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Home My WebLink AboutPermit Mechanical 2010-5-14 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line ..,- , " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00607 ISSUED: 05/14/2010 APPLIED: 05/14/2010 EXPIRES: ,11/14/2010 VALUE: Status Issued -lrf';:!,':> . SITE ADDRESS: 5335 MAIN ST 211 ASSESSOR'S PARCEL NO.: 1702330001300 SPRINGFlETYPE OF WORK: Mechanical Only TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Replace heat pump and coil Owner: 'JOHNSON VELVA A Address: 5335 MAIN ST #211 SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical \ Contractor License PACIFIC AIR COMFORT INC 39237 BUILDING INFORMATION. .'"., ..J :::.' ,- . ~";;f Stgries-; lleight of Structure Type of Heat: to ATTENT100i..Q. taw re~ulres you follow ruIRih~p'~: by the Oregon Utility NotificatioB~~~iw.ose rules are set ~ in OAR 95grll%JR\m,1QA~p'ugh OAR ~ n~an _~:~,~a:oblalfi cl)~e'9 of the r by ~c~==~~.f\1RXr~~~n C)enilH Ii HJOO'3~~-' Overlay Dist::' ' # Street Trees,Rqd: P~ved Drive Rqd: % of Lot Coverage: Expiration Date 03/25/2012 Phone 541-672-9510 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport , Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS ~ .. , 'OOl1:l3d AIfCSId~,I."'i'd\fype: 1:J0:l 03NOON'v'8'v' SII:IO m:W3INVW:J . ION SI.'11\t'J1:l3d' SIH11:J30Nn 03t(~'O~f~Ws/Drall1s: }I1:10M'3ffl~rjaldx3 11\fHS 11\t'J1:I3d SIHl " if ',,:, :33110N H,:j .,,'\; Notes: I Valuation DescriPtion ~ ~ I Description Type of Construction $ Per Sq Ft ':, or multiplier Square Footage or Bid Amount Value Date Calculated Page.I of 2 .t,': ",", ; :.',t'- " .' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00607 ISSUED: 05/14/2010 APPLIED: 05/1412010 EXPIRES: 11/1412010 VALUE: ., Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~\':;'of' ....~..~ 'rJ,!!",. : .~" . ;',.,- ","., l' .:10tal Valoe of Project I Fees Paid _ Fee Description + 12% State Surcharge + 5% Technology Fee I st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 5/14/10 '5/14/10 5/14/10 2201000000000000494 2201000000000000494 2201000000000000494 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. ",.,.",' '''', "c' - ,,"'- ..........,,~ ~,. "~-, . . I Reoll'ired Insoections I ~,;. , ' Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I bave carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certif)' that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the La,w; of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any str'ucturi,without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliauce 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 tbe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature i.\,~id "';;.,. "",<..."''''' Date "i'l'.,~l' _. n"I. I '1~~,;7'l Pa2e 2 of 2 enY OF SPJUNGFJELI>, OREGON 225 Fifth Sl:I-Cet . S~ril\gflcld, OR 97477. :PR(541)726-31$3 . FAX(~41}726-3689 Mechanical Permit Application Tbls permit is issuedundeor OAR 918-440..0050. Permits expire if work is not started. within 180 days of issuance or if work is S'uS'pended for 180 days. ZIP: C{''118 F.><S,-\ F-Y-\-4. Fir3tA liiDlC-El urnace/burner i'U.dudine ducts oDd vent!;: Up 10 lOOk IlTUlhr. Over lOOk BTU/hT. . Healers!sloveslvoolS Unit heater WoodJpciidfga9 stove/flue Repair/alter/add to heating appliance! refrigeration Wlit or cOQling Bysteml absorp1ion system Evaporated c,ooler Vent fan with. one ductlapplianc~ Vent Hood with exhsust and duct Floor furnace including vent C.. plpiDg. One to' four Qutlets Additional outlets (each) AlI'-baodlljl uoit., includiog ducts Up to 10,OOOCFM Over 10,000 CFM Com ressor/abso dOD (; ,stem/beat UID Up to) bp/lOOk BTU Up to 15 hp/SOOk BTU Up to 30 hpll,OOO BTU Up to ~O hpll,750 BTU Over 50 hplt,750 BTU Incinerators Domestic inqin~tor $17.00 $ $20.00 $ $17.00 $ $3'.00 $ $58.00 $ $13.00 $ $9.00 $ $13.00 $ $S8.QO $ E~m3il; This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. $ $ $ $ $17.00 $ $29.00 $ $43.00 $ $57.00 $ $95.00 S E-mail: CCB license; no.: ~c.D( \ck. Signature: ~ ~CI:J< ""', d.... ~\I"I o.-~t" 440-25-4,5-J (1 l/OB/COM) (A) Enter subtotal ofnbovc fees (or enter set minimum fee. of $ 19.0m (B) hwestigative ree (equal 10 [AD (C) Enter 12% ,.",harge (.12 x (A+B])' (0) Scism;' fee, 1% (.01 x [AD (E) Technology Fee (5% anA]) TOTAL fees p.nd !iurcharges (A tbrough E): $ 77CO $ $ "j "f.-. $ $ '3<"~ $ "')2- i..- 1:0 39lid l~OjWOJ ~IIi JljIJlid L8881717L 1I7S1 EE:80 0101:/171/S0 Z25 Fifth Street " .~.. Springfield, Oregon 97477 541-.726-3759 Phone ii4'l City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000494 Date: 05/14/2010 9:44:54AM Paid By GEOFFREY HIGLEY Item Total: Che~k Number Authorization Received By .Batch Number Number How Received Amount Due 79.00 9.48 3.95 $92.43 Job/Journal Number 20M20 I 0-00607 20M20 1 0-00607 20M20 I 0-00607 Description 1st Appliance + 12% State Surcharge + 5% Technology Fee Payments: fype of Payment 2reditCard Amount Paid cjc 412385 In Person Payment Total: $92.43 $92.43 I , . ,p" "'-:. '-. . CITV OF SPRINGFIELD [1[VElOPMENTAL SVC. DEPT. . 2255THSTREET SPRTtlGFIELD. OR 97477 (S4D 726-3791 Sale m'1009 M"'I',h.lIll: 7130'1668 05d1V10 VI~A XXXXXXXXXXXXJI80M CW2 Code: Appr Code: 412385 Total: 09:02:52 InvoiceU: 1 $92,43 ClIstoID<:,rCoPV THANK YOU " " __J CITY OF SPRINGFIELD DEVELOPMENTAL SVC. DEPT. 225 5TH $TRITT SPRINGFIELD. OR 97477 (541)726-3791 Sale 09:02:52 ID: 1009 Herch~nt: 70041>68 05,14,10 VI~A 4b44599101783780M CW2 Code: ApprCode: 412385 Total: 09;02:52 CIll' OF SPRUlGFlELD DEVELOPMENTAL SVC. DEPT. 225 5TH STREET SPRWGFlELU. OR 9141'7 (5111) 126-3191 Sale txP: 05/11 1[1; 1009 I'\"rcnllnt: 7BM6E.8 (;5/14/10 VlS~ m1XUXXXXX3180~ CW2 Code: ~PPr Code: 412185 Mal: InvoiceU: 1 $ 92.43 Invoice": 1 t 92,41 I agree tOOili dbovt' total lImount accol"din9 to card i55u~r' l'I~ret'menl (M"rchani agreement if crt'dii lio\.Kherl ~:.1;~.. CustomerCopl' THANK yOU L_________________________________ {}&/i' Uc~ ~ .t-L , . ~YOU cReceintl 1010