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Home My WebLink AboutPermit Mechanical 2010-3-16 (!l()- 32, ~SP~I~~:~LD:~ i,.'~;', '''''~ -,0<<,,,,.\ .,--11 :::.r ,~,i;-;HEGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.u5 Residential Mechanical Authorization To Begin Work , 69600-BMC-10-00052 Approval Code: 950663 3/16/2010 2:37 pm E.mailed To: becki@pacificaircomfort.com . "3 .: J(fB SITE INF.ORMATIONANO,LOCA liON ': r::~~:,'.FEE.SCHEOULE ' ," , .;,.,~? - , Description Qty, E., Total Mi!1imum'Fees- ,';,,:~ts:', "'I -, " , '.. >: ',' . First Appliance Fee I I $79.00 M_ech~'n!~atPermit Fees" " ,', ,:, i "i: Subtotal $79.00 Slate surcharge (12% of permit $9.48 tolall Technology fee (5% of permit total) $3.95 TOTAL PERMIT FEE $92.43 Ii,: , o New Construction IKl Addition/alteration/replacement CATEGORY OF. CONSTRUCTIONr:~::., IRJ 1 or 2 family dwelling 0 Multi-family 0 Commercial o Accessory Job Address: 511 5 67TH 5T City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bidg./apt.no.: Project Name: Ivan Koh Cross Street/directions to job site: main st CIO -3o~ IdL 3( IlQtlo Tax map/parcetno.: 1702344400832 '<'OEirCRIPTIONOF:WORK' , .SITE'CONTACT: .' Fax: 541-744-8887 .NCONTRACTOR . cca lie. no.: 39237 Metro lie. no.: City lie. no.: ATTENTION: Oregon law requires you to fOllpw r~les adopted by the Oregon Utility Noliflcatlon 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 Notification ce.~ -800-332-2344). ~y0( ~:.fV 'b .f); Con',,' EXPIRE IF THE Add,..., PO ORIZED UNDER THIS P Clty/S"t.'ZIP"R~i!!lmiN&:D.QR ~IV Phone: 54167295101 Fax: 5416726934 Emall: Upon review and approval by your local Jurisdiction, your pennlt will be e-malled or faxed within one business day, with Instructions on how to schedule your I nspectlon. NOTE: This Authorization To Begin WorX expires within 180 days If a pennlt Is not obtained. The local building department may determine that an Authorlzatlon To Begin Work Is null and yold If It does not meet applicable land use laws and local ordinances. ~~ fb rv ~~ '. ~~~. Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit -.,";" ',,,',',;;,,,,,,,,,,.,,.,,..,." it CITY OF SPRINGFIELD ItIk- .~ ( II , l' Building/Combination Permit .~""~".",,," ,', ~","."", ,- <c..."., Status Issued PERMIT NO: COM201O-00329 225 Fifth Street, Springfield, OR ISSUED: 03/16/2010 541-726-3753 Phone APPLIED: 03/16/20] 0 541-726-3676 Fax EXPIRES: 09/16/2010 541-726-3769 Inspection Line VALUE: SITE ADDRESS: 51] S 67TH ST , ~..," . : "Springfield TYPE OF WORK: Heating System .': ~"'i' " ASSESSOR'S PARCEL NO.: ]702344400832 , .. ". TYPE OF USE: New Residential .,- PROJECT DESCRIPTION: Install mini split heating system in residence, Owner: KOHIVAN Address: 51 I S 67TH ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION . Contractor Type Contractor License Expiration Date Phone Mechanical PACIFIC AIR COMFORT INC 39237 03/25/20]0 54]-672-9510 I BUILDING INFORMATION ~ # of Units: # of Stories: Lot Size: Primary Occupancy Gronp: Height of Structure Sq Ft I st Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: ~iJergY.I'~t;h: Sq Ft Other: SpHnkled' Building: n/a Occupant Load: I DEVELOPMENT INFORMA TION . Front yard s~/lln~E: Overlay Di~t: ATTENTION: Oregon la&~~M~ING follow rules adopted bYWd~regon U~% Side] SetbaJiHlS PERMIT SHAll EXPIRE IF THEIWORKTrees Rqd: Notification Center. ThOSlil&I,\~~Ml~ 001 Side 2 Setba~({lTHORIZED UNDER THIS PERMIT IS'N91'rive Rqd: inOAR952-001-0010thr~f.\ : 95 - . Rearyard Setl!J\~!i;lENCED OR IS ABANDONED Ft'l'Rof Lot Coverage: 0090, You may obtain copies of t e rules by Solar Setbacks:,1 180 DAY PERIOD. ' calling the center. (Note: the tel~~ho~e -~ 'h, th" n",non Utilitv Notification I PUBLIC IMPROVEMENTS I Center is 1-800-332-2;;44). . Street Improvements: Sidewalk Type: Storm Sewer Available: , DownspoutslDrains: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq,Ft " ." _ ' Square Footage Value Date Calculated fo.,'"..... .,' .,'"," or Bid Amount or multiplier ,I.:, . ,~ '" I,X iO':':: , ~;." Page 1 of 2 -.'- :.;,.!'. .' t' 1'; ~ . r , ( CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00329 ISSUED: 03/16/2010 APPLIED: 03/16/2010 EXPIRES: 09/16/2010 VALUE: .".,.. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid__ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 3/16/10 3/16/10 3/16110 1201000000000000237 1201000000000000237 1201000000000000237 Total Amount Paid $92.43 I Plan Reviews ~ 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. L Reauired Insnections ~ 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 hereou is true and correct, and 1 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. 1 further certify that only contractors and employees'",ho are.ii; 'compliance with ORS 701.005 will be used on this project. 1 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 oftlie"prop,,'rly, and the approved set of plans will remain on the site at all times during construction. Ii. ' Owner or Contractors Signature Date . "'." Page 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone G~AA:Q';~, WAr City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000237 Date: 03/16/2010 2:56:18PM Job/Journal Number COM20 I 0-00329 COM20 I 0-00329 COM20 1 0-00329 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number. Number How Received KR : :~..,h " ',.1.; to , , ;1/. Page I of I Amount Paid ONLINE PACIFIC Online AIR COMFORT Payment Total: $92.43 $92.43 3/16120 I 0