HomeMy WebLinkAboutPermit Mechanical 2009-2-12
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~00208
ISSUED: 02/12/2009
APPLIED: 02/1212009
EXPIRES: 08/12/2009
VALUE:
,
225 Fifth Street, Springfield, OR
541-726'3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 1286 DIAMOND ST
ASSESSOR'S PARCEL NO.: 1703342400206
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless minisplit
Owner: ROSELIP BARBARA L
Address: 1286 DIAMOND ST
SPRINGFIELD OR 97477
, I CONTRACTOR INFORMATION I
Contractor Type
Mechauical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
03/25/2010
Phone
541-672-9510
BUILDING INFORMATION.
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
. Energy Path:
Sprinkled Buildin'g:
Lot Size:'
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack: Overlay'Dist: Total:
Side 1 Setback: ' "~ , . # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: '(vvf:C:-C:f:f:-o\J~pt~cIillUSO
Rearyard Setbrfb'TICE:, % of Lot Coverage: UO!lllOi!!)ON Al!lnn uo6SJO S41 JO! Jsqwnu
Solar SetbackstHIS PFRMIT SHA~L EXPIRE IF THE WORK , suo4delsI e41 :eloN) 'JeIU~O e416u!l11l0
AUTHORIZED UNDER THISf1QlfMJ~~VEMENTS I :'~~~~~6Q~~~~5~~~tb~'oo-i~;~96HVOu~
StreeUm roveG.Q,MMENCED OR IS ABANju"-'L" . .:I.. 4lJ~iWe'Wl.m.~nM'S041 'JelUeo UO!lBOi!!ION
p A'NVTso DAY PERIOD. AI!I!ln uo13aJ(j' 1341 Aq peldopll SelnJ MOllO!
Storm Sewer Available: ' Ollhl>>inw.l!III:~li"lIIj~Sl06eJO :NOI1N311V
Special Instruction: .
Notes:
I V aluation. Descri~tion I
Description
'Type of Coustruction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
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Status
Issued
CITY OF SP1Ur~t;d11J',L1J
Building/Combination Permit
PERMIT NO: COM2009-00208
ISSUED: 02/12/2009
APPLIED: 02/12/2009
EXPIRES:, 08/12/2009
VALUE:
225 Fifth Street, Springfield, OR.
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
Total Value of Project
Fees P~id I
$13.56
$5.65
$79.00
$17.00
$17.00
2/12/09
. 2/12/09
2/12/09
2/12/09
2/12/09
Receipt Number
1200900000000000098
1200900000000000098
1200900000000000098
1200900000000000098
1200900000000000098
Fee Description
+ 12 % State Surcharge
+ 5% TechnologyFee
1st Appliance
Air Handliug Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Total Amouut Paid
$132.21
I Plan Reviews I
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. .
I RI'"llin'r1 hlsDections .
II..' 11.1 . I II
Rough Mechanical: Prior to Cover
Fiual Mechauical: When all mechanical work is complete.
By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct,.and 1 further certify that any and all work performed shall be done iu accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of auy structnre without permission o(the Community Services Division, Building Safety.
1 further certify that only coutractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all reqnired inspections are reqnested at the proper time, that each address is readable from the
street, that the permit card is 19cated at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Coutractors Signature
Date
Page 2 of2
,-
City of Springfield
'I
Mechanical Authorization To Begin Work
E-mailedTo:becki@pacificaircomfort.com
Receipt # RC5466112
21121200911 :22:59 AM
Check on status of permit,.
