HomeMy WebLinkAboutPermit Mechanical 2010-7-1
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00162
Approval Code: 633546 7/1/2010 4:38 pm
E-mailed To: becki@pacificaircomfortcom
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permjtcenter@ci.springfield.or.us
o New Construction
[Xl Addition/alteration/replacement
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[Z) 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory
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. l'~~: :~~_JOB'SITE:INFORMA TION AND LOCATION:," :::-;.
Job Address: 5752 MICA ST
City/StatefZIP: SPRINGFIELD, OR 97478
SuitelbldgJapt.no.:
Project Name: chris lecuyer,
Cross Street/directions to jOb site: 58th to mica
Tax map/parcel no.:
1802033301400
install atc
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Name: Becki McCormick
Phone: 541~342-5300
Fax: 541-744-8887
Ema[l;
lJ&!,'~ Jl:CONTRJlCTOR,-":-
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CCB Iie.'no.: 39237
Business Name: PACIFIC AIR COMFORT INC
Contact:
Address: PO BOX 790
City/State/ZIP: ROSE BURG, .OR 97470
Phone: 541-672-9510
Fax: 541-672-6934
Email:
Metro lie. no.:
City lie. 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 Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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Description
Miniml!ITl.'Eees~~'
First Appliance Fee
Me~Jlanjc:al~Perml~ Fe"es',;>
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permitlotal)
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
$79.00
$9.48
$395
$92.43
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00878
ISSUED: 07/02/2010
APPLIED:' 07/02/2010
EXPIRES: 01/02/2011
VALUE:
Status
Issued
SITE ADDRESS: 5752 MICA ST
ASSESSOR'S PARCEL NO.: 1802033301400
Springfield TYPE OF WORK: Use Initials
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ale
Owner: LECUYER CHRISTOPHER M & JONNIE R
Address: 5752 MICA ST
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 Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
#,of Stories:
, i'Ieight'of,Stmcture
,Type orHeat: '
,:,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 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:
I PUBLIC IMPROVEMENTS I
Street I~1j.bvemefi(;': Oregon law requi
follow rul"s ado t' d b res you to
Storm tiewel'Available: p e y the Oregon Utility
.VCJ.'....Llt!tJl/ vtjnter Th 1
Specialtlvr1il!c.!P1!b01_0010 hose ru es are set forth
0090 \C ' t rough OAR 952-001_
, ou may obtain copies of th I
Notes: calling the cen'er (N t 'h e ru es by,' "
number for th~ ~ ,.~,.. 0 r~~:r~.L e tel~~hone ('.~.~~,it :,;,\,,:,' r (~P ,:. ~ -
Center is 1-8'00-332-2344).
Sidewalk Type:
Downspouts/Drains:
NnrH-:F'
iTHIS PERMIT SHALL EXPIRE IF THE WORK
~,UTHORIZED UNDER THIS PERMIT IS NOT
Square F~ft&~~1ENCED OR IS ABANDONED FOR
or Bid Am\lilnt 80 DAY p~~,l.'J\), Date Calcnlated
Description
Type of Constrnction
$ Per Sq Ft
or multiplier
Page I of 2
,.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00878
ISSUED: 07/02/2010
APPLIED: 07/0212010
EXPIRES: 01/02/2011
VALUE:
{;.':.'i.
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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'-:":\f.Otal'Val~'e of Project
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l'i~Fees P~id ,
Fee Description
+ 12% State Surcharge
. + 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
7/2/10
7/2110
7/2/10
3201000000000000366
3201000000000000366
3201000000000000366
Total Amount Paid
$92.43
I. Plan Reviews ~
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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.
Rough Mechanical, Prior to Cover
Reduired'Iiisoections I
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Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby 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 Springtield and the Laws of the State of Oregou pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permiss.!on of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compiiance with ORS 701.005 will be used on this project.
I further agree 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. , 1'~,.. ,,' 'i"" ,
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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 #:
3201000000000000366
Date: 07/02/2010
8:08:0IAM
Job/Journal Number
COM20 I 0-00878
COM2010-00878
COM2010-00878
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ ) 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
79.00
9.48
3.95
$92.43
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE . PACIFIC Online
AIR
Payment Total:
$92.43
$92.43
7/2/2010