HomeMy WebLinkAboutPermit Mechanical 2007-11-5
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01640
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/05/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6852 A ST
ASSESSOR'S PARCEL NO.: 1702353205302
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heating and AC unit
Owner: WILSON EDWARD FREDERICK
Address: 6852 A ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORM A TION I
Contractor Type
Mechanical
Contractor
INNOV A TIVE AIR INC
License
161742
Expiration Date
10/11/2008
Phone
541-746-1040
BUILDING INFORMATION.
# 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Sstor~ ISiffi( ~"tl~?Uregon law requires you to
pecJa lo"rflf.j~'~YB~ adopted by the Oregon Utility
N t Notification Center. Those rules are set forth NOTICE",
o es: In OAR 952-001-0010 through OAR 952-001-
I\Q9n V",II ....~"ht..;n ~l'\rioC' nf tho rllloC' h\, T~~! P!sOJ.III,!" ~U^U ~"D~I)~ ~~ T~~'~
calling the center. (Note:. ~he tel~!pn,q~~. ~~. HlfED UNDER THIS PERMIT IS NOT
number for the Oregon UtIlity NotlflWW&l~atlOn Des .;.J-.L... ED OR IS ABANDONED FOR
Center is 1-800-332-2344). vv, II IL
Description Type of Construction $ perISt.ql~t A;g~uBa.OOd'ARObMglEt RIOD. Value Date Calculated
or mu Ip ler or I moun
Downspouts/Drains:
Paee 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Miscellaneous Mechanical
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01640
ISSUED: 11/05/2007
APPLIED: 11/05/2007
EXPIRES: 05/05/2008
VALUE:
Total Value of Project
Fees Paid I
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$9.00
$14.00
$10.00
$17.00
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
11/5/07
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
2200700000000001676
$81.50
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.
Reouired Insnections I
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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
C;,.ty of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:bobg@innovative-air.com
Receipt # EC519928
11/5/2007 8:23:26 AM
Check on status of permit
By Phone: (541 )726-3753 or Email: permitcenter@ci.springfield.or.us
TYPEOFWORK
o New construction
[2U Addition/alteration/replacement
Description
1.1J.~~t~ri.~c~Rljng.i~ppli~~ces
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended. etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
Qty.
Ea.
Total
[K] I or 2 family dwelling
o Multi-family
o Accessory Building
I
II $17.00 $17.00
I
I I
I I
II $1400 $14.001
II $9.00 $9.001
Job no,: 07190
I Job address: 6852 A ST
City/State/ZIP: SPRINGFIELD, OR 97478-7373
I Suite/bldg.lapt.no.:
I Project name: Ed Wilson
Cross street/directions to job site:
I Water heater
I Gas fireplacelinsert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stovelinsert
I Wood fireplace
I Chimney/linerlflue/vent w/o
appl iance
I Subdivision: I Lot no,:
I Tax map/parcel no,: 1702353205302
I DESCRIPTION OFWORK
Ikal1ng and AC unit Install
I Name: Kent Witham
I Phone: (541) 543-6580
I Email: lalrl 001@qwestnet
I
I Fax: (541 )746-4099
CONTRACTOR.
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
CCB lie, no,: 161742
Business Name: INNOVATIVE AIR INC
I Contact: Bob Garvin
IAddress: 5120 FRANKLIN BLVD SUITE 7
I City/State/ZIP: EUGENE, OR 97403
I Phone: (541 )7461040 I Fax: (541 )7464099
I Email: bobg@innovative-aircom
I Metro lie, no.: I City lie. no.:
I upto first 4 outlets(enter Qty=l)
I each additional outlet
MECHANICAL PERMIT FEES
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
I
I
I
· City Of Springfield
$10 Issuance Fee
Subtotal' $40.00
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees' $2750 I
TOTAL PERMIT FEE I $8150 I
10% Local Admin Fee; 5% Local Technology Fee;
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 and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Sprir<<!,field, Oregon 97477
.I; .
541- 726-3759. Phone
Job/Journal Number
COM2007-01640
COM2007-01640
COM2007-01640
COM2007-01640
COM2007-01640
COM2007-01640
COM2007-01640
COM2007-01640
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
2200700000000001676
Description
Heat Pump
Air Handling Unit Up to 10,000
Miscellaneous Mechanical
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/05/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
, Page I of I
ONLINE INNOV A TI Online
VE AIR INC
Payment Total:
9:41:11AM
Amount Due
14.00
9,00
17,00
20,00
10,00
2.50
4,00
5.00
$81.50
Amount Paid
$81,50
$81.50
11/5/2007