HomeMy WebLinkAboutPermit Mechanical 2009-3-31
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:stacey@innovative-air.l.om
Receipt # EC549255
3/31/20091:30:30 PM
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Che~k on status of permit
By Phone: (54])726-3753 or Email: permilcenter@ci.springfield.or.us
I D New.constmction lliJ Addition/altenltion/replacement
,;'~:';E~Jg!\t~~,~'q,Ry';,~~;9~CY~-~I~9:9!r~~'t7t~~~~~:] c' .:r)~~~4j~fl
I [2U 1 or 2 family dwelling D Multi-family D Accessory Building I
1~'\";;Z!:'~:,1':t.""-J,,~?tJOB:sIfE!INF9~~Mt\~9:~,~N~i~<?E,~'F9~:i~,E".fjj~~' .-.>,: ::;~;::I
IJohno.: 09041 !Jobaddress: 2335 DUBENSLN I
ICity/State/ZIP: SPRINGFIELD, OR 97477.4322 I
I Suite/bldg./apt.no.: I
I Pl"Oject.name: Abshere Personal Resident:
Cross streelldirections to job site: Mohawk Blvd to east on G SI left on 23rd to right
JIl Dubens Lme
ISubdivision:
ITax map/parcel no.: 1703361105400
ILot no.:
insla!lation ofa uuctkssheat pump
IName: Bill & CeceliaAbshcrc
I Phon(': (541) 747.5040
I [mail:
1"0"
ICCBliC. no.: 161742
I Du,;n"s No~.tnlfM'l~]VE ^]R ]NC
IConloc!: Dalff.fl~irpFRM1T SHAll EXPIRE IFI HI: WUt\!'
IAdd"ss: 5I:Jl1lljlt1WiRWroruNDHI THIS PERMII lti NU I
Ic;ly/Slol'/Z\l'(HWi\~ll~JP.JFWfllR IS ABANDONED I-UK
I Phone: (541)1i'RJI'{)4~ Rn nAY PFRIOD, IF",: (541)7464099
j Email: st<lcey@innovative-air.com
II\'letro 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 jf a permit is not obtained.
The local building department may determine that an
Authorization To Begin Work is null. and void if it does not
meet applicable land use laws and local ordinances.
I Description
Qty.
1 Fumacc- up to 100,000 BTU I
1 Furn(lce - above 100,000 BTU
1 Electric Furnace 1
1 Duct alterations and additions 1
1 Gas healer imits/in-wall, in- 1
duct suspended, etc/
1 Vent, flue, liner for above 1
1 Air Conditioner 1
I HeotPOlhp ]1 $17001 $1700
IA;cHoodlec ]1 $17.001 $17.001
l[g~he~~f~~!:~~f.i!Eg;~R@~!{~;:~~'!.~,. ~ 2:~;~~;~'r~~~i1!.;:~'J-,~ ,I
I Walerhea!Cr 1
i Gas flrcplacc/inscrtlstove 1
I Gas log! log lighter I
I Gas clothes dl)'cr , 1
I Gas stove/range 1
I Pool orspa heater, kiln I
I Wood/pellet stovelinsert . 1
I Wood fireplace I
I Chil~ney/lil1ermlle/vel1t wlo ,
a~p'llance
li~~vji~'nfQ~~t~I,_e~~~~~r6it~!~_~.2!lill~~~i:~;~~1~~"~;'l';
I Ran~lClli>llll'~I~' - 1 J. '
1 C1~i~~~~~1.~f!tadt' ....,~~~~vlf !~v~v 1~~~Jr~::t y~~. ?
I Si"lg),,~"ct exhaus 0 'i61>hY,;! '} .r,~ uc~"'u" VUIIY
,!) &/~&H;'p~H'\lr.ll . u,n.Y'r. I h )se rules are set fe rth
cilJ,,QAR 952-001.::ll{L1 0 II ten, '0h () Q O~0_n H_
I iOiilOO\wrw",/i11l!lV obtain )ooies of II he rljIA~ 'h\l
1:f~!ilj@Jlj2!2e.11!e.rt..(t'o.t~:,tne;ttil!1pHone; {.
I "p/J't\rnl,/\l!.!'l!i\1'e1\W~~g9~ Ulil~ty l)Jotificatiqn
I ,olh oddn;oo~li'&II~\" I~ I oup ,),)~ ~,)f'lJ. I
1~~J1;~~~2:B~N)t~1,,~~B:Nfet4FI~~;1~~~0t~~~{;';~~1
Subtotal $34,00 I
City Of Springfleld First Appliance fee $79.00 I
State Surcharge (12% of pennit fee) $13,56 I
City Of Springfield fees'" $5,65 I
I TOTAL PERMIT FEE $132,21 I
'" City Of Springfield fees: 5% Technology Fee
I
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c. q -Lt30
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00430
ISSUED: 03/3l!2009
APPLIED: 03/3l!2009
EXPIRES: 09/30/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2335 DUBENS LN
ASSESSOR'S PARCEL NO.: 1703361105400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installation of a ductless heat pump
Owner:
Address:
ABSHERE BILLY D & CECILIA L
2335 DUBENS LN
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
I 0/1l/20 I 0
Phone
541-746-1040
BUILDING INFORMATION I
# of Units:
Primary Occup'ancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side! Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot Coverage: I quires you to
Solar Setbacks:A:TENT!?~~?:~Fp~ b~~;:oregon Utility.
I~U 11...1:: I PUBLIC IMPROVEMENffiIDii~aiiOl~ Center. Those rUles "RIO 952!OO~:
S THIS PERMIT SHALL EXPIRE IF Ht VVUhl\ 1~"ljAR 9!?,?-001-0010 through ofthe rules by
treet 1"Jill'l'l-lmlr.t~:D UNDER THIS PERMIT IS NOT 0090.. Yotl\\~~\!lbTalpec;~f;~~h~ telephone
Storm sOOr-~IfOOf) OR IS ABANDONED FOR CallingDil\VIT~Bh/~~ieJiilitY Notification
Special IMI\'ll18W'DAY PERIOD number for th. 1re890b_332-2344}.
. Ce~M~ -
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pace I 012
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00430
ISSUED: 03/31/2009
APPLIED: 03/31/2009
EXPIRES: 09/3012009
VALUE:
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
3/31/09
3/31/09
3/31/09
3/31/09
3/31/09
3200900000000000203
3200900000000000203
3200900000000000203
3200900000000000203
3200900000000000203
Total Amount Paid
$132.21
I 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.
I Reouired Insn~~ti,o~~, I
Ruugh 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, an~ I further certi(y 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 ofauy 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 inspections are requested at the proper.time, that each adcJrcss 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 Signature
Date
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00430
COM2009-00430
COM2009-00430
COM2009-00430
COM2009-00430
Payments:
Type of Payment
ONLINE CHGS
cRecell1tl
RECEIPT #:
3200900000000000203
Description
I st Appliance
Air Handling Unit Up to 10,000
!-jeat Pump
+-5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/31/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page 1 of 1
ONLINE Innovative Online
Air Inc
Payment Total:
1:44:03PM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132_21
Amount Paid
$132.21
$132.21
3/3 1/2009