HomeMy WebLinkAboutPermit Mechanical 2010-7-6
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City Of Springfield
225 Fifth 5t .. ll.::-':~/
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield_or.us
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Residential Mechanical Authorization To Begin Work
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69600-BMC-10-00170
Approval Code: 757340 7/6/2010 12:25 pm
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L':.,:'i;i~~. ,-'"'9"'" -..-" '",,'lTYPE,OFWORK"'..;;.,ii ..~~ ,....,J'ii', ;" " ;"~
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D New Construction IKI AddilionlalteralionJreplacement
CATEGORVOF CONSTRUCTION . ," ,
IZl 1 or 2 family dwelling D Multi-family D Commercial D Accessory
. ... JOB SITE INFORMATION.AND LOCATiON ..
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Job Address: 1953 S 57TH ST
City/State/ZIP: SPRINGFIELD, OR 97478 " ,.
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SultefbldgJapt.no.:
Project Name: Jessica edgerton
Cross Street/directions to job site: bob straub to ml, vemon to S 57th
Tax map/parcel no.: 1802033301200
r.- ,~J" . . Ce".".,.'DESC~I!>.TION9!' WORK.~i" ,".' ,
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install air conditioner ",,,,'.'l<. ,
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Name: Becki McCormick
Phone: 541-342-5300 Fax: 541-744-8887
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.>..' . . CONTRACTOR ::"'+"" ,'.;
ceB lie. 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 'Bt'1~.niailed'~~r' faxed'
within one business day, with instructions on how 10 schedule your Inspection. ..' .
NOTE: This Authorizallon To Begin Wor1l. expires within 180 days If a permit is no,' obtained.
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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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E.mailed To: becki@pacificaircomfort.com
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Description I Qly. Ea. Total
Minimum Fees ' .
First Appliance Fee I $79.00
Mechan-ical:Permit .Fees .
Subtotal $79.00
State surcharge (12% of permit $9.48
total)
Technology fee (5% of permit total) $3.95
TOTAL PERMIT FEE $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: COM2010-00892
ISSUED: 07/0112010
APPLIED: 07/06/2010
EXPIRES: 0110112011
VALUE:
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1953 S 57TH ST
ASSESSOR'S PARCEL NO:: 1802033301200
" ' ,Springfield TYPE OF WORK: Mechanical Only
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TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air conditioner", :
Owner: EDGERTON MATTHEW T & JESSICA L
Address: 1953 S 57TH ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION ~
Contractor License
PACIFIC AIR COMFORT. INC' 39237
'BuiLDING lNFORMA nON I
Expiration Date
03/25/2012
Phone
541-672-9510
# of Units:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path: ,
, Sprinkled1~uilding:
~,t'hr:'";, ;.;'.:. 1""
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor: '
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENTINFORMATlON ~
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Sethack:
Rearyard Sethack:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
ATTENTION: Oregon law requires youto
, h ,n Utllit
PUBLIC IMPR , Ii enter. Those rules are set for
, _ _ 01-0~1othrOLlqh OAR 952-001-
In OAR 95 ;.dcw.alk,''[YR.~:the rules by
0090 You may 0 'all' 10''''" ,,- ,
, ,"~to' ~I- a telephone
'.. .' calling the cenlDownspout /Drains:caliOn
mber for the Oregon Uti Ily I~OU"
nu Center is 1_800-332-2344),
Total:
Han'dicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
NOTICE:
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AUTHORIZED UNDER THIS PER \fJlb~RJn Descri
COMMENCED OR IS ABANDONE 'VI>
O "ar~y 18G1Tn6:Y.fn;;Rlntn t' $PerSq:.Ft '..: Square Footage
esenptlOn . vpe 0 cons rue IOn It"'".'-, I.' '-"1' ';1' P),'", B'd A
or mo, ~p}~rj~ ';~' ~~~, eor-", I mount
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Value
Date Calculated
Paee 1 of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00892
ISSUED: 07/01/2010
APPLIED: 07/06/2010
EXPIRES: 01/01/2011
VALUE:
Status
Issued
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
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Fees Paid i
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Amount PaId,,_,', ' -,
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, Date Paid
Receipt Number
$9.4l(",:' ::;
$3.95'0,' '"
$79.00
7/6/10
7/6/10
7/6/10
3201000000000000388
3201000000000000388
3201000000000000388
Total Amount Paid
$92.43
Plan Reviews I
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To Request an inspection call the 24 hoUl: f!l.co'rd1ng a~, 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. "
LReouired lnsnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work':iS"complete.
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By signature, I state and agree, that I have careful,lyexamined:the completed application and do hereby certify that all
informatinn hereon is true and correct, and I furth'e'r,icertitj'tliat 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 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 c~nstruction.
Owner or Contractors Signature
Date
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225 Fifth Street
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Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000388
Date: 07/06/2010
12:52:57PM
Job/Journal Number
COM20 I 0-00892
COM20 I 0-00892
COM20 I 0-00892
Payments:
Type of Payment
ONLINE CHGS
cRccciotl
Description
I sl Appliance
+ 12% Stale Surcharge
+ 5% Tecnnology Fec
Paid By
ONLINE PERMIT CHGS
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM ONLINE
PACIFIC Online
AIR
Payment Total:
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Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
$92.43
7/6/2010