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Home My WebLink AboutPermit Mechanical 2009-12-7 .. (j l' 111'1- SPRINGFIELD .1;,\ '""'" "",; it ;so{ ,~ .."" "i.", OREGON 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 - ~ ~ \~\\) . \\J "- 1J)~.cf\ \fQ-:<b ~ ~<V~ V' 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 ~p. RINO~~.S.U~' ".. . ,. .. 1Ii:.~. . - . . - - ~ ..;...........""" 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. " ,".' 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