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HomeMy WebLinkAboutPermit Mechanical 2010-7-8 City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541~726-3753 Email: permitcenler@ci.springfield.or.us el() .q/D Residential Mechanical Authorization To Begin Work 69600-BMC-10-00178 Approval Code: 804629 7/8/2010 10:06 am E-mailedTo:becki@pacificaircomfort.com o New Construction [KJ Addition/alterationlreplacement d... '-,.'0-,-,",' '^ .... .."..~....,... ~". " ~,-_,.... . '. ....-d CA TEGORY~OF;ppNSTRUCTION. ;::.: lRJ 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory . '~OB SITE INFORMATION AN001f0CA TioN, Job Address: 205 S 54TH 5T City/State/ZIP: SPRINGFIELD, OR 97478 "\", <~'.: Suite/bldgJapt.no.: 14 Project Name: Tony Gwyther 541.744-3923 Cross Street/directions to job site: main to S 54th Tax mapfparcel no.: 1702330001200 " \,1, change out heat pump and air handler Name: 8ecki McCormick Phone: 541-342-5300 Fax: 541-744-8887 Email: ,~,pj~N:rRACTbR~"' CCB lie, no.: 39237 Business Name: PACIFIC AIR COMFORT INC :.' Contact: Address: PO BOX 790 City/State/lIP: ROSEBURG, 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 Begl~ Work is null and void if it does not meet applicable land use laws and local ordinances. (h/Jt~./ 0 7-6"- 10' OO?/o /7~ 1"" !,--:J'_~... H"eatln9lC'ooHng~ Applia.r"c;.e~\; Heat Pump Minirrll,im"; Fe9S"~:; 'f';>i:"';~1.f\t... First Appliance Fee Mych~r1.ic~ILPermit 'Fiees Subtotal State surcharge (12% of permil lolal . Technology fee (5% of permillolal) TOTAL PERMIT FEE ~t 1 $79.00 $96. DO $11.52 $4.80 $112.32 '.~ ~k5 ~ \)j~ ~ fl. \ fl.. \0 ~ ~(2...- \j\\ Inspections Phone: 541~726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ,,",',' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00910 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 01/08/2011 VALUE: Status Issued .' '~:;l" ,1 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line , . SITE ADDRESS: 205 S 54TH ST SPACE 14 ASSESSOR'S PARCEL NO.: 1702330001200 Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump and air handler Owner: Address: CHALET VILLAGE MHC LLC 450 NEWPORT CENTER DR STE 5p5" NEWPORT BEACH CA 92660 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License PACIFIC AIR COMFORT INC 39237 BUILI)'ING INFORMATION ~ ".;1,'" ." . .,~', . 'lfof,Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: . Sprinkled Building: Expiration Date 03/25/2012 Phone 541-672-9510 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Di.t': " . _# Street Trees Rqd: ,. " Paved Drive Rqd: . .....' ,... % of Lot Coverage: Total: Handicapped: Compact: ..-,"';'~T,m)i.j';',i\t',~, . I PUBLIC IMPROVEMENTS I Street Improvements: Storm sewm~tlTJ@~: Oregon law requires you~q",'. .. '. nffll/RY'lJ,I-'Jes adopted by the Oregon Ut'lilY.'j, J; it,;,! , SpeCial I'N'otlficafi6n Center. Those rules are set fQf.I,Il. ":,,., ,""J ,,-- ,. ." In OAR 952-001 ~001 0 through OAR 952-001:',: . Notes: 0090. You may obtain copies of the rules'!~y"":': nil'" Sidewalk Type: Downspouts/Drains: , NOTICE: number for the Oregon Utility N ". -;- I I NOT Center is 1-800-332-234 .valuation Descri tion i JTHORIZED UNDER THIS PERMIT IS rOMMENCED OR IS ABANDONED FOR SquBa.rdeAr.RPJaf~O DAY PER-I~bl. Date Calculated or I mounf .' ,~. ;' Description Tvpe of Construction $ Per Sq Ft or multiplier ,...., Paee 1 of} '~~ i' 11' '~. '~I l ",..'., 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line 'i:,.: :r,;Xbt~';Y ~I~e o~ Pr!l j ect I ~',,~ees Paid] Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 7/8/10 7/8/10 7/8/10 7/8/10 Total Amount Paid $112.32 " ' , I, "EIl}n Revie~s I' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00910 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 01/08/2011 VALUE: Receipt Numher 3201000000000000404 3201000000000000404 3201000000000000404 3201000000000000404 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. ~: ,J ReohiredFli1sDect~ liP .', "<O'~.. , ,. ' Rough Mechanical: Prior to Cover !, ':' 'F'll , :'.J;i~; ':,~:~;;;f' '. 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 J.further certify that 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 nsed on this project. I fnrther 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 propert)" ,,'nd 'tlie approved set of plans will remain on the site at all tiines during construction. ;,r;i~':I':' , , Owner or Contractors Signature ,:~;g~g~~:br,';' .J~, .iil:i',;' : ,,~',. I , Paee 2 of2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~g"'~ _" .,t .1 " :" City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000404 Date: 07/08/2010 12:51 :34PM Job/Journal Number COM20 1 0-0091 0 COM2010-00910 COM2010-00910 COM2010-00910 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid NJM ONLINE PACIFIC. Online AIR Payment Total: $112.32 $112.32 ... , ./' ~i..~ ,.'" .;.;.. ~" : .~ .i~'il! .-' Page 1 of 1 7/8/2010