HomeMy WebLinkAboutPermit Mechanical 2009-9-23
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Thispormil i~ I,.ued under OAR 9J 8-440-0050. Permits c:<plre If work is lIOl started within ]80 day. of i~uanee or If work j,
,u'ponded fOt 1.80 days. . I
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tr:',;':~:!j'Ji)Il"$'I1tE'lI\lP~~f.IOi\Ij':l~I\lPf~1!:~f[\ti~."",~~;,,:: ,; lFirst Anoli,,"oe . i $79.00 I $ I
1 Job site 3"d",,,: 21'1'7!o q ~ rri SuP P"t 'IF.r.acolburnerin.lu~in2 do,t<and vont': I
Clty:DP.....-i(){;\-M..e.I A I State: f) e::-TZr. ZIP~. 1 u. plO 100kBTU/hr. '; $17.00 I $ 1
, \"'\t9J:TQ:b I ,IOverlOOkBTIJlhr. I :$2P.OO $
I Refetfoee: --0-..... ~R""'''\. .1:\.0:,.', :,: ,,'... ~ Healerslstove,/veols .:
. . DI;':$I:: J"TION. OF We",:>, .' '. IUnlthoatcr '
U::'f)s-\-t;:.Ll :1'Duc\-\J};c., ljfat- ~)mp. . I Wood/pelleVgos stov~If1C\. :
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;.:\ll";';.~N:.~,::,\::q*^f~::;:~;,(v,,I:,r~_~'!f.'.!E,c'Q{I"JY:-~~.~fL{\lp-r:'- -1 ;r..:,:.-!-..j_.~~~,~'5:;'-~\,')l~'Y,:\;::;;: :7,:'~::.;J' ab;;orpt!cn system
I Nomb: '\('.:0 n: 4 (n-i i'l rl,lA 1kui!Y,A r+ I Evoponired coeler . I
I Addrbi" ;;211:'5~ ::s?\~ S*Y- Ut- I, Ven, f'9n with one ductl.pplinnoo vont
1 I Hood wit.h <XMa't nnd dOel
City::. 'in,,\d'"i'€\ r\ State: 0 e I ZIP,q IV..J.J I Floor fum... including vent
Phon~; 41 "i~ '1 D lf7d F~": - - I Ga' pi~ing
E-m~i~; I Ono to four outlets I I
This [installation bJbeing mad. on pr"Pel1Y owned by me or 3 Addlti.nnl ootlel> (eo.eh)
membor of my immediate family, and IS el(empt rrom Iicen.ing I Air-handling unil', Inoluding duels ;
requ~~rnenlS ~nder"ORS 701.010, . I u~ to 10.000 &M I i I . $1'.00 I $
;:i:~~:~t!;;:iqpl'lm~C;r~R$jt:l;$'l:I.\!'"~;tl@Jf~';Ai;;\:;~>\:;t:'1 I. ~:~~~~:'~o~:~sorJ'tion svslem/hcst ~qr Ul'~~'OO 1 $
Busiil', <lsS n.m~:~ :, ('/DO '+'r\r, ~,~..:~~, ~,S ~\J 1 I U~ to 3 hp1100l< ElTU -, \\,~S ~'\'$1"i:~Q, $
),~ I I Up to 15 hplSOOk BTtJ _ ,,,'ll "'e \\i~c '~(S2i1'9!i.. . $
Ad<lrbss: ,51 ~~~' '!%:fr ~~ 3_3 I UPte30hP/l,OOO.Bfl)e~v~'O'I'-":,,1,8~';;g<$43;o]1\'1$
I City:; ';SOn'"n:A' " '~~/?(jeV I ZIP, CJ7'-Lll W to S9,hp,'1,:.750'$;rllJ?\v:;'l:\os".',r\' ~)~~I,,~$!i7;~]l., $
Il'ho~' :;~U I ~ 4lP -, ~j\ ,'~*~'51L loyg- -:'Rl (p 1 Oyct:So'i1pfl';7S011W\W'~,,, \1:\' ':':":,<I,slu: h,,v$9S~~P.\)\S
~E;mdl: J%l(.')f~~~f~V~ C Clln::J .1 InelrierotorSllJ', ""\,v;,,,\\\ V~_~p'.' ,,,~. ,.;()\\"-
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I prjntl~~~'?~~\)'<':~'V'<-~..J. 'Xv 1 5nlcrtM~rv.li.iaiion'of'm.ol'.oie.rlYstcm .' ..
