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Home My WebLink AboutPermit Mechanical 2009-5-5 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:becki@pacificaircomfort.com Receipt # EC551184 5/5/2009 I :40:34 PM \J.\\) (AI C Check on status of permit By Phone: (541)726-3753 or Em.iI: permitcenter@d.springfield.or.us 0"'" o Newconstruclioll W Addition/alteration/replacement I Description 1- [K] 1 or 2 family dwelling o Multi-tilmily o Accessory Building Furnace- up to 100,000 BTU I Furnace - above] 00,000 BTU I Electric Fuma~e I DUCI alterations [lnd additions I Gasheaterunits/in-wall, in- duel. susoended. etc! . I Vent, nue, liner for above I Air Conditioner I Heal Pump I'AirHandler $17.001 $17,001 1 I 1 I I I I $17.001 $17.001 . ' JOB;S1TE1"irORMATION'ANDt6cAT10N~;;":\,.f' ;C;,~C! 911 -~~,... .,....' ..... .. .. '.~".....,.,..~..,'~c.,"..' ,_,.,.,._"...~"<:,~.j<:... ,,,~..>'V"o;;'''rL.~.y,; I.Job no.: 6761 IJob address: 5997 LILAC LN I I City/Stater LIP: SPRINGF]ELD, OR 97478-6987 I I Suite/bldg.lapt.no.: I !Ilroject name: Robert Broom I Cross stl1't't/dirt'ctions 10 job site: rt on straub, left on mt vernon I Subdivision: ITax mllp/parcelllo.; 1802032303800 ILot no.: IWaterheutcr I Gas,fireplace/insert/stove I Gas log! log lighter I Gas clothes dryer I Gas sto~e/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood tireplace Chimney/linerJnue/vent w/o _appliance .. !~,~{(r,o,.n.~1~enliLfi~E~f~~~;Y~~i!J~ti~~~~~~~ii\,~:.t'51"~~:~ I 1 R"g' hood 1 I Clothes dryer exhaust I I Si~gle-duct exhaust (ba.t~rooms" I I tOIlet compartments. utll1ty I rooms) I Attic/cmwlspace fans I I ,';1 II UplO first 4 o-utlets(enter Qty=l) I I I I each ad.ditionaJ Olule! I I 1~;;lfr::'~,:;~~~r1Ni~~]B~~(9Ab""EgB:~ffti]~g,~:~~~~~~,~~:.~1I I I S,blOlal I $34.00 I . I I City OrSpringficld First Appliance fee $79,00 I I State Surcharge (J2%ofpermit fee), $13,561 I City Of Springfield fees'" I $5.65 I I TOTAL PERMIT .'EE $132.2] I ... City Of Springfield fees: 5% Technology Fee install mini split I Name: John Beasley I Phone: (54] )342-5300 I Emllil; becki@pacificcomfort.com 1 Fa" (541 )342-5300 I CCB lie. no.: 39237 I Business Name: PACIF]C AIR Co'MFORT INC I Contact: Becki McCormick IAddress; PO BOX 790 ICily/Slate/ZIP: ROSEBURG,OR97470 I Phone: (541 )3425300 II-'ax: (541 )7448887 I Email: bccki@pacificaircomfort.com I Metro lie. no.: I City lie. no.: Upon review and approval by your local jurisdiction, your permit wili be e-mailed or faxed within one business day, with instructi'ons on how to schedule your inspection. 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. ~6' ''t\9: ~ ~~ ~e Wn26U?~dOG/O Ilm 65- cJs -0 7' NOTE: This Authorization To Begin ",!ork expires within 1 80 days if a permitis not obtained. This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00610 ISSUED: 05/05/2009 APPLIED: 05/05/2009 EXI'IRES: 11/05/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726"37691nspection Line SITE ADDRESS: 5997 LILAC LN ASSESSOR'S PARCEL NO.: 1802032303800 Springfield TYPE OF WORK: Mechauical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install miui"split Owner: BROOM ROBERT JOHN , Address: 5997 LILAC LN SPRINGFIELD OR 97478 Phone Number: 541"342"5300 I CONTRACTOR INFORMA nON I Contractor Type Mechanical Contractor PACIFIC AIR COMFORT INC License 39237 Expiration Date 03/25/20 I 0 Phone 541-672-9510 BUILDING INFORMATION I # 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 GaragelCarport Sq Ft Other: Occupant Load: 'n/a I DEVELOPMENT INFORMATION I 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' . Oregon law requires youto . '" ,cNTI<?N, , _ ~ ",,' the Oregon Utility Street Improvements: follow rU~Jde,Wall(''''~pe: I are set forth ,. t'" Center. I nos~ r~ es 001- Storm Sewer Available: Notltlca IrDownspoutslDrarns:l OAR 952- Special Instruction'GTICE" . K In OAR 9f:J<:-UU I Vbt'~ "~~pies of the rules by 1-; IRE IF THE WOR 0090, You may'o arnNote' the telephone THIS PERMIT SHAll EXP T calling the centoer. ( n Uiility Notification Notes: AUTHORIZED UNDER THIS PERMIT IS NO number tor the rego 344) ___ ~~,~ ^D^~lnn~l~n FOR f"ontpr is 1-800-332-2 . L.IUI\lIlV1C~\lVl-V V" .~ . .- MJY 180 DAY PERIOD. I Valuation Descriotion I' Description Tvpe of Construc!ion $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 _6,Ji'AII!!~'RIl:l"1:1', . ~ rl Status Issued CITY OF SPRINGFIJ!,LiJ Building/Combination Permit PERMIT NO: COM2009-00610 ISSUED: 05/05/2009 APPLIED:. 05/0512009 EXPIRES: 1If0512009 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project , I Fees Paid I Fee Description + 12% State Surcharg~ + 5% Technology Fee 1st Appliance Air Handliug Unit Up to 10,000 Heat Pump Amount Paid Date Paid $13.56 $5.65 $79.00 $17.00 $17.00 5/5/09 5/5/09 5/5/09 5/5/09 5/5/09 Receipt Number 3200900000000000309 3200900000000000309 3200900000000000309 3200900000000000309 3200900000000000309 . Total AmounlPaid $132.21 I Plan Reviews I To Request an inspe~tion 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 Re,ouir.e~lns'1~c~i?ns I Rough Mech'anical: Prior to Cover Final Mechanical: When all mechanical work is complete. By siguature, I state and agree, that 1 have carefully examined the completed application and do herehy certify that all information hereon is true and correct, and I .further.eertify 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 pertaining \0 the work descrihed herein, aud that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only coutractors 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 addres.s is readable from the street, that the permit card is located at the front of the property, and the approved set of plaus will remain on the site at all times during construction. r Owner or Contractors Signature Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-006 I 0 COM2009-006] 0 COM2009-00610 COM2009-00610 COM2009-00610 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 3200900000000000309 Description Air Handling Unit Up to' I 0,000 Heat Pump 1 st Appliance + 5% Technology Fee + 12% State Surcharge City of Springfield Official Receipt Development Services Department Pu'blic Works Department Date: 05/05/2009 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 COMFORT Payment Total: 2:12:07PM Amount Due 17,00 17.00 79,00 5,65 13,56 $132.21 Amount 'Paid $13221 $132.21 5/5/2009