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Home My WebLink AboutPermit Building 2010-10-22 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00568 IVR Number: 811107885710 www.ci.springfield.or.us . PROJECT STATUS: STATUS DATE: 10/22/2010 10/22/2010 Issued ISSUED: . APPLIED: 10/22/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield,or.us EXPIRES: VALUE: 04/20/2011 $0.00 SITE ADDRESS: 2741 33RD ST, Springfield, OR 97477-1884 ASSESOR'S PARCEL NO: 1702193100303 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Mini-split Phone Number: OWNER: ADDRESS: VAUGHN DAVID & KAREN 2741 33RD ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type . Contractor Name PACIFIC AIR COMFORT INC Lie Type CCB BUilDING INFORMA nON ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: ' Hazmat: # of Bedrooms: Sprinkled Building: Fire Ala rms: Energy Path: 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: Lie No 39237 Lie Exp 03/25/2012 Phone 541-672-9510 lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Base,ment: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ATTENTION: Oregon law requires you to foHow rules adopted by the Oregon Utility ~otrflcatron Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- , 0090., You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: E IF THE WORK THIS PERMIT SHALL ;.x~~ PERMIT \S NOT AUTHORIZED UNDERABANDONED FOR COMMENCED OR IS Springfield Building per1nltlY 180 DAY PERIOD. 10/22/201 2:07:51PM Page 1 of 3 S~:~1N=EL.~ ~~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00568 IVR Number: 811107885710 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/22/2010 ISSUED: APPLIED: 10/22/2010 10/22/2010 EXPIRES: VALUE: 04/20/2011 $0.00 SITE ADDRESS: 2741 33RD ST, Springfield, OR 97477-1884 ASSESOR'S PARCEL NO: 1702193100303 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Mini-split Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Pist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: DownspoutfDrains: Valuation Description ~ Descriotion TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Amount Paid $79.00 $26.00 $12.60 $5.25 $122.85 Date Paid 10/22/2010 10/22/2010 10/22/2010 10/22/2010 ReceiDt # 374683 374683 374683 374683 Springfield Building Permit 10/22/201 2:07:51PM Page 2 of3 SP~I~~.~..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.springfiefd.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00568 IVR Number: 811107885710 permitcent~r@ci. springfield .or. us PROJECT STATUS: STATUS DATE: Issued 10/22/2010 ISSUED: APPLIED: 10/22/2010 10/22/2010 EXPIRES: VALUE: 04/20/2011 $0.00 SITE ADDRESS: 2741 33RD ST, Springfield, OR 97477-1884 ASSESOR'S PARCEL NO: 1702193100303 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential . . PROJECT DESCRIPTION: Install Mini-split Plan Review ~ DeDartment Permit Issuance Received Due Date Com Dieted 10/22/2010 10/22/2010 10/22/2010 Result Issued Reviewer Nancy Machado Structural Review 10/22/2010 10/22/2010 10/2212010 Not Required Nancy Machado Comments: Over the counter permit Not Required Public Works Review 10/22/2010 10/22/2010 10/22/2010 Nancy Machado Comments: Over the counter permit Inltial~Review.. r .:: '.: ,c. '~_l.o[22/2010A:J9I22/.?.o1.o'" .10/.?2[2D1P" '~+;~ ;/ ; ... . c _'.' ."'