I ' i ~' ~\,.,; \)'. 1 nod instllll,Y.'iin("'Ot$r~(\\e\ '-,
s\gnt~e; ~ r5~, ~ ~\) ., ~~i~~;i~~~*l~~i~;;';f~~7;};tr?;~!; ~~~~;;~~;,,$~~~;f
, II __ ~ \ 4' .\0 II Rseins.p}elyctionu ~ed ,. I ) '$$:80000 $s' '
~\~&- A.. ~ I.; pc.; ",q e,. inspecti... ",01' .\t. . ..R.
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i \)' I (Il) Inve"lgative foe (oqo'II' tAll $ llllj
!eC)linlcrI2%surchll!1l<'{.12.lA+El]) 1 $ I
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1 ToTAL rees ond surcbnrges (A through El: 1 $&:J2.1-/,
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09/22/2009
U~/23/09
20:08
54168%613
J.CO_IN~ERPRISES
CITY OF SPR]NGFIEL~
WEU I:U9:08 fAX 041720360B
MechanicalliPermit Application
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22SPlf'111 SIT"'" Sprlngfl"d, OR 97477 . PH(541)126.37S) . FAXCl,')n6.36B9
440.2,';. SfJ (I110S/COM)
PAGE 02/02
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$17.00' $
$38.00 $
$58.00
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$ 1
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$13,00
$9,00
$13.00 I
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$7.0P I $
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CITY OF SPRINGFIELD
Building/C~mbination Permit
PERMIT NO: COM2009-01412
ISSUED: 09/23/2009
APPLIED: 0912312009
EXPIRES: 03/23/2010
VALUE:
"
Status Issued t
225 Fifth Street;Spri~"gfield, OR
541-726-3753 Phone::'...', .
541-726-3676 Fax:' j.!!.'
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541-726-37691nspection Line
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SITE ADDRESS: ,:265633RDST
ASSESSOR'S PARCEL NO.: 1702193100908
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
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PROJECT DESCRIPTION: . Inshill ductless heat pump in residence.
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Owner:
'. Address:
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KEPHART'RONALD G & MINDY A
,2656 33RD ST .
'SPRINGFiELD OR 97477
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Phone Number: 541-729-0470
I CONTRACT()R INFORMATION t
Contractor Type '!
Mechanical
Contractor
J COO INC
License
169209
BUILDING I~FORMA nON I
Expiration Date
04/1212010
Phone
541"746-7065
# of Units: # of Stories:
Primary Occupancy Group:. Heig~"l/Strncture
Secondary Occupancy Group: \~~Iit\~at:
Primary Construction' Type . \",-\' \~ ~lIl't Type:
Secondary Co~strnction 1;ype: \>.\..\.. \,'f,.'i! S 'i!\''''-~'~'ifype:
# of Bedrooms:. O'\\c.~. ~\\ sv.. x."'- "iv..'I ~\)C)~ergy Path:
~ c!. 'i!\'~ ~\) \Sl{.\) " \>.\)~ Sprinkled Building:
.,.\-1\" _ ~\1 L ~Q \"
I\\)"i~~~~c,\.~ ~\,"'-\\)' I DEVELOPMENT INFORMA nON t, <; ~ol}.;~\~ .
