HomeMy WebLinkAboutPermit Mechanical 2009-6-22
City of Springfield
Mechanical Authorization To Begin Work
[-mailed To:, lindsey@marshallsiQc.com
69600-BMC-09-00002
6/22/2009 2:15 pm
Check on status of permit
By Phonc:541