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
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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
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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
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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
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change out heat pump and air handler
Name: 8ecki McCormick
Phone: 541-342-5300
Fax: 541-744-8887
Email:
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CCB lie, no.: 39237
Business Name: PACIFIC AIR COMFORT INC
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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.
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7-6"- 10'
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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
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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: COM2010-00910
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01/08/2011
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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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 ~
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'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:
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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
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Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
,....,
Paee 1 of}
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11' '~.
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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: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
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, 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.
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Rough Mechanical: Prior to Cover
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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
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Paee 2 of2
Date
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 #:
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
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