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Home My WebLink AboutPermit Mechanical 2009-12-18 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00223 Approval Code: 073590 12/17/2009 3:39 pm E.r:nailed To: erogers1976@aol.com l " City OISpringlield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us I 0 New Construction ~ Addition/alteration/replacement IIC;c~;~t;:r:,,',';'~;i'"""':~c;Al:Ei:39RY(O~.)G'O~SI]ucfION~~J:v"i';"~t~ 1001 or 2 family dwelling D Multi-family D Commercial 0 Accessory f.;{:~~j.oB'SjTE;tN"ORMATioN.ANDjt6cAfIONil~;2;{:.f:.)r;,,"i I Job Address: 1264 KEN RAY ~OOP I City/State/ZIP: SPRINGFIELD, OR 97477 I Suitelbldg./apt.no.: I Project Name: Steve Hyland Residence I em" 5"...";,.,';ons '0 job s;,.: I Tax map/parcel no.:,' 1703272207630 Installation of Fujitsu mini $plil,heat pump sy.stem I Name: Brian Raoers I Phone: 541-554-9331 I Email: Fax: 541.9S8-3182 I kI(\TIl"EI CCB lie. no.: 17i706J~:T~" I Bus;n..s Na~~!!.NW~'fN8f1tfl.t~'EXPIRE IF THE W~~K. I Con',,': AUTHORIZED UNDER THIS P~.KIVIII~I" Iwl I n(.).'.'nll'~n UK I:; J.\tiJ.\I~UUI~[~ .On_. Address: 5729/MAINISnBGX12481 . U,,,y "'" "'" ~,J\lC~. City/State/ZIP: SPRINGFI"ELD":OR 97478 Phone: 541988318" Fax: 5419883182 I Einail; erogers1976@aol.com , Metro lie. no.: City lie. no.: Upon review ~nd approval by your local Jurisdiction, your permit will b~ e-malled or faxed within one business day, with instructions on howto schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol obtained. G q, J 807 1 Description ~irst Appliance Fee Subtotal I State surcharge (12% of permit total) I Teehnology fee (5% of permit t01al) I TOTAL PERMIT FEE $79.00 $9.48 $3.95 $92.43 J tq-\ID1. ~ 12..\ t ~O'1 ,.M"........ A1TENT10N: Oregon law requIree ytllI to fDnow rules adopted by the Oregon UtIlity Notification Center. Those NI8I 8f8 let forIIt In OAR 952.001.0010 through OAR 952.001. 0090. You may obtain copies of the ruIea br calling the center. (Note: the telephon. ,ftlIIllber for the Oregon UtlI/Iy NotifIoaIIoft Center 111.80(1 '12-2344). , i"-- ~~ ~jJ 0 t~VO\B" . ~~~~.o~ \to-'S~~ t~ The local building department may determine that an Authorization To Begin Work is null and void i1il does oot meet appHcable land use laws and local ordinances. tn5pections Phone: 541-726.3769 This Authorization To Begin Work .,!,ust b? ~?sted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination ,Permit , , PERMIT NO: COM2009-01807 ISSUED: 12/18/2009 I APPLIED: 12/18/2009 EXPIRES: 06/18/2010 VALUE: 225 Fifth Street, ,Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1264 Kenray Lp ASSESSOR'S PARCEL NO.: 1703272207630 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of mini split heat pump system in residence. Residential Owner: HYLAND STEYEN E & BONNIE M Address: 1264 KENRA Y LOOP SPRINGFIELD OR 97477 I CONTRACTO~ INFORMATION I Contractor Type Mechanical Contractor SUNSET HEATING & AIR INC License 171706 Expiration Date 08/18/20 I 0 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: 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/a I DEVELOPMENT INFORMATION I . ,REQUIRED PAR.KJ.I>;G' JI/filTll'f" ATTENTION: Oregon law reqUIres you ~ Frontvard ~e .lladlH:. . "o~erlp) Dist: follow rules adopted 13ytt4\e Oregon ~:t;. Side I'Setb:i!ClJ<IS PERMIT SHALL EXPIRE IF THE /N,Q~~ Trees Rqd: T~lB set Side 2 Setbif~!j:rHORIZED UNDER THIS PERMIT IIl~TDrive Rqd: ~og~Ra~~~~f:~10tftl$lfJlteAR 952.001- Rearyard se,t8M!%lENCED OR IS ABANDONED FaR of Lot Coverage: 0090. You may obtain copies of the rules by Solar Setba~My 180 DAY PERIOD. . calling the center. (Note: ttle telephone t.' \L:~.".,~ftl~ I PUBLIC IMPROVE~ENTS I ....... w'~nter'l8 1-800-332-2344). Street Improvements: Storm Sewer Avaitable: Special Instruction: :, . Sidewalk Type: Downspouts/Drains:... . ,._~",:>","""".'h--:-,:,""" .,.l'-'j" 4.." , Notes: I Valuation Descriotion I Descriptio~ Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 ofi Status Issued CITY OF SPRINlJl'lELD. Building/Combinat~on Permit I , PERMIT NO: COM2009-01807 ISSUED: 12/18/2009 APPLIED: 12/18/2009 EXPIRES: 06/18/2010 VALUE: " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line 'Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Amount Paid Date Paid Receipt Number . $9.48 $3.95 $79.00 12/18/09 12/18/09 12/18/09 1200900000000001345 1200900000000001345 1200900000000001345 Total Amount Paid $92.43 I Plan Reviews , 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, in~pections requested after 7:00 a.m. will be made the following work day. Reouired Inspections I Rough Mechanical; Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, thaI 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 a'ccordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work describe~ herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, ,Building Safety. 1 fnrther 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 inspectiollsare 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 pi, Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1807 COM2009-0 t 807 COM2009-0 1807 Payments: Type of Payment ONLINE CHGS cReceinl1 RECEIPT #: Description 15t Appliance + 5% Technology Fee + t 2% State Surcharge ra id By ONLINE PERMIT CHGS 1200900000000001345 City of Springfield Official Receipt Development Services "Department Public Works Department Date: 12/18/2009 Hem Total; t:heck Number Authori~ation Received By Batch Number Number How Received KR ,.... Page 1 of 1 ONLINE SUNSET Online HEATING &AtR Payment Total: 8:17:26AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 12/18/2009