HomeMy WebLinkAboutPermit Mechanical 2010-2-8
o New Construction
(KJ Addition/alteration/replacement
tq'I^~'r
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00024
Approval Code: 038201 2/8/2010 10:11 am
E-mailedTo:erogers1976@aol.com
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Ea. Total I
I Description
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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I First Appliance Fee
cil
$79.00 I
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$79.00 I
$9.481
$3951
$92.43 I
lXl 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
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I Job Address: 6699 B ST
I City/StatefZIP: SPRINGFIELD, OR 97478
I Suitefbldg.lapt.no.:
I Project Name: Norm Chappelie Residence
I Cmss SlreeVdireclions to job site:
I Subtotal
1 State surcharge (12% of permit
total\
I Technology fee (5% of permitlotal)
I TOTAL PERMIT FEE
I Tax map/parcel no.:
1702344104200
Installation of Fujitsu mini split heat pump system
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Name:
Phone:
Fax:
Email:
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CCB lie. no.: 171706
Business Name: SUNSET HEATING & AIR INC
I Contact:
I Address: 5729 MAIN ST BOX 248 .
City/State/ZIP: SPRINGFIELD, OR 97478
Phone: 54198B31B1
Fax: 5419883182
Email: erogers1976@aol.com
Metro lie. no.:
City lie. no.:"
Upon review and approval by your tocal jurisdiction, your permit will be e-mailed or faxed
. ~ .
within one business day, with instructions on how to schedule your inspection.
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NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null ~d
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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
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-01287
ISSUED: 09/16/2009
APPLIED: 09/01/2009
EXPIRES: 03/23/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6699 B ST
ASSESSOR'S PARCEL NO.: 1702344104200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Three zone mini-split
Owner: CHAPPELlE NORMAN A
Address: 6699 B ST '.
SPRINGFIELD OR 97478
Phone Number: 541-747-1073
I. C;ONTRACTOR INFORMATION I
Contractor Type,
Electrical
Mechanical
Contractor
EASTSIDE ELECTRIC INC
SUNSET HEATING & AIR INC
License
117770
171706
. Expiration Date
10/04/20 II
08/18/20 I 0
Phone
541-915-9828
541-988-3181
BUILDING INFORMATION I
VB
# 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:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
#Street Tree"eaqIfNTION: Oregon law requlreHandicapped:
P".~edprivefA~~w r~'es adopted by the oregSl~ff,~:
. :0 of Lot ~.NQli~tlon Center. Those rules are set foJh
, ..' ~~~ v~~~~~~'3~.~~_through OAR 952-001-
I PUBLIC IMPROVf!M~!91l,B~ ~nter~"(N;le':";h~'t~i;~h~;eDY
, ." j.. .., the. Q(!jgory,l,/tiJilY Notificali
Center Is"t~b"d'~l!,i3ii4). on
Downspouts/Drains:
Street Imwroll'l\,~~:
Stor~ Se~r.~vliI!Mt~T SHAll EXPIRE IF THE WORK
SpeCIallnst~'1~~I'1IZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
p. h'V ion n W PERIOD
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Page I of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01287
ISSUED: 09/16/2009
APPLIED: 09/01/2009
EXPIRES: 03/23/2010
VALUE:
Status
Issued
',',.' "
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation De~crillti()n ,
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date.Calculated
Total Value of Project
~1;1'. P!'W
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$15.60
$6.50
$79.00""..
$34,00 ....
$17.00 :
$6.96'
$2.90
$55.00
$3.00
$9.48
$3.95
$79.00
9/1109
9/1/09
9/1109
9/1/09
9/1109
9/16/09
9/16/09
9/16/09
9/16/09
2/8/10
2/8/I0
2/8/10
3200900000000000619
3200900000000000619
3200900000000000619
3200900000000000619
3200900000000000619
1200900000000001068
1200900000000001068
1200900000000001068
1200900000000001068
2201000000000000113
2201000000000000113
2201000000000000113
Total Amount Paid
$312.39
I Plan Reyiews 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.
~~/n.lW;rrlT~:nections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Page 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combinatiori Permit
PERMIT NO: COM2009-01287
ISSUED: 09/16/2009
APPLIED: 09/01/2009
EXPIRES: 03/23/2010
VALUE:
225 Fifth Street, Springfield, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Iilspection Line
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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 strncture withont permission of the Commnnity 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 ensnre that all required inspections 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
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Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1287
COM2009-0 1287
COM2009-0 1287
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
15t Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
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2201000000000000113
Date: 02/08/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE sunset air & Online
htg
Payment Total:
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Page I of I
1O:37:44AM
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
$92.43
2/8/20 I 0