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Home My WebLink AboutPermit Mechanical 2009-9-11 I First Appliance F~e I l 1~E;,C(I;~~I~~J~)~~.l~Mtft:'EKs~~~~~ L: I Subtotal IStalc surchargc (I2%ofpennit tolal) ITeChnOIOb'YfeeC5%OfPermit lOW.]) ITOTAL PERMIT }<'EE City of Springfield 'ag~~!,,~~.~~i'mmmm ii,' ;." Mechanical Authorization To Begin Work E-mailed.To:staccy@innovative-air.com Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us I;' I D New Construction 0 Addition/alteration/replacement I '~I I 0,1 ",2fIDoilydw,lI;og []Mohi.f=i1Y Dc.mm"';'1 DA""'",YBOililiOg I 1~"-i:f~:;~li!F~~oBfSfTEriNFORMATIOr:.i::.A.""N'[N.:bcATio-N1.~~.:l:?~~~:5~:.::"t~1 I Job Addreu; 5915 G sf 11 I I City/State/ZIP: SPRINGFIELD,I,QR 97478 I Suite/bldg.lapt.no.: I Project Name: Shoshine Person~1 Res I C,"" S""Vd;",n"", to job ,;", M,;o S, E", NOrth "" 58lb. E'" "" G ,I. 'I Taxmap/parctlDo.: I Description C,q -l345 inst~]] fujitsu ductless heat/cool iystem I Name: Amber ShoshillC I Phone: 541-913-2228 ~ "1""-:-- I E'I @' I'lIIr, t.I.:"- mal.: stacey lll~~~v_e-lllr.",~ Fax: 69600-BMC-09-00123 9/10/2009 3:35 pm Approval Code: 002476 Eo. Total .""1 '79.001 S9.481 S3.951 $92.43( I CCBU,."".: 1617421 UNDER THIS P~RnnIT .'~ "~T I Bu,;.,,,N.m,, INNOVATiVE'-'tR!l@:OR IS ABANnn~":n m'i:, IL I Coo,"," MIH I (lU" UAY PERIOD. I Address: 5120 FRANKLIN BLVD SUITE 7 City/State/ZIP; EUGENE, OR 97403 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 number for the Oregon Utility Notification Center is 1-800-332.2344). Phone: 54]-746-1040 Fax: 54]-746.4099 I I I I I I I 1 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 your inspection.' .~ .~Qj~\~Q ~\O' NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. :~ The local building departme'nt may determine that an Authorization To Begin Work is null and void if it d~s not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit KL C\ \ ulcq ~ 0.\ \..cA ~ ~.t1- ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01345 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line " SITE ADDRESS: :.5915 G ST ASSESSOR'S PARCEL NO.: 1702342200420 Springfield TVPE OF WORK: Heating System TVPE OF USE: New PROJECT DESCRIPTION: Install fujitsu ductless heat/cool system in residence. Residential Owner: SHOSHIN AMBERM & ETHAN Address: 5915 G ST SPRINGFIELD OR 97478 Phone Number: 541-913-2228 ii' I CONTRACTOR INFORMA TION , Contractor Type Mechanical Contractor INNOVATIVE AIR INC License 161742 Expiration Date 10/1112010 Phone 541-746-1040 ,BUILDI:'IG INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constructi~n 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: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING ATTENTION: OregonJaw requires you to ,,'Iota]' 0 Ut'I't follow rules adopted "y '''~ reqon II y Notification Center. Th~!~1l1m~'lPJ,~: set forth in OAR 952-001-0010tfr,(UlJg~,ctAR 952-001- 0090. You may obtain copies of the rules by calling the cent~r. (Note:.the .tel~p'hone Frontyard Setb~H?:TlCE: Overlay Dist: Side I Setback:THIS PERMIT SH ' # Street Trees Rqd: Side 2 SetbackV\/ITHO All EXPIRE IF mlIYed(,IKjre Rqd: Rearyard Setback:\I1 'R/ZED UNDER THIS PERMr/o~ o?I.:o'tpoverage: SOlarSetbacks\,U,1 MENCED OR IS ABANDONED F1 OI"RNU AMy 1 Qn """1\\/ ........._.~ -,,, . l....IIlUU. I PUBLIC IMPROVEMENTS' IIUlll.....OI IVI U,'-' '-'I....~......" '-'''''Cl .......",........,"".. Center is 1-800.332-2344). Sidewalk Type: Downspouts/Drains: Street Improvements:" Storm Sewer Available: Special Instruction: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of2 _.c~~~~g'I~~Rn,~^,,~,1 ti:, . , JI Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01345 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance ' Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 9/1II09 9/11/09 9/1II09 1200900000000001052 1200900000000001052 1200900000000001052 , 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. ~en~~ir~.d Tnspectinn;\! Rough Mecha~ical: Prior to Cover Final MechaniCal: When all mechanical work is complete, , By signature, I state Jnd agree, that I have carefully examined the completed application and do hereby certify that all information bereon is'itrue and correct, and I further certify that any and all work perfol'med shall be done in accordance with the Ordinances ofthelCity of Springfield and the Laws of tbe State of Oregon pertaining to the work described berein, and that NO OCCUPANCV will be made of any structure without permission of the Community Services Division, Building Safety, I further certify tbat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ens~re 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 constru~:tion. Owner or Contractor~ Signature 'Date Pa~e 2 01'2 225 Fifth Street Springfield, Oregon 97477 541,-726-3759 Phone.' Job/Journal Number COM2009-0 1345 COM2009-0 1345 COM2009-01345 Payments: Type or Payment ONLINE CHGS cReceintl RECEIPT #: Description 1 st Appliance + 12% State Surcharge + 5% Technology fee Paid ~y ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001052 Date: 09/11/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLlNEINNOV A Tl Online VEAIR Payment Total: Page I of I 1O:05:14AM Amount Due 79.00 9.48 3.95 $92.43 Amount Paid $92.43 $92.43 9111/2009