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Home My WebLink AboutPermit Mechanical 2010-7-28 ~ 100;/0 D .- ~----~--- ------ ---------~ Residential Mechanical Authorization To Begin Work 69600-BMC-10-00201 Approval Code: 025934 7/28/2010 9:10 am E-mailodTo:erogers1976@aol.com Crystal Reports Viewer L : ,;". .:1 .... Wlc5l~ · ~ ~ ~__ _., /1 !M;i"~-R~rtln.J~ City Of Springfield .---~ 225Fiflh 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us G TYPE OF WORK n New Construction fXI Addition/alteration/replacement CATEGORY OF CONSTRUCTION P9 1 or 2 family dwelling n Multi-family n Commercial n Accessory JOB SIre-INFORMATION AND LOCATION Job Address: 515 S3RD 51 City/StatolZlP: SPRINGFIELD, OR 97478 Suite/bldgJapt.no.: Project Name: Jason Carrothers Residence Cross Street/directions to job site: Tax map/parcel no.: 1702332400165 -, ,. DESCRIPTION OF WORK ~ 'f ... ... Installation 01 Fujitsu mini split heal pump system - .. .. ..- SITE CONTACT Name: Brian Rogers Phone: 541.554-9331 Fax: 541-988-3182 Email: CONTRACTOR CCB lie. no.: 171706 Businesa Name: SUNSET HEATING & AIR INC ... Contact: .-.-' .. Address: 5729 MAIN ST BOX 248 '" City/StatelZlP: SPRINGFIELD, OR 97478 Phone: 541-988-3181 Fax: 541-988-3182 Email: erogers1976@aoLcom Metro lie. no.: City lie. no.: Upon R1VleW and approval by your local Jurisdiction, your permit will be l-malled or fued whllin One bualneu day,wfth instrucllona on how to acheduleyourlnspe Cllon. NOTE: this A.Ulhorlutlon To Begin Wol1l expires within 180 days If I permltls n~f...~~l.n.~:...":. ... ..~ _. The local building department may delennlnettlal an Authorization To Bellin Work 15 null and void if It dou nOlmeelapplleable land uaelaws Ind localordlnancBI. Ga(Y\ La i i) - '1-1;0 -I 0 o oC! 7 0 ('IrA C/O.Q70 Page 1 of 1 FEE SCHEDULE Description Qty. ,.. Total Minimum Fees FirslApplianceFee $79,00 Mechanical Permit Fees Subtotal $79.00 Slate surcharge (12% of permit $9.48 total) Technology fee (5% of permit lotal) $3.95 TOTAL PERMIT FEE $92.43 .- p ~ /\ ~ 'b.P '0 f(; '\ ~ ~'l}D ~ s'f" ~ Inspections Phone: 541~72'6-3769 This Authorization To Begin Work must be posted,at the job site until replaced by a Permit ~ ~ 1/1 ~ . http://crystal.oregon.accela.com/myreports/adaptcr/XReport.asp?ReportN ame=/production... 7/29/2010 ;-:.1 '~.,II CITY OF SPRINGFIELD Building/Combination Permit PERMITNO: COM2010-00970 ISSUED: 07/22/2010 APPLIED: 07/21/2010 EXPIRES: 01/22/2011 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line \.:d~t. SITE ADDRESS: 515 53RD ST ASSESSOR'S PARCEL NO.: 1702332400165 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Ductless Owner: GAC ACQUISITIONS LLC Address: 32300 BUSH GARDEN DR HARRISBURG OR 97446 Contractor Type Electrical Mechanical , I CONTRA<OTOR-INFORMATION I ..j , Contractor License GMD ELECTRIC INC 162191 SUNSET HEATING & AIR INC 171706 BUILDING INFORMATION I Expiration Date 11/19/2010 08/18/2010 Phone 541-726-8601 541-988-3181 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure . }Type of Heat: \V,ftei'Tjipe:' , "'/taiige Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Sethack: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: ~io. ~f Lot <::o~~~~ge: "; -r' \ f..1" ;.~.~:. REQUIRED PARKING Total: Handicappe~: Compact: .i:.;~,.