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Home My WebLink AboutPermit Mechanical 2010-7-16 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.Or.US":L-./ -;;' (]f()l6f Residential Mechanical Authorization To Begin Work 69600-BMC-10-00193 Approval Code: 093210 7/16/2010 8:59 am E-mailed.To:brittney@jcohvac.com -.:;~.~:", ,.-..",. o New Construction (K) Addition/alterationlreplacemenl """.;. ,-P;_.~'::,:".""-"\0<q,\ - ,"'>'" ",~< .~.~- :,',"'1:. ~ Description ':It:' _0:~ '"' .' -';i'C";6;TI;!'9RY{6~;~ONSfRUC:J;I()N."~ ..~c;. [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory i \'~ .;'JOB 'SITE INF.ORMA TION,ANo.i:bcA TJONc" ~J ,",e~~!hgiC:::oolingr~ppliances:;,:_~ . Heat Pump Min!nftimFees "}l.' CityfState/ZIP: SPRINGFIELD, OR 97478 First Appliance Fee Me~cha~ical P~r'r}lifFees~ - Subtotal Stale surcharge (12% of permit total Technology fee (5% of permillolal) TOTAL PERMIT FEE $79,00 Job Address: 1093 57TH ST .....".. Suite/bldg./apt.no.: $96,00 $11.52 Project Name: Tiller Pat $4.80 $112.31 Cross Street/directions to job site: Tax map/parcel no.: 1702331105300 install ductless heat pump ". , ,,' . '.SITE CONTACT.: ... .,' iI'............:........,... _ ...."'_ 01}';>+:/;~:;_ Name: Pat Tiller Phone: 541-746-6126 Fax: 541-688-5816 Emai1: :"t- CCB Iic. no.: 169209 Business Name: J COO INC Phone: 541~746-7065 Fax: 541-689-1667 '# ~~~ W ,?\9 ~~ \)':..0 ",m ~ ~~ ~ Contact: Address: 5729 MAIN ST #233 City/State/ZIP: SPRINGFIELD, OR 97478 Email: jcohvac1@comcast.net Metro lie. no.: City lic. no.: 1:c"r' Upon review and approval by your local jurisdiction, your permit will b~:';e-mailed "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 no~ 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. C07V2<:)/0,.. {JDtlS ( 7-/{P-/o /?/f- Inspections Phone: 541.726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit f.....,' 1t~,;it ,Oil, .7.!~ k;! CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00951 ISSUED: 07/16/2010 APPLIED: 07/1612010 EXPIRES: 01/16/2011 VALUE: Status Issued st:.~: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1093 57TH ST ASSESSOR'S PARCEL NO.: 1702331105300 Springfield TYPE OF WORK: Heating System " TYPE OF USE: New Residential PROJECT DESCRIPTION: Ductless heat pump Owner: Address: TILLER CARLOS D & PATRICIA 38879 UPPER CAMP CREEK RD SPRINGFIELD OR 97478 Phone Number: 541-746-6126 I CONTRACTOR INFORMATION I \~ Contractor Type Mechanical Contractor J COO INC ,.ti~~;k' ",""" Expiration Date 05/06/2012 Phone 541-746-7065 License 169209 BuiiDiNGIN-FORMATlON I # 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT_INFORMATION . Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: , Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: , Handicapped: , Compact: I PUBLIC IMPROVEMENTS I ATIENTION: Oreron law requires youto ",- ':,," ":, f IIS'd" u'I" 'Jl"-~ted by the Oregon Utility '-Y', :f t'''''''. 0 1 ,,\Va 1\' ype: , " Noflication Center. ,Those rules 2.1~e 5.8; forth Storm Sewer Available: ,~"'""!!!: :;<=",,~ in ~~,\'J'!?J(,uJ~/.Q~al!ls:iroll9h Oo,R 8",<,-001- Special Instruction: . ;},i;V, :" " 0090 You may obtain copies or 'he rlJl~3 by NOTICE: IRE IF THE WORK caliing the center, (Note:the teI81.;ho':e Notes: TH,IS, ,~~'~r\T S, \~IAn~LRETX!\S PERMIT I.S.NOT number for the Oregon Utility Notl1,cClt,on ..... "r".. Center is 1-800-332-2344). IW , '''"..- ABANDU\~::', n.. ~OMMENCES pOERp\\~n I Valuation Description ~ ,"v 180 011\ ,1 - -, I $ Per Sq Ft Square Footage or multiplier or Bid Amount Street Improvements: Description Type of Construction Value Date Calculated , ~4~:; r lr ' . ~; ',il~ . : ... !, ",,':',1' ~" Page 1 of2 " 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line " ) ~~Jtt ".";; .>:~; /'<~K CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00951 ISSUED: 07/1612010 APPLIED: 07/16/2010 EXPIRES: 01116/2011 VALUE: Status Issued ~'~~~:~iwr:- .,';" ~ I,'.'{'._', Total Value of Project Fees Paid . $11.52 $4.80.':; , $79.00 $17.00 ,'-" ". " . Date Paid 7/16/10 7/16/10 7/16/10 7/16/10 Receipt Number 3201000000000000452 3201000000000000452 3201000000000000452 3201000000000000452 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid i Total Amount Paid $112.32 Plan Reviews , :..:: '~r~"" . -'J '''.j': ";: " II" To Request an inspection call the 24 hour r;ecording,at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, i~W~cti~ns 'requested after 7:00 a.m. will be made the following work day. L.$eauired Insoections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical wor~ is complete. I',) By signature, I state and agree, that I have carefullyexamined,lhecom~leied application and do hereby certify that all information hereon is true and correct, and I f'!.rt~er'i:ertiiy that 'any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the'raws ofthe 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 fnrther agree to ensure that all required inspections are requested at the proper time, that each address is readahle 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 Signatnre ,',- . ,.~'",..;;",,- '"..-~- ~ ",.'., f:~(?I,H ,'1 :11~,:t' ;, -. ',. r;,'ii:i. Date Page 2 ~f 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000452 Date: 07/16/2010 IO:37:27AM Job/Journal Number COM2010-00951 COM20 I 0-0095] COM2010-00951 COM20 1 0-00951 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: Che~k Number Authorization Received By Batch Number Number How Received Amount Due 79.00 17.00 11.52 4.80 $112.32 Amount Paid NJM $112.32 $112.32 ONLINE J COO Online Payment Total: ",- L ~::>'" ,',",\'. ....'*=_t-t.....~. ",,;.,l,": -1" . rf:~~i-;, .',_~tii,rti,~~.. : ....,"'.~~:. .-.,:"".,..... . I) IYlr "; I( : 'I d. ',.1,'-' ",', . ,,<,_.M '~",,,,:.i'\' '/,j/f:~f. ........,- 'm};-! .1' '. ,'I': .-" .,- ,-,..,,"' .' Page 1 of 1 7/16/2010