HomeMy WebLinkAboutPermit Mechanical 2010-7-19
D New Construction
(Z] 1 or 2 family dwelling
c/o. q58
", Residential Mechanical Authorization To Begin Work
69600-BMC-10-00195
CitY Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci,springfietd.or.,~s,;<~,!..
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o Multi-family 0 Commercial
o Accessory
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Job Address: 1438 W1MBlEDON Pl
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Suitefbldg./apt.no.:
City/State/ZIP: SPRINGFIELD, OR 97477
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Project Name: Moessner
Cross Street/directions to job site:
Tax map/parcel no.:
Name: Earl Moessner
Phone: 541-736-4923
Email:
Business Name: J COO INC
Contact:
Address: 5729 MAIN ST #233
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1703342200811
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Fax: 541-688-5816
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CONTAACTOR" /;'+';:-'.
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CCB lie. no.: 169209
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City/State/ZIP: SPRINGFIELD, OR 97478
Fax: 541-689-1667
Phone: 541-746-7065
Email: jcohvac1@comcast.net
Metro lie. no.:
City lie. no.:
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Upon review and approval by your focal jurisdiction, your permit will be e-mafled or taxed
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 obtained.
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The local building department may determine that an A.uthorization TO"'~ Begi,1J. 'Work is, null and
void if it does not meet applicable land use laws and local ordinances.
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Approval Code: 099043 7/19/2010 3:36 pm
E-mailedTo:briilney@jcohvac.com
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Description
Heatin9/CooIIrlQ;Appiiances'
Heal Pump
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First Appliance Fee
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Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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$96.00
$11.52
$4.80
$112.32
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Inspections PHone: 541,726-3769
This ft:uthorization 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: COM20]O-00958
ISSUED: 07/20/20]0
APPLIED: 07/20/2010
EXPIRES: 01/20/20]]
VALUE:
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 1438 WIMBLEDON PL
ASSESSOR'S PARCEL NO.: 1703342200811
Springfield TYPE OF WORK: Heating System.
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Change ont heat pump
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Owner:
Address:
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MOESSNER EARL E & HAZEL M . ::.\;.,
1438 WIMBLEDON PL ..~:,:ii;
SPRINGFIELD OR 97477 ' cd'"
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
J COO INC
License
169209 '
BUILDING INFORMATION ~
Expiration Date
05106120 I 2
Phone
541-746-7065
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of StruCture
.c Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st 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 Setbacks:
h~l'ri;lY:Dis't:;: : ' " ,
"- ..' "...:~
'#~treet,T.fees Rqd:
"rayed Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
DownspoutslDrains:
Storm Sewer Available:
Special Instr:uction:J' Oregon law requires you to .
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tollow rules adopted by the Oregon Utility
Notes:Notification Center. Those rules are set forth
'n nAR q~2-001-001 0 throuqh OAR 952-001','" . c", ;,:.",
0090. You may obtain copies 01 me [" 0'" .' "
calling the center. (Note: the tele~ 1Vlt1uation Descri
number for the Oregon Utility Notifj~~..v
Center is 1-800-332:2344), $ Per Sq Ft
Description Type of ConstructIOn It' I'
. or mn Ip ICf
'NOTICE: FIRE \F lHE WORK
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tion~ iMMENCED OR \~'l
',I' ^<; r W PER\vc,
l\i": t ! VV 1-II'L '
Square Footage
or Bid Amount
Value
Date Calculated
, ' " ,," Paee I of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00958
ISSUED: 07/2012010
APPLIED: 07/20/2010
EXPIRES: 0112012011
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 Value of Project
I Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00.~.,),:, ~,
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$17.0Q.;4\.~,__"..~Ii..., '
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7/20/1 0
7/20/10
7/20/1 0
, 7/20/1 0
3201000000000000457
3201000000000000457
3201000000000000457
3201000000000000457
Total Amount Paid
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$1 12.3i ,f "
I Plan Reviews I
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'reqUllsted after 7:00 a.m. will be made the following
work day. ....
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LRell",Ired Insoections .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 'l,~w.s' ofJhhState ofQregon pertaining to the work described herein, aud
that NO OCCUPANCY will be made of any structilrei,witli'ouipermission of the Community Services Division, Building Safety.
I further certify that only contractors and employees'who.areiin compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectiorisare 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 Signature
Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000457
Date: 07/20/2010
8:29:50AM
Job/Journal Number
COM201O-00958
COM2010-00958
COM20 1 0-00958
COM2010-00958
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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J~e~eived By
NJM
Check Numher
Batch Number
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Item Total:
Authorization
Number
Amount Due
79,00
17.00
11.52
4.80
$112.32
How Received
Amount Paid
ONLINE J COO INC Online
Payment Total:
$112.32
$112.32
7/20/20 I 0