HomeMy WebLinkAboutPermit Mechanical 2010-6-29
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
c/o: '&J/-
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00157
Approval Code: 579958 6/29/2010 3:38 pm
E-mailedTo:becki@pacificaircomfort.com
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[Kl Addition/alteration(replac~mefJt.
~A'tEGORY)QF)C()NS-TRUl::jTlON
1 or 2 family dwelling
o Multi-family 0 Commercial
,JOB SITE'INFORMA TION ANi:) LOCATION
[J .A9cessory
Job Address: 995 S 44TH 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suitefbldg./apt.no.:
Project Name: Iyler meal lister 541-726-8748
Cross Street/directions to job site: mt vernon to 44th 51
Tax map/parcel no.:
1802052106400
install ductless minisplil
Name: Becki McCormick
Phone: 541-342-5300
Fax: 541-744-8887
Email:
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CCB lie. no.: 39237
Business Name: PACIFIC AIR COMFORT JNC
Contact:
Address: PO BOX 790
City/StatelZIP: ROSE BURG, OR 97470
Phone: 5416729510
Fax: 5416726934
Email:
Metro Iic. no.:
City Iic. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with Instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Wor1< expires within 180 days If a permit is not obtained.
The local building department may determine thet en Authorization To Begin Work is null and
void if it does not meet applicable land use laws and tocal ordinances.
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Description
iyIi~irr1u'l!t,'F,ees;:'
First Appliance Fee
Mechanicaliper'ITtit':Fee:!3"&;ir~~:"
Subtotal
Stale surcharge (12% of permit
tolal
Technology fee (5% of permit total)
TOTAL PERMIT FEE
?J'Y
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$7900
$9.48
$395
$92.43
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00854
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
Status
Issued
,,: I. A;:.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 995 S 44TH ST
ASSESSOR'S PARCEL NO.: 1802052106400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
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PROJECT DESCRIPTION: Install dnctless mini's'plh
Owner: MCALLISTER TYLER A
Address: 995 S 44TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
PACIFIC AIR COMFORT INC 39237
Buii[lING INFORMATION I
Expiration Date
03/2512012
Phone
541-672-9510
# of Units:
Primary Occupancy Group:
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:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS ~
,""'" Ik \r"J, mquires you to
. . ,.' ATTENTIION~~'f:d bJl;,e~' 0'8gon UtfilitYth
.:.::::.: '.. . ....I:,::.....\olioW ru es .uowns~ou,\('m[a!nSMe set or
i,:!!' '...' Notification Center.., n"h' ugh OAR 952-001-
. in OAR 952-001-0~t' i~ ;~[lieS of the rules by
0090. You may 0 a Note: the telephone
calling t~~ cente\ (on Utility NotificatIOn
Center is 1-800- . . -"'t .
Notes: NOTICE:
THIS PERMIT SAil I'YDIDC Ii' ,,~~..
,';UI HURIZED UNDER THIS PERMIT.:JC:'~(\'~ .
uOMMENCED OR IS ABAND I 'valuatIOn Descrt
f\NY 180 0 ONE un
.," AY PERIOD., $ Per Sq'Ft Square Footage
DescnptlOn Type of ConstructIOn It' I' j J' I'" B'd' A
or mu Ip -Ier!, ,,( ~~l, ~or I mount
Value
Date Calculated
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00854
ISSUED: 06/30/2010
'APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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"'" ',: Total Value of Project
I Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00,1,1"" ,!,"
6/30/10
6/30/10
6/30/10
2201000000000000765
2201000000000000765
2201000000000000765
Total Amount Paid
$92.43"y,t
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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 follow!ng
work day.
L Re~~ired InSDections ,
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 hereon is true and correct, and I further ~ertify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the La,vs of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structii'il'(',:itIi~ut pern;ission of the Community Services Division, Building Safety.
I further certify that only contractors and employee;:,;;;,ho~;:e'(n compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspcctiohs,are req'u'ested at the proper time, that each address is readable from the
street, that the permit card is located at the front ontie'property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
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Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000765
Date: 06/30/2010
7:26:16AM
Job/Journal Number
COM20 I 0-00854
COM2010-00854
c'OM20 I 0-00854
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
R:cciyed ~y Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
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ONLINE pacific air Online
Payment Total:
$92.43
$92.43
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6/30/20 I 0