HomeMy WebLinkAboutPermit Mechanical 2009-12-29
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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lKl Addition/alteration/replacement
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I 0 New Construction
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I [K] 1 or 2 family dwelling
1 '.jOB SITE INFORMATION AND t!oCAhbN
I Job Address: 2558 20TH ST
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. " >CATEG'6RYbi';c6NSTRUC'nON
o Multi-family
o Commercial
o Accessory
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CityfState/ZIP: SPRINGFIELD, OR 97477
SulteJbldg./apt.no.:
Project Name: Jason Martorano Residence
Cross Street/directions to Job site:
Tax map/parcel no.: 1703244202742
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Installation of Fujitsu mini split heat pump system
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Name: Brian ROQers
Phone: 541-554-9331
Fax: 541-988-3182
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CCB lie. no.: 171706
Business Name: SUNSET HEATING & AIR INC
Contact:
Address: 5729 MAIN ST BOX 248
CityfStatefZIP: SPRINGFIELD, OR 97478
Phone: 5419883181
Fax: 5419883182
Email: erogers1976@aol.com
Metro lic. no.:
City lie. no.:
,
Upon review and approval by your local jurisdiction, your permit will be e-malled or faxed
within one bU5iness day, with inatructions on how to 5chedule your inspection,
NOTE: This Authorization To Begin Wor1l expires 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 it does not meet applicable land use laws and local ordinances.
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00232
Approval Code: 041490 12/29/2009 1:28 pm
E.mailed To: erogers1976@aol.com
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I Description
IMinim!Im'F,ge's ,,,,'~,..
I First Appliance Fee
I M~_ch~flic::~!, perml(fees:
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total) .
I TOTAL PERMITFEE
Qly,
Ea,
Total
~- -.~~:"t $~
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$79,00
.7;"'"
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I
$395 I
$92.43 ,
$79,00
$9.48
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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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01845 ,
ISSUED: 12/29/2009
APPLIED: 12/29/2009
EXPIRES: 06/29/2010
VALUE:,
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fn'
541-726,3769 Inspection Line
SITE ADDRESS: 2558 20TH ST
ASSESSOR'S PARCEL NO.: 1703244202742
Springfield TYPE OF WORK: Mechanienl Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Instnll mini-split system
Owner: MARTORANO JASON
Address: 2558 20TH ST
SPRINGFIELD OR 97477
I CONTR~C~OR INFORMATION I
Contractor Type
Mechnnieal
Contractor
SUNSET HEATING & AIR INC
License
171706
Expiration Date
08/18/2010
Phone
541-988-3181
BUlLDI,NG INFORMATION I
# of Units:
Primnry Occupancy Group:
Seeondnry Oeeupnney Group:
Primary Construction Type
Secondnry Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Hent:
Water Type:
Rnnge Type:
Energy Path:
Spriukled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Bnsement:
Sq Ft Gnrnge/Cnrport
Sq Ft Other:
Occupant Lond:
n/n
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setbnek:
Renrynrd Setbnck:
Solnr Setbacks:
Overlny Dist: .
# Street Trees Rqd:
Pnved Drive Rqd:
% of Lot Covernge:
REQUIRED PARKING
Totnl:
Handicnpped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS. N' Oregon law requires youto
. I'" .~, "'10. lWiiP'f,lJ;I.? Oregon Utility
follow rules 18\(\1> Th rlrJles are set lorth
N t'f'lcation c~ter. os ,.~.. R 952,001-
o I ct1QO'(l'N?~:q/sADrams:
In OAR 952.0 'btain copies of the rules by
0090.. you may 0 Note: the telephone
calling the center. ( Ufility Notification
number for the. Or1e8g00~.332'2344).
l'ontAr IS .
Storm Sewer Availnble:
Special Instruction:
NOTICE: E IF THE WORK
TH\S PERMIT SHALL ~~~ PERMIT IS NOT,
^' lTI~nP17FD UI~DER _ ..r~ mO
'1MMENCED OR I~ IIbl""" I I
. ,'.'::' .:: PU:\G::l. Valuation Descriution
Notes:
Description
Type of Constructior
$ Per Sq Ft
or multiplier
Squnre Footnge
or Bid Amount
Value
Dn'e Cnleulnted
Paee 1 of 2
Status
Issued
CITY OF isr<<.mGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01845
ISSUED: 12/29/2009
APPLIED: 12/29/2009
EXPIRES: 06/29/2010
VALUE:
225 Fifth Street, Springfield, OR
54],726-3753 Phone
54] -726,3676 Fax
541,726-3769 Inspection Line
Total Value uf Project
Fe~s Paid I
$9.48
$3.95
$79.00
12/29/09
] 2/29/09
] 2/29/09
Receipt Number
220090000000000]442
2200900000000001442
220090000000000]442
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Amount Paid
Date Paid
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.
Reoll; -I'd Insl1I(,"\"o' S .
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Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signllturc, I state llnd 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 Springtield 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 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the penriit c~'rd is located at the front of the property, and the approved set of plans wili remain all the site at all
times during cOlIstr~ctioll.
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\
Owner or ContractJrs Signature
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I
,
Date
Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009.0 1845
COM2009.0 1845
COM2009.0 1845
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
1 st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001442
Date: 12/29/2009
Item Total:
Check Number Authorization
Recc.ived By Batch Number Number How Received
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ONLINE sunset htg Online
Payment Total:
il"
Page I of I
2:56:25PM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
12/29/2009