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Home My WebLink AboutPermit Mechanical 2009-4-29 City of Springfield Mechanical Aufhorization To Begin Work E-mailedTo:becki@pacificaircomfort.com Receipt # RCSS0843 'b \ 4/29/2009 1 :39:23 PM (- II ,.') G"\ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I 1 1 I I 1 I $17.001 $17.001 I D New construction [X] Addition/alteration/replacement o 1 or 2 family dwelling DMulti-f<lmily o Accessory Building I Furnace- up to 100,000 BTU I Furnace - above] 00,000 BTU I Electric Furnace I Duct alterations and additions I Gas heater units/ in-wall, iri~ duct suspended, elef I Vent, flue,)iner fOf above I Air Conditioner I Heat Pump I Airl-lalldler $17,00 $1700 ]JObIlO,: 6752 IJobaddress: 2]9 17THST I City/Stille/ZIP: SPRINGFIELD, OR 97477-4991 , Suitc/bldg./apt.no.: I Project name: Billy White "', CroSs street/directions to job site: ofT main I Water heater I Gas fireplace/insert/stove I Gas log! log Iighl~r I Gas clothes dl)'er \ Gas stove/nmge , I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimney/liner/tlue/vent "'fa aoplilmce IjE!lvironnterltaI:exiutIiSfANQ$lelItilatjtn:{~ ~~.:,1{i:.~~tr~I;;"~i~':;"':~~"'}s~1 ",*,',c:,X'::,:,,:, ,:r'_,_'4,"~ "',"-,,':; ."",r'~W;"'d" ',^,u,,~~h~ '>1" ."" -='''',-- I Range hood I I 1 IClothes dryer exhauSI I I S.ingle-dUCI exhaust (bathrooms, I toiletcompartmerits, lllility rooms) I Atticlcra\\'lspacefans I I Subdivision: ITax inap/parcel no.: 1703363]02304 ILot no.: install mini split I Name: John Beas]ey I Phone: (54]) 342-5300 Emall: becki@pacificllircomfort.l"om I Fax: (541) 744.8887 I ceo lie. no.: 39237 IOusi.ness Nilme: PACIFIC AIR COMrO~n lNC I Contact: Becki McCormick I Address: PO BOX 790 I City/Shlte/ZIP: ROSEBVRG, OR 97470 I Phone: (541 }3425300 1 Fax: (541 )1448887 1 Email: becki@pacificaircomfort.com I Metro lie. no.: I City lie. no.: Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your. inspection. : ~::::~:til~O:~II::::::I" QIY~,1 }II : ' I 1,!t,<~'f~,;Ptt4.M~C'[4NI~g:P,iiRMi!IE~IS11~~";"'{~~.:'i1 I Subtotal I $34.00 I I City Of Springfield First App]iancefee $79,00 I State Surcharge (12%ofpcrmit fee) I $13.56 I I City Of Springfield fees'" $5.65 I I TOTAL PERMIT FEE I $132.21 I '" City or Springfield fees: 5% Technology Fee 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. &/?'7 Zoz; '1- OO0'?/ "'1-;)9-07' /? /YJ This Authorization To Begin Work must be posted at the job site until replaced by a Permi!. " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00581 ISSUED: 04/29/2009 APPLIED: 04/29/2009 EXPIRES: 10/29/2009 VALUE: .225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 219 17TH ST ASSESSOR'S PARCEL NO.: .1703363102304 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Mini-split installation Owner: WHITE ELLIS W & WILMA D Address: 219 N 17TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA TION I ~ Contractor Type Mechanical Contractor PACIFIC AIR COMFORT INC License 39237 Expiration Date 03/25/2010 Phone 541-672-9510 BUILDING INFORMATION I # ol'Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction Type Secondary Constrnction Type: # of Bedrooms: # of Stories: \ Height of Strnctnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Bnilding: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occnpant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: Total: # Street Trees R!ld: ,Handica,eped: Paved Drive R<l'c:i:TENTION: Oregon law reqUlCompa'ct? % of Lot covJI'M\('~~ rules adopted by the Oregon Ulillty NOllllcatlon Center. Those rules are set lorth in OAR 952-001-0010 throuqh O!',R 952-001- I PUBLIC IMPROVEM'ENTS:,' may omaln copies onne rUles by . '....'---' Ie center, (Note: the telephone Street Improvements: . number for th'SidewalklTypeY Notification _ ' NOTICE: Center is 1-800-332-23~4), Stor'." Sewer AvallableFlIS PERMIT SHALL EXPIRE IF THE WORK Downsponts/Drams: Specl3llnstructlOn: I THIS PERMIT IS NOT AUTHORIZED UNDER COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Notes: I Valuation Descriptio,n I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa~e 1 01'2 '\ CITY OF SPRINul'lt<.LD Status Issued Building/Combination Permit PERMIT NO: COM2009-00581 ISSUED: 04/29/2009 APPLIED: 04/2912009 EXPIRES: 10/29/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid ! Date Paid $13.56 $5.65 $79,00 $17,00 $17.00 4/29/09 4/29/09 4/29/09 4/29/09 4/29/09 Recei~t Number 3200900000000000283 3200900000000000283 3200900000000000283 3200900000000000283 3200900000000000283 Total Amount Paid $132,21 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections r<<cquested 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 Reo,!,ired r~~ne~!.jo~.~ I Rough Mechanical: Prior to Cover Fina' Mechanical: When an 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 shalLbe done in accordance with the Ordinances of the City of Springfield and the Laws of the Staie.of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structnre 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 fnrther agrce 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 Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone lk~~i Job/Journal Number COM2009"00581 COM2009"00581 COM2009"0058I COM2009"0058I COM2009-0058I Payments: Type of Payment ONLlNECHGS cReceintl RECEIPT #: 3200900000000000283 Description Air Handling Unit Up to 10,000 Heat Pump I 5t Appliance + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Developmert Services Department' PU,blic Works Department Date: 04/29/2009 Item Total: Check Number Authorization Received By Batch Number Number How;Received Paid By ONLINE PERMIT CHGS NJM Page I of I ONLINE PACIFIC Online AIR Payment Total: ] :52:35PM Amount Due 17,00 17,00 79,00 5,65, 13.56 $132.2] Amount Paid $132,21 $132,21 4/29/2009