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Home My WebLink AboutPermit Building 2010-10-4 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00431 IVR Number: 811178118230 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci,springfleld.or.us PROJECT STATUS: Issued ISSUED: 10/4/10 APPLIED: 10/4/10 EXPIRES: 4/2/2011 VALUE: $0.00 SITE ADDRESS: 5122 B ASSESOR'S PARCEL NO: Springfield 1702333201800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install mini-split OWNER: ADDRESS: KlUG TYSON 5122 B ST SPRINGFIELD OR 97478 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 INFORMA TION I # 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: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information ilTTHrIION: Oreqon taw requires youto IOi~~~; ;Jles adopted by the Oregon Utility Notification Center. Tl10se rules me S.Bt fOI th in OAR 952-001-0010 tllrough OAI19~2-001- 0090. You may obtain COP'9S of the rules by calling the center. (NOle: the tele~hone !:lumber for the Oregon Utility Notification Center is 1-800-332.2344). Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining waINOTlCE: Soils Report ~e<ii.[ire<!)RMIT SHALL EXPIRE IF THE WORK UTHORIZED UNDER THIS PERMIT IS NOT ""'ft.Pv7ENCEO OR IS ABANDONED FOR ". '') DAY PERIOD. Springfield Building Permit 10/4/2010 12:23:23PM Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00431 IVR Number: 811178118230 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or,us PROJECT STATUS: Issued ISSUED: 10/4/10 APPLIED: 10/4/10 EXPIRES: 4/2/2011 VALUE: $0.00 SITE ADDRESS: 5122 B ASSESOR'S PARCEL NO: Springfield 1702333201800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install mini-split DEVELOPMENT INFORMATION ~ Front yard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: . Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description TVDe of Construction Unit Amount Unit TVDe Unit Cost Value r-::- '''''l~;;'~'~l'~----'~'~ =.... " '," '-,"... . "-.,---r r" ,", ,.'. ,." "~'.'~;;;.2! ,{!",€~:1J:Y"'~/s'Ii""~?oL" '~- 1', ""_,,')._'''kY.'(, FEES' PAID ie' 6t-",_s--,i':';;''''C:;;''''\;;!i.;..t>;".pj .'<'<'-J;ii?':'".;'i>":..:.,';;"''' ; ',.c. , 'K" ,'c' "-'_"""',Jmm':'~.~':_::"'_""-c~,,',d_',,, ,"" -"_.""""'4..:"~':';',"M_~4,,~_,~.'~~~~~ ~ Description Amount Paid Date Paid First Appliance Fee $79.00 .___~~4/2010 Technology fee (5% of permit total) $3.95 10/04/2010 State of Oregon Surcharge (12% of applicable fees) $9.48 10/04/2010 Total Amount Paid $92.43 ~\c:Jl~~,t,:,; ~'~~~~,.7:""-;;:' '~:l Receipt # 374475 374475 374475 p:i<r\ .~;~ ,~.~11..~.~~,,;~+-:";'Z:~~.'t4>;:;,,:~y;~~F;~0:\~~'~ ~ '-~::"ijp}~.blB!tyl~.wt:t:t~:~~~~fEJUh~~: '<7;,{d:: ~:;;:;;~:,Z~~~:fio'~~~" ~ ;~<>, '"~ :'fj Department Received Due Date Complete Result Reviewer Comments Application Acceptance 10/04/2010 10/04/2010 10/04/2010 Over the Counter Nancy Machado Initial Review 10/04/2010 10/04/2010 10/04/2010 Over the Counter Nancy Machado Over the counter permit Planning Review 10/04/2010 10/04/2010 10/04/2010 Not Required Nancy Machado Over the counter permit Public Works Review 10/04/2010 10/04/2010 10/04/2010 Not Required Nancy Machado Over the counter permit Structural Review 10/04/2010 10/04/2010 10/04/2010 Not Required Nancy Machado Over the counter