HomeMy WebLinkAboutPermit Mechanical 2013-11-22 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
`�o OREGON Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02523
viwwspringfieltl-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: , 11/22/2013 EXPIRES: 05/21/2014
STATUS DATE: 11/22/2013 APPLIED: 11/18/2013
SITE ADDRESS: 1890 42ND ST,Springfield,OR 97477 SCOPE: Heating System
ASSESOR'S PARCEL NO: 1702300001913 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: install ductless minisplit
OWNER: SPRINGFIELD SCHOOL DISTRICT 19 Phone Number:
ADDRESS: 525 MILL ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor PACIFIC AIR COMFORT INC CCB 39237 03/25/2014 541-672-9510
INSPECTIONS REQUIRED
ll
Inspections
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical 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 or 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. .
Owner or Contractor Signature Date -
ATTENTION: Oregon law requires you toQrICI
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (No--e: The telephone
number for the Orecon UJ'i:y t<c.ii cation ANY 180 DAY PERIOD.
Center is 1-bt0-3.1--2344).
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Springfield Building Permit 11/22/201 10:14:06AM Page 1 of 1
' SPRINGFIELD CITY OF SPRINGFIELD
Ft`∎ . 225 Fifth St
,'„`�EGON TRANSACTION RECEIPT SpringfielQOR 97477
541-726-3753
811-S P R2013-02523
www.springfield-or.gov 1890 42ND ST permitcenter @springfield-ar.gov
RECEIPT NO: 2013002554 RECORD NO: 811-SPR2013-02523 DATE: 11/22/2013
[DESCRIPTION' - - ACCOUNT CODE/TRANS CODE _ .tAMOUNTDULJ
Permit Fee Adjustment-Mechanical 224-00000-425604 1006 114.21
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 18.27
Technology fee(5%of permit total) 100-00000-425605 2099 7.61
TOTAL DUE: 140.09
LPA YMENTTYPE : -PAYOR'. 'CASHIER:JLARSON-” . ' COMMENTS - ' • 'AMOUNT PAID" . `
Credit Card Geoffery Higley 140.09
593785
TOTAL PAID: 140.09