HomeMy WebLinkAboutPermit Mechanical 2008-8-22
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01276
ISSUED 08/22/2008
APPLIED. 08/22/2008
EXPIRES 02/22/2009
VALUE:
225 Fifth StI eet, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1309 LA WNRlDGE AVE
ASSESSOR'S PARCEL NO 1703252204000
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE
PROJECT DESCRIPTION Removal and mstallatlOn of new HV AC system
New
Residential
Owner ALLENSWORTH JUSTIN A & J
Address 1309 LA WNRIDGE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechamcal
Contractor
INNOVATIVE AIR INC
License
161742
ExpIratIOn Date
10/11/2008
Phone
541-746-1040
BUILDING INFORMATION I
# of Umt>
Pnmary Occupancy Group
Secondar) Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# 01 StorIes
Height of Structure
Type 01 Heat
Water Type
Range Type
Energy Path
SprlDkled BuIldlDg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gar agelCarpOl t
Sq Ft Other
Occupant Load
nla
Front yard &etback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar Setbacks
I DEVELOPMENT INFORMATION'
ATT~ , ~ I~, ,- , REQUIRED'P,^RKING
Overlay DlSt fa! [' I, - - Total
# Street Trees Rq~~O~~~1"~~'2 ~o 1 l2, ,C _ Handlcappe~v 1_
Paved DrIve Rqd. . Compact
0;' I LtC 0090 You may obtain co~', S CJI .. ,e ,ules by
o 0 0 overage calling the center (Note the telephone
number for the Oregon Utility Notification
I PUBLIC IMPROVEMENTS' vemer,~ l-bUU-"""-""'1'1).
Sidewalk Type
NOT[CE: Downspoutsillrams
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THiS rE>\MIT IS NOT
r:nr l""E,\ICED OR IS AS,;, :J:;I~[O I:OR
pi' <"1 (
I V~l'uation Descnohon ,
Street Improvements
Storm Sewer AvaIlable
Spec..llnstructlOn
Notes
DescriptIOn
Type of ConstructIOn
$ Per Sq Ft
or multlpher
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO' COM2008-01276
ISSUED 08/22/2008
APPLIED. 08/22/2008
EXPIRES 02/22/2009
VALUE
225 Filth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees PaId'
Fee DescriptIOn
-Mechamcal Issuance Fee--
+ 10% AdmlDlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
AIr Handhng Ulllt Up to 10,000
Heat Pump
Mlmmum/AdJustmeut Mechamcal
Amount Paid
Date Paid
Receipt Number
$2100
$520
$624
$260
$10 00
$1500
$2700
8/22108
8/22/08
8/22108
8/22/08
8/22108
8/22/08
8/22/08
3200800000000000601
3200800000000000601
3200800000000000601
3200800000000000601
3200800000000000601
3200800000000000601
3200800000000000601
Total Amount Paid
$87 04
I Plan RevIews I
To Request an mspectlOn 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
I ReolJired I nsnectJons .
Rongh Mechalllcal PI lOr to Cover
FlDal Mechalllcal Wheu all mechamcal work IS complete
By Signature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerlIfy that all
mtormatlOn hereon IS true and correct, and I further cerlIly that any and all work performed shall be done ID accordance with
the Ordmances of the City 01 Sprmgfield and the Laws of the State of Oregon pertalDmg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any StruCtUl e without permISSIOn of the Commulllty Services DIVIsIOn, BUlldmg Salety
I fUl ther cerlIly that only contractors and employees who are ID comphance WIth ORS 701 005 wIll be used on tills proJect
I further agree to ensure that all reqUIred IDspectlOns are requested at the proper lime, 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 remalD on the Site at all
times dunng constructIOn
Owner or Contractors Slgndture
Date
Pa2e 2 of 2
City of Sprmgfield
MechaDlcal AuthorIzatIOn To Begm Work
rm"~Wl
Ii:
E-rnaJled To ramond@mnovahve-31fcom
ReceIpt # EC536671
8/22/2008 2 26 31 PM
Check on status of permit
By Phone (541)726-3753 or Emall perm.tcenter@clsprlOgfieldorus
I SubdlVI~lOn
1Tax map/p,lrcel no 1703252204000
DESCRIPTION OF WORK
ILot no
II
II De!lcnphon
I Hlatmg:lcoohng appliances
II furnace up to ]00000 BTU
II Furnace above 100000 BTU
I I ElectrIC furnace
I i Duct alteratIOns and additIons
I Gas heater umts! In wall In
I duel suspended ctel
I I Vent, flue Imer fOT above
I I AIr Condltloncr
I Heal Pump
I Alrllmdler
I Other fuel burlllng appliance..
