HomeMy WebLinkAboutPermit Mechanical 2009-7-10
. City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:stacc}.@innovative-air.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
D NewConslruction
o Additionlalterationfreplacelllcnt
10 I or 2 family dwelling D Multi-family D Commercial DACCeS50ry Building
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I Job Atldress: 1615 LlNDENAVE I
I City/State/ZIP: SPRINGFIELD, OR 97477 I
I Suite/bldg.lapt.no.: I
I Projea Name: Sunseri Personal Res 1
I Cross Street/directions to j?b site: Centennial Blvd, N on Anderson. R on Menlo, L I
on Juniper, R on Linden
Tu m.plp",<<] no., . \ 'lh??7J1 ,,>fJ.-. f\\m). __ ~_ m .. I
;,*~J;;f~"'t~~~2~DESCRII:friONr6F~WORK<M~:,'~~!!i/!\r;r~1I
installalion ofducllcss split system
I N.m"EI';"'SmmGl::
I Phone: 54]-741;8414 Fax: I
I J I KJ P;::f,fvllT SHALL tM'ltit ,~ I HI: WORK. I
Email: staceY@Jllj19.:t;lf-mT.com . ^ _ _ __ _ I
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IConw(t: I
I Address: SI20 FRANKLIN BLVD SUITE 7 I
I Cil)'/Statc/ZIP: EUGENE, OR 97403 1
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I
I
Phone: 541-746-1040
Fax: 54].746-4099
Email:
l\letrolic.no.:
Cily lic. no.:
Upon review and approval by your local jurisdiction, you'( 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 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
!DescriPtion
I First Appliallcc Fcc
I Subtotal
IStalcsurcharge(i2%OfPellnit
total} .
Il'echnologY[Ce(5%OfPcrmit
tOlal)
I TOTAL PERMIT HE
69600-BMC-09-00023
7/10/2009 3:14 pm
Approval Code: 072440
I<-l 111310Li
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
numberfor the Oregon Utility Notification
Center is 1-800-~32-2344).
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This Authorization To Begin Work must bepos1ed at the job site until replaced by a Permit.
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01017
ISSUED: 07/13/2009
APPLIED: 07/10/2009
EXPIRES: 01/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1615 LINDEN AVE
ASSESSOR'S PARCEL NO.: 1703273201800
Springfield TYPE OF WORK: Heating.System
TVPE OF USE: New
PROJECT DESCRIPTION: Installation of ductless mini split heating system in residence.
Residential
Owner: SUNSERI ELAINE T
Address: 1615 LINDEN AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION .
Contractor' Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10/1 J/2010
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 1st Floor:
Sq Ft 2nd Floor:
Sq.Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
NnTIN:.
THIS PERMIT SHAll EXPlRtDEVELOPMF\,T INFOR~AT~1TI0N: Oregon law reg!!i!.~ you to
AUTHORIZED UNDER THIS ]]] nt vvukR follow rules adopted t:l}&W~~Il~!llY"G
Frontyard s&QJu~9ENCED OR IS A PERMIT 6'iJllf.lf Dist: ~otification Center. ThefllHlJles are set forth
Side I SetbaMY 180 DAY PER BANDONED FIPlitreet Trees Rqd: In OAR 952-001-001 0 tr<<.l]tl\lh,~~d~52-001-
Side 2 Setback: . 100. Paved Drive Rqd: 0090. You may obtain 'C'J'rifllSa2/. ne rules by
Rearyard Setback: % of Lot Coverage: caillng the center. (NOle:. ne leiephone
S I S b. k' . number for the Oregon Utility Notification
o ar et ac s, Center is 1-800-332-2344). .
n/a
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I 01"2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01OI7
ISSUED: 07/13/2009
APPLIED: 07/10/2009
EXPIRES: 01/13/2010
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 I
III .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Numher
$9-48
$3.95
$79.00
7/J3/09
7/13/09
7/13/09
1200900000000000796
1200900000000000796
1200900000000000796
Total Amount Paid
$92.43
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 Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that [ 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 Springt1eld and the Laws of the State of Oregon pertaining to thc 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 ORS701.005 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 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
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 0 17
COM2009-01017
COM2009-01017
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000796
Date: 07/13/2009
Item Total:
Check Number Authorization'
Received By Batch Number Number How Received
KR
ONLINE lNNOV A TI Online
VEAIR
8: 12:58AM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
Payment Total:
Page I of I
$92.43
7/13/2009