Loading...
HomeMy WebLinkAboutPermit Mechanical 2010-7-13 D City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us (; I() .Q3& 'Residential Mechanical Authorization To Begin Work 69600-BMC-10-00186 Approval Code: 013313 7/13/2010 2:40 pm E-mailedTo:brittney@jcohvac.com ~~l~7 ;, f0'ft.",> ':, ',~",,:;~., \ i,i '0CATE.GORY:OF[CONST~u9tION' ':,';:; 00 1 or 2 family dwelling 0 Multi-family 0 Commercial qi ft7ces~~ry ;, ' < ,(I!J6B~SITE fNFORM:A.TIONANDCOtAJ'ION"~~;\-"i\~,;~':*:, ,': QIy, Hea~il1g~C,()oling,~ppliance'~lt,'"-f:, ~-... t::: Heat Pump M!!"l!mum'.Fee.s" first Appliance Fee ~echa~!cal P_erJ!litFees~,< Job Address: 6830 JESSICA DR City/State/ZIP: SPRINGFIElD, OR 97478 Project Name: Marsh Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) $96.00 $11,52 Suitefbldg.fapt.no.: Cross Street/directions to job site: TOTAL PERMIT FEE $4.80 $112.32 Tax map/parcel no.: 1802031403400 Install Heat Pump -''h' ,~~ , Fax: 541-688-5816 CCB lic. no.: 169209 , " , 'c:o~TAA~ctOR"', Business Name: J COO INC Contact: Address: 5729 MAIN ST #233 City/State/ZIP: SPRINGFJELD, OR 97478 Phone: 541-746-7065 Fax: 541-689-1667 Metro /fe. no.: City lie. no.:' .'( ,"- ,,'~.'" ~~ ~.\g ~~ ~~ Email: jcohvac1@comcast.net Upon review and approval by your local Jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires wlthin1BO days if a permit is not obtained. The local building department may determine that an Authorization To Begin Work i!!l null and void if it does not meet applicable land use laws and local ordinances. Cun~/ 0,-- (!XJ~V 7-- 8-10 /J~ :,:J;'i:r. ~r-.~~ ..~~~~{L~~i..' Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6830 JESSICA DR ASSESSOR'S PARCEL NO.: 1802031403400 PROJECT DESCRIPTION: Install heat pump Owner: MARSH SHAWN G & SALLY A Address: 6830 JESSICA DR SPRINGFIELD OR 97478 '. '" :,t CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00936 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01113/2011 VALUE: . Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential Phone Nnmber: 541-736-0880 I CONTRACTOR INFORMATION ~ License 169209 "BUILI)JNG INFORMATION ~ Contractor Type Mechanical Contractor J COO INC # of Units: Primary' Occupancy Group: Secondary Occupancy Group: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sp.i.:ink!~d:,Buiiding: Expiration Date 05/06/2012 Phone 541-746-7065 nla Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION. ~ I PUBLIC IMPROVEMENTS ~ . . .' ;res yoU 10 ,,,,,. r.\i aqOn laW requ, n Utilily "TTHSidewalk TYPS:oy 1\18 Orego Ilorlh \I W ~I\es adoP'''~h~~'' rules ale se 10~. ,I:18w\1.spouts/Drains: gh aMi 952-001- Noll Ica~52_001-001 0 IhroU 01 Ihe rules by In O"R oU may oblain Cople~\18 lelephone 0090;r;g 1\18 cenler. (NOI~il\ilY Nolilicalion ca \ r lor Ihe Ore~~n_ 2-2.344). ~~~ ~EtRMIT SHALL EXPIREI ~~!lrJ~~~escriPtion I Cen AUTHORIZED UNDER THIS p~:~ ,', f'OI\;r,vpe\ofllin1fl.J~ti~~ANDr$tP"~f<Pf.\ " .. ..' . Squa.re Footage " ... Y PERIOD or multlpher'''''''''''''or.Bld Amount "V 1Rf)DA . ,__,...._., Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: , . ~'",~ :', .- T: '11 ~i .. . <",{' "tiIf\F :i!,)~T :.' rr:.::"Il':" i, Page 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated ..,,"'-..... 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ....' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00936 ISSUED: 07/13/2010 APPLIED: 07/13/2010 EXPIRES: 01/13/2011 VALUE: Status Issued . :.t-j;~, :'( ""\ ."" ...... Total Value of Project LFees Paid" Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump : ~ r . " . . ' Amount Pai.9fmi' :,t..h. ;' j!'\j":, .,: qate Paid $11 52'''~~' '., 7/13/10 $4:siP:\f :';'( 7/13/10 $79.00 7/13/10 $17.00 7/13/10 Receipt Number 3201000000000000434 3201000000000000434 3201000000000000434 3201000000000000434 Total Amount Paid $112.32 Plan Reviews I, To Request an inspection call the 24 hOUJ; recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day,'Yns'pections requested after 7:00 a.m. will be made the following work day. ' LReouired InsDect~ Rougb Mechanical: Prior to Cover Final Mecbanical: When all mechanical work :is' complete. .J,lt,i"ti ~.:.~; ;-~'-..~ .: ~i. 1-"....... By signature, I state and agree, that I have carefullj.:e'X::iminedjthe completed application and do hereby certify that all information hereon is true and correct, and I furth'Cr'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 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 the property, and the approved set of plans will remain on the site at all times during construction. Owner or Contractors Signature :,.'.,2:I.'h :", . ~ ~ !.. ~ , r I Date ..>l, . ,Paee 2 of,2 l~":~'" 'jl~ \:,~',. . , : . . ....-........... ,--"..q_..... ., ~ ,.,- 225 Fifth Street Springfield; Oregon 97477 541-726-3759 Phone iU~F.!!'::_" -,:,mm'" 0:" .._^,....".w..,~,...,.... ,_ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000434 3:09: 11 PM Date: 07/13/2010 Job/Journal Number COM20 I 0-00936 COM20 I 0-00936 COM20 I 0-00936 COM20 I 0-00936 Payments: Type of Payment ONLINE CHGS cReceinll Description 15t Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ..'..,.,.. , . , , ,~=..r:. Amount Due 79.00 17.00 11.52 4.80 $112.32 Received By NJM Item Total: Check Number Authorization Batch Number Number How Received Amount Paid ONLINE JCOO Online Payment Total: $112.32 $112.32 ,,;. ';1'. p.... ,J, ~ \J( P' ,l1 . : I'J:l;' I,.,' , ~'i "~'f;"" ,. "...",,, . . 'I,..I~,,;~.; ,h " ,',,;:' '.','" ',-"',.:".".' '':':':';.:'''::':'. ........... I.t!t' ,i:.:~r:'j~~' . -''''', . , ..:~j. M-~ . f"Jl . .,...~_..... ...... Page I of I 7113/20 I 0