HomeMy WebLinkAboutPermit Mechanical 2009-12-7
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SPRINGFIELD
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City Of Springfield
225 Fifth 81
Springfield, OR 97477
P~one: 541"726-3753
Email: permifcenler@cLspringfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00207
Approval Code: 071057 12/7/2009 2:29 pm
E-maiJed To: stacey@innovative-air.com
o New Construction
{Kl Addition/alteration/replacement
I Description
I~
I Heat Pump
I [Xl 1 or 2 family dw~lIing 0 Multi-family 0 Commercial D Accessory
1!,;;i,,';f',(,;'-;I,:~:r6BrSITEiiN~ORMATf(rN"ANbJi:6cA'riON"{~~S!',?
I Job Address: 5788 E 8T
I City/State/ZIP: SPRINGFIELD,OR 97478
,I Suitelbldg./apt.no.:
I First Appliance Fe~
Project Name: Skinner personal res
I Subtotal
I State surcharge (12% of permit
lotal)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$96.00
$11.52
Cross Street/directions to job site: 58th and main st
$480 I
$112.32 I
I Tax map/parcel no.:
1702331401801
Cq-\\L\L U \2-\1\CA
installation of Rheem Heat pump and Air handler
I Name: Hal Skinner
I Phone: 541-746-3387
I Emai!:
Fax:
CCB lie. no.: 161742
I Business Name: I~JN~~T~C~IR INC _ If'" \ ,nQ\(
I ..... ..--' EXPIKt Ir l\ro.. f.-
cont"t~~,<: D~_R~\T S,HALL \ t1'0;'G',MIT I!; NOT
I Add,,,,, 5120 FRA~~\'~i~y,Oi.$YllE\7NDt.:' ^ n ^"\f'Inl\\~O FOR
I ....~.,,1rrqf'~u un \v ".......
City/State/ZIP: EUGENE! OR[9740'j- Inn
_ .~I nrD
I ','YIOVUrn'
Phone: 5417461040. ~
I Email:
I Metro lie. no.:
Fax: 5417464099
'I w r""utres you':to
a-....mON' Oregon 8 g., Ut",-
,.11 1<;...." d by the Ofegon "OJ
follow rules adopte ose rules are set laith
Notification cen~~1~hrOugh OAR 952:001-
In.OAR 952-001. btalncopies 01 the lulesi7f
0090. You may 0 Note: the telephone
calling the cent~r~~on Utility NotilicaliCll'l
numbllr lor the... r1 Qf\o-aa2-2344).
Center... ......
City Iie..no.:
Upon review and approval by your local Jurisdiction, your pennit will be c-mailed or fa,;cd
within one business day~ with in5tructiom; on how 10 schedule your Inspection.
NOTE: Thi5 Authorization To Begin Work e,;plres within 180 days if a permit h; not obtalnecl.
The local building department may determIne that an Authorization To Begin Work Is null and f AI"\~
void Ifltdoes not meet applicable land use laws and local ordinances. NV -
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Inspections Phone: 541-726-3769
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: COM2009-01742
ISSUED: 12/07/2009
APPLIED: 12/07/2009
EXPIRES: 06/07/2010
VALUE:
'.
225 Fifth Srreet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5788 E ST
ASSESSOR'S pARCEL NO.: 1702331401801
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of heat pump and air handler in residence.
Residential
Owner: SKINNER HAL W JR & CAROL J
Address: 5788 E ST
SPRINGFIELD OR 97478
Phone Number: 541-746-3387
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10111/2010
Phone
. 54 J -746-1 040
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:
Occup~nt Load:
nfli
I DEY,EI~NT INFORMATION'
'r' " I, .....,i,.,ii,'.C ' .
MOi\CC: \..\.. \:'l-I'I?-\: \ ~11 IS ~O .
Front yard 9~~t\;'V\:?-\lii\i S\-II\ \:?- ItllS I'\:?- \:0 I'~Vfrlay Dist:
Side I Setbacli.:' \101"121:0 \.l~0 f>.1'>1\t-\OO~ #Street Trees Rqd:
Side 2 Setbllck':)\ C\:O O?- IS. Paved Drive Rqd:
Rearyard Setljack:\liiH\ OI\'1I'\:?-IOO.. % of Lot Coverage:
Solar Setbacks:.N'1 '\ 80 .
REQUIRED PARKING
Street Improve,ments:
Storm Sewer Available:
Special Instruction:
, Tota I illllles yoU to
ATTENTION: Oregon lm~S~B6@{# Utility
follow lules adopted bt~~rn~'Stil.re set 10rth
Notification ce1ntg~16~~~:U9h OAR 952,.()Oby1-
In OAR 952.()O -.., ies 01 tha IU as
.1_.. .......""\l,nhtalO cop . \_I'"\....h"nA
I PUBLIC IMPROVEMENTS ... '~~\ii~~ the center.l~~luiil\tY ti~iilication
. . nunma~~~~~~OO-332-z344).
Downspouts/Drains:
Notes:
I V ~Iuation De~criDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
. ',;.;
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01742
ISSUED: 12/07/2009.
APPLIED: 12/0712009
EXPIRES: 06/0712010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pa,id I
Fee Description
+ I2'Yo State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
12/7/09 .
12/7/09
12/7/09
12/7/09
1200900000000001314
1200900000000001314
1200900000000001314
1200900000000001314
Total Amount Paid
. $112.32
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 "Reo,'1,ir~r1 ,rn~l1ectionsJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state aud agree, that I have carefully examined the completed application and do hereby certify that ull
information hereon is true and correct, and] further certify that any and all work p~rformed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of' Oregon pert~ining'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 areoin compliance with ORS 701.005 will be used on this project.
I further agree to eilsure tha~ all required inspections arc 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 Oil' the site at all
times during construction.
Owner or Contractors Signature
,Date
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1742
COM2009-0 1742
COM2009-0 1742
COM2009-0 1742
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Devclopment Services Department
Public Works Department
1200900000000001314
Date: 12/07/2009
ltem,Total:
Check Number Authorizlltion
Received By Batch Number Number How Received
kr
ONLINE Innovative Online
Air
Payment Total:
rJ.
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Page I of I
2:40:55PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
12/7/2009