HomeMy WebLinkAboutPermit Mechanical 2009-2-13
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00216
ISSUED: 02/13/2009 .
. APPLIED:. 02/13/2009
EXPIRES: 08/13/2009
VALUE:
225 Fifth Stre_et, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Line
SITE ADDRESS: 3127 W ST
ASSESSOR'S PARCEL NO.: 1702193400627
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installation of HV AC
Owuer:
Address:
SELLAND RONALD M & JULIE K
3127 W ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechauical
Contractor
INNOVATIVE AIR INC
License
, 161742
Expiration Date
10/1112010
Phone
541-746-1040
, BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Coustruction Type: .
# of Bedrooms:
,# 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:
S,q Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATIONA;lrENTION: OregpD.t~W.,l;~wir~sn'!l9.u l,Q
NOTICE: .. '. follow rules adopilM'~~~I'l\1ty
Froutyard SetbatMlS PERMIT SHALL EXPIRE IF WI'tIff)RW: ~otification Center. -jrdlll~e rules are set forth
Side 1 Setback: AUTHORIZED UNDER THIS PER/oHI~trseN'&fes Rqd: In OAR 952-001-0016dll~Qf:.R 952-001-
Side 2 Setb. ack: C. OMMENCED OR IS ABANDONER,A<hDrive Rqd: 0090., You may obt~JillIlCt:' of the rules by
Rearyard Setback: l? o'l'\:',ot Coverage' callmg the center. (N"ote: the telephone
Sola S tb ks.I-\I~Y 180 DAY PERIOD. 0 .' number for the Oregon Utility Notification
r e ac . Center is 1-800-332-23441'.
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I, Valuation DescriDtion-1
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
. Date Calculated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00216'
ISSUED: 02/13/2009
. APPLIED: 02/13/2009
EXPIRES: 08/13/2009
VALUJi.::
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541_726-3769 Inspection Line
. Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 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
2/13/09
2/13/09
2113/09
2113/09
2/13/09
2200900000000000177
2200900000000000177
2200900000000000177
2200900000000000177
2200900000000000177
Total Amount Paid
$132.21
I Plan Reviews I
To Request an inspect.ion 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.
Relluired Tnsnections I
Rough Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 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 hereiu, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only coutractors and employees who are in compliance with ORS 701.005 will be used on this 'project.
1 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 frout of the property, and the approved set of plans will remaiu on the site at all
times during construction.
Owner or Contractors Siguature
Date
Paee 20f 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:ramona@innovative-air.com
Receipt # EC546771
2/13/20091 :00:34 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I 0 New construction
I Descripiion . J Qty. Ea. J Total
liHea^tirt~amjiii1rappijliDccs~~~';~\1i'i'~"J""i~;'~~~~?'~J"ffW~~JI
>__.._~,A;>c:,:..~~u~,J;i"I.t-~H!;0.;JL/-~r.f&~"..,"J\l;j~ct~~'i.
I Furnace- up to 100,000 BTU
I Furnace. above 100,000 BTU
I Electric Furnace
. I I Duct alterations and additions
I I Gas heater units/ in-wall, in-
duct. suspended, elef
I I Vent, flue, \iner for above
I I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
I
I
I
$1700 I
IKJ Addition/alteration/replacement
I iii I or 2 family dwelling
o Multi-family
D Accessory Building
no.: 09024 IJobaddress: 3127 WST
I City/StatelZIP: SPRINGFIELD, OR 97477-7905
I Suitelbldg./apt.no.:
I Project name: Selland Residence
ere'55 streetJdireetions to job site: Marcola Road to left 31~t StreeHo W street-right
'$17.00
$17.00
Upon review and approval by, your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
I
I
I
I
I
II Subtotal
I City Of Springfield First Appliance fee
I State Surcharge (12% ofi>ermit fee)
I City Of Springfield fees '"
I TOTAL PERMIT FEE I
... City Of Springfield fees: 5% Techno]ogy Fee
c;P) - 2.\ Lc KQ.
2..'.2..C!Yt - t 11
I
I
I
I
I I
Wood/pellet stovePllF'fENTIOrIJ: Dream, law reOlLlres vau Ito
I Wood fireplace follow rulesladopted by the Oreqon Ut lity
~ChimneYniner/fJII'<1trnba'~:2enter. Tllose rule$ are sel f lrth
"pol"n" l" "'n""" g~ 119Hl R ~ rj"" ""'" 01
r;-.. ~'" ;,,' J,t:_I';{.~,~...,,,,,,,, _., ,1 r(Jl!g~.:4..d....~ I .
;Env\l;Onment.'''ib.'''' st "'1'/O.veri'cIat,on?;\;t" '~'"'"~~""-t~LI -. b
tf'JM~:tm,HFIQw'.,:yl)Ui[D ?'!ld'\f'\!:l't,,..Jt\~lCHHI"\l"'" nOirll 13! Y
I Range hood cell inn t':!l1. centp.( I "e. th I e
Clothes dryer exlftllmber for the Oreg' _ n Utilitll Notificati In
Single-d oetexhaust(~~thm<6en er is 1-8jO-332-2j44). I
tOIlet compartments, utilIty
rooms)
I Anic/crawlspace fans
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
Gas stove/range
I Subd!vision:
I Tax map/pared no.: 1702193400627
I Lot no.:
of HVAC
., -
Pool or spa heater, kiln
IN"m" Mike & EXPIRF IF TI-lF WnRI(
IPlron" (541) 741t6036"HORIZED UNDERFf*lIS PFRMIT 1<:: ~lnT
IEma;l: -:OMMENCED OR IS
ICCBlie. no.: ]61742
I Business Name: INNOVATIVE AIR INC
I Contact: Bob Garvin
IAddress: 5120 FRANKLIN BLVD:SUITE 7
I City/St,,'e/ZIP: EUGENE, OR 97403
IPhone: (541)7461040 !Fax: (541)7464099
I Email: ramona@innovative-air.com
I Metro lie. no;: . I City li'c. no.:
I upto first 4 outlets(enter Qty=:l)
I each additional outlet
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 ifit does not
meet applicable land use laws and local ordinances. .
$34.00 I
$79.00 I
$13.56 I
$5.65 I
$132.21 I
2' 13 \D '1
This Aulhorization To Begin Work must be posted at the job site until replaced bya Permit.
225 Fifth Street
Springfield, Oregon 97477
541=726-3759 Phone
.
Job/Journal Number
COM2009-00216
COM2009-00216
COM2009-00216
COM2009-00216
COM2009-00216
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000177
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee'
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/13/2009
Item Total:
CheCk Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
kr
Page I of I
ONLlNEINNOVATI Online
VE AIR INC
Payment Total:
1:42:40PM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
2/13/2009