HomeMy WebLinkAboutPermit Mechanical 2009-6-26
Mechanical Authoriiation To Begin Work
E~mailed To: stacey@innovative-air.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.or.us
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I D NewConstruction
o Addition/alteration/replacement
10 '0' 2 f~dy dw,liio. D M'lti-fmndy D Comm,,,i,]
DACCeSSOryBUildirig
r
I Job Address: 2440 JST
j Cit)'/StateJZIP: SPRINGFIELD, OR 97477
Suitefbldg./apt.no.:
Project Name: Peters Personal Res
Cross Street/uirections,to job site: hwy 126, south Oll Mohawk Left on J sl
Turn"I,,,,,,,,, \'1I'1O~~ Ol9\~ I
f;:I~~'+~:~~~~~D~E'ScRJp:TI6N!OFjw~ORK\Ji;Z'f:.~~~~~~~~r:7~1
installatioll of ductless minisplit
N:lme: ElIenPelcrs' .
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Phone: 541-744-00704,..,1I,.."u ..ilo,," -:lrff"'\rf.u~:rl h\l tht:l nr.onrm Iltilitv
Em,;', Notification Cenler. Those rules are set forth
:~~C':;'",; ,.:., 'iir'OA'l'l~Z~Q!.l:'oNl:RJ(Cli5Ritf9i:i}~1'i'Ifu~?,?:.QQ;1 ~_:::~!
CCBII,.".' 16]74P090. You may oblaln copies Olme rUles oy
Business Name: INNOm\vf!~IIFIWcl;elllel. tl'llUlt:., l.llt: lC"I-C::t-:'IIU~I"C
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Contact: ("enter iCe 1_Ann_~~?_?:1.44L
I Address: 5120 FRANKLIN BLVD SUITE 7
I Cily/State!ZII'; EUGENE, OR 97403
Phone; 541-746-1040
Fax; 541-746-4099
Emllil:
J\-1etrolic. no.:
City lic; 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 BeginWork 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 jf it does not meet applicable land use laws
and local ordin.ances
69600- B M C-09-00007
6/2612009 3:58 pm
1:,:~~~~"f=;~r"::;};;i~EE:scHEDULE
I Description , QIy. I
If#~!i_ng;~o_~@i'~ppijAl1c~~::::-:~j;P~-
I Heat Puinp .l!
E,.
I
'~"'. -
1'__'\0<1
$17.001,
I
$79.001,
..I
$96:00 I
$11.521
$4.801
$112.321
m~'l
.',;:-'-~~ .(:'"
IFirst Appliance Fee I'
1~1~~GI!!~_N.~C11}1?_E:~,HtjFEJ!:~~~"\:1': ~>~_"' ~'I' ,.
ISubtotal
I State surcharge (12% of penn it
total}
ITeChnOIOgY!Ce(5"Ic,OfP<:rlllit
total)
!TOTAL PERMIT FEE
,.
t9 q41t>
KjL ~\2.91D1
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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: COM2009-00946
ISSUED: 06/29/2009
APPLIED: 06/26/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2440 J ST
ASSESSOR'S PARCEL NO.: 1703254306104
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install~tion of ductless minisplit heating system in residence.
Residential
Owner: PETERS ELLEN J
Address: 2440 J ST
SPRINGFIELD OR 97477
, ," .
I CONTRACTOR ~NFORMATlON ~
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
I 0/1I/20 1 0
Phone
541-746-1040
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 Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA T10N I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: . oli'l1\ed Drive Rqd:
Rearyard SctbacK'NTION: Oregon law reqUires Y u%'\'f Lot Coverage:
Solar Sethacks:DW rules adopteTdhbY the IOe~ea~~~et f~;th
"".....tifit"Cltinn (;p.nter. ose ru _ _,-
in OAR 952-001-00,1 0 tnroug,ll' :1~illB~I;;'~IMPROVEMENTS I
0090, You may obtam caplE'S 0....,.-'" - .
Street Improv/;ments:he center. (Note: the telepnone NU I ICE Sidewalk Typ!::
~';:':~.;'r ~or the Oregon Utility Notification THIS PERMIT SHALL tX~IRE IF THE WORK
Stor~ SewerfA~allabCi'~nter is 1-800-332-2344)., AUTHORI~~1)''\:if-J'tJ'~'Wlrn\'5':PERMIT IS NOT
SpecIal InstructIOn: COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
Total:
Handicapped:
Compact:
LValuation Descdotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00946
ISSUED: 06/29/2009
APPLIED: 06/26/2009
EXPIRES: 12/29/2009
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
54 I -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
Heat Pump
Amount Paid
Date Paid
Receipt Numher
$11.52
$4.80
$79.00
$17.00
6/29/09
6/29/09
6/29/09
6/29/09
2200900000000000724
2200900000000000724
2200900000000000724
2200900000000000724
Total Amount Paid
$112.32
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
w?rk day.
I Re,\~irrd Insoeetions I
Rough Mechanical: Prior to Cover
Final.Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefnlly 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 d~ne in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will be made of any 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 nsed 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 plans will remain on the site at all .
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00946
COM2009-00946
COM2009-00946
COM2009-00946
Payments:
Type of Payment
RECEIPT #:
Description
15t Appliance
Heat P~mp
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceiht 1
~~.
City of Springfield Official Receipt
Developme:ot Services Department
Public Works Department
2200900000000000724
Date: 06/29/2009
8:13:14AM
Item Total:
Check Number Authorization
Received By Batch Number Number How'Received
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
KR
ONLINE 1NNOV A Tl Online
VEAIR
$112.32
Payment Total:
$112.32
Page I of I
6/29/2009