The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-6-25 C/o. Y2S City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00152 Approval Code: 472379 6/2512010 11: 15 am Total 00 1 or 2 family dwelling 0 Multj.family D Commercial o Accessory Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE $79.00 $9.48 Job Address: 5762 ORCHID LN City/StateJZlP: SPRINGFIELD, OR 97478 SuitelbldgJaplno.: $3.95 $92.43 Project Name: Amy Hayden 541-743-1884 Cross Street/directions to job site: mt \lemon to s 59th to s 60th L\O-~'65 ~ Lo(2)L((IO 1802033304600 Name: Becki McCormick Phone: 541-342-5300 Fax: 541-744-8887 .!.. ."':;' ([ Email: eee lie. n~:':~ 3~~~:t~>;.;; .-., Phone: 541672951Q Fax: 5416726934 JTENTlON: Oregon law requires you to flow rules adopted by the Oregon Utility tifieation Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 90. You may obtain copies of the rules by ailing the center. (Note: the telephone umber for the Oregon Utility Notification Center is 1-800-332-2344). I T Busin.ss N'~i:!lAPq:q:l.f';\iIT:<Sl1lML.Ji){P Contact: AUTHORIZED 1.11111\/ Address: PQ'BOX 79 l\ "1" "" 0 1\1.' 'v.... City/StatelZlP: ROSEBURG, OR 97470 Email: Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your pennlt will be e-malled or faxed. within one business day, with InstnJctlons on how to schedule your Inspection.... .~ ,r:'l:. ~ ~~ l-:J~ V ~~ ~~ f\'\'\O~ ~ '-;/:<. '-~ NOTE: This Authorization To Begin Work expires within 180 days If a pennl1 II!' .'!ot ~b,!ai!Jed. The local building department may detennlne that an Authorization To Begin Work Is null and void If It does not meet applicable land use laws IInd local ordinances. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: C0M20I0-00825 ISSUED: 06/25/2010 APPLIED: 06/25/2010 EXPIRES: 12/25/2010 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 5762 ORCHID LN ASSESSOR'S PARCEL NO.: 1802033304600 SPRlNGFIETYPE OF WORK: Mecbanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air conditioning unit Owner: HAYDEN AMY F Address: 5762 ORCHID LN SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mecbanical Contractor PACIFIC AIR COMFORT INC License 39237 Expiration Date 03/25/20 I 2 Phone 541-672-9510 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Heigbt ofStructur. Type of Heat: Water Type: Range Type: Energy Patb: Sprinkled Building:' Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Otber: Occupant Load: nla REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Sid.N~I13~ ' " # StreetTr.es Rqd: ATTENTlON: Oregon IawffiR/dr~~;to SidcF, ~etmMg SHALL EXPIRE IF THE WORKPaved Drive Rqd: folloW rules adopted by t~uQf(9.M!1 Utility Rea." n ~'t "~. UNDER THIS PERMIT IS NOT % of Lot Coverage:Notification Center. Those rules arese! forth SolaMtll c (.t R In OAR 952-001-0010 through OAR 952-001- IS ABANDONED FO bl In co ies of the rufes ANY 180 DAY PERIOD. I PUBLIC IMPROVEMEN~~t~2r \~~ ~ent~:~g~:~~j~ ~~~:C:t~:n Street Improvements: ~1Il: T~-332.2344). I DEVELOPMENT INFORMATION I .:;';;.;.?' <-f Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Descriotion I Description TvllC of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount " Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00825 ISSUED: 06/25/20]0 APPLIED: 06/25/20]0 EXPIRES: 12125120]0 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Numher $9.48 $3.95 $79.00 6/25/1 0 6/25/10 6/25/10 1201000000000000757 1201000000000000757 1201000000000000757 Total Amount Paid $92.43 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 following work day. ~eouirerU"nsnections I RouJ:h Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By siJ:nature, I state and aJ:ree, that I have carefully examined the completed application and do herehy certity that all information hereon is true and correct, and I further certity 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 described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, BuildinJ: Safety. ' I further certity that only contractors and employees who are in compliance with ORS 701.005 will be used on' this project I further aJ:ree to ensure 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 of the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature Date Pa!!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Wir.~~:..... ;c.'....... ' .c~"'c,.. .' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1201000000000000757 Date: 06/25/2010 II :37:3IAM Job/Journal Number COM20 I 0,00825 COM20 I 0,00825 COM20 10,00825 Payments: Type of Payment ONLINE CHGS cReceiotl Description 15t Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Re~e,ived By. Batch Number Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid KR ,ONLINE PACIFIC Online AIR COMFORT Payment Total: $92.43 ;.^' .' , . $92.43 ,~ ~ ',> i 'I f~ ;' ". ,! :..{'l,'<J ".' ~JF"~'" . )' , . :.~l{: r i......;.~'. \<J}~ Page 1 of 1 6/25/2010