/f.......;.;.~-"<~ )j;'.; ",:,,- ^' '.' Or'- """ :..., r+:, :":' >. -.,-" , ~~__ .,"..ry""-,,,"''':':'\:-''''': Comments: 'Overlne" counter permit " ~'J::~ <". ..,.. ~,' ~~,~ ' . .~ ;~. '-~ . Overrthe(Counter'~-~~- ;Nancy MachaaoC:~;:......;',,'..":..._, ~ ...~ "" ~ ';,""':- .., ,.~:"; $?~;/"";f[;+' ~4" > ';.~\3'> .>\i.=~_:~ - ;;?: .~. INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover 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 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. ~('lr;)~{ ex n.'_eJ. Owner or Contractor Signature \ - _IO\~\ )0 Date Springfield Building Permit 10/22/201 2:07:51PM Page 3 of 3 ,.".'err)' OF SJ>RIN(;FIEI:D, ()Rl~(;(')N ' 225 :Fifth Street. Sprin8,f'lel<1, OR 97471 . pH(541)n(i.)753 . FAX(541)726-3689 Permit no.: Mechanical Permit Application Date: Thi. permit 1. Issued under OAR 918-440-00~0. Permit. expire it work i. noClorced Wilhin 180 doy. of iss...nee or if work i. suspended for 180 doy.. . City: Phone, E..mail: This installation is being ma.de on property o\vned by me 'or a member of my in:Jlnediate family, and is ~empt from licensing requirements under ORS 701.010. .' Signature: Fi~t.... lia cc; \.l1'J1:U::~lbp'IJDer inc.1ndine ducts find ~entB Up to lOOk TUlhl'. Oved OOk TVihr. Heaters/st yes/vents Unit heater WoodlpeUe gSB stovdflue Rc:pnir tlH~ add to heating appliance/ refrigeratio unit or cO,oling J;ly"teml . absorption stem Evaporated o~ler Vent fan w4h one duct/appliance v(:nt Hood with cjxhauat and duct Flcol' fuma e Including vent "Gas j in One to four utlets Additiooal utlets (each) Air- and D un t$, DC u pg, nets up"to 10100 CFM Over 10,0"0 9FM Com reS8 r/abso lion s stem/beat um Up to 3 hpl OOk BTU Up to 15 hp 500k BTU Up to 30 hp 1,000 BTU Up to 50 hp 1,750 BTU o"rSo hpl ,7\0 BTU Incinerat rs Domestic i inerator $ S S17.00 $ $38.00 $ S~a.oO $ S13.00 $ $9.00 $ $13.00 $ $~B.OO $ S $ $ $ $17.00 $ $29.00 $ $43.00 $ $!I7.00 $ $95.00 $ S. ~ 1-' 19narur, u C U '" 4t1Q-;!545uJ (lI/OB/COM) (A) Enter su total of above fees (or enter set minimum fc of S 7.9_001 (51 lnvestig tive fee (equal to [AD (C) Eoter 1 Yo 'SUTChaTge(.12 x [A+B]) (D) Seismic ee, 1%(.01 x [AD {El Todmol gy Poo (5% of [AD TOTAL fe :l2u:.d lliun;b.arge:s (A througb E): $ ~- $ $ $ $ $ 10 39\1d 1~OjW08 ~I\I 8IjI8\1d L888PPL IPS1 10:~1 010~/~~/01 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00568 2741 33RD ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541~726-3753 perrnitcenter@ci.springfield,or,us RECEIPT NO: 2010000647 RECORD NO: 811-SPR20 1 0-00568 DATE: 10/22/2010 ~ci,:; ::"'4',-2:"'::4',;:li,,6;'cC_QUNTZCQtfE"":,;:;;,d ':"'A..M9J-!I>lJj:[[J,E"'.. .....:J 224-00000-425604 $79.00 224-00000-425604 $26.00 821-00000-215004 $12.60 100-00000-425605 $5.25 -----.-..--- TOTAL DUE: $122.85 '~,'Y"Alliioi.JNJl.PAiD"-i_, '":0' r[)ESCRIf>TION'.,:':'-.'F,;';,;,~ t:::1;""';"t First Appliance Fee Alteration of existing HVAC system State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) I f>A;YMENTT:tP_E;,;";PAY9ff".fi;:c~IjLj;NMACH6.DO . .Cj:~JI.'IMEt:i:tS;"";- Credit Card 531896 PACIFIC AIR COMFORT INC $122.85 $122.85