HomeMy WebLinkAboutPermit Mechanical 2010-7-12
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.of.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00181
Approval Code: 067547 7/12/2010 1:09 pm
E-mailedTo:brittney@jcohvac.com
o New Construction
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Description
,",eatin9iCP:OJJng\6.p'p!ia.~c~es'."_"
Heat Pump
MiniiT1um.I7:~~s ..
First Appliance Fee
!\II~c~a'hjcal:Permit'F.ees
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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:,.C<'A TEGORY:<)fiJ~ON1!TI!UCTION;;:.::~"~< - - -
~ 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
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Job Address: 3605 DUKE ST
City/State/ZIP: SPRINGFIELD, OR 97478
$96.00
$11.52
Suite/bldg./apt.no.:
Project Name: roche
Cross Street/directions to job site:
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$4.80
$112.32
Tax map/parcel no.:
1802061309214
install ductless system
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Name: Steve Roche
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Phone: 541-501-0889
Fax: 541-688-5816
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Email:
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CCB Iic. no.: 169209
Business Name: J COO INC
Contact:
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Address: 5729 MAIN 5T #233
CityfState/ZIP: SPRINGFIELD, OR 97478
Phone: 541-746-7065
Fax: 541-689-1667
Email: jcohvac1@comcast.net
Metro Iic. no.:
City Iic. no.:
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 o~ta~n~.~...._._~_._.... .;,
The local building department may determine that an Authorization To ~~~i~'~XW~r~~:~;t~~:lr"'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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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00921
ISSUED: 07/12/2010
APPLIED: 07/12/2010
EXPIRES: 01/12/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3605 DUKE ST
ASSESSOR'S PARCEL NO.: 1802061309214 ,'.' "
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Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PROJECT DESCRIPTION: Install ductless system
Owner: ROCHE STEVEN K
Address: 3605 DUKE ST
SPRINGFIELD OR 97478
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I CON;FRAET0R,INFORMATION ~
Contractor Type
Mechanical
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Expiration Date Phone
541-746-7065
Contractor
**J COO INC
License
169209
BUILDING INFORMATION ~
# 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' Buililing'
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ola
I DEVELOPMENT INFORMATION ~
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/~_~f Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC:IMPROVEMENTS ~
Street Improvements:", Or , ' Sidewalk Type:
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Storm set.?,~[.'f~v"~ji{iijleYJO, pled b; th~- O~re'rgeOSnYOUUtl'ltOt "YflCE: Downsoouts7Drlfi.;\\iE \NON01
"v"ICP'lnO Co t I Y 11 SHALL t/" ".- 1 IS
Special Ms9'~t~t~'!:l'j_ ,fJ er, :hoso rules are set forth lIS PERM R 1HIS PERM\
0090. You-~;:~O~~~ through OAR 952-001_ rn-\ORIZto UNDES I\BI\NDONED FOR
Notes: calling th . 0.1,1 copies of the rules by )" 11If,ENCED OR I
h . ,_e .~en~r. (Note: the tele ho ",'" 'nn ,,^y PERIOD.
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Center is 1-800-332-2344). 'VV~luation Descri
Description
Tvpe of Construction
$ Per Sq Ft,.
or multiplier '
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'~'$quare Footage'
",:\ir Bid Amount
Value
Date Calculated
Paee 1 of 2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Pr,oject
, Fees Pa\d..l , ...,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount P~id,:,.
:'-"',,-"
, ;'.'/;Date Paid
$11:52'
$4.80 '
$79.00
$17,00
7112/10
7/12/10
7/12/10
7/12/10
Total Amount Paid
$112.32
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00921
ISSUED: 07/12/2010
APPLIED: 07/12120]0
EXPIRES: 01/1212011
VALUE:
Receipt Number
3201000000000000420
3201000000000000420
3201000000000000420
3201000000000000420
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.
Reouired Insoections I
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 carefui'l~'ex~mined 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 descrihed 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 requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of t~e property, and the approved set of plans will remain on the site at all
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times unng construe Ion. , ,,?{::J~. ,:,.~~.:..';<;; ,.'. ~ ;
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Owner or Contractors Signature
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Pace 2 of2
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Date
225 Fifth Street
Springfield, Oregon 97477
541~ 726~3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000420
1:45:54PM
Date: 07/12/2010
Job/Journal Number
COM20 I 0-00921
COM20 10-0092 I
COM20 I 0-00921
COM20 1 0-00921
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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Amount Due
79.00
17.00
\\.52
4.80
$112.32
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE
$112.32
$112.32
JCOO Online
Payment Total:
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7/12/2010