HomeMy WebLinkAboutPermit Mechanical 2009-2-11
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Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00199
ISSUED: 02/11/2009
APPLIED: 02/11/2009
EXPIRES: 08/11/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-72~-3769 Inspection Line
SITE ADDRESS: 1288 W OLYMPIC ST
ASSESSOR'S PARCEL NO.: 1703273203600
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: Installation of HV AC system
Owner: POLING PAMELA R
Address: 1288 W OLYMPIC ST
SPRINGFIELD OR 97477
I.CONT~CTOR INFORMATION'
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10111/2010
Phone
541-746-1040
I, BUILDING INFORMATION.
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
.Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION I
,.., , REQUIRED PARKING
ATTENTION: Oregon law requires youto
follow rules adopte'Eo!~I:.he Oregon Utility
Notification Center. ~~!l!J!c!lPped:re set forth
in OAR 952-001-00Hi:ompast: OAR 952-001-
0090. You may obtain copies of the rules by
calling tile center. (Note:.the telephone
. ,_ u.._ ,-...~_...:.'"'.... Il+.l,ht I\lntrf'f'!:ltJ"n
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPRO~EMENTS' ..-...- -'C~~ler- is 1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
Description
Type of Construction
NonCE:
THIS PERMIT SHALL EXPIRF IF THI'IMnRIt
.. ,'"'.lhILtU UNDER THIS PERMIT IS NOT
I V~luatio~ DescriDtion~11ENCED OR IS ABANDONED FOR
I'Y 180 DAY PERIOD
$ Per Sq Ft Square Footage .
It' I' B'd A t Value Date Calculated
or mu Ip ler or I moun
Notes:
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00199
ISSUED: 02/11/2009
APPLIED: 02/11/2009
EXPIRES: 08/11/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fe~s P,~id I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Receipt Number
$13~56
$5.65
$79.00
$17.00
$17.00
2/11/09
2/11/09
2/11/09
2/11/09
2/11/09
3200900000000000078
3200900000000000078
3200900000000000078
3200900000000000078
3200900000000000078
Total Amount Paid
$132.21
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.
1Il.~fiuir~,d. I n~}e,~ti~J1.s ,
Rough Mechanical: Prior to Cover
Final Mecbanical: 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 fnrther 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 structnre 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 eacb 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 Signatnre
Date
Page 2 of 2
~
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:stacey@innovative-air.com
Receipt # }CC546624
2/1112009 1 :48:49 PM
Checl, on status of permit
By Phone: (541)726-3753 or Em.iI: permitcenter@ci.springtield.or.us
I D New construction
[Xl Addition/alterationJreplaceme.!,1t
I [KJ 1 or 2 family dwelling
,0 Multi-family
o AccessOlY Bui]ding
no.: 09023 IJob address: 1288 W OLYMPICST
I City/State/ZIP: SPRINGFIELD, OR 97477-2714
I Suitelbldg.Japt.no.:
I Project name: Poling Persona] Res.
Cross streetJdirectionsto job site: West on Centennial to rt on Aspen to Rt on Tamarak
.0 rt on W Olympic
I Subdivision:
\Tax map/parcel no.: 1703273203600
I Lot no.:
installation of HVAC system
I Name: Pam P9ling
I Phon" (54]) 520-]5891 Fax:
I Email:
ICCBlie.no.: ]6]742
I Business Name: INNOVATIVE AIR INC
Contact: Bob Garvin
IAddress: 5120 FRANKLIN BLVD SUITE 7
!CityIStaleIZ'P: EUGENE. OR 97403
IPhon" (541)746]040 IFax: (541)7464099'
I Email: stacey@innovative-air.com
I Metro lie. no.: I City lie. 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 not obtained.
The local building department may determine that an
Authorization To Begin Work is mill and void if It does not
meet applicable land use laws and local ordinanc~s.
I Furnace- up to 100.000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
Duct alterations and additions
Gas heater units/ iri-wall, in~
ducl suspended. etcJ
Vent, flue; liner for above
I Air Conditioner
lIeatPump
Handler
Total
I
I
I
I I
I I
I I
I I
]1 $17,001 $17,001
11 $17 00
I Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I. ChimneyJlinerJf1ue/vent w/o
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Auic/crawlspacefans
up\O first 4 outlets( enter Qty""l)
I each additional outlet
Subtotal I
City OfSpringfie1d FirsfAppliance reel
State Surcharge (12% of permit fee) I
City Of Springfie]dfees*1
I TOTAL PERMIT FEE I
. City Of Sp.ririgfield fees: 5% Technology Fee
$3400 I
$79,00 I
$13561
$5,65 I
$132.21 I
Cq - 00 ICjC!
d-,-\(-(jC,
i\JfV'
This Aulhorization To Begin Work musl be posle~ al the job sile unlil replaced bya Permit.
225 Fift~ Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 199
COM2009-00199
COM2009-00199
COM2009-00 199
COM2009-00 199
Paymeuts:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
City of Springfield Official Receipt
Development SerVices Department
Public Works Department
3200900000000000078
Date: 02111/2009
Description
I st Appliance
Heat Pump
Air Handling Unit Up to 10,000
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
lIem Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE INNOV A TI In Person
VE
Payment Total:
Page I of I
2:45:30PM
Amount Due
79.00
17.00
17.00
13.56
5.65
$132.21
Amount Paid
$132.21
$132.21
2111/2009