HomeMy WebLinkAboutPermit Mechanical 2008-5-12
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00675
ISSUED: 05/12/2008
APPLIED: 05/1212008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
SITE ADDRESS' 910 S 38TH ST
ASSESSOR'S PARCEL NO. 1802061305600
Sprmgfield TYPE OF WORK MechaOlcalOnly
TYPE OF USE' New
Residential
PROJECT DESCRIPTION. Install HV AC eqUipment
Owner CORGAIN MICHAEL D & REBECCA L
Address 910 S 38TH ST
SPRINGFIELD OR 97478
Phone Number 541-741-8690
I CONTRACTOR INFORMATION I
Contractor Type
MechaOlcal
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10/11/2008
Phone
541-746-1040
BUILDING INFORMATION I
# of UOlts
PrImary Occupancy Group
Secondary Occupancy Group'
Pnmary Construction Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
Height of Structure
Type of Heat:
Water Type'
Range Type.
Energy Path
Spnnkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load.
nfa
I DEVELOPMENT INFORMATION I
Frontyard Setback
Side 1 Setback
Side 2 Setback
Rearyard Setback.
Solar Setbacks
Overlay Dlst.
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total.
Handicapped
Compact
I PUBLIC IMPROVEMENT~'.JnCE:
Street Improvemufils.ENTION Ore(Jo~bla~hre6~~gt:l~~u~ltlty THIS F~aM!:lll{)~l EXPIRE IF THE WORK
follow rule~ ador-180 Y e ^ T I r
Storm Sewer AV~R!~atlon Center Those rules are set forth I-\U I hCDiM6~bU'J~R.ili~IS PERMIT IS NOT
SpeclalInstructIfHIOAR 952-001-0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR
0090 You may olJtaln copies of the rules by ANY 180 DAY PERIOD.
Notes calling the center (Note the telephone
number for the Oregon Utl~lty N~tlflcatlon
center IS \-ovv-\;I",r--LJ-l,t
I Valuation Description I
DescnptlOn
Type of Construction
$ Per Sq Ft
or multiplIer
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00675
ISSUED: 05/12/2008
APPLIED: 05/12/2008
EXPIRES: 11/12/2008
VALUE:
225 Fifth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees Paid I
Fee DescnptlOn
-Mechamcal Issuance Fee-
+ 10% AdmlmstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air HandlIng Umt Up to 10,000
Heat Pump
Mlmmum/Adjustment Mechamcal
Amount Paid
Date Paid
Receipt Number
$20.00
$500
$600
$250
$900
$14 00
$27 00
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
5/12/08
3200800000000000317
3200800000000000317
3200800000000000317
3200800000000000317
3200800000000000317
3200800000000000317
3200800000000000317
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recordmg 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.
L Reouired Insoections .
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete.
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certify that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done 10 accordance With
the Ordmances of the City of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure Without permiSSIOn of the Commumty Services DIvIsion, BUlldmg Safety
I further certify that only contractors and employees who are 10 complIance With ORS 701 005 wIll be used on thiS prOject
I further agree to ensure that all reqUired mspectlOns 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 remam on the site at all
times durmg constructIOn
Owner or Contractors Signature
Date
Page 2 of2
City of Sprmgfield
Mechamcal Authorization To Begm Work
E-maIled To ramona@mnovatIVe-au com
Receipt # .EC530164
5/12/20081 21 06 PM
Check on status of permIt
By Phone (541)726-3753 or EmaIl permltcenter@cl sprmgfield orus
J ltttr
o New constructIOn
oW' I ~II~ WI'
TYPoIp,lgF WORt<+:,'~
[2U AddItIOn/alteratIOn/replacement
I ,""%,n~ ", I "!llkiivi',CATEGOR'( OF C'oillSTIRUCTIONIl111 ,II
