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Home My WebLink AboutPermit Mechanical 2010-3-9 C:lo- 2-CI(p City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00042 Approval Code: 094076 3/9/2010 11 :56 am E-mailedTo:stacey@innovative-air.com JOBSITE.INI'ORMA 'nON ANll[OCATlONc" , Description Heating/Coolj'ng,Appliances. . Heat Pump !YI.inil1)u!Tl Fees First Appliance Fee Mec~~nlcal PerrnH'Fees Subtotal . ,< - . ~%4>-t .,~"$>TYPEiOE;w6RK~-- -oj o New Construction lRl Addition/alteration/replacement Total , - : CA TEGORYOF CONSTRUCTI6~ " 00 1 or 2 family d"'.'elling 0 Multi-family 0 Commercial 0 Accessory $17.00 $79.00 Job Address: 1125 58TH ST ":> City/State/ZIP: SPRINGFIELD, OR 97478 Project Name: Buckley personal res State surcharge (12% of permit total Technology fee (5% of permit total) $96.00 $11.52 Suite/bldg./aptno.: 67 $4.80 Cross Street/directions to job site: high banks rd and 58th st off main st TOTAL PERMIT FEE $112.32 'DESC~II!TION'()F WORK"" ". t\D - (f\u tL 3/0[\0 .l,. Tax map/parcel no.: 1702342200100 installation of new HVAC system .~! ' ;SITE'CONTACT _ ,'/ Name: Billie Bucklev Phone: 541-653-8492 Fax: Email: , ,...'\ '~CONJRACTOR cce IIc._nIF,~?,_F~~_'i:;:'~ Phone: 5417461040 Fax: 5417464099 ATTENTION: Oregon law requires you to follow rules adopted by the Oregon UtIlity Notification Center. Those rules Bre set forth In OAR 952.()()1.0010through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the tel~~hone lllII1lber for the Oregon Utility Notification Center is 1-800-332-2344). Coo,,,' A I I PERMIT IS NOT Add'''':@BMM-~~(!lIID'M'1S 7ABANDONED FOR CltyISta,.1z1NEU&G.OO .P-ER Email: .~'... Metro lie. no.: CitY lie. no.: Upon review and approval by your local Jurisdiction, your permit wllI..be. e.malled or faxed within one business day, with Instructions on howlo schedule you rinspection. The local building department may determine that an Authorizallon To Begin Work Is null and void if it does nol meet applicable land use laws and local ordinances. ~~ ~ \O.\\.\\) Sl:..--o ~\D ~.~ ~ ~cJ< 'v~ NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD Building/Combination Permit Sta tus Issued PERMIT NO: COM2010-00296 ISSUED: 03/09/2010 APPLIED: 03/09/2010 EXPIRES: 09/09/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1125 58TH ST SPACE 67 ASSESSOR'S PARCEL NO.: 1702342200100 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Installation of new heating system in residence. Residential Owner: MCGINNIS SHAWN MICHAEL Address: 1125 58TH ST SP ACE 067 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor INNOVATIVE AIR INC License 161742 Expiration Date 10/11/2010 Phone 541-746-1040 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occupancy Gronp: 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: Occupant Load: n/a NOTICE: .IDE~E'L.NT INFORMATION ~ Ires VOU to THIS PERMIT SHAll EXPlR If.. e.. ,.".ENTlON: Olegon l8~h\~IIg8I\~KING Front yard ~1/'bOORIZED UNDER THIS PERMIT 1.!t~RIy Dist: . foll~W rUle~~~~~~e~:Se1\l'NI:areset~: Side 1 SetbdllklMMENCED OR IS ABANDONED FW!treet Trees Rqd: NO'lflcat\0~-001-0010thld~_~e8bY Side 2 Setb'liiWY 180 DAY PERIOD. Paved Drive Rqd: In OAR: may obtain CO~~\~ph'one Rearyard Setback: % of Lot Coverage: 0090. o~he centel. {Note:.~ Joti1lcatlOft Solar Setbacks: . . 'calling I '''e Olegon Utility 4) mbel 01 \I . _ 2-234 . I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains:, . Notes: 11 . ~ t; . ;,,;, I V aluat~on Description ~ Description Type of Construction $ Per Sq Ft or mnltiplier Sqnare Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00296 ISSUED: 03/09/2010 APPLIED: 03/09/2010 EXPIRES: 09/09/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line .~ ,.,: , Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 3/9/10 2201000000000000213 $4.80 3/9/10 2201000000000000213 $79.00 3/9/10 2201000000000000213 $17.00 3/9/10 2201000000000000213 Total Amount Paid $1l2.32 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. . .'"'' .. ': LReouired InsDections ~ B)' signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I 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 State 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. r further agree to ensure 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 construction. Owner or Contractors Signature Date \,1'>1,; :1l)'S:' ....~" Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone 1!~!'~,:".~'" 1T.~o. ............. ~ '. IIIi. " ~ City of Springfield Official Reeeipt Development Services Department Public Works Department RECEIPT #: 2201000000000000213 Date: 03/09/2010 2:23:24PM Job/Journal Number COM20 I 0-00296 COM20 1 0-00296 COM20 1 0-00296 COM20 1 0-00296 Payments: Type of Payment ONLINE CHGS cRcceiotl Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS . [ Check Number Re~eived By' Batch Number Item Total: Authorization Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid KR ONLlNEINNOVATI VEAIR i; ...~'. ~.. Page I of I Online $112.32 Payment Total: $112.32 3/9/20 I 0