HomeMy WebLinkAboutPermit Electrical 2007-5-3
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not offered online al this jurisdiction I
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$12.001
nol olTered online at this jurisdiction I
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Subtotal $12.00 I
Minimum fee used instead of Subtotal $45.00 I
State Surchan::e (8% ofoermit fee) $3.60 I
City OfS~rin2field fees. $16.75 I
TOTAL PERMIT FEE $65.35 I
10010 Local Admin Fee; 5% Local Technology Fee;
.1
. -_-.-
City~f Springfield
,
~chanical Authorization To Begin wor.
E-mailedTo:jeanette-jco@comcast.net
Receipt # EC510947
5/312007 10:48:23 AM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
II
II Description
I Heating/cooling appliances
I I Fumace- up to 100,000 BTU
II Furnace. above 100,000 BTU
I I Electric Furnace
I Duct alterations and additions
Gas heater unitsl in-wall, in-
duel susoended. ctc/
I Vent, flue, liner fOf above
1 Air Conditioner
I Heat Pump
Air Handler
$12.00
FEE SCHEDULE
Qty.
I 0 New construction
[i] Addition/alteration/replacement
Ea.
CATEGORY OF CONSTRUCTION
100 lor 2 family dwelling
o Multi-family
o Accessory Building
I JOB SITE INFORMATION ANIl.!'2~ATlON
I Job 00.: I Job add.....: 2428 DUMAS DR
ICity/StatefLlP: SPRINGFIELD, OR 97477-]542
I Suitelbldg./apt.no.:
I Project name: Wilson
Cross street/directions to job site:
Other Cuel bUrDlng appliances
I Subdivision:
ITax map/parcel no.: 1703234400112
DESCRIPTION OF WORK
Water heater
I Lot no.:
Gas fireplace/insert/stove
Gas log! log lighter
Addition of Heat Pump.
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimneyllinerlflue/vent w/o
aooliance
Environmental exhaust AND ventilation
I
I Name: Bill Wilson
I Phoa.: (54] )746.0735
I Email:
SITE CONTACT
I
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I Range hood
I Clothes dryer exhaust
I I Single-duct exhaust (bathrooms,
I toilet compartments, utility
rooms)
I I Attic/crawlspace fans
I I Fuel piping
II upto first 4 outlets(enter Qty:::l)
I each additional outlet
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. City Of Springfield
S I 0 Issuance Fee
IF..:
CONTRACTOR
ICCBlic.no.: 169209
I Business Name: J COO INC
I Contact: Brian Tiller
IAddress: 5729 MAIN 5T#233
I Cily/StatefLlP: SPRINGFIELD. OR 97478
!Phone: 5417467065 JI<"ax: 5416891667
j Email: jeanene-jco@comcast.net
I Metro lie no.: I City lie no.:
MECHANICAL PERMIT FEES
Upon review and approval by your local jurisdiction, your
permit will be e.malled 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 Bogin Work Is null and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
.
. CITY 01' ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-00643
ISSUED: 05/03/2007
APPLIED: 05/03/2007
EXPIRES: 11/03/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2428 DUMAS DR
ASSESSOR'S PARCEL NO.: 1703234400112
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heat Pump
Owner: WILSON WILLIAM T & SUSAN M
Address: 2428 DUMAS DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
J COO INC
License
169209
BUILDING INFORMATION I
Expiration Date
04/12/2008
Phone
541-746-7065
# of Uuits:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Rouge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st 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
Frontyard Setback:
Side 1 Sethack:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Haudicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDraius:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
_~A1I;l?~IIlo.O)
t .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Admiuistrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechauical
Total Amount Paid
.
. CITY OF ~nul~t.t<lJ'.,LD
Building/Combination Permit
PERMIT NO: COM2007-00643
ISSUED: 05/03/2007
APPLIED: 05/0312007
EXPIRES: 11/03/2007
VALUE:
Total Value of Project
L.Fees P3irlJ
Amount Paid Date Paid Receipt Number
$10.00 5/3/07 2200700000000000646
$4.50 5/3/07 2200700000000000646
$2.25 5/3/07 2200700000000000646
$3.60 5/3/07 2200700000000000646
$8.00 5/3/07 2200700000000000646
$12.00 5/3/07 2200700000000000646
$25.00 5/3/07 2200700000000000646
$65.35
I Plan Reviews I
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 he made the following
work day.
IReo~
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
iuformation hereon is true and correct, aud I further certify that any and all work performed shall he 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 Commuuity Services Division, Building Safety.
I further certify that ouly contractors and employees who are iu compliance with ORS 701.005 will be used ou this project. I
further agree to eusure that all required inspectious are requested at the proper time, that each address is readahle from the
street, that the permit card is located at the front of the property, and the approved set of plaus will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
SpriDgfie~d, Oregon 97477
541;726-3759 Phone
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air of Springfield Official Receipt
_elopment Services Department
Public Works Department
Job/Journal Number
COM2007-00643
COM2007-00643
COM2007-00643
COM2007-00643
COM2007-00643
COM2007-00643
COM2007-00643
Payments:
Type of Payment
RECEIPT #:
2200700000000000646
Date: 05/03/2007
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
ddk
ONLINE J Coo Inc. Online
Payment Total:
ONLINE CHGS ONLINE PERMIT CHGS
cReceint 1
Page I of I
12:48:16PM
Amount Due
8.00
12.00
25.00
10.00
2.25
3.60
4.50
$65.35
Amount Paid
$65.35
$65.35
5/3/2007