HomeMy WebLinkAboutPermit Mechanical 2009-12-8
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SPRINGFIELO ---
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00208
Approval Code: 031789 12/8/2009 10:14 am
E-mailedTo:stacey@innovative-air.com
I 0 New Construction IX] Addition/alteration/replacement
, '"~i;~~:9ATEGORY;CHf!.G'ONSTBTjCTi6N'~~~"SJ't~1~;~V:tf:~'l
f 00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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I Job Address: 845 25TH PL
J City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg.lapt.no.:
I Project Name: Phillips Personal res
I Cmss StreeVdl,ect;on, 10 job ,;Ie: 28th and G Slceet
I Tax map/parcel no.: 1703361108101
I Description:
I Firsl Appliance Fee
I Subtotal
I State surcharge (12% of permil
lolal\ _
I Technoiogyfee {5% of permit total)
1 TOTAL PERMIT FEE
$79.00
$9.48
$3_95
$92.43
Lq-liYLP
~~ t2\BID~
installation of mitsubishi ductless system
I Name: Jason Phillips
I Phone: 541-746-5026
I Email:
Fax:
'. ATTENTION: Oregon laW requIreI you. ~
follow rules adopted by the Oregon Utility
Notification Center. Those rugh\e08ARare ~~::
In OAR 952-OO1.oo10thr~
11090 You may obtain copies of the rules bf
, calilng the center. (Note: the tel~phone
number for the Oregon UUllty NotiI\OlltIOlI
Center 111 aoo i1~-2344).
I ~UIIl,;t: cCBllc''<'Jf,1~.l.4it:THI=,^,nRK
I ~111;~U:EruvllT SIIALL [Il. I it.. .
Bu,lness N.me: IN.~~ '_IMnI'R TI-lI~ PFRM1T IS NOr
I Contact COMMENCED OR IS ABANDONED, FOR,' .
I Add.e,., 5120 FR1I>IN-'~ ~OO :j}f\l{ ,pERIOD.
I City/State/ZIP: EUGENE, OR 97403
I Phone: 5417461040 Fax: 5417464099
I Email:
I Metro lie. no.: City I!c. no.:
.1U.~.~'t"'" ..'
Upon review and approval by your local jurisdiction, your permit wlll be e.mailed or faxed
within one business day. with Instructions on howto schedule you rlnspeclion.
NOTE: This Authorization To Begin Work expires within 180 days If a permit h; nol obtained.
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The local buHdlng department .may determine that an Authorization To Begin Worll. Is null and
void if it does not meel applicable land use laws ami local ordlnan ces.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job si;~e until replaced by a:Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01746
ISSUED: 12/08/2009
APPLIED: ,12/08/2009
EXPIRES: 06/08/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 845 25TH PL
ASSESSOR'S PARCEL NO.: 1703361108101
Spri~gfield TYPE OF WORK, HeatlngSystem
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of ductless heat pump system in residence,
Residential
Owner: PHILLIPS JASON
Address: 845 25TH PL
SPRlNGFIELD OR 97477
Phone Number: 541-746-5026
I CONTRACTOR ~NFO~MA T10N ,
Contractor Type
Mechanical
Contractor
INNOVATIVE AIR INC
License
161742
Expiration Date
10/11/2010
Phone
541-746-1040
BUILDI~G INFORMATION'
# of Stories: Lot Size:
Heighl of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Buildiug: n/a 8ccupal~t Load: IT to
ATTI"~ON; renlln law ngu es Yl]U
I DEVELOPMENT INFORMA~ffl.lS...rules adopted by the Oregon Utllny
. ~-Ji~:~:r:'1~.P8fJfmuG
Front yard Setback: , :;,;,,,,,'pverlay Dist: . 0090. You may obtain ~s of the rules br
Side I Setp,lIaIrICE: ' # S.!Xfet Trees Rqd: calling the center. (~II~~tlPhone '
Side 2 setb~~~ Qi=RMIT SHAll EXPIRE IF THE wtlWII Drive Rqd: number for the OreQQOJ.!til\lYt. ollflcatlon
Rearyard SC't!p.CI<: 0 UNDER THIS PERMIT IS",W~ifLot Coverage: . Center Is HI00-332.2344).
Solar SetbtJbksflORIZE ED FOR . :
f'nnnnnnj('i=n ni=lIS ABANDON "=" ,: '"
ANY 180 DAY PERIOD, I PUBLIC IMPROVE~~NTS I '
# of Unils:
Primary Occupancy Group:
Sccondary Occupancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instr~ction:
Sidewalk Type:
Downspouts/Drains:
Notes:
.1 Valuation D~scription ,
Descriution
Type of Construction
$ PerSq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541,726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ ]20;;) S,tate Surcharge
+ 5cyo Technology Fee
1st Appliance
Amonnt Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92,43
,
'"
Total Valne of Project
Fees Pair! I
Plan Reviews I
Date Paid
12/8/09
12/8/09
1218109
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01746
ISSUED: 12/0812009
APPLlED: 1,2/08/2009
EXPIRES: 06/08/2010
VALUE:
Receipt Number
1200900000000001315
1200900000000001315
1200900000000001315
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,
~ ~erlu.i~,er! Insl',ections I
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and agree, that 1 have carefnlly examined the completed application and do hereby certify that all
information'hereon is trne and correct, and 1 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 Sfate 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 will be used on this project.
I further agree to ensure that all reql!-ired inspections are requested at the proper time, that each address is re~ldable from the
street, th~t the permit card is located at the front urthe property, and the approved set of plans will remain on the site at all
times during construction.'
Owner or Contractors Signature
",
Page 2 of 2
Date
f~5 Fifth Street
springfield, Oregon 97477
5~ 1-726-3759 Phone
Job/Jourmt) Number
COM2009-0 1746
COM2009-0 1746
COM2009-0 1746
Payments:
Type of Puyment
ONLINE CI-IGS
1.-
cReceiml
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CI-IGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001315
Date: 12/08/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE Innovative Online
Air
Payment Total:
Page I of I
10:46:34AM
Amount Due
79,00
3.95
9.48
$92.43
Amount Pltid
$92.43
$92.43
,
12/8/2009