HomeMy WebLinkAboutPermit Mechanical 2008-9-12
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01391
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009 .
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 505 W N ST
ASSESSOR'S PARCEL NO,: 1703274300100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Installation of Fujistu Mini Split unit
Owner: JONES EDITH A
Address: 505 W N ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10/11/2008
Phone
541-746-1040
BUILDING INFORMA nON,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bed rooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
NOTICE: . H~:di~a~ped:
THIS PERMIT SHAll ~EI~ THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
e:::<.r.1E:\:JC; Sr.I: f.l\N9GII[~ FOC.
I PUBLIC IMPROVEMENTS I\NY 180 DAY PERIOD. '
Sidewalk Type: '
:lIr'-n:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Street Improvements:
Storm'Sewer Available:
Special Instruction:
DownspoutslDrains:
I Valuation DescriDtion I
ATTENTION: Oregon taw nquIrell you to
follow rules adopted by the Oregon Utility
Notification ~mer. IIIUlftlIU..... II'" ...., ",J.
III OAR 952-001-0010 through OAR 952'()()1-
0090. You may obtain copies of the rules by
Square Footage calling the center. (Note: the tel~~
or Bid Amount number toY UtlfOregon UliIIly<NdliXlomlln
, ' Center Is 1.a00-332-2344).
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Page 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
+ \2% State Surcharge
, + 5% Technology Fee
Air Handling Unit Up to 10,000'
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
$21.00
$5.20
$6,24
$2,60
$10.00
$15,00
$27.00
Total Amount Paid
$87.04
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
9/\2108
9/12108
9/12/08
9/12108
9/12108
9/12108
9/12/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01391
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009
VALUE:
Receipt Number
2200800000000001383
2200800000000001383
2200800000000001383
2200800000000001383
2200800000000001383
2200800000000001383
2200800000000001383
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.
Reouirerllnsoectioos 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, aud 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 OCCUP ANCY 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 iuspections 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 Signatur~
Paee 2 of 2
Date
. ,
.-' CitY of ~pringfield
Mechanical Authorization To Begin Work
E-mailedTo:ramona@innovative-air.com
Receipt # EC537904
9/12I200810:54:59AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci,springficld.or.ns
I
I
",1
I Description
1:ll'ca~il~g1cooI!ng:~p~plia,IIC'~( ....,
I Furnncc- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Fumace
I Duel alterations and additions
Gas hcnler units/ in-wall, in-
duct. susoended, ctcl
Vent, Ouc, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I~Oth~.r}uc(!J_,!~ning~~piia~~~~-~~ ~ '
IWaterheuter
I Gas fireplacelinserVstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insen
I Wood fireplace
Chimneyflinerlfluc/vent w/o
aDpliance
Envinlli"ieotiilcxhaust'ANjj,veotilatio~~_. ,.
",.." .~. -,,,,,.,..j -'"'-. "'-'~
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$15,001
$10.001
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10 New construction
[K] Ad~itibn/alterlltion/rep]accment
~~\_~i~-'i~"["SC_~~Dl.!!f:'~~'.~. ~'~_,:v ,,',
I Qty. I, Ea, .I Total
.p.....
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~_.~.~"'-i~-; ,5:~TEG-OR{OF"Cq~~sfRVCTI9N;
I [X] ] or 2 family dwelling 0 Multi-family D Accessory Building
I "JOB SITE INFORM,~TION A!-I.o~i9cATiON:';', ,_' "
I.lobno.: 08]46 IJobllddress: 505 WNST
ICit)'/Statc/ZIP: SPRINGFIELD, OR 97477-2858
I Suitc!bldg.lllPt.OO.:
i Project Ollme: Ann Jones
<flh. ..
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Cross street/directions 10 job site:
Cenntennialto Prescott to N Street
ISubdivision:
iTax map/parcel ~o.:
I tot flO,:
1703274300]00
. ;,.~.~;~DE~RIP.,tfc>NOFWq:R:K-~,'
Installation ofFujistll Mini Split unit
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srrE1ioN-TACT ""-~.:'~" '.
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1 Name: Ann Jones
Iphone: (54])520-4100
I Ernail:
I~::~: "r ,\^';j"'~';~.:
'IFax:
~~J~~~pF(?:~~:,:>~.;'~~ ':-'~:
!CCBlic.no,: 161742
I Business Name: INNOVATIVE AIR INC
I Contact: Bob Gan;in
IAddress: 5120 FRANKLIN BLVD SUITE 7
I Cily/Sllltefl-IP: EUGENE. OR 97403
IPhone> (541)7461040 I"", (541)7464099
I Emllil: rumona@innovative-air.com
) Metro lie. 110.: tCit)' Iic. no.:
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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is ,,!ot obtained.
The local building department may determ'ine that an
Authorization To Begin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
I
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11
$15,00
$10,00
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1
I I R"nge hood I
1 I Clothes dryer exhaust I
._,<~: 'I Single-duct exhaust (bathrooms, I
I toilet compartments, utility
I rooms)
I AnicJcrawlspacefans I . I
1Il~~'PiP!~g; ~%.!:o:.:~~i'" - f,:__,1
III upto first4outlcts(cmcrQty=l) I I I
each additional outlet I
I 1~"""'~S""-;~,,"MECHANicAL'~ERMft FEE'5:'~ > I
: I~L' -Mi"i:"mt:e"~edmS""dOf~~~:::::- '.' ~;~~i:
I Strite Surcharge (12% of penn it fee) $6.24 I
I City Of Springfield fees. $28.80 I
i TOTAL PERi\-HT FE": $87.04 I
. CitX Of Springfield fees: 10%Administration Fce; 5% Techno]ogy Fee
_-,F
COM: f Om:11)Cf6- Ol.~q I
RCPT#.dd.DO~ . \3~:s
PROCESSED BY: I
, This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
. ~
SrJr-ingfield, Oregon 97477
54~:726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1391
COM2008-0 1391
COM2008-0 1391
COM2008-0 1391
COM2008-0 1391
COM2008-0 1391
COM2008-0 1391
Payments:
Type of Payment
ONLINE CHGS
cRcceiot I
RECEIPT #:
2200800000000001383
Date: 09/12/2008
Description
Air Handling Unit Up to 10,000
Heat Pump
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr ONLINE innovative Online
air inc
Payment Total:
\
Page I of I
(
12:58:46PM
Amount Due
10,00
15.00
21.00
27,00
i60
6.24
5.20
$87,04
Amount Paid
$87,04
$87.04
9112/2008