin Work Is null and void If It does not meet applicable land use laws and localordlnanc es. cA' \1'111 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00217 Approval Code; 075420 12/14/2009 2:09 pm E-mailedTo:erogers1976@aol.com Ir~~~~!i:~r~~~~~K;ErS9lr~ROG~~~;~~~:>'":~{C;~~;t,..?!~ ~i' I Description Ea. Total First Appliance ~ee I Subtotal I Slate surcharge (12% of permit total) I Technologyfee (5% of permit total) I TOTAL PERMIT FEE $79.00 $9.48 $3,95 I $92,43 I t~-\t~ ~ .\L\HLO~ - .~f;<-' 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 Ie 1-800-332-2344). 0;,," .~ ~~~ ~ 9J"O:J , ~ 00.." ,<\.- \~., ~ ~?<;(, ~ 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: COM2009-01785 ISSUED: 12/14/2009 APPLIED: 12/1412009 EXPIRES: 06/1412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3310 INDUSTRIAL AVE ASSESSOR'S PARCEL NO,: 1702303408400 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of mini split heat pump system in residence, Residential , Owner: LADD STEVEN M Address: 1701 ADKINS ST EUGENE OR 97401 I C,ONTRACTOR INFORMATION I Contractor Type Mechanical Contractor SUNSET HEATING & AIR INC License 171706 Expiration Date 0811812010 Phone 541-988-3181 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: H,eight of Structure Ty'pe of Heat: Water Type: , Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla , DEVELOPMENT INFORMATION I " ""'""" ~ . -REQUIRED PARKING Front yard Setback: Overlay Dist: Total: ~ide I Setback: , ," # Street Trees Rqd: Handicapped: Side 2 Setp,ac1'fH~E' ' .."... Pa~~~ Drive Rqd: . Ore on ,~~ you to Rearyard Se~i~~hiMIT SHALL EXPIRE IF THE W,fJ\jf\Lot Coverage: ATTE~ONadop~d by the Oregon Utility Solar Setblcl{s: t FD UNDER THIS PERMIT IS NOT foll?w ~ eSCenter Those rules are set forth ^lITf-InRI7__ f^n ~lifi,I;!~lon. I g..n "~'U:ln1. COMMENCED OR IS Atl!-\I~UU"r Pl.JB"Lfc IMPROVEMENT:'ii~R ~b:~~~.~bt~i~'~;pi~~ of the rules by AMV 1 Rn pAY PERIOD., s.r '. 0, t/t-lote: the telephone Street Improvemen'ts. calhng;tlllMlll~ t~pe, UtTty Notification number..for.the oregon II , Storm Sewer Available: ' 'C\fflIl!I'qlll1.911~2-2344). Special Instruction: Notes: I Valuation Descriu'tion I Description Type of Construction $ Per Sq Ft 'or multiplier Square Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01785 , 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 Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3,95 $79;00 12/14/09 12/14/09 12/14/09 1200900000000001328 1200900000000001328 1200900000000001328 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 ReoIJ!.red'lrisnedions I Rough Mechauical: 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 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 are in' compliance with ORS 701.005 will be used on this project, I fnrther agree to ensure that all req~ired i~sp~ctions 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 Signature ) Date ,~. ", Pa2e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1785 COM2009-0 1785 COM2009-0 1785 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Descrjption 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS , City of Springfield Official Receip~ Development Services Department Public Works Department 1200900000000001328 Date: 12/14/2009 2:38:30PM , Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79,00 3,95 9.48 $92.43 Amount Pllid KR ONLINE SUNSET Online HEATING Payment Total: $92.43 $92.43 -' Page I of I 12/14/2009