<l (I 111111 ~ ~1*",y-- ~ if \lllll -'- "1-4\NI,Iy
I [2U I or2 family dwellmg 0 Multi-family 0 Accessory BUilding
1,', I" I 1lIIIili(9fuJOB SITE"INFORMATION'AND'LOCATION,
"'~ <lW<"1ii " I ~<<jljm;(>I 0-:,< r IliIl 'f ~dllf
I Job no 08064 I Job address 910 S 38TH ST
I City/State/ZIP SPRINGFIELD, OR 97478-6577
I SUltelbldg /apt no
I Project name Corgams/Personal Reslden
Cross street/dIrectIOns to Job sIte
Take Jasper Road to South 38th
I SubdIvIsIon I Lot no
I Tax map/parcel no 1802061305600
II ,: Ii ilil,k I ',I DESC'RIPTION OF"WORK~:'llIlllllb$ $1 III i
111 ". I ~I~~" J !hh IIIV >X
InstallatIOn ofHVAC equipment
Iii w
I ~1:Sf1;E CONTACT"
iI~rj ,jX
~ I I~
I Name Mike Corgalns
IPhone (541) 741-8690
I Emall
II 11~,-.,;!1 <l ,It illY I
ICCBhcno 161742
I Busmess Name INNOVATIVE AIR INC
I Contact Bob Garvin
IAddress 5120 FRANKLIN BLVD SUITE 7
I City/State/ZIP EUGENE, OR 97403
IPhone (541)7461040
[Emall ramona@mnoval1ve-alr com
I Metro hc no
IFax
I~ \ &~ II
CO,NTRACTq~Ai I '
T I
I Fax (541)7464099
I City hc no
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed wlthm one busmess day,
With Instructions on how to schedule your mspectlon
NOTE ThIS AuthOrizatIon To Begm Work expires wlthm 180
days If a permit IS not obtamed
I Oth~:: fuel burnmglft~pphances
'--.<l ^'~I WI IIWIP"
I Water heater
I Gas fireplace/Insert/stove
I Gas log/log hghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater kiln
I Wood/pellet stove/Insert
I Wood fireplace
I Chtmney/lmer/flue/vent w/o
apphance
I ~ >1<j> i') ( I ~,-.- 1>1
,Envlron,!\~,~~' exhaust AtI~d~,entllatlOn 'd* j
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments utility
rooms)
Attic/crawlspace fans
Fuel plpmg ,
B- 1'" ~i ( ; J I Ii
upto first 4 outlets(enter Qty=l)
I each additIOnal outlet
I ' MECH'A,N[!?,~~'PERMIT FEESI I , 11
I Subtotal I $23 00
I Minimum fee used Instead of Subtotal I $50 00 I
I State Surcharge (12% of permit fee) I $600 I
I City Of Springfield fees *1 $27 50 I
. TOTAL PERMIT FEE I $83 50 I
* City Of Spnngfield 10% Local Admm Fee 5% Local Technology Fee
$10 Issuance Fee
~I \irH
FEE SCHEDULE, y
Ml 111111 1 '\
Descnphon Qty Ea
r Iii i MY)'!, 111111 III'
Reatmg/coolIng appliances I ~ I II ,
'j 1~IV~8., * ~ 111%"'>'
I Furnace- up to 100,000 BTU
I I Furnace - above 100 000 BTU
I I Electnc Furnace
I I Duct alteral10ns and additions I
I Gas heater UnIts/ In-wall m- I
I duct suspended, etc/
I I Vent, flue Imer for above I
I I Air ConditIOner I
Heat Pump II $1400
AIr Handler II $9001
11)"1
I
'I' "I
"(II
I
I
I
* Ii>>
COM.,~0"DD -- rrJo lCS
RCPT #:::: r~ o-V ~./ S t)
DATE PROCESSED.6....J~ -c) i
PROCESSED Byl'X:1J.t 1> -)
ThiS AuthOrization To Begin Work must be posted at the Job site until \ePlaC~ by a Permit
The local bUlldmg department may determme that an
Authorization To Begin Work IS null and VOid If It does not
meet applicable land use Jaws and local ordinances
I
Total I
I I
I
I
111
/i\ i
$1400
$900[
I
I
I
I
I
I
I
I
I
I
I
I,
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Springfield OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00675
COM2008-00675
COM2008-00675
COM2008-00675
COM2008-00675
COM2008-00675
COM2008-00675
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
3200800000000000317
Date: 05/12/2008
DescriptIOn
Heat Pump
MIlllmuml Adjustment Mechalllcal
Air Handling Ulllt Up to 10,000
-Mechalllcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
nJm
ONLINE mnovatlve Onlme
Payment Total
Page 1 of 1
1 40 53PM
Amount Due
1400
2700
900
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
5/12/2008