HomeMy WebLinkAboutPermit Mechanical 2010-6-28
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfleld.or."us
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R.esidential Mechanical Authorization To Begin Work
69600-BMC-10-00154
Approval Code: 557830 6/28/2010 4:47 pm
E-mailedTo:becki@pacificaircomfort.com
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0 New Construction IRl Addition/a Iteration/replacement
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IRl 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
I..,.:.... "";;" ;;JOB'SITE;INFORMATIONAND~Oi::'ATlOW';">"';' ..: ,
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Job Address: 2061 S 58TH ST
SPRINGFIELD, OR' 97478 ,~. ..,., .. ..-.
City/State/ZIP:
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Suite/bldg.lapt.no.:
Project Name: payson lufts 541-228-4768
Cross Street/directions to job site: obsidian to 58th
Tax map/parcel no.: 1802033306000
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install air conditioner "
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Name: Becki McCormick
Phone: 541-342-5300 Fax: 541-744-8887
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CCB lie. no.; 39237 -..-----. _._-,,-~ ....
Business Name: PACIFIC AIR COMFORT INC ._._-- ....-.
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Contact: n,_..,.
Address: PO BOX 790
City/State/ZIP: ROSEBURG, OR 97470
Phone: 5416729510 Fax: 5416726934
Email:
Metro lie. no.: City lie. no.: ,
Upon review and approval by your local jurisdiction, your pennit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is n~t obtained.
The local building department may determine that an Authorization To Begin Work is null Ilnd
void if it does not meet applicable land use laws and local ordinances.
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Description
First Appliance Fee
~echallicaJ ,_perl1J!t .F.".;e~~:0'>:,;;;
Subtotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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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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$79,00
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$79.00
$9.48
$3.95
$92.43
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00844
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 12/29/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
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S]TE ADDRESS: 206] S 58TH ST
ASSESSOR'S PARCEL NO,: ]802033306000
SPRINGFIETYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air conditioner
Owner;
Address:
TUFTS PAYSON A
2061 S 58TH ST
SPRINGFIELD OR 97478
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I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
PACIFIC AIR COMFORT INC 39237
BUILDING INFORMATION.
Expiration Date
03/25/2012
Phone
54 I -672-951 0
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
. Water Type:
"Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
R.EQUIRED PARKING
Frontyard Setback:
Side] Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
OVerlay Dist: ..
,,: ~ I.t .,,', .
#.Street.Trees Rqd:
Piifed ri{'ive Rqd:
0/0: Qf Lot Goverage:
..-< - ATTENTION: Oregon law requ\re~X~i~l~ .
PUBLIC IMPROVEM tion Center. Those rules aRre9s;~_g~1.
952..Q~-OQ1 0 through OA
In OA Si 'l)B'rili'llltRl'Pies of the rules by
0090" You m 1M 1J\,tl:1e telephone
calling thDtll$Ii~u sri) 'Iii': Notification
number for the Oregon II Y
. Center is 1_800-332-2344).
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
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AUTHORIZED UNDER THIS PER~.JrJ\Yrin Description ~
~OMMENCED OR IS ABA,NOON - . - "
. . "'\I '-I c;n n"V ?::nlf' ~. $ Per Sq Ft Square Footage
DeSCrIptIOn . Type of ('onstruclIon I' I' B'd A .
or mu tip ler or I mount
Value
Date Calculated
Page] of2
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CITY OF SPRINGFIELD
Building/Combination Permit
, PERMIT NO: COM2010-00844
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 12/29/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value o(Project
I "FeesPaidr'
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Numher
$9.48
$3.95
$79.00
6/29/10
6/29/10
6/29/10
3201000000000000340
3201000000000000340
3201000000000000340
Total Amount Paid
$92.43
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,I 'ri~p R~~i'ewsl
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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.
ReQuired Insoections ~
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Rough Mechanical: Prior to Cover '" .. , ',_";, .,.
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Final Mechanical: When all mechanical'wprilis' compleie~
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work performed shall he done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any strnctnre withont permission of the Community Services Division, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on Ihis project.
1 furlher agree 10 ensure Ihal all required inspeclion~;~!e ,r~ques\ed .allhe proper time, Ihal each address is readable from Ihe
street, that the permit card is located at the front ofiliit'propeJ:!y;.arid th'e approved set of plans will remain on Ihe site al all
times during construction. ,;~t~~, b,y 1:'_le' . J
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Owner or Contractors Signature
Date
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225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000340
Date: 06/29/2010
8:18:22AM
Job/Journal Number
COM20 I 0-00844
COM20 1 0-00844
COM2010-00844
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Check Number
Reckived,By:~_ " Batch Number
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NJM ,. ONLINE
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Page I of I
Item Total:
Authorization
N umber How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
PACIFIC In Person
AIR
Payment Total:
$92.43
$92.43
6/29/20 I 0