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HomeMy WebLinkAboutPermit Mechanical 2009-12-8 \"/ SPRINGFIELO --- I~'~\" " ".i;ft<- ".c',~ . .c', OReGON 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 If/t;'i:~S;1i2'.fIij\-JbB:SlfE:INIi.6RMA'fibNWANB;E'()CATi()Ni':;t'i%!t7<~ Y.~i 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. ~;~ ~\ ~ ",\f) ~: ~~ ~D~ 'W 7~~ ~~ 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 ....._.~'_~!.H.~..F.J.....~"D.-,'... '.... ' - '. ~I ' , 1Ii:~', . -, _' ,.1 - ,- . -." ....' - 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