., c,C)\" \COC) \)~ . leo.l}\IREf)lTfRE.~ PARKING
i\\\'I \'i>'I'l 0le9u ~e\ \0' \-
Frontyard Setback: ':i'" Overlay Dist: 01e90\\ 'O~ \\\e \e51'<ital:,~.OO
Side 1 Setback: " # Street Trees Rqd: '0,\\0~" 609W~'(\05e II} '(\ c!I.ritdii:i!PpJil~
Side 2 Setback: Paved Drive Rq1"\~ lu\eS '3'e\\wl. 0 \\\loI}ge5 \ioln$,,~l:)\\e \\
Rearyard Setback: % of Lot Cover~~::)'I'l ?J,\\o\\ C 0\ ,00\ \\\ c09\ , \\\e \e' \\\\c?J,\\O
Solar Setbacks: '00\\\\C",- ra'i,'I:O ?J,~ o'OW \.'00\~;\\\\\~ '001',"
. ,_ r.!'-'" '.'Il\\ ~\el, ~"v. "",I',,,
I PUBLIC IMPKuv "'MEis::r-S:I,\~9 \\\el~;e OI~~OO:~~~
, . _ el \0 1\5
. \\I}\\''O ~aeWalk Type:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Street Improvements:
Storm Sewer Available:
Special Insiruction:
Downspouts/Dniins:
Notes:
i:
'[
I Valuation De,scriotion ~
Description
Tn;e of Construction
$ Per Sq' Ft
or mnltiplier
Sq uare Footage
or Bid Amount
Value
Date Calculated
Pa2e I of2
" :"
. Status
Iss)~ed
225 Fifth Street;Springfleld, OR ".
541-726-3753 Phone ,,,.. ....-. .
541-726-3676 Fax
541-726-3769 Inspecti?n Line.
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Total Value of Project
,.,':-;.
Fees P~id I
Fee Description
Amount Paid
Date Paid
Total Amount Paid
i:
$0.00
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Plan Reviews I
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01412
ISSUED: 09/23/2009
APPLIED: 09/23/2009
EXPIRES: 03/23/2010
VALUE:
Receipt Number
,
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.
I Reouire<llosnections I
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Rough Mecha~Ical: Prior to Cover
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Final MechaniCal: When all mechanical work is complete.
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By signature, I state arid agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is hue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances ofthe '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 permissiou of the Community Services Divisiou, Building Safety.
I further c.ertify that ~'nly contractors aud employees who are in compliance with ORS 701.005 will be used ou this project.
I furtber agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the
street, that the'permiti'card is located at the frout of the property, and the approved set of plans will remain 011 the site at all
times during construc!ion.
Owner or Contractors Signature
.
Page 2 of2
Date
225 Fifth Street .,
Springfield, Oregon.~7477
541-726-3759 Phone' ,I
Job/Journal Number
. COM2009-01412
COM2009-01412
COM2009-0]412
Payments: "
Type oCPayment
ONLINE CHGS
cReceintl
RECEIPT #:
, Description
]"st Appliance
~ 5% Technology Fee
,J 12%' State Surcharge
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;i>aidBy:
ONLlJ"E PERMIT CHGS
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1200900000000001088
Received By
KR
Check Number
Batch Number
Page I of 1
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 09/23/2009
Item Total:
,
,
Authorization
Number Ho~, Received
ONLINE J CO INC Online
Payment Total:
]0:36:36AM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
9/23/2009
SPRINGFIEL.D
Cit!;j ot Springfield
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Deyelopment Services Department
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Facsimile Cover f age
Fax: (5+1)726-5689
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T o::~ ~-ti::.L Fax: . ~@;B-5'Bl\.p ,
Ccimpan;j: , \. fiJ' ~4 !3 P0Q..
Fro~:.. ~o.to.~ '
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~u~.-r_?\ --\'Dd_D'.'6 ~h~ 0)0 \fY\u.L."'-. \ '. .
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Number ot pagesinduding this one: 'd--
It all pages indicated are not received, or it :!ou have an:!
trouble receiving this transmission, please call (5+1) 12,6-") 15 ").
