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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. . 0lCHht Residential Mechanical Authorization To Begin Work 69600-BMC-1 0-001 05 Approval Code: 564954 512012010 11:35 am E-mailedTo:becki@pacificaircomfort.com ~.\ll:.~~~1r'~El$.~]{~Qj!J~;~lJ,*~J::<1~ Qty. ~~~~PBIsifE~iNk0RMA:iiONY$NDrlloc~:TroN::;~'fI41t!ilif,~;fli 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.: .~ y~l.'<V \?v ~~ 'b(V ~.t},\.\O J~~~ ~ 0<" 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. ComWlO 5 -';lD/ to cQ S 1 h(Y\ 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 ,~ :. . 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 .j"" "', ." 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 .",J.l".,;" "";,,.1, 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 NJM .. '!'-, ,,~ . .:\ ;"1,1; . I'~ .,~. .. ~,-,"",,- , ;" Page 1 of 1 Amount Paid ONLINE PACIFIC Online AIR I'ayment Total: $92.43 $92.43 " 5/20/20 I 0