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HomeMy WebLinkAboutPermit Mechanical 2009-4-30 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:stacey@innovative-air.com Receipt # RC550943 4/30/20094:13:10 PM ~rA~ ~/ V Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us :.1::1 " ~"".."F I D New conslmction [i] Addition/alteration/replacement I Description Qty, I<:a. D Multi-family D Accessory Building I rurnace~ up to 100,000 BTU I Furnace - above 100,000 BTU I EJeclricFumace I Duct alterations and additions I GasheaLcrunils/in-wall,;in- duct. suspended, ctc/ ' I Vent,l1uc, liner for above I AirCondiLioner I Heat Pump I AifHandler I 1 $]7.001 $17,00 I Job no.: 09055 I Job address: 499 72ND ST I City/State/ZIP: SPRINGFIELD, OR 97478-7237 I Suite/bldg./lIpl.no.: I Project nlllnc: Hadley Personal Residence Cross stn'ct/directions to job site: 126 (Main St) east, Left on 72nd $]7.00 $]7,00 1 Name: Don and Florence Hadley I l)hOlle: (541) 741-2529 ! Fax: IEmail: I Water heater I Gas fireplacelillserv'slOve I Gas log! log lighter I Gas clothes dryer Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimllto'y/linerltlue/vent \\'/0 aDPliance I:E~'vIroll'nie~tli'rex~ltust'ANi:tveri'fii~iion>:;:);: J-"!o..-~-~;'0,~;''';''.,;:,:;t~ ~ ,I ",,' m,_,,';'....~ ',<'.,; ,,_~;__ ' "!"..",,,, ",.",\"_'<;",,,,- 'd_ .'" ~_<:. ,~", ,,', . ,',~""'" ,," -' , I Range hood I Clothes dryer exhaust I Single-ducl e:\haust (bathrooms, toilet compartments, utIlity rooms) I Attic/crawlspace fans I 1 I I I I I I Subdivision: ITax map/parcel no,; 1702353105700 I Lot no.: Installation of new HVAC system ICCB lie. no.: 161742 I Business Nnme: INNOVATIVE AIR lNC I Contllet: Bob Garvin iAddress: 5120 FRANKLIN BLVD SUITE-' I City/Shltl'/ZIP: EUGENE, OR 97403 Irhon" (54])746]040 IF",: (541)7464099 I Email;:iuil:ey@innovative-air.com I ~letro lie, no.: I City lie. no,: I upto,tlrst4 outlets(el1ter Qly;'j) I. I each additional outlet ~ ' 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 Subtotal I City Of Springfield First Appliance fee I Stale Surcharge (12% of per mil fee) I City Of Springlleld fel.:s * I TOTAL PERMIT FEE * City Of Springfield fees: 5% Technology Fee $3400 $79,00 $]3.56 I $565 I $132.21 I 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 if it does not meet applicable land use laws and local ordinances. (h//72()7)9 /J /?'I c/ -- /-0 C) (}06~~. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. City of Springfield Official Receipt Development Services Department Public Works Department 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00594 COM2009-00594 COM2009-00594 COM2009-00594 COM2009-00594 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000291 Date: 05/01/2009 8:23:29AM Description Heat Pump Air Handling Unit Up to 10,000 I st Appliance + 5% Technology Fee + 12% State Surcharge Amount Due 17.00 17,00 79.00 5,65 13.56 $]32,2] Paid By ONLINE PERMIT CHGS Item Total: <":hcck Number Authorization Received By Batch Number Number How Received njm ONLINE innovative Online alT , Payment Total: $132.21 Amount Paid $132.21 r I Page I of I 5/1/2009 Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00594 ISSUED: 05/01/2009 APPLIED: 05/0112009 EXPIRES: 11/01/2009 VALUE: 225 Fifth Street, Springtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 499 72ND ST ASSESSOR'S PARCEL NO.: 1702353105700 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: HVAC System Owner: Address: DONALD K & FLORENCE E HADLEY FAM R 499 72ND ST SPRINGFIELD OR 97478 Phone Numher: 541-741-2529 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor ,INNOVATIVE AIR INC License 161742 Expiration Date , 10/11/2010 Phone 541-746-1040 / I BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heal: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupaut Load: n/a , DEVELOPMENT INFORMATION I ATTENTION: Oregon law req'Jlre:, ~". , d tad by the Orego1\ l;,:,IlY Front yard ~ethack:lles a op " ' t Overlay Dist: -, , C t Those rules are se 'v. ,,, Side I Setl13ck:ica\lOn en er. hrou"h OAR 952,M;!reet Trees Rqd: Side 2 SelliacJ{:~R 952-001-0010 t ,8 of Ihe rule~aved Drive Rqd: ,^ "au may obtam caples - - " Rearyard S)[t~ack, (Note' the telepho'YoJol Lot Coverage: Solar Setback:S;lling the centoer. n Uiiiity Notification ^"~h,,, fnr the rego , Center is l-tlUU-""~-"" 'iJ;'vBLIC IMPROVEMENTS' Street Improvements: Sidewalk Type, REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available, Special Instruction: Downspouts/Drains: NOTICE: E WORK iHIS PERMIT SHALL EXPIRE IF TH AUTHORIZED UNDER THIS PERMIT IS NOT "nmni=w~m OR IS ABANDONED FOR I A~IY 1 1:\U IIAY PERIOD, Valuation Descriotion Notes, Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00594 ISSUED: 05/01/2009 APPLIED: 05/0112009 EXPIRES: 11101/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump . Amount Paid Date Paid $13.56 $5.65 $79.00 $17.00 $17.00 5/1/09 5/1/09 5/1/09 5/1/09 5/1/09 . Receipt Number 3200900000000000291 3200900000000000291 3200900000000000291 3200900000000000291 3200900000000000291 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 Rellllired , 1 snectiofiS . ~1111111 1IIIJlllill,I,1I111i1 Rough Mechanical: Prior to Cover Final Mechanical: When an mechanical work is complete. By signature, I state and agree, th~t r have carefully examined the completed application and do herehy 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 herein, and . that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety, 1 further certify that only contractors and employees who are iu 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 address is readable from the street, that the permit card is located at the front of the property, and the approved set of plaus will remain on the site at all times during construction. Owner Of Contractors Signature Date Paee 2 01'2