22:5 ,Fifth Street, Springfield, OR '7 7+7~
09/22/2009 20:08
5415896513
J,CO_INTERPRISES
PAGE B1/B2
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J Heating,
. Air Conditioning,
CO & Refrigeration
Mailing: 5729 Main Streot ~233 Springfield, OR 97478
Office: 2200 li"Y 99 N Eugene, OR 97402
Phone: 541-746-7065
Fax: 541-688-58l6
www.jcoheatingandair.com
FACSIMILE TRANSMITTAl- SBEET
~---
COMPANY;
City of Sprfugfield
,
rIWM~
.Jeanette
DATE:
9(23/09
TO~
Katy"
,
F A.,'X NUMBtm:
726-~689
PAGES (JNCLUDJNG TH1S PAGE,);
2
o URGENT 0 FOR REVIEW
o PLSASE COMMSNT 0 n.liASE R8PL V
o PLrJASB RECVCLE
NOTE~/COMMENTS;
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jtCUtt+\-e. ~ jCOY\\ItAL. (om
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09/23/09 WED 09::08 FAX 5417263689
CITY OF SPRINGFIELD
I4J 001
*********************
*** TX REPORT ***
*********************
TRANSMISSION OK
TX/RX NO
CONNECTION TEL
CONNECT I ON ID
ST. -TIME
USAGE T
PGS. SENT
RESULT
1561
96885816
09/23 09:07
00'59
2
OK
SPRINGF1EL.O ~.~,',II..II,,_ '
, . - ':'.. . -1:.
'.
Cit9 of Springfield .
Developm~nt Services Deparl:m~nt
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facsimile Cover f age
fax: (5+ 1) 726-3689
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CompaQ!:):,), .('0, ~~^J 3 Mil,'
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MACHADO Nancy
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From:
. Sent:
To:
Subject:
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Jeanette Gunderson [Jeanette-jco@comcast.net]
Tuesday, September 22, 20092:46 PM
. MACHADO Nancy
RE: A Mechanical Authorization to Begin Work is. attached (69600"BMC-09-00131)
'.'
Nancy,
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My copy was ~lan~ too. The only part ,that printed was the receipt for the permit.
. 'Jo/Utotto {;IfHt{orsi:lj,.'
J. CO t-teeltL"'0 9 AL~
'Nt, 54i-74G-70G5
rel)C 54i-Ggg-5?1.~'
From: MACHADO Nahcy [mailto:nmachado@ci.springfield.or.us]
Sent: Tuesday,September 22, 2009 12:23 PM
To: jeanette-jco@comcast.net .
Subject: RE: A Mech~nical Authorization to Begin Work is attached (69600-BMC-09-00131)
Jeanette,
When I received notification of a p~rmit request, it was blank. Could you please resend. Tha~k you.
.NCUUlJ
j!
From: jeanette-jco@comcast.net [mailto:jeanette-jco@comcast.net]
,
Sent: Tuesday, September 22, 2009 10:28 AM
To: Springfield DSDMail
Subject: A Mechanic~1 Authorization to Begin Work is attached (69600-BMC-09-00131)
I
'I
The attachedPDF file contains a Mechanical Authorization to Begin Work,
ii,
This is the building"department copy. The customer has also been sent a copy of the att~ched PDF.
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MACHADO Nancy
From:
Sent:
To:
Subject:
. Attachments:;,
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jeanette-jco@comcast.net
Tuesday, September 22, 2009 10:28 AM
Springfield DSDMail
A Mechanical Authorization to Begin Work is attached (69600-BMC-09-00131)
MechanicalAuthorization T oBeginWork(ResidentiaIL-_Prod_20090922_1 02818.pdf
The attached'pDF file contains a Mechanical Authorization to Begin Work.
This is the buildingdepartmen,tcopy. The customer has also been sent a copy of the , attached PDF.
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