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Home My WebLink AboutPermit Mechanical 2010-6-16 C/O. 77'1 ~SPR~N~FIELD '111' ~ · .i'i<,~ """"""" OREGON City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 EmaiJ: permitcenter@ci.springfield.cir.us o New Construction IRl Addition/alteration/replacement 'i'<\','CA"EG ORY'OF C o'NirTRUCTIONI:I':, \1~'I"ilrl~il'I'llh"11 ".C,.J ,_." .....~ ...n.J: .. .... "....n.... ,_" ... ..' ._~ ..._....... " .,'.." ....w......1."'",._.@"'''''-.k',........., ~..' "" lJ [Z] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory , ":!iOB SirE INFORrM1'IONAN'D lOCA1'ION" ,1, OJ'II':" "i"ill:'j Residential Mechanical Authorization To Begin Work 69600-BMC-10-00136 Approval Code: 244536 6/16/2010 1:59 pm E-mailedTo:becki@pacificaircomfort.com Description Total $79.00 Job Address: 5776 MINERAL WAY Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $79.00 $9.48 City/StatelZlP: SPRINGFIELD, OR 97478 Suite/bldgJapt.no.: TOTAL PERMIT FEE $3.95 $92.43 Project Name: sherry tillman 541-636-3707 Cross Street/directions to job site: bob straub prkway, 57th or 58th CJO-l1~ ~\L \..Q 1\l2\ 10 Tax map/parcel no.: 1802033301900 I install heat pump ,,> Name: Becki McCormick Phone: 541.342~5300 Fax: 541-744~8887 Email: I ",c -'--'. 'I E WORK Busln.ss Nam.',~*~'r THIS PERMIT IS NOT Contact, ,:i)' . MENCED OR IS ABANDONE Addre.., PO a,qi<.J7M 80 DAY PER ~TTENTlON: Oregon law requires you to foll,ow 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 I)lJmb..~r for the. Oregon Utility Notification Center IS 1-800-332-2344). City/StatefZlP: ROSEBURG, OR 97470 Phone: 5416729510 Fax: 5416726934 Email: Metro lie. no.: City lie. no.: Upon review and approval by your local Jurlsdlctlon, your permit will be e.malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE; This Authorlution To Begin Work expires within 180 days If a permit Is n?t.oblalned. The local building department may detimnine that an Authorlzatlon To Begin Wor1l: Is null and ~ void If It does not meet applicable land use laws and local ordinances. ~ ."tv ~ f[;~0J ~~.\o \0.\ ~ ~~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00779 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5776 MINERAL WAY ASSESSOR'S PARCEL NO.: 1802033301900 SPRINGFIETYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pnmp Owner: Address: TILLMAN SHERRY 5776 MINERAL WAY SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor License PACIFIC AIR COMFORT INC 39237 BUILDING INFORMATION ~ Expiration Date 03/25/2012 Phone 541-672-9510 # of Units: Primary Occupancy Gronp: 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION ~ 1OT.1!'!:' ""'T - Frontya~~ setback: wORte~erlay Dist: Side 1 Setb!i'tiBMIT SHALL EXPIRE IF THE t,Street Trees Rqd: Side 2~e:t"~IZED UNDER THIS PERMIT IS NO P~ved Drive Rqd: Reary,aJ!!1~t'1~S{:O OR IS ABANDONED FOR '.' ;0;'; of Lot Coverage: Solar ~~tlh~cu~:DAY PERIOD. . REQUIRED PARKING Total: ATTENTION: OregcM~~W~R!s you to follow rules adopte&:8Y'~l0regon Utility Notification Center. Those rules are set forth in OAR 952-001-001 ~ thro~gh OAR 952-001- I PUBLIC IMPROVEMENTS ~ caliing the center. (Note: the telephone n~ 1Rl.Jt\It.Oregcin Utility Notification ~enfe'r'TS 1-800-332-2344). . DownspoutsfDrains: Street Improvements: Storm Sewer A vailahle: Special Instruction: Notes: I Valuation Description ~ Description Tvne of Construction $ PerSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M2010-00779 ISSUED: 06/16/2010 APPLIED: 06/16/2010 EXPIRES: 12/16/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project ~ Fee Description + 12% State Snrcharge + 5% Technology Fee 1 st Appliance Amount Paid Date Paid $9.48 $3.95 $79.00 6/16/10 6/16/10 6/16/10 Receipt Numher 3201000000000000306 3201000000000000306 3201000000000000306 Total Amount Paid $92.43 I Plan Reviews ~ To Request an inspection call tbe 24 bour recording at 726-3769. All inspections requested before 7:00 a.m. will be made tbe same working day, inspections requested after 7:00 a.m. will be made tbe following work day. U.eollire~nsn~ 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 tbat all information hereon is true and correct, and I further certify tbat 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 cnsure 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 ofthe property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000306 Date: 06/16/2010 3:06:43PM Job/Journal Number COM20 I 0-00779 COM20 I 0-00779 COM20 I 0-00779 Payments: Type of Payment ONLINE CHGS cReceintl Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS J...;1 :',,; ""~".' Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid KR $92.43 ONLINE PACIFIC Online AIR COMFORT Payment Total: $92.43 , ....... 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