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Home My WebLink AboutPermit Mechanical 2010-9-27 - ..... Mechanical Permit Ap 225 Fifth Stn7!~ . Spnl'Jltfi61d. OR. 97471_ l'H(541)726-3753 . PAX(54l)726-3689 This permit is issued under OAlt 918-440-0050. Permits expire if work is not tarted within 180 days of issuante or if work is suspended for 180 days, Addross: City: ZlP: PhoncB/ I E-mail: This installation is being made on property owned by me or a member of my immediate family, and is e,empl from licensing requirements under ORS 701.010. Signature: u:rnlloefllbur or including: duelS' 3.Dd vents Up to lOOk TUIlu-. Over 100kB Ulbr. Beolers/st ves/vents Unit heater Wood/petlet! as stove/flue Repair/alterl dd to heating appliance refrigetiltion "t or ~ooling sysfem! absorption s' tern Evaporated coler Vent faD wit one duct/appliance vent Hood with e (lO$t ~nd duct Floo:f fumac including vent Ga, piping One to fOUT 0 tlols Additional 0 Uets (each) Air-hand i g Ilnits, includillg ducts Up to 10,000 FM Over 'J 0,000 FM Com reS80 lahsor tion Ii Up to 3 hp/lO k BTU Up to J 5 hpf5 Ok BTU Up to 30 hpl! 000 BTU Up to 50 hpl! 150 BTU Over SO hp/l 5a:BiD Inclner.ator' DOrPcstic inc $ $ $17,00 $ $38.00 $ $58.00 $ $13.00 $ $9.00 $ $13.00 $ $58:00 $ $ $ $ $17.00 $ $29.00 $ $43.00 $ $57.00 $ $95.00 $ E-mail:tt~',~ CCB license no.: -=0 Print name. Signature: 440-2545.1 (1110B/COM) ", (A) Entl.'lf 5ub1 tal of above fees (or enter set minimum fee f $1.Q&2) (B) lnvesligati dee (equ.lto [A]) (e) Boter )2% surcharge (.12 x [A+B]) (0) Scismic fc ,1%(.0) . [A]) (E) Technolo Fee (5% of [A]) TOTAL fees. BDd surcharges (A thrQugh E); 1;) J/~ 10 3811d ld03W08 dIll 8I3I811d L888PPL IPSl SP:ll 010G/LG/50 CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci:springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00382 IVR Number: 811151453305 permitcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/27/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 5840 F ASSESOR'S PARCEL NO: Springfield SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION:, Install mini-split OWNER: ADDRESS: RICE WINSTON V 89990 Hill RD SPRINGFIELD OR 97477 Phone Number: CONTRACTOR INFORMATION ~ Contractor Type Contractor Name PACIFIC AIR COMFORT INC Lic Type CCB Lic No 39237 Lic Exp 03/25/2012 Phone 541-672-9510 BUilDING INFORMATION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: Occupancy load: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal f Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ~ Engineered Fill: Fill Volume: ENTION' Oregon law requires youto Flood Hazard Ar~ les ~dopted by the Oregon Utllltih land Hazard A~~\~:~~on Center. ThOse rules are se~_fg~1_ Retaining Wall:lnoO~R 952.001-00,1~ through OARe9(ules by SOils Report Re.QW(~d:you may obtain copies of thl hone w". '. t (Note: the te ep calling the c~n ~r. gon Utility Notification number6~~:ereiS ;:800-332-2344). NOTICE: THE WORK THIS PERMIT SHALL EXPIRpEEI~MIT IS NOT , r ITHORI?ED UNDER THIS 'iMMENCED OR IS ABANDONED fOR , "Y 180 DAY PERIOD. Springfield Building Permit 9/29/2010 10:08:22AM Page 1 of 3 WNW. cj,springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00382 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us IVR Number: 811151453305 PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/27/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 5640 F ASSES OR'S PARCEL NO: Springfield SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install mini-split DEVELOPMENT INFORMATION ~ Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutJDrains: Valuation Description , Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value ~~?Wi;Z;:~i:c.,~;'t(~~~~~~~~,p>;T~r07i~ <:~:~~ ;,;~:__~-,~,~:cJ>jF'EES1P~~lt,~.::<\~;~+t~!;J0,:::.Jr';;~>,~:1~f7_~~0W~&0~0"t~~:i-;:: !~0:E,-~~'Zf'~ ';.:' .~~ Descriotion First Appliance Fee _~_,__ Technology fee (5% of permit total) , State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $79,00 $3,95 $9,48 $92.43 Date Paid 09/29/2010 09/29/2010 09/29/2010 Receipt # 374427 374427 374427 I>' , L-j .;:'".' , ':~!:;~~ ,.::;c:~:rrl\:~~'1"~'-4,~J~'-:';.',~::',~ j5-".P!~blB.~YJg,~dJ::;';:b~;"7:~~~?;::i?::'-~~~;.~r~~Yf~i~~~',?", " :J ' "-, ~ Department Received Due Date Complete Result Reviewer Comments Permit Issuance 09129/2010 09/2912010 09/29/2010 Issued Nancy Machado Application Acceptance 09/29/2010 09/27/2010 09/27/2010 Over the Counter Nancy Machado Initial Review 09/29/2010 09/29/2010 09/29/2010 Over the Counter Nancy Machado Over the counter permit Planning Review 09/29/2010 09/29/2010 09/29/2010 Not Required Nancy Machado Over the counter permit Public Works Review 09/29/2010 09/29/2010 09/29/2010 Not Required Nancy Machado Over the counter permit Structural Review 09/29/2010 09/29/2010 09/29/2010 Not Required Nancy Machado Over the counter permit , Springfield Building Permit 9/29/2010 10:08:22AM Page 2 of3 S:.~.IN..G..~...F....IE~ .~ .: ."." >~. ':'''''" OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building J Residential Permit PERMIT NO: 811-SPR2010-00382 IVR Number: 811151453305 " permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/29/10 APPLIED: 9/27/10 EXPIRES: 3/28/2011 VALUE: $0.00 SITE ADDRESS: 5840 F ASSESOR'S PARCEL NO: Springfield SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install mini-split INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical By sign'ature, 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 or 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 al the front of the property, and the approved set of plans will remain on the site at all times during j;4JIIld iJowner or Contractor Signature CZl/ct!r (j Date Springfield Building Permit 9/29/2010 10:08:22AM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00382 5840 F ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 2010000420 RECORD NO: 81 I-SPR2010-00382 DATE: 09/29/2010 IDESCRIPTION "+;'S-~0C;;;4,~t'Ji)t "";';'?M2j,l:,;;;)"~,,,,;t...CA.:Gj::_oJiili;f~cJ~l:>.E~4f.e:-~-":;:':: ~~M:OJI[lLI;LLiE ' :t J First Appliance Fee 224-00000-425604 $79.00 Technology fee (5% of permit total) 100-00000-425605 $3.95 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.48 TOTAL DUE: $92.43 b:,l'~:VIll1ENLT~E".' i-'PAY:OB.';";;"lCASHIER@At~e-RO,,,,:.c!(tOMMENTS~~:;':Y:-,:d.'.J"".';;;;;' ,':AMOUNT PAID'. ,. ,I Credit Card 933732 PACIFIC AIR COMFORT INC $92.43 $92.43