HomeMy WebLinkAboutPermit Mechanical 2010-7-13
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00183
Approval Code: 028077 7/13/2010 8:47 am
E-mailedTo:brittney@jcohvac.com
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Cross StreeUdirections to job site:
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Description
Heatj;'gJ9o-o'in'giAppnance!f~
Heat Pump
~ihirnum" F:tl~'s_t ""~~~:';~" r
First Appliance Fee
N!echc:ln!ci.l" PerfnJtFees
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
Ea.
Total
, " ,:'~bBrSrTEjNFORMA TrON ;;NDLOCA'TION. ';',. "'z ," ~i
Job Address: 634 HAMILTON ST
,
City/State/ZIP: SPRINGFIELD, OR 97477
$96.00
$11.52
Suite/bldg./apt.no.:
Project Name: Schoenberg
$4.80
$112.32
Tax map/parcel no.:
1703341206400
install heat pump
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, c.!:lIJE'CONTACT.
Name: Mark SchoenberQ
Phone: 541-953-2130
Fax: 541-688-5816
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Email:
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CCB lie. no.: 169209
Business Name: J COO INC
Contact:
Address: 5729 MAIN ST #233
City/State/ZIP: SPRINGFIELD, OR 97478
Email: jcohvac1@comcast.net
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Phone: 541-746~7065
Fax: 541-689-1667
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Metro lie. no.:
City lie. no.:
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Upon review and approval by your loca/ jurisdiction, your permit wiJI be e-rrntJled or faxed
within one business day, with Instructions on how to schedule your Inspection.
NOTE: This Authortzation To Begin Work expires within 180 days if 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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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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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00851
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 01/13/2011
VALUE:
Status
Iss u ed
SITE ADDRESS: 634 HAMIL TON ST
ASSESSOR'S PARCEL NO.: 1703341206400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric supply to heat pump
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Owner:
Address:
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SCHOENBERG MARK A & DEBORAH"
634 HAMILTON ST ...,.
SPRINGFIELD OR 97477
Phone Number: 541-953-2130
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical .
Contractor
OWNER
License
Expiration Date Phone
BUILDING INFORMATION ~
VB
#. of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
n/a
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMATION ~
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"Overlii'~"DHt:' ...
,~:~I~ireet Trees Rqd:
.Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS ~
Storm Sewer Available:'
Special Instruction:
Sidewalk Type:
,. ",ponD law requires you .to
. . AHENTIOh. DOj(nspouts/Drains:on Utility
'.fQllpw rules adop eu uy ~'~~I~~ -a~e set forth
Notification Center. Th~S hOAR 952-00,-
..; in OAR 952-00, -O~t~~~ :~~i~S of the rules by
H:' " ^. 0090.YoU, may ~'n nte: the telephone
NonCE: . F1U-'-,1',nin<. "b"r'io~theOregonUti\!ty Olli"
-HIS PERMIT SHALL EXPIRE I HvlthHition Descn ~IO'B Center is ,_800-332-2344),
I NDER THIS PERMI ,,'W
." AUTHORIZED U " ~ . "~ONE~ ;PJij;'lSq Ft Square Footage
DescrIPtIOn)" M EI:r;v.pe'of'60n~tr\uclIon I' I' B'd A
Gt IVI \IuCU tJt I ,..... , - or rnu tip ler or I ' mount
ANY 180 DAY PERIOD
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Street Improvements:
Notes:
Value
Date Calculated
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p, CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00851
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 01/13/2011
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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'Total Valne of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm ServlFdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$8.D4 '
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$3.35,., .'" '":;1\. '.'
$55.00""ll
$12.00,.~~:; . .<'
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$10.44;:, .
$4.35
$6.00
$81.00
$11.52
$4.80
$79.00
$17.00
6/29/10
, 6/29/1 0
6/29/10
6/29/10
7/7/10
7/7/10
7/7/10
7/7/10
7/13/10
7/13/10
7/13/10
)/13/10
Total Amount Paid
$292.50
I . J:'lan Reviews I
Receipt Number
3201000000000000343
3201000000000000343
3201000000000000343
3201000000000000343
2201000000000000803
2201000000000000803
2201000000000000803
2201000000000000803
3201000000000000431
3201000000000000431
3201000000000000431
3201000000000000431
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.
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lJe'illJirec1J~~~ections ~
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Rougb Electric: Prior to Cover
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Final Electric: When all electrical work is complete.
Electric Service: Approval required prior to utility company energizing service.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00851
ISSUED: 06/29/2010
APPLIED: 06/29/2010
EXPIRES: 01/13/2011
VALUE:
By signatnre, I state and agree, that I have carefnlly 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 o(.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 req~ested.at the proper time, that each address is readable from the
street, that the permit card is located at the front,ofth'e p'roperty; and the approved set of plans will remain on the site at all
times during construction. ','. "" .
Owner or Contractors Signature
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Date
225 Fifth Street
SPr:ingfiel,~, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000431
Date: 07/13/2010
9:07:04AM
Job/Journal Number
COM2010-00851
COM2010-00851
COM2010-00851
COM2010-00851
Payments:
Type of Payment
ONLINE CHGS
cReceiotJ
Description
Heat Pump
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Received By
nJm
~heck Number
.Batch Number
ONLINE
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Item Total:
Authorization
Number How Received
Amount Due
17,00
79.00
11.52
4.80
$112.32
Amount Paid
jcoo Online
Payment Total:
$112.32
$112.32
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7/13/2010