The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-8-11 . City of Springfield Mechanical Authorization To Begin Work E-mailedTo:becki@pacificaircomt.ort.com 69600-BMC-09-00068 8/11/2009 11 :08 am ~ Appi'oval Code: 895945 Check on stalus of I)ermit By Phone: 541-726~3753 or Email: pennitcenter@ci.springfield.or.us o Accessory BlJilding I Heat Pump lAir handlillg unit Ell. Total 10 NewConstruction o Addition/alteration/replacement IOescrilltion o 1 or 2 family dwelling o Multi-family o Commercial I: :1 $17,001 $17.00 $17,00 $17.001 <,.--,;,~:".".~i:'" , -0 ."1'~- IFir~IAppliance Fec $79.00 I Job Address: 2445 10TH ST I City/State/ZIP: SPRINGF!ELD, OR 97477 I Suife/bldg.lapt.no.: I Project Name: Steve and Kathy Erickson I Subtotal IState surcharge (12% of penn it !tlta!) I ITeChnOIOgYfCe(5%OfPemlit lotal) . I hOTAL PERMIT FEE 1\k;;~;:.~~~1~s~~~~ONf~~~~~~~~t~'Wli Cq -I \ lo3 Id2- CrossStreet/diret;tions tojobsite: $113.00 $13.561 $5.651 $132.21( % /11/ D9 MiniSpHt Name; Bccki McConnick Phone: 541-342-5300 ^TTLldTI~: ~1;l.4A-A~FI!:l\M rani droc: \1{)11 to Email: becki@pacificaircomfOnffl~~\~-rl~i~s adooted bv the Dreaon Utility CCB 11<, no" 39237 in OAR 952-001-0010 tnrougn UAH 1:J~<<-u~ I ~ Business Name: PACIFIC AIRl&l\1fo!0R1TNC mCiY UUli::llll liUfJlt::;:J VI lilt:: I UIC>;) uy ". ,,_ _ __._-'-_.. ""_~_. -l-h..... "'''''........h............. Contact: ...~:':'~'~~ ~~: ;h~~'n~~~~-~iitil.it.\; N~tifir.~tjnn Address: PO BOX 790 I City/State/ZIP: ROSEBURG, OR 97470 I Phone: 541-672-9510 I Email: LMetrolic, no.: CAnter is 1-800-332-2344), City lic; no.: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 1BD DAY PERIOD. .. . Fal:: 541-672-6934 Upon review and approval by your local jurisdictlon, your permit will be e.mailed or faxed within one business day, with instructions on how t~ schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. ~~ ~ ~!},-0. 't~ V-~. . The local building department may detennine that an Authorization To Begin Work Is null and void if it does not meet applicable land use laws and local ordinances This Authorization To Begin Work must be posted at the job site until replaced by a Permit I il. CITY OF SPRINGFIELD Building/Combination Permit " Status Issued PERMIT NO: COM2009-0I163 ISSUED: 08/11/2009 APPLIED: 08/11/2009 EXPIRES: 02111/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2445 10TH ST ASSESSOR'S PARCEL NO.: 1703261104500 Springfield TYPE OF WORK: Heaiing System TYPE OF USE: New' Residential PROJECT DESCRIPTION: Mini split heating system in residence Owner: Address: ERICKSON STEPHEN V & CATHY M 2445 N 10TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor PACIFIC AIR COMFORT INC License 39237 Expiration Date ,03125'12010 Phone 541-672-9510 BUILDING INFORMATION I # of Units: Primary Occupancy Gronp: Secondary Occnpancy Gronp: 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 2~d Floor: Sq Ft Basement: Sq Ft Garage/Carport , Sq Ft Other: Occupant Load: n/a I DEVELOPM~NT INFORMATION I ATTENTION: Oregon law requires you to Front yard S4t1!:,!c)nules adopted by the Oregon LO~~ytay Dist: Side I Setbl(Ck:,ification Center, Those rules are se#IStreet Trees Rqd: Side 2 Setback:JAR 952-001-0010 through OAR 95;J>iive:d Drive Rqd: Rearyard S€tbiick:You may obtain copies of the rU~/01of~Lot Coverage: Solar SetbackS".otlling the center. (Note: the telephone ,.-" ,......ho.. frw tho ri"onnn I ffilitl/ I\lntifif"-:Jti,...,n , REQUIRED PARKING , " Total: :' Handicapped: , Compact: Center is 1-800-332-"''j'P1'JBLlC IMPROVEMENTS I , Street Improvements: NOTlC'E: Sidewalk Type: Storm Sewer Available: THIS PERMIj).;w.!~~)Jf~5~s!F THE WORK SpecialInstruction: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I, Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt , Value Date Calculated Paee I of2 Status Issued CITV OF SPRINGFIELD Building/Cl~mbination Permit PERMIT NO: COM2009-01163 iSSUED: 08/11/2009 APPLIED: 08/11/2009 EXPIRES: 02/1lI2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' Total Value of Project '. Fees ~9i~ ,I " , " Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump , Amount Paid Date Paid Receipt Number $13.56 $5.65 $79.00 $17.00 $17.00 8/11/09 8/11/09 8/11/09 8/11 /09 8/11/09 2200900000000000908 2200900000000000908 2200900000000000908 2200900000000000908 2200900000000000908 Total Amount Paid $132.21 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 Reouired Ins1?~c~ions 1 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 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 dooe in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w6'rk described herein, aod that NO OCCUPANCY will be made of any structure without permission of the Community ServiCes Divisioo, 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 ofthe property, and the approved set of plans will remain on the site at all "times during construction. Owner or Contractors Signature Date Page ,2 of 2 225 Fifth Street Spril.lgfield, Oregon 97477 541-726-3759 Phone ..~.r~'~I'!<!"'~;. '...' -' .:.i.... ltI:i ... --'~ ' . UJ1" ,_.....' - ~~..,,,'_... .'. ~. ...,.: . J,ob/Journal Number COM2009-01163 COM2009-01163 COM2009-0 1163 COM2009-0 1163 COM2009-01163 Payments: Type of Payment ONLINE CHGS cReceioll , Item Total: Check Number Authorization Received By Batch Number Number How 'Received RECEIPT #: 2200900000000000908 Description 1st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS KR Page 1 of 1 City of Springfield Official Receipt Development Services Department Public Works Department Date: 08/11/2009 ,. 1:19:33PM I" Amount Due 79,00 17,00 17,00' 5,65 13.56 $132.21 Amount Paid ONLINE PACIFIC Online AIR COMFORT Payment Total: $132.21 $132.21 8/11/2009