HomeMy WebLinkAboutPermit 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
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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).
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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