HomeMy WebLinkAboutPermit Mechanical 2010-6-18
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
{J/{).788
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00139
Approval Code: 01332Z 6/18/2010 11 :24 am
E-mailedTo:stacey@innovative-air.com
o New Construction
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[Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory
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Job Address: 1001 DIXIE DR
CitylState/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
Project Name: Ward Personal Res
Cross Streetldirections to job site: JASPER RD TO SOUTH ON DIXIE
Tax map/parcel no.:
1802052407500
INSTALL HEAT PUMP AND COIL
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Name: Kenneth Ward
Phone: 541-747-6039
Fax:
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Email:
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CCB Iic. no.: 161742
Business Name: INNOVATIVE AIR INC
Contact:
Address: 5120 FRANKLIN BLVD SUITE 7
City/State/ZIP: EUGENE, OR 97403
Phone: 5417461040
Fax: 5417464099
Email:
Metro lic. no.:
City Iic. no.:
Upon review and approval by your local jurisdiction, your permit will be o-mailed or faxed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void If it does not meet applicable land use laws and local ordinances.
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First Appliance Fee
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Subtotal
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State surcharge (12% of permit
total
Technology fee (5% of permit lotal)
TOTAL PERMIT FEE
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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
$79.00
$79.00
$9.48
$3.95
$92.43
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00788
ISSUED: 06/18/2010
APPLIED: 06/18/2010
EXPIRES: 12/18/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1001 DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052407500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and coil
Owner: WARD KENNETH N & CARLA J
Address: 1001 DIXIE DR
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
INNOVATIVE AIR INC' ,', 161742
BuiLDING INFORMATION I
Expiration Date
10/1I/2010
Phone
541-746-1040
# 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:
Ran ge Type:
Energy Paih:
Sprinkled Building:'
Lot Size:
Sq Ft 1st Floor:
Sq Fl 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ,
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Street Improvements:
Storm Sewer Available:
Special Instruction:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: ,
, uires yOU \0 '
c InN: Oregon,laW reQ on Utility
PUBLIC IMPROV~ sc~n~~r. Thdse rules a~ ~~2-001-
" 'o~' ~N'l1 nlh41ugh OA \ by
, 'OAR 952-00 mtreW1l k:6~RJ'j 01 the ru es ,
, In 90 You ma'h obtain c lIn>V!.11 te'epho~e
00 calling the ~\\Sp.~~ Uti\ity~'otilica\IOn
number lor the. O~~~OO_332-2344).
Center IS I
Total:
Handicapped:
Compact:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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Notes:
nOTICE:
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"..V I CIVil I 'HAll EXP/RI I~ "
:UTHORIZED UNDER THIS F Y !it'{\\~F'Elescri tion
AI~~~~NC~.D DR IS ABANDOile& Mlrrt Sq' u';'re Footage
Description Tvperof\C~llm, tion I""t' )"
'. '-'u. or mu Ip ler 'l'Of Bid' Amount
Value
Date Calculated
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20]0-00788
ISSUED: 06/]8/20]0
APPLIED: 06/]8/2010
EXPIRES: 12/]8/20]0
VALUE:
Status
Issued
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Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
1st Appliance
Amount Paid,
" Date Paid
$9.48
,l,1 "
$3,95,"
$79.00
6/18/10
6/18/10
6/18/10
Receipt Number
1201000000000000726
1201000000000000726
1201000000000000726
Total Amount Paid
$92.43
Plan Reviews I
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To Request an inspection call the 24 hour r,ecording at 726-3769. All inspections requested before 7:00
a.m. will be made,the same working day, in~pections requested after 7:00 a.m. will be made the following
work day.
I.-ReQuired Insoections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By 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 furtl)!'r certify tha(olny and all work performed shall be done in accordance with
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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.
I 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.
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Owner or Contractors Signature
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000726
Date: 06/18/2010
12:17:37PM
Job/Journal Number
COM20 I 0-00788
COM20 I 0-00788
COM2010-00788
Payments:
Type of Payment
ONLINE CHGS
"
cReceint I
Description
I st Appliance
4- ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Rece,ived By Batch Number Number How Received'
njm ONLINE innovative Online
air
Payment Total:
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
$92.43
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