('J;' ~~ \..' if I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: Storm Se~elfl}r~!Itl'i~~on law requires you to f"OnCE: DownspoutslDrains: Spe"t~TJ'w ~il\~s Raopted by the Oregon Utility "HIS PERMIT SHALL EXPIRE IF THE WORK , Notification Center. Those ruies are set forth 'JTHORIZED UNDER THIS PERMIT IS NOT Notrn'OAR 952-001-0010 through OAR 952-001- ", '(!MIVlENCED OR IS ABANDONED FOR 0090. You may obtain COpieS of the rules by. !"...,r ..... . 00 n~8~i~~r tf~~ ~:;~;~ci~~~;iii~; ~~~h~~t~~n ~'.f~~; ::I;}};::d~Y 1,80 DAY PERI , Center is 1-800-332-2344). Paee I of 3 Status Issued' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ...t. ",,~ . , I 'Yaluation Description ~ Descriotion $ Per Sq Ft or multiplier Tvpe of Coustruction Square Footage or Bid Amount ~ .},;;;~, :..:f" f ....,' i ...... -' ,:,',;' "1,,-' 'tIotalNalue of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid $7.32 $3.05 $55.00 $6.00 $9.48 $3.95 ..,'-,. .. $79.00,"" Total Amount Paid $163.80 I Plan Reviews ~ Date Paid I.' . i ': 7/22/10 7/22/10 "7122/10 7/22/10 713011 0 7130/10 7130/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00970 ISSUED: 07/22/2010 APPLIED: 07/21/2010 EXPIRES: 01/22/2011 Y ALUE: Value Date Calculated Receipt Numher 3201000000000000465 3201000000000000465 3201000000000000465 3201000000000000465 3201000000000000488 3201000000000000488 3201000000000000488 "f '''rH. To Request an inspection call the 24 hour recordi'qg' at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, insp~:ctioris,.requested after 7:00 a.m. will be made the following work day. ". . l..ReolliredJnsnections 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..~ " '. '~r ::~i/ '. . J.I.W...'.....:-.p.... '2 f3 . 'T~ .;~. .age, 0 "'~;;i~:Ut -Iir(~! ;~f . II '\i-~i4.v I /: N!~~;~ ~ :.::::~; ;?~T:;:i" " , , CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00970 ISSUED: 07/22/2010 APPLIED: 07/21/2010 EXPIRES: 01/22/2011 VALUE: . Status Issued .' i'~ ':'~" ",., -.~ '" , .. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line By signatnre, I state and agree, that I have carefnlly examined the com'pleted application and do hereby certify tbat all information hereon is trne 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,wilhout permission of the Community Services Division, Building Safety, I further certify that only contractors and empioyees 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 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 ~:;:r;:J."'''':~ "."",~'~'>, I"~ ,",' ';'.:r', .',;tlrt.. :\. 'I" , ,~.. ". ~.,. ',. . 'JJ, .:'1"'! ., '?i;-~;"J,~~ ~~!r' '. " ',' ",', ,;.1 ;-,;'. ~, ~ , P~2e 3 of 3 225 Fifth Street Spring.field, Oregon 97477 541-726-3759 Phone ~,~:.Clf.l_.'~_. ...' ~ .. lilt\. ... t . ,;. ~ : City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000488 8:13:30AM Date: 07/30/2010 Job/Journal Number COM20 I 0-00970 COM20 I 0-00970 COM20 I 0-00970 Payments: Type of Payment ONLINE CHGS cReceintl Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ., Amount Due 79.00 9.48 3.95 $92.43 Received By njm Item Total: Check Number Authorization Batch Number Number How Received ONLINE sunset htg Online Payment Total: $92.43 $92.43 Amount Paid .~!~- . " -t~~~i>f ~, i . . . . ~._~~... -.-.,..-. "'-~ , '~~7;.' ,?H{i{Hi .ljUnO i ~ 4"",,::.o.~_; ';' ',. . ~. ..... ~.': ....~. ~'-;-"" :-' ....'{ :l\~.tV}t~ . J:)O . ..;i,.",';'- '.. " o. Page I ofl 7/30/20 I 0