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
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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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.
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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