I Water heater
I Gas fir"-pla<.-e/m,,ertlstove
I Gas log! log hghter
I Gas clothes dryer
I Gas stove/range
I Pool or Spd hedter kiln
I Wood/pellet stove/msert
I Wood fireplace
I Chlmney/lmer/flue/vent w/a
apnllance
I Envlnmmental exhau"r AND ventilation
I Range hood
I Clothes dryer exhaust
I Smgle duct exhaust (bathrooms
tOlk! l..ompartments utility
rooms)
I AttlL/crawlspdcefans
I Fuel plpmg
1 upto first 4 outlets(cnter Qty=l)
I I each additIOnal outlet
II
I:
I
I
FEE SCHEDULE
I Qly I
En
Total
TYPE OF WORK
IDNewconstnlctlOn
[K] AddItion/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
I [X] I or 2 famIly dwdlmg 0 MultI falmly D Accessory Blllldmg
I JOB SITE INFORMATION AND LOCATION
IJob no 08125 IJob olddre!l!l 1309 LAWNRIDGEAVE
I Oty/~t1teIZIP SPRINGIIELD OR 97477 2473
I SUlte/bldg /Ipt no
Project nolfiL AlJensworthlPers Res
Cross street/directIOn!> to Job !lIte
HdydLn Bndge to Debra to La\\'I1T1dge
I
I
I
I
:1
$15 001
$10001
$1500
$10 00
rLrnoval dnd I11staIldtlO1l ofllew HVAC system
SITE CONTACT
Il\ltme Juslln and Jac)..leAlknsworth
IPhone (54]) SO] 2915 IFolX
I Em,ul
I CONTRACTOR
ICeB he no 16]742
I BUMneS!l NolmL INNOVATIVr AIR INC
I Cont lct Bob Garvm
IAddrL!ls 5120 fRANKLIN BLVD SUITE 7
IOty/St'lterLlP CUGCNC 0"-. 97403
!Phone (541)7461040 IF", (541)7464099
I Fm311 mmOllt\@mnOVallve-alrcom
I Metro he no I City he no
Upon review and approval by your local JUriSdictIon, your
permit WIll be e-malled or faxed wlthm one bUSiness day,
With mstructions on how to schedule your inspection
I
I
I
I
Subtotal I $2500 I
Minimum fee used mstead of Subtotal $5200 I
State Surcharge (12% of perm 11 fee) 1 $624 1
CIty Of Sprmgfleld fees *1 $28 80 1
TOTAL PERMIT n F I $8704 I
>I' CIty 01 Sprmgfield fees 10% Admmlstratlon Fee 5% Technology fee
MECHANICAL PERMIT FEES
NOTE ThiS Authorization To Begm Work expires wlthm 180
days If a permit IS not obtamed
COMa (jl) 2( - n\ 7 "7 ~
RCPT # '3 2 uo 8'" ~ (g 0 I
DAIEPROCESSED 'ij o-'d-/o ~
PROCESS~ ,IV(~
/ /1
{ U
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
The local bUlldmg department may detenmne that an
Authorization To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordmances
225 FIfth Street
SprIngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM200S-0 1276
COM200S-0 1276
COM200S-01276
COM200S-0 1276
COM200S-0 1276
COM200S-0l276
COM200S-0 1276
Payments
Type of Payment
ONLINE CHGS
l.RecelOt]
CIty of SprIngfield OffiCIal Receipt
Development ServIces Department
PublIc Works Department
RECEIPT #.
3200800000000000601
Date. 08/22/2008
2 49 27PM
DescriptIOn
Air Hdnd1mg Umt Up to 10,000
H cat Pump
-Mechamcallssuance Fee-
MlmmumlAdJustment Mechamcal
+ 5% fechnology Fee
+ 12% State Surcharge
+ 10% AdmmlstJatIve Fee
Amount Due
10 00
1500
21 00
2700
260
624
520
$M7 04
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthorizatIOn
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE INNOV A TI Onlme
VE
$S7 04
Payment Total
$87 U4
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