HomeMy WebLinkAboutPermit Mechanical 2010-7-1
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
eM '87&
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00160
Approval Code: 07379Z 7/1/2010 11:06 am
E-mailed To: stacey@innovative-aiLcom
D New Construction
lKI Addition/alterationJreplacemenl
IZI
"CATEGORY QIf:CC)NSTRUCTioj\j.::;'?;:'fi(}~j,j:~,i~ ,,!#~:
1or2familydwelling D Multi-family 0 Commercial D;~~ce~,sdry...~
"'0,1,, >_.. ,;
JOEi:SITEINFORMATlciNANDLOCATION<~-' . I~
Job Address: 3449 DOUGLAS DR
City/State/ZIP: SPRINGFIELD, OR 97478
Suitefbldg.fapt.no.:
Project Name: Eggert Per Res
Cross Street/directions to job site: Main Street 32nd area
Tax map/parcel no.: 1802062104700
';;~;:~:}it~~~" ;:]~;'~:p~~g:BleIHJNto~:W9R.(.b*~i;4it:~0:Jtt,7~~
Installation of HVAC equipment
o r .t~
Name: Natalie EaQert
Phone: 541-521-6585
Fax:
Email:
,'.t;.,
CCB Iic. no.: 161742
Business Name: INNOVATIVE AIR lNC
Contact:
Address: 5120 FRANKLIN BLVD SUITE 7
City/State/ZIP: EUGENE, OR 97403
Phone: 541-746-1040
Fax: 541-746-4099
Email:
Metro Iic. no.:
City Iic. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mafled 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 milY determine that an Authorization To Begin Wor1l is null and
void if it does not meet applicable land use laws and local ordinilnces.
wm20/D
-;'_/r-/0
-- oocr7~
17/YL
Description
Mi~ih1u~~F..ees
First Appliance Fee
Mecha!1i~~I:Permi(fee's
Subtotal
State surcharge (12% of permit
total
Technology fee (5\110 of permit total)
TOtAL PERMIT FEE
"
$79.00
"
$79.00
$9.48
$3.95
$92.43
';.~j
I~
t)... ~ 0
\\ ~V \\S
'V \0'
\~~
~~
~~
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00876
ISSUED: 07/0112010
APPLIED: 07/01/2010
EXPIRES: 0110112011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phune
541-726-3676 Fax
541-726-3769Inspectiun Line
SITE ADDRESS: 3449 DOUGLAS DR
ASSESSOR'S PARCEL NO.: 1802062104700
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installatiun .of HV AC equipment
Owner: EGGERT NATALIE J
Address: 3449 DOUGLAS DR
SPRINGFIELD OR 97478
Phune Number: 541-521-6585
Contractor Type
Mechanical
I 'CONTRACTOR INFORMATION I
Contractor License
INNOVATIVE AIR INC 161742
BUILDING INFORMATION I
Expiration Date
10/11/2010
Phone
541-746-1040
# .of Units:
Primary Occupancy Gruup:
Secundary Occupancy Gruup:
Primary Cunstructiun Type
Secundary Cunstructiun Type:
# .of Bedruums:
# .of Sturies:
Height uf,Structure
T~pe.or Heat:
,:w.ater Type:
"'Range TYpe:
'''Energy Path:
Sprinkled Building:
Lut Size:
Sq Ft 1st Fluur:
Sq Ft 2nd Fluur:
Sq Ft Basement:
Sq Ft Garage/Carpurt
Sq Ft Other:
Occupant Luad:
n/a
I DEVELOPMENT INFORMATION I
REQUIREljpARKING
Overlay Dist: Tutal:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Cumpact:
% .of Lut Cuverage:equireS you to
, ., " . "" 'ATTENTION: oregonb\a~hre Oregon Ulility
. ,-:"-:" ' '- " .." e 0 led Y rth
PUBLIC IMPRovE~ms: ion Genle;1 0 through OAR 952-001-
\n 52-001-0, jes olthe rulesby
0090. You nfu.~l!)\illmm~ei: the telephone
calling th'b~W;'@~lM/JJlliliW: Noliticatlon
number tor t , < 800-332-2344).
. Genter IS ,-
Fruntyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Sular Setbacks:
Street Improvements:
Sturm Sewer Available:
Speciallnstructiun:
Nutes:
NOTICE: i.;';,'.',o\
; /'i10 PERMIT SHALL EXPIRB I~TJ-I):~.,.: ' ~
.! ITHORIZED UNDER THIS F. ahl'li~/lI)escription I
'l\lMrNC << i: Mil ::JIW I
_' , ED OR Iv ~BANDO$Je& Sij~t Square Fuutage
Tvpe,uf\(!unstrucliun , , ,
. . i~.,' I . LnIUU. or multiplIer or Bid Amount.
Value
Date Calculated
Description
Paee I .of 2
i
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Total Amount Paid
,I{'
", ~ '-'"-,
.l',,:,.'l:i \ '. ';\ ,~ '.",~ . "
"~.~-".,.,' ,."...~. ..~'. "
, ~'!J'llt~l'yiil~e of Project
,,~. p~i;~ i' : '.;li..
[':F~es P~'id ~
Amount Paid
$9.48
$3.95
$79.00
$92.43
I Plan Reviews ,
Date Paid
7/1/]0
7/1/]0
7/1/]0
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00876
ISSUED: 07/01/2010
APPLIED: 07/01/2010
EXPIRES: 01/01/2011
VALUE:
Receipt Number
320]000000000000363
320]000000000000363
320]000000000000363
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.
Rough Mechanical: Prior to Cover
LRea"l~:[e~,~~~~ections ~
,,~:.,~5.~:'r !,
';""';;(.ii.'Y, .
..>
Final Mechanical: When all mechanical work is complete.
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 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 strncture 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 tliat 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 ofth,e,propedy"and'the approved set of plans will remain on the site at all
times during construction. ! ' , -~'''''.
Owner or Contractors Signature
;,i):;F
,'.... \..'4i<i~'i,.
,,t,'.::~\?:,/; I,
l '"r,"'~'. !..;' ,
, -"'r
Paee 2 of2
Date
225 Fifth Street
Springfield" Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000363
Date: 07/01/2010
I :55:42PM
Job/Journal Number
COM20 I 0-00876
COM20 I 0-00876
COM201O-00876
Payments:
. Type of Payment
ONLINE CHGS
cReceintl
Description
] st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
".... ".., Check Number
".,.':
Rec'~.i"yed By Batch Number
'rjm
l':
i
~ ':'
"
',",
.;!I;\~iy,
"
'.
; I', ~
......."
":i~~i~,
, . ~, ,
"":"""""; (
, ..~..
" ,~
Page] of]
Item Total:
Authorization
Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
ONLINE innovative Online
air
Payment Total:
$92.43
7/1/2010