HomeMy WebLinkAboutPermit Mechanical 2010-6-10
&O.755
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permUcenter@ci.spril1gfield.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00131
Approval Code: 043352 6/10/2010 3:41 pm
E-maiJed To: brittney@jcohvac.com
00 1 or 2 family dwelling D Multi-family
$17.00
$79.00
Job Address: 4449 JASPER RD
City/StatelZIP: SPRINGFIELD, OR 97478
Subtotal
State surcharge (12% of permit
total
Technology fee {5% of permit total)
TOTAL PERMIT FEE
$96.00
$11.52
SuitelbldgJaptno.:
Project Name: Bemette
$4.80
$112.32
Cross Street/directions to job site:
1802052408204
C'JO-155 ~
LQ \H \ \ 0
Fax: 541-688-5816
eee lie. no.: 169209
Business Name: J COO INC
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Contact
Metro lic. no.:
City lie. no.:
A'TTENTION: Oregon law requiree you to .
follow rules adopted by the Oregon UtIlity
Notification Center. Those rules are set forth
In OAR 952{)01-001 0 through OAR 952{)01-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility NotificatIOn
Center il1-80Q-332-2344).
Email: jcohvac1@comcast.net
Upon review and approval by your local jurisdiction, your pennlt will be e-mailed or faxed
within one business day, with Instructions on how to schedule your Inspection.
NOTE; This Authortzation To Begin Worll: eJ:plres WIthin 180 daY" If II pennlt Is not obtained.
The local building department mill)' detennine that an Authorl%atlon To Begin Work Is null and
void If It does not meet applicable land use laws Ind local ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
r-
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00755
ISSUED: 06/11/2010
APPLIED: 06/10/2010
EXPIRES: 12/11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4449 JASPER RD
ASSESSOR'S PARCEL NO.: 1802052408204
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install new heat pump
Owner: BURNETTE PATRICIA L & BARRY P
Address: 4449 JASPER RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
J COO INC
License
169209
BUILDING INFORMATION.
Expiration Date
05/06/2012
Phone
541-746-7065
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemcnt:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n1a
I DEVELOPMENT INFORMATION .
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:.
Side 1 Setback: ....."" ..,.. ,,",:;' # Street Trees Rqd: Handicapped:
~::~]t~WI{fh~m SHALL EXP1~'~';;\~~;'~~~:idL~;~:i~nON: Oregon law reqUiresC;::;t:
Solar SE I~~~ . I NDER THIS PERMIT IS NOT " follow rules adopted by the Oregon Utility
COMMENCED OR IS ABAND Lie IMPRO' ~1-00'10throughOAR 952-001-
St t Ill, NY 1RO DAtY PERIOD. 0090 "au may~' s oltheruleabV
ree mprovemen s: . l' YRe:t I h .
calling the center. 0 e:"l e e ep o~
number for the QQll\!'Spdaltil~rtIiWti1icatlon
. Center is.1-~OO-332-2344).
Storm Sewer Available:
Special Instruction:
Notes:
. .
,
I Valuation Description ~
Description
Tvpe of Construction
S'Per Sq Ft
or' niultiplier
, . Square Footage
, o~."~id'Amount
Value
Date Calculated
Pa!!e 1 of2
.: . '. ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00755
ISSUED: 06/11/2010
APPLIED: 06/10/2010
EXPIRES: 12/11/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
L
Total Value of Project
~
Fee DescriDtion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid Date Paid Receipt Number
$1l.52 61ll/10 3201000000000000296
$4.80 61ll/1O 3201000000000000296
$79.00 6/1l/1O 3201000000000000296
$17.00 61ll/1O 3201000000000000296
Total Amount Paid
$1l2.32
I Plan Reviews ,
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.
~eouirerUnsnect~
Roul(b Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By sil(nature, I state and al(ree, that I have carefully examined the complcted application and do hereby certify that all
information hereon is true and correct, and I further certity 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 permission of the Community Services Division, Buildinl( 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 reque~ted 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.
Owner or Contractors Signature
Date
Pal!e 2 012
225 Fifth Street'
Springfield, Oregon 97477
541-726-3759 Phone
Gr;Q~;~.' . ........
Wii:. .
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000296
Date: 06/11/2010
9:26:34AM
Job/Journal Number
COM20 I 0-00755
COM20 I 0-00755
COM20 I 0-00755
COM20JO-00755
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
KR
ONLINE J COO INC Online
Payment Total:
$11232
$112.32
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6/11/2010