HomeMy WebLinkAboutPermit Mechanical 2010-8-3
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~OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: pennitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00208
Approval Code: 092355 8/312010 7:56 am
E-mailedTo:erogers1976@aol.com
o Multi-family
First Appliance Fee
$79.00
City/StatelZlP: SPRINGFIELD, OR 97478
Subtotal
State surcharge (12% of permit'
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79.00
$9.48
Job Address: 6359 F 51
SuitelbldgJapLno.:
$3.95
$92.43
Project Name: Maria & Richard Carillo Residence
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Cross Street/directions to job site:
Tax map/parcel no.:
1702342403610
Installation of Fujitsu mini split heat pump system.
Name: Brian Racers
Phone: 541-554-9331
Fax: 541-988-3162
Email:
cee lie. no.: 171706
Business Name: SUNSET HEATING & AIR INC
Contact:
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Address: 5729 MAIN ST sex 248
Metro lie. no.:
City lie. no.:
ATTENTION: Oregon law requires yout.o
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telepho~e
number for the Oregon Utility Notification
#f!;ter is 1-800-332-2344).
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Phone: 541~98a.31~MFNr.Fn n Aff~\ff4~~ 8
Ema'" emge""g76@ao,:CO;;'AY PERIOD.
Upon review and approval by your local Jurisdiction, your permit will be e-malled or falled
wittlln one bl,lslness. day, wittI instructions on howto schedule your Inspection.
NOTE: This Authorization To Begin Wor1\" expires wtthln 180 days If a permit Is not obtained.
The local building department may determine that an Authorl2atlon To Begin Work Is null and
void If It does not meet applicable land use laws and local ordInances,
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01038
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 02/03/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6359 F ST
ASSESSOR'S PARCEL NO.: 1702342403610
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of mini split heat pnmp system.
Residential
Owner: CARRILLO RICHARD A & MARl E
Address: 6359 F ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
SUNSET HEATING & AIR INC 171706
BUILDING INFORMATION I
Expiration Date
08/18/2010
Phone
541-988-3181
# of Units:
Primary Occnpancy Gronp:
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
REQUIRED PARKING
FrontyardlJ~ljbae:: Overlay Dist: Total; ou to
Side 1 Setback~ . "'''''# Street Trees Rqd: nENTION: Oregon laWH~\l~I::~Mee\ility
Side 2 Set~~1!f,~~MIT SHALL EXPIRE IF THE Wo~~ed Drive Rqd: ~\lOW rules adopted by t\1:n(g~\~\i'set forth
Rearyard Se~~~ck?ED UNDER THIS PERMIT IS NCfr'fLot Coverage: ~otification Center. Those rUh OAR 952-001-
Solar Setbacks::NCED OR IS ABANDONED FOR . OAR 952-001-001 0 throug f the rules by
. ..,,"1 r-. ""......... _ In t~, cOPies 0
.." , ~'"VV. PUBLIC IMPROVEMEN aliing th~'~enter. (Not~;':ity Notifi~ation
IN the Oregon I
Street Improvements: . numb~~~_ilf~P~()0.332.2344). .
Storm Sewer Available: DownspoutslOrains:
Special Instruction:
I DEVELOPMENT INFORMATION I
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
WirS:~'~_~F;tE'="J
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01038
ISSUED: 08/03/2010
APPLIED: 08/03/2010
EXPIRES: 0210312011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paitl
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
8/3/10
8/3/10
8/3/10
1201000000000000859
1201000000000000859
1201000000000000859
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, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 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 permit card is located at the front ofthe property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa~e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000859
Date: 08/03/2010
J:03:27PM
Job/Journal Number
COM2010-01038
COM2010-01038
COM20 I 0-0 I 03 8
Payments:
Type of Payment
ONLINE CHGS
cReceinll
Description
1 st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
KR
ONLINE SUNSET Online
HEATING
Payment Total:
$92.43
$92.43
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8/3/2010