HomeMy WebLinkAboutPermit Mechanical 2010-5-20
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: S41~726.3753
Email: permitcenter@ci.springfieJd.or.us. .
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-001 05
Approval Code: 564954 512012010 11:35 am
E-mailedTo:becki@pacificaircomfort.com
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Suitelbldg.lapt.no.:
Subtotal
Slate surcharge (12% ofpermij
total
Technology fee (5% of permillotal)
TOTAL PERMIT FEE
$79.00
$9.48
Job Address: 858 19TH ST
City/State/ZIP: SPRINGFIELD, OR 97477
$3.95
$92.43
Project Name: Alice Werlh 5413425300
Cross Street/directions to job site: main
Tax map/parcel no.:
1703362111200
Name: Becki McCormick
Phone: 541-342-5300
Fax: 541~744-8887
Email:
CCB lie. no.: 39237
Business Name: PACIFIC AIR COMFORT INC
Contact:
Address: PO BOX 790
Clty/StateIlIP: ROSEBURG, OR 97470
Phone: 5416729510
Fax: 5416726934
Metro lie. no.:
City lie. no.:
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Email:
Upon review and approval by your local jurisdiction, your pennlt will be e-mailed or faxed
within one business day, with Instructions on how to schedule your inspection. , ,
NOTE: This Authoriz<lUon To Begin Woril expires within 180 days if a permit is not obtained.
The local building department may determine that an Authorization To B~~i,!l,lWOril is null and
void if it does not meet applicable land use laws and local ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00651
ISSUED: OS/20/2010
APPLIED: OS/20/2010
EXPIRES: 11/20/2010
VALUE:
Status
Issued
SITE ADDRESS: 858 19TH ST
ASSESSOR'S PARCEL NO.: 1703362111200
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air handler
Owner: WERTH EUGENE & ALICE V
Address: 858 N 19TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
PACIFIC AIR COMFORT INC
License
39237
Expiration Date
03/25/2012
Phone
541-672-9510
BUILDING INFORMATION I
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
He,ight ~f 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:,
nla
I DEVELOPMENT INFORMATION ~
Front yard Sethack:
Side I Sethack:
Side 2 Sethack:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rq~:
Paved Drive Rqd:
% of Lot Coverage:
... I "'/
.~'
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS iL" EN 10 : regon law requires you to
Iollow rules adopted by the Oregon Utility
Street h~'p'J;o~.w;,)1ts: NotifiCSltloo:Clem:ilfle:J"hose rules are set forth
Storm skW~~ A'f':fifa'\lTe,SHALL EXPIRE IF THE WORK In OA~2-o01-.QQtg\hr?Ugh OAR 952-001-
",,'rur""7FD UNDER T 0090. _b'bl!il~ B~ples of the rules by
SpeCial ~nst~ucllon_ HIS PERMIT IS NOT calling the center. (Note: the telephone
vO/,.!MENCED OR IS ABANDONED FOR number for the Oregon Utility Notification
Notes: ANY 180 DAY PERIOD. Center is 1-800-332-2344).
rid; 1:! hI
I V alull~;~~~~:~ription ~
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of2
.' .
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00651
ISSUED: OS/2012010
APPLIED: OS/2012010
EXPIRES: 11/2012010
VALUE:
Sta tus
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Total Valne of Project
;;.,:, .'" .
lj'ees-Paid ~
'i'l",~,:;}' .' l,;f';"
"
Fee Description
+ ]2% State Snrcharge
+ 5% Technology Fee
]st Appliance
Amonnt Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
5/2011 0
5/20/10
5/20/]0
220]000000000000547
220]000000000000547
220]000000000000547
Total Amount Paid
$92.43
Plan Reviews. I
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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.
LRe(]u~l;ed InsDections ~
..__,;":";;,1: ,....J "~~',...,
Rough Mechanical: Prior to Cover ........,:. '-"":
.'. ~,.~, " '~i.
Final Mechanical: When all mechanical woridi~\onipi~te.
1 ~'~i; ".';"
Owner or Contractors Signature
Date
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f., '.~
,,'Jipaee 2 of 2
225 Fifth Street
Springfield; Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000547
Date: OS/20/2010
1:25:16PM
Job/Journal Number
COM20 I 0-00651
COM20 I 0-00651
COM20 I 0-00651
Description
1 st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
, ~ ' ..
.,
Item Total:
Amount Due
79.00
9.48
3.95
$92.43
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT GIGS
Check Number Authorization
~ ,.
Received By Batch Number Number How Received
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Page 1 of 1
Amount Paid
ONLINE PACIFIC Online
AIR
I'ayment Total:
$92.43
$92.43
"
5/20/20 I 0