HomeMy WebLinkAboutPermit Mechanical 2009-9-8
City of Springfield
Mechanical Authorization To Begin Work
E-mailed.To:stacey@innovative-air.com
Check on status of permit
By Phone: 541-726-3753 or Email: pcrmitcenler@ci.springfield.or.us
I D NewCons\rUction
o Addition/alteration/replacement
.e~'~"i::-_~.:~~::;-ll
o I or 2 family dWe]~ing D Multi-family
Dcommercial
DAcceS50ryBuilding
I Job Address: 13] 49'!H ST
I Ci~/State1ZIP: SPRINGFIELD, OR 97478
SUde1bldg.fllpt.no,:
Project Name: Carothers Rental
Cross Street/directions to job site: Main 51 to North on 49th
i:t~~;~;~;~Ji2;c~\T6N;:6KW6R~~~~"kv;~~
installation of Fujilsu ductless heatlcool system
I Name: Jason Carothers
Phone: 541-520-7917
}<'81:
EmaiJ: stacey@innovative-air.com
CCD lie, no,; 161742
Business Nanle: INNOVATIVE AIR INC
Contact:
I Address: 5120 FRANKLIN BLVD SUITE 7
I City/State/ZIP: EUGENE, OR 97403
PbODe: 541-746-1040
Fax: 541-746-4099
Email:
Metro lie, no.:
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 youiinspection,
NOTE: This Authorization To Begin Work expires within 18~ days if a permit is
not obtained,
The local building department may determine that an Authorizat!on To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances
1 Description
69600-BMC-09-00119
9/8/2009 I :57 pm
Approval.Code: 062] 05
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Eo,
I First AppliariceFee J I l
1i\1If<::Ik\~IC:\L;PERMI'I\FtES;,Jif~~: 'lk~,~_~ :''''.",,^: e>::dL-
I Subtotal
State surcharge (12% of penn it
total)
Technology fee (5% of permit
total)
I TOTAL PERMIT FEE
$79,001
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$79,00
$9.481
$3.951
$92.,131
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.;
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01327
ISSUED: 09/0812009
APPLIED: 09/08/2009
EXPIRES: 03/0812010
VALUE: '
225 Fifth Stn;et, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 131 49TH ST
ASSESSOR'S PARCEL NO.: 1702324100127
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install dnctless heat pnmp
Owner:
Address:
SP EUGENE LLC
1247 VILLARD
EUGENE OR 97403
I C?NTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expirati~n Date
10/11/2010
Phone
541-746-1040
I BUILDING INFORMA nON,
# 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 Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
I,
Occupant Load:
n/a
I DEVELOPMENT INFORMATION.
Frontyard Sethack: .
Side 1 Setback:
Side 2 Setback:
Rearyard'Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
,Paved Drive Rqd:
% of Lot Coverage:
"REQUIRED PARKING
Total:
Handicapped:
Compact: .
I PUBLIC IMPROVEMENTS I
ATTENTION: Oregon law requires you:to
"e,., 'I"e. adopted by the Oregon Uttlity
leSidewalk'type:et Those rules are set forth
Notilicatl~~ v.dlll~;<" through OAR 952-001-
inQ,51'YnspontslDra,ns, ' I the rules by
0090 You may obtam copies 0
, " h enter. (Note: the telephone
callmg tl e tChe Oregon Utility Notification
number or )
Center is 1_800-332-2344 .
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:"
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
A!/.....'u.......,-........ ...,___ _,.,_ ___..,_ ,_ .,_-'-
, ...... , "V" "'",;I-L.I VI~I..I1..' I .. H,' , , . ,,,,,,. .., '''',H'
Description
COMMENCED OR IS pI6vtli1?tti'ii'il blfscriDtion I
'\NY 180 DAY PERIOD, .
$ Per Sq Ft
or multiplier
Square Footage'
or Bid Amount
Value:,
Date Calculated
Type of Construction
Paee 1 of2
-~~_!,,1ia~!!~?:l:
l" ".'
-='.-, F'1" ""<rL"- 1:.."
,,' .; " .. ;,-,
:: ~ i; C,
Status
Issued
CITY OF SPRINGFIELD
Building/C()mbination Permit
PERMIT NO: COM2009-01327
ISSUED: 09/08/2009
APPLIED: 09/08/2009
EXPIRES: 03/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee,S P~i~ I
Fee Description .
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3,95
$79,00
9/8/09
9/8/09
9/8/09
Receipt Number
2200900000000001020
2200900000000001020
'2200900000000001020
Total Amount Paid
$92,43
I Plan Reviews ,
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, .
Renuirerl hsnectinns .
II rTlr III iiII
Rough 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, 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 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 wiU 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 plans will remain on the site at all
times during construction. .
Owner or 'Contractors Signature
Date
Pa2e 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01327
COM2009-01327
COM2009-01327
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
15t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001020
Date: 09/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE innovative Online
Payment Total:
Page 1 of 1
2:47:36PM
Amount Due
79,00
3,95
9.48
$92,43
Amount Paid
$92.43
$92,43
9/8/2009