HomeMy WebLinkAboutPermit Mechanical 2010-7-14
City Of Springfield
225 Fifth 5t
Springfield, OR 97477 '~r,'.{..~:;'
Phone: 541-726-3753 l "
Email: permitcenter@ci.springfield.or.us '.".'
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:.~. ""Residential Mechanical Authorization To Begin Work
",' , 69600-BMC-10-00188
Approval Code: 05923Z 7/14/2010 1:08 pm
E-mailedTo:stacey@innovative-air.com
o New Construction
I:KI Addition/alteration/replacement
CATEg'ORYCOj:'CON%]Rl.J!;l:IO/li.,
o Multi-family D Commercial
IZl
o Accessory
1 or 2 family dwelling
. ::JOS'SITE;INFORMA'nON;AND tOCA liON::: ,,;
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Job Address: 2522 31ST ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
Project Name: Krieger personal res
Cross Street/directions to job site: Yolanda and Hayden bridge
Tax map/parcel no.:
1702193301202
install of HVAC equipment
Name: Royce Krieqer
Phone: 541-747-5284
Fax:
Email:
. ;;CONTRACfoR"
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CCB tic. no.: 161742
Business Name: INNOVATIVE AIR INC
Contact:
Address: 5120 FRANKLIN BLVD SUITE 7
City/State/ZIP: EUGENE, OR 97403
Phone:_541_7~6_1 040
Fax: 541-746-4099
Emai/:
Metro lie. no.:
City lie. no.:
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Upon review and approval by your local Jurisdiction, your pennit will be a-mailed 'or faxed
within one business day, with instructions on how to schedule your inspection. ,/.';4... .,1
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 appficabfe land use laws and 'ocal ordinances.
~/o-- (j()~43
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Description
MinImum5Fee!3~
First Appliance Fee
M!)c_ha}lI~al-PerrH!t>Fees"",.f,""'-,- '">
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79<00
$9.48
$3.95
$92.43
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Inspections Phone: 541-726-3769
lhis Authorization 10 Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00943
ISSUED: 07/1512010
APPLIED: 07/14/2010
EXPIRES: OI/15/20II
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2522 31ST ST
ASSESSOR'S PARCEL NO.: 1702193301202
Springfield TYPE OF WORK: Heating System
..~.:
PROJECT DESCRIPTION: Install HV AC equipffi".I!t
TYPE OF USE: New
Residential
Owner:
Address:
KRIEGER JOINT REVOCABLE LIVING TRUS
2522 31ST ST
SPRINGFIELD OR 97477
Phone Number: 541-747-5284
Contractor Type
Mechanical
I CONTRACTOR INFORMA nON ~
Contractor License
INNOVATIVE AIR INC 161742"
, B{JILiHNG IN FORMA nON ~
Expiration Date
10/1I/2010
Phone
541-746-1040
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constl'llction 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~. , "..
AIII:N1ION: Ore~aeW\lIl[erwi~s you 10 '
follow rul,es adopted by the b(egon Utility
,,'~.. .. "'Not~rcation Center. qQJ!IJ~(ujt&!ll.r@i!lat forth
;;;;~i~D:: in (JAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
., 'IV I LrllVIf r uH LL tXt-'IKl:: ,- .... l I -0 -v,", ~~ qLf .
,UTHORIZED UNDER THIS P t'o01Descri tion
;;OMMENCED OR IS ABANDO~ir:n FnR
D . t' ANY 11'O() nA)"a"rn.l""t' '$1"erSqFt Square Footage
escnp IOn 'vpe (hi OllSI:[UO IOn . 0,' ,'j _ ..
.. or mult~p'her.,,' !,..,,:',orBtd Amount
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
"'-'--'''E
'_,of It.. :
Value
Date Calculated
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Paee I of 2
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: COM2010-00943
ISSUED: 07/15/2010
APPLIED: 07/14/2010
EXPIRES: 01/15/2011
VALUE:
Status
",.;
Issued
Total Value of Project
'Fees Paid--,",
'I"'~' .~.. ..-- ".
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Pailfe)"'f -"~'~\7'i '
Date Paid
Receipt Number
. ~~~~~~~ ': ."":);'!/.:: .,
$9.48
$3.95
$79.00
7/15/10
7/15/10
7/15/10
3201000000000000442
3201000000000000442
3201000000000000442
Total Amount Paid
$92.43
Plan Reviews ~,
',"".',~
To Request an inspection call the 24 hourJ.~c~rding 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.
I..Reauired Insoections ,
Rough Mechanical: Prior to Cover " '
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Final Mechanical: When all mechanical wor['i',f;complete:"" ,
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By signature, I state and agree, that I have carefully"eX"a"niincll'the completed application and do hereby certify that all
information hereon is true and correct, and I furth~r 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 pertaiuing 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.
I,',
Owner or Contractors Signature
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Date
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225 Fifth Street
Springfield, Oregon 97477
541-726"3159 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000442
Date: 07/15/2010
7:17:ISAM
Job/Journal Number
COM20 10-00943
COM20 I 0-00943
COM20 1 0-00943
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I 5t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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Received By
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PaRe 1 of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
ONLINE innovative Online
air
Payment Total:
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
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7115/2010