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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 ':~:.i.;..c:ATEGORyJOFCON~TR()C]IQN:" < [Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory lc ~;:'11:'9oBISI]E 'iNFORM/. TION;AND,(;og8;fioN 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 ;~:Sj:r(C()NTAct :.: Name: Kenneth Ward Phone: 541-747-6039 Fax: '..~J;,'Nh. ~{1~::~' Email: . , I': ", , '-~~,_,: I .r;;.0NTRA9JQR~;~:~~.:Co';;"'{ ~';;/i;7f;,i~", 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. CtmWIO --tfJ7 ~g' 0,.-16;-- to h~ ".f:.~~;~~ -,.~,,~,... . ::'J'~ :"i; , ..:.~~-: ~ 'r- '1 I MinimuITI~F~eS.-" if First Appliance Fee ~ec!1anic~~ j~'e~rmtt\Fees,':~- Subtotal '."', '" ~~"""', State surcharge (12% of permit total Technology fee (5% of permit lotal) TOTAL PERMIT FEE ~ .~."O ~O . ~ \0' ~~,o \9 ~~ ~~ \S 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 ';,~i;~t1 ".Jj:;.., /rl;;-,',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00788 ISSUED: 06/18/2010 APPLIED: 06/18/2010 EXPIRES: 12/18/2010 VALUE: t,', ~o: c~. 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: "li';~",'., Notes: nOTICE: 'Tr r',,",- _ "..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 U,':-< i :,. 't7~ 1:;"" Page I of 2 ," "''''1 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ,.~~~~~ ,,' . I' ,I<:'~I j 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 '-,l_.. :;:;':liJ',:,,>t!,U;f"',' ',' 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 $92.43 Plan Reviews I i.' , , rC:.'.~ 'i !'_I:,T,:, ..;':~~ H.,~~:.." r~~~ ,'," To Request an inspection call the 24 hour r,ecording at 726-3769. All inspections requested before 7:00 a.m. will be made,the same working day, in~pections requested after 7:00 a.m. will be made the following work day. I.-ReQuired Insoections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. t;,' By signature, I state and agree, that I have carefully examined, the completed application and do hereby certify that all information hereon is true and correct, and I furtl)!'r certify tha(olny and all work performed shall be done in accordance with " .,I' the Ordinances of the City of Springfield and the 'Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the' Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. XE'::i 'd, .'f.~}.' ;' Owner or Contractors Signature ~,:.:'~:.ill-: .....;l[']..Y:,~;:i:z,;;~ '.,_ ,:; . ..~...'0l , ~ '\.: ' i ... "1':;' Date 'f$f.r Pa2e 2 of2 ,:' .r-;,!:i_,I' 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 ';' . ",e.,.,.",,<;, ,"'" ,~.tt~1-" . ':~Hll~\, "f('~~:; ~~~it~r "IV.!,?;- ft}" ;. .,j,~1\~5~,J" '. ..' 1l.1', ,-~~~~ ~;:~,~"... ,,,},tf,: .~".r'?:l~ ..?~ .:t~.~;~':!,"/" 'T~;,,"'f'r :.~ , ' Page 1 of 1 6/18/20 I 0