HomeMy WebLinkAboutPermit Mechanical 2010-6-23
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone:.541-726-3753
Email: permitcenter@ci.springfield.or.us
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.Residential Mechanical Authorization To Begin Work
69600-BMC-10-00147
Approval Code: 057804 6/23/2010 4:32 pm
E-mailedTo:brittney@jcohvac.com
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D New Construction
lRJ Addition/alterafionJrepJacement
J;ATEGORY Clj:iCONSTRjJ~mlpN,;r'l';:t;;rti!;r't;
[R] 1 or 2 family dwelling 0 Multi~family 0 Commercial D'~Xd2essory~>i.
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.JOB,SITE INFORMAfioN'ANDt:OCATION.:!Jii ';" -I, V
Job Address: 561 HAMILTON ST
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CityfStatefZIP: SPRINGFIELD, OR 97477
SUite/bldg./apt.n<? :
Project Name: Riley
Cross Street/directions to job site:
Tax map/parcel no.:
1703341208500
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Reconnect Heat Pump
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Name: Donovan Rllev
Phone: 541*521-1892
Fax: 541-688-5816
Email:
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~O~JR5CTOR
ceB lie. no.: 169209
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Business Name; J GOO INC
Contact:
Address: 5729 MAIN ST #233
City/StatefZIP: SPRINGFIELD, OR 97478
Phone: 5417467065
Fax: 5416891667
Emafl: jcohvac1@comcast.net
Metro,lic. no.:
City lie. no.:'
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Upon review and approval by your local jurisdiction, your permit wiil be a-mailed or
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorilation To Begin Work expires within 180 days jf a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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00615
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Description
tfea~ingjCooling<6.ppliances:+;"~.
Heat Pump
Ml6ii1'1um Fees:
Firsl Appliance Fee
MechanicaJ.permi,t 'Fees
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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faxed
FEES.CHEDUhE'
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Total
$17,00
$96.00
$1152
$4.80
$112.32
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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
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00815
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 561 HAMILTON ST
ASSESSOR'S PARCEL NO.: 1703341208500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Reconnect heat pump
Owner: RILEY DONOVAN
Address: 561 HAMILTON ST
SPRINGFIELD OR 97477
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Phone Numher: 541-521-]892
I CONTRACTOR ]NFORMATlON I
Contractor Type
Mechauical
Contractor
J COO ]NC
License
169209
BUILDING INFORMA nON ,
Expiration Date
05/0612012
Phone
541-746-7065
# of Uuits:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
.. . Water Type:.:'
., "'.' . Range Type',
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Pil~ed Drive:Rqd,
<"','i'~ , ,
%of Lot Coverage:
';~':'~""~ ,~;."',,~ '..
REQUIRED PARKING
Total:
- . ,. Handicapped:
Compact:
I PUBLIC IMPRo~'lYi~~Wr: Oregon law requires you to
adopted by the Oregon Utility
Notification CenteS,i~15 iTh'1lS:are set forth
In OAR 952-001-0Q,1 0Jl;1[RMlW/HMJ.l52-o01.
0090, You may obyNih copies ortner-urea by
calling the center. (Note: the telephone
. number for the Oregon Utility Notification
. Center is 1-800-332-2344).
THI. nl i='x'PIRi= i= K . ,,'
AUTHORIZED UNDER THIS PER~I~~ I~U I . :. I
COMMENCED OR IS ABANDON [) u~ti,on Description
ANY 180 DAY PERIOD.
Description Tvpe of Construction
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE:
$ Per Sq'Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page] of2
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
LFees Paid.l'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Heat Pump
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Amount'PaId",. .
Date Paid
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$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
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6/24/10
6/24/10
6/24/10
6/24/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM201O-00815
ISSUED: 06/24/2010
APPLIED: 06/24/2010
EXPIRES: 12/24/2010
VALUE:
Receipt Number
3201000000000000330
3201000000000000330
3201000000000000330
3201000000000000330
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.
LReouired InsDections ~
Rough Mechanical: Prior to Cover
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Final Mechanical: When all mechanical work is complete,
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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 of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission oflhe Community Services Division, Building Safety.
1 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 th'e:property,.and the approved set of plans will remain on the site at all
t,'mes dur,'ng construct,'on . . t?t,~ ~l{,.. \'1! :',i . ,. f.
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Owner or Contractors Signature
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Page 2 of2
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Date
225 Fifth Street
Springfield, Oregon 97477
541-726~3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
320io00000000000330
Date: 06/24/2010
8;OS;38AM
Job/Journal Number
COM2010-00815
COM20JO-00815
COM20 10-00815
COM20 1 0-00815
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
,:,~'S)~'> ".. _,.~ Che~k Number
Ri~~ived 'iiy. :'. - Batch lNumber
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.NJM' ONLINE
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Page I of 1
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
J Coo Inc Online
Payment Total:
$112.32
$112.32
6/24/20 I 0