HomeMy WebLinkAboutPermit Mechanical 2010-7-23
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~OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00198
Approval Code: OB63BZ 7/2312010 1:33 pm
E-mailedTo:stacey@innovative-air.com
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City/StatelZlP: SPRINGFIELD, OR 97477
Furnace - up to 100,000 BTU $17.00
-,--,,,,
First Appliance Fee $79.00
Subtotal $96.00
State surcharge (12% of permit $11.52
total
Technology fee (5% of permit total) $4.80
TOTAL PERMIT FEE $112.32
00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 2405 35TH ST
SuiteJbldgJaptno.:
Project Name: Jerulamon Pers Res
Cross Street/directions to job site: hAyden Bridge to 35th
Tax map/parcel no.:
1702194202700
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CCB !~~;~!lo.:;,161742
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City/St3teJZIP:EUGENE\PRI ''ifl
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Phone: 5~~!7~~,;040J ~'< '"' \"-
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Fax: 541~746-4099
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Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your pennlt will be e-rnalled or faxed
within one business day, with Instructions on how to schedule your Inspection.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
NOTE: This Authorization To Begin Wort!: expires within 180 days If a pennlt,i~. not obtained.
The local building department may detennlne thillt an Authorizlltion To Begin Wort!: is null and
void If It does not meet applicable land use laws and local ordinances.
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Pennit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2010-00977
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01/23/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2405 35TH ST
ASSESSOR'S PARCEL NO.: 1702194202700
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Installation of heating system in residence.
Owner: JEROLAMON CHERI YVONNE
Address: 725 S 42ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
INNOVATIVEAlR INC 161742
BUILDING INFORMATION~
.Expiration Date
10/11/2010
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:
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
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side I Setback: NOTICE' # St;:~~t Trees Rqd: ATTENTION: Oregon la'i\!i~'illI!rtPP~'flt.to
Side 2 Setback: T . IT SHALL EXPIRE IF lW&~ Rqd: follow rules adopted by ~pn t1l1ty
Rearyard Setback~IS PERM HIS' PERWRp(s..I~lC::T.verage: Notification Center. Thoseriills-iire set forth
Solar Setbacks: AUTHORIZED UNDER T ED FOR in OAR 952-001-001~ through OAR 952-001-
('mn~n~ I ABANDON You ma obtam co les of the rules b
".NY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ialling the center. . ate:.. e e e~ on
IJmber for the Oregon Utility Notification
Street Improvements: SilmWIIIUsrytOOO-332-2344).
I DEVELOPMENT INFORMATION ~
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
Notes:
I Valuation Description ,
Description
TVDe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Aniount
"
Value
Date Calculated
Page I of2
. .'
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00977
ISSUED: 07/23/2010
APPLIED: 07/23/2010
EXPIRES: 01/23/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fnrnace - up to 100,000 htu
Amount Paid Date Paid Receipt Number
$11.52 7/23/10 2201000000000000870
$4.80 7/23/10 2201000000000000870
$79.00 7/23/10 2201000000000000870
$17.00 7/23/10 2201000000000000870
Total Amount Paid
$112.32
I Plan Reviews ~
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.
l..Reollire~nsnec~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed applicatiou and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work de.scribed herein, and
that NO OCCUPANCY will he made of any strnctnre 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 he 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.
Owner or Contractors Signature
Date
Pal!e 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT'#:
2201000000000000870
Date: 07/23/2010
1:47:25PM
Item Total:
Amount Due
79.00
17.00
11.52
4.80
$112.32
Job/Journal Number
COM20 I 0-00977
COM20 I 0-00977
COM20 1 0-00977
COM20 1 0-00977
Description
1st Appliance
Furnace - up to 100,000 btu
+ 12% State Surcharge
+ 5% Technology Fee
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Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE INNOV A TI Online
VEAIR
$ll2.32
Payment Total:
$112.32
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