permit Permit Issuance 10/04/2010 10/04/2010 10/04/2010 Issued Nancy Machado Springfield Building Permit 10f4f2010 12:23:23PM Page 2 of3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00431 IVR Number: 811178118230 225 Fifth St / Springfield,OR 97477 Phone: 541-726-3753 ___-'nspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 1014110 APPLIED: 10/4/10 EXPIRES: 4/2/2011 VALUE: $0.00 SITE ADDRESS: 5122 B ASSESOR'S PARCEL NO: Springfield 1702333201800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install mini-split INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that-all required inspections are requested at the proper time, that each address is readable from the street, that the permit.card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. 'b.o{Y~'~.( ~ Owner or Contractor s~nature \0 \ Z:2._\ \ {) , . Date Springfield Building Permit 10/4/2010 12:23:23PM Page 3 of 3 Mechanical Permit Application ": CITY OF SI;Rl;NGFiELI)~ Ol{EGC.J.N<::. 22j F(fth Street. Spril'lgJiell1. OR 97477. PH(541)726-3753 . fAX(541)1.Z6-)6S9 ffi ,.. Permit no$'& .&:::ll 0 - Date: ~o -I-f ~ 10 , TbiS permit Is issued under OAR 918-440-0050. Permits expire if work is Dot tarted within 160 days of issuance or if work is suspended fot' ISO daye. E-mail: This inst.allation is being made on property owned by tne or a member of my immediate family, and 18 exempt from licensing requirements under ORS 701.010. Sjgnall.Jre: Up to loak TU/hr. I Ov~, lOOk TU/hr. $ H"l.re/s! yes/vents Unit heater $17 .00 S Wood/pelle gas stovdfluc $38.00 $ Repair/alter add to hJ::atil1!ll)pplillocc.! refrige:ratio unit or cooling system! . $58.00 I absorption ~tc:m Evaporat~d ooler $13.0' S Vent fan wi h one duct/appliance vent $9.00 I Hood wjrh a haust and duct $13,00 . S Floor furnec including vent $58.00 $ Ga. i in One to four utlets S Additional tIcts (each) l Air-b~nd][n units, Ineluding dncts Up to 10)00 CFM S Ovyr10,OO CFM S Com ress rlabsoi- tioo s~stemlheat UlD Up to 3 hp/] Ok BTU $17 .00 S Uptol5hp OOk BTU $29.00 S Up to 30 hp 1.000 BTU $43.00 $ Up to 50 hp 1,750 BTU $57.00 S Over SO hpl ,750 BTU $95.00 l lndnerato s ~. 440-2545-1 (ll/OS/COM) ill .. ,. (A) Enter st.i~r(1tal of above fi:es (or enter set minimum fe of $1:2.2Q) (B) I.nve,tig tive fee (equal to (A]) (C) Ent" 12 ,Mcha,ge (.12 x (A+Bj) (D) Seismic ee, 1% (,01 x (AJ) (ElTeehnol gy P,e (5j, Of[A]) TOTAL ie . and surcbarge' (A througb E): 10 38\1d 1~OjW08 ~I\1 8IjI8\1d L888PPL ng1 61:11 0106!P0!01 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00431 5122 B ST CITY OF SPRINGFIELD 225 Fifth St SP:ringfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 20]0000467 RECORD NO: 81 I-SPRZOI0-0043 1 DATE: 10/04/2010 t!f~cRIP;flQ.I)i::;S ~::;:f;,~?i~~","j;:;"~T:a",,, _0;,::C';";0i'j~?-f~_ -!:\\,,:b'\.>,ii::_C~Qj.J]~;rj5.Cn'!E.c::,. .3.:"''';:>A;~!VIJ)J.!f!if-.:.i;iu E c~: iii:i:LiJ First Appliance Fee 224.00000-425604 $79.00 Technology fee (5% of permit total) 100-00000-425605 $3.95 State of Oreg?n Surcharge (12% of ap"plicable fees) 821-00000-215004 _ __ _ $9.48 TOTAL DUE: $92.43 I,PAYMENT TYPE. L:PAYClR-';:' :!<-;SH.II~'R'.,NiVv'\ci-iA6"oJ~tc:j:tiVIMgiilffi.s;;'~~j ~ .~ . n: :~MOJ!.t:lEeAII):' ,{.. .} Credit Card 07129 PACIFIC AIR COMFORT INC $92.43 $92.43