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Home My WebLink AboutPermit Mechanical 2009-9-2 : City of Springfield 69600-BMC-09-00110 Mechanical Authorization To Begin Work E-mailedTo:becki@pacificaircomfort.com 9/2/2009 11:51 am Appr,oval Code: 409163 Check on status of permit By Phone:. 541.726-3753 or Email: perrnitccnter@ci.springfield.or.us C\0)~ ,)V\\~.\O ~,'d-- o New Constructio~' o Additionlalterationl~eplacemenl o 1 or 2 family dweliing 0 Multi-family 0 Commercial DAccessOlY Building Job Address: 236 S 71 ST ST City/State/ZIP: SPRINGFIELD,OR 97478 Suile/bldg.lapt.no.: Project Name: Craig Stein burg Cross Streetldirections to job sile: I Taxmap/parcelno.: \ 'lm" Ou::> install heat pump and gas air h~dler I Name: Becki McCormick r Phone: 541.342-5300 I EmaiJ: becki@pacificaircomfort.com Fnx: 541,744-8887 I CCBlk..~:~lv3?'ERMIT SHALL EXPIKt It- I Ht vvut'\1\ 1 Bu,;.,,,,Nilp"fI~.{9:fil\@!'JcWQI[wqHIS PtKIVlI1 I~ NU I I Cu."":COMMENCED OR IS AI:JANUUI~tU tUIi Addm'},9,,1lpx!13<O DAY PEKIUU. City/State/ZIP: ROSEBURG, OR 97470 Phone: 541-672-9510 Fai: 541-672-6934 Email: , l\letrolic.no.: City Iic: 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. NOTE: This Authorization To Begin Work expires within 180 days if a pennit is not obtained. ' The local building department may det&rmine that an Authorization To Begin Work Is null and void if it does not meet applicable land use laws and local ordinances "\ '~~ I Description iiQty. I Ea. Total IHeatPulllP_ $(7.001 I First Appliance Fee I Subtotal /Stilte surchargc (12% of penn it total) jTechnologyfee(5%OfPerlllit total) I TOTAL PERMIT FEE $96.00 $11.521 $4_801' $112.321 Ql1 - \~cPrr C1/01 LA I I I I I I, I I ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notilication, Center is 1-800-332-2344). ~~ ~~ ~ Thi~ Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit 'PERMIT NO: . COM2009-01300 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXPIRES: 03/02/20]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection1Line SITE ADDRESS: 236 S 71ST ST ASSESSOR'S PARCEL NO.: 1702353406506 Springfie'd TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump and gas air handler Owner: STEINBERG CRAIG & AUDRA M Address: 236 S 71ST ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor. PACIFIC AIR COMFORT INC License 39237 Expiration Date 03/25/2010 Phone 541-672-9510 BUILDING INFORMATION. # 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION 1 ,REQUIRED PARKING Frontyard Setbac~:OTICE: Overlay Dist: S~de 1 Setback: THIS PERMIT SHALL EXPIRE IF#ft-lE"~lJ~rn\:' Rqd: SIde 2 Setback: A' ~!lrt~f1~"rRqd: Rearyard Setbaclt:UTHORIZED UNDER THIS PE , I of .Ql~Coverage: Solar Setbacks: COMMENCED OR IS ABANDON l'.J r Ii ^ 1'\1\1 -10('\ n AV DCD,nn Total: Handicapped: ATTENTION: Orego'rdoiiipacl:1ires you to follow rules adoptee! by the Oregon Utility Notification Center. Those rules are set forth l~ (")^", a~?_nn1_nr\1Q.thrnllnh OAR 952-001- I PUBLIC IMPROVEMENTS 10090. You may obtain copies of th~ rules bY . "calling the center. '(Note: the telephone nUI~Lds,w.'!!.kt]I;,yp.!);egon Utility Notification Dow\i~1lIlfsiDMnOs9-332-2344). . Street Improvements: ' Storm Sewer Available: Special Instruction: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value, Date Calculated Paee 1 of 2 ~~~~~~~,/~i'~ ,_ Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project . Fee,s P~irl I Fee Description + 12% State Surcharge + 5% Techuology Fee 1st Appliauce Heat Pump Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amount Paid $112.32 Plan Reviews I Date Paid 9/2/09 9/2/09 9/2/09 9/2109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0]300 ISSUED: 09/02/2009 APPLIED: 09/02/2009 EXPIRES: 03/02/20]0' VALUE: Receipt Number 1200900000000001021 120~900000000001021 120~900000000001021 120~900000000001021 To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested 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.' . Reouire~ ~nsneftio".s 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 done in accordance with" the Ordinances of the City of Springfield and the Laws of the State of 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 Contractors Signature Paee 2 of 2 Date 22S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1300 COM2009-0 1300 COM2009-01300 COM2009-01300 Payments: Type of Payment RECEIPT #: Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee ONLINE CHGS 'ONLINE PERMIT CHGS Paid, By , cReceintJ 120090000000000]02] City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/02/2009 Item Total: Lhcck Number Authorization Received By Batch Number Number How Received KR POge] of] ONLINE PACIFIC Online AIR Payment Total: 2:56:23PM Amount Due 79,00 17,00 11.52 4,80 $112.32 Amount Paid $112.32 $112.32 9/2/2009