HomeMy WebLinkAboutPermit Mechanical 2010-8-2
City Of Springfield " ,
225 Fifth 5t " ....
, .:,t;t'.i},
Springfield, OR 97477 '::t:.,
Phone: 541-726-3753 ,l~ :ti"~
Email: permitcenter@ci.springfield.or.us.- ; :'-~-
;,._,."
C/OI03{p
Residential Mechanical Authorization To Begin Work
, 69600-BMC-10-00207
Approval Code: 452446 8/2/2010 2:23 pm
E-mailedTo:becki@pacificaircomfort.com
o New Construction
[KJ Addition/alterationlreplacement
Description
Ea,
Total
"CATEGORY',,!' c,oNsiRlicTION:<c!:~? :,;'~'/c'r;: ,; Minimum Fe.s:~:
[g] 1 or 2 family dwelling
D Multi-family D Commercial
o Accessory
First Appliance Fee
Mectianicaleerfni~l'Fee{
Subtotal
Stale surcharge (12% of permit
'tolal
Technology fee (5% of permit total)
;tj
, :-;)08 SITE IN!'ORMAflof.j:~N~n:OCATION.~~: "" e',
$7900
$9.48
Job Address: 1272 PARKER ST
City/State/ZIP: SPRINGFIELD, OR 97477
$3,95
Suitefbldg.lapt.no.:
TOTAL PERMITFEE
$92.43
Project Name: sherri mills 541-741-9962
Cross Street/directions to job site: mohawk to parker across from hospital
Tax map/parcel no.:
1703264415700
install minisplit
.:':::,;_:~.
,'~ ." '
.
.t-~:;.
Name: Becki McCormick
Phone: 541-342-5300
Fax: 541~744-8887
Email:
I"
to;'
'" - -. -. - ,"j." """~""":!\~":>'1.. ,. '.'" ,"
'vi ",::CONTRACTOR','::t-,',",
CCB lie. no.: 39237
I
"
Business Name: PACIFIC AIR COMFORT INC
\
1'<
Contact:
Address: PO BOX 790
City/StatefZIP: ROSEBURG, OR 97470
Metro lie. no.:
City lie. no.:
;#
~~~
~ "'of\,
~o
tJ,..3'\
V ':; '('if-
~-\
\):
Phone: 541-672~9510
Fax: 541-672-6934
Email:
Upon review and approval by your local Jurisdiction, your permit will ,~'!i;~~~~~led<. o~ faxed
within one business day, with instructions on how to schedule your inspection, ".J. .
.-'.-}
NOTE: This Authorization To Begin Work: lJl(pires within 180 days if a permit is nO.~.:~~~~.~~d. .-,~ ,
The local building departmlJnt may determine that an Authorization To B~~j_r: Work: 1'5 null and
void if It does not meet applicable land use laws and local ordinances.
,.,.
,.-.1'
~ Inspections Phone: 541'726-3769
This' Authorization To Begin Work";:;',.st be posted at the job site until replaced by a Permit
" /',.
Co/)'f2d76~~
O/~6,30
6/2---//0
/)h--
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01036
ISSUED: 08/02/2010
APPLIED: 08/02/2010
EXPIRES: 02/02/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 1272 PARKER ST
ASSESSOR'S PARCEL NO.: 1703264415700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install mini-split
Owner: MILLS SHERRl L
Address: 1272 PARKER ST
SPRINGFIELD OR 97477
! -' :;~.", ' l: ;. . : ,. I
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
PACIFIC AIR COMFORT INC 39237
BUILDING INFORMA nON ~
Expiration Date
03/25/2012
Phone
541-672-9510
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:.
Water Type:
""Range Type: .
'C. Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemeut:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
,Payed .Drive Rqd:
%;of Lot Coverage:
,~"1>.I'''''''', _., ""0"'''''' ,
Total:
Handicapped: .
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
. ,'_'. l~.., r'~nll' es 'IOU to
I PUBLIC IMPROVEMEN;v~li;~:le~ ~d~~~e1h~s:hr~I~~e~~~etl;~rth
NotillcatI<SldeWiIRrTtp.e:fQUgh OAR 952-001-
in OAR 9S2-001-001 1I ~ . 'os 01 the rules by
0090. Yo'ih~~P-OIttsmN~~~~'the telephone
calling the center. (on Utiiity NotilrcatlOn
" number lor the, or1e~00_332-2344).
center IS -
Notes:
Description
un'-'f'I- . I nV
..~. ERMIT SHALL L:,;;':::~ . InI'
THIS P ZED UNDEF -Maruiifi'3h\I}J~~i ion
AUTHOR! '~BANDUNtU run
T r,(if~c~MFNCEQ OR IS $ Per Sq Ft Square Footage
vpe 0 . onstr.uctIODERIO' \ .. .
A.NY 1l;U 0/-\1 r or multIpher or BId Amount
Value
Date Calculated
Paee 1 012
;',1
...
!!:;,:S'
.J)]' \'.:'1'
"t~ H
l,.., I
. ~~...--....
.:,..,,/.,,1
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
ji,!!
. Total Val!'e M Project
,+;;;FeesPaidl .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
1r...._\< .,. ,.,."
YI~'n 'Rey,iews ~
Date Paid
8/2/10
8/2/10
8/2/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01036
ISSUED: 08/02/2010
APPLIED: 08/0212010
EXPIRES: 02/02/2011
VALUE:
Receipt Number
3201000000000000504
3201000000000000504
3201000000000000504
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.
Reouired Insnections I
'.. I ~\,. . \
Rough Mechanical: Prior to Cover .. "," ,.., > ~ ',.
,.. I. '-""~5~'.(! :',,", ~~
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 I 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 used on this project.
I further agree to ensure that all required inspection.~,~"re '~~lq1,l~~t~d ,a~ the proper time, that each address is readable from the
street, that the permit card is located at the front of:l1i~~.prilpei'ty;'aiid,the approved set of plans will remain on the site at all
times during construction. ~:~~.t{J '''''{C~; .' '
\\~;a"u'::; f', ,;~,,;~ r. ,~
Owner or Contractors Signature
:'.\'
, ,~..
'-'It
Paee 2 of 2
, ,
i~
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
"f~'Nq,,,,,"...IiP!....~.it)...... .......
MI." .
^', t.,' !
'.. .., .,
- -
. .
. "~,,'..,.,,,.' .. '.~.. .,
. -
.
,.. .~ .. ,', ......... ',,'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000504
Date: 08/02/2010
3:16:07PM
Job/Journal Number
COM2010-01036
COM2010-01036
COM201O-01036
Payments:
Type of Payment
ONLINE CHGS
cReceintl
l' _'
Description
1st Appliance
+ 12% 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
NJM
. .,t1,>, f ..
:/ ~,,~
,,-~~".
.-,,:,,'
Page I of 1/
~.. .' i
.,
Amount Paid
ONLINE PACIFIC Online
AIR
Payment Total:
$92.43
$92.43
8/2/2010