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alteration/replacement
I [KlI or 2 family dwelling D Multi.family 0 Accessory Building
1II?_~~_~~lrniN~~M~flq:@~!:fEl[Q'CJ\!ilitl\i'~%~E~~~1
IJob no.: 6623 \ Job address: 1286 DIAMOND ST I
I City/StateIZIP: SPRINGFIELD, OR 97477-3503 I
[Suitelhldg./apt.no.: I
i Project name: Barbara Roselip I
Cross street/directions to job site:,
I Subdivision:
map/parcel DO.: 1703342400206
ILot no.:
install ductless minisPlit
I Name: John Bealsey I
I Phone: (541) 34~'.. IFax: (541) 744-8887 I
IEmail: beCki@}lf'I1ff$irpf"Rn,m;,~J-4AII FXPIRFIFTHFWnRI{ ,.... I
IE~.~Ai~l'jTjfmil:i9lT1~m~lp~MrT]IJ;iNoT{;~1!1l!il1l1
I CCB ,i<. nn.' 3~:ryMMENCEDOR IS ABANDONED F(lR I
I Bus;n'" Nam':.~'?"t'St1~~It)'f\_ I
I Contact: 8ecki McCormick I
IAddress: PO BOX 790 I
IOty/SlatelZIP, ROSEBURO, OR 97470 I
I Phone: (541)3425300 I Fax: (541 )7448887
I Email: becki@pacifkaircomfon.com I
I Metro lie. no.: I City lie. no.: I
Upon review an~ approval by your local jurisdictio~, your
permit will be e.malled or faxed within o~e 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.
Desc~iption
Ea.
Qty.
I Furnace- up lO 100,000 8TU
I Furnace - above 100,000 BTU
I Electric Fumace
\ Duct alterations and additions
I Gas heater units! in-wall, in-
duct. suspended. etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
'I Air Handler
$17,00
$17.00
I
I
I
I
I
I
I
$17,001
$1700 I
Water heater
I Gas 'fireplacelinsertlstove
I Gas log! log lighter
Gas clothes dryer .
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood firepl~ce
ChilMeYl1inerltlY<;/Y'Jl~1088"O )g_ ~ SI H IUao I
appliance \VVt:G-(j' _ .' _
[En'v;!-b\lMl;'';i'\'ixh''ilu,tIXNtlrt!#iillit\b\iljlt~lr~~~1
R;='<"""~'~~y~~~':;:~~3'i;ir"';~;~ +: ~ '" ~ZtlW ~a~~'
anQe nooa ....~"'...... /" .
---''';El S2jf':! =~ll: ~:~~':': '_'I-~ ~~ rot,,^,
51o!i],eM,'Y2~9.'~'I"1I""")If\~Q'" 0.J..()(FlJIO-?96 OJ r\ III
SIU~!e:utl,c1 ,"!!aulgl:itil!'f.QQ"Il'sc' '1 -J8IU," UOlleOlllloN
'mIHIolh\lpl,i'lli,iI,ts,Jj,t1ttlJ ~ ,",., J.
room!lII11fl u05aJ() 8UI A{ P81doPI salnJ M 1101
I Allic/C1lli'l:1pJi;<9'JItjjnbaJ Me( '1
I upto first 4 outlets(enter Qty=l)
I each additional outlet
, Subtotal I $34,00
I City'OfSpringfield First Appliance fee $79.00 I
I State Surcharge (12% of permit fee) I $13.56 I
I CitY Of Springfield fees * I $5.65 I
I TOTAL PERMIT FEE I $132,21 I
.* City Of Springfield fees: 5% Technology Fee
~q- ~06 \<::.R. 2..\ \'2.\CA
1d.C0q-C\~
This Authorrzation To Begin Work must be posted at the job site until replaced tiy a Permit.
225 j<"ifth Street
Sp~ingfield, Oregon 97477
541"726-3759 Phone
Job/Journal Number
COM2009-00208
COM2009-00208
COM2009-00208
COM2009-00208
COM2009-00208
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000098
Description
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department.
Date: 02/12/2009
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE Pacific Air Online
Comfort
Payment Total:
1l:35:27AM
Amount Due
79.00
17.00
17.00
5.65
13.56
. $132.21
Amount Paid
$132.21
$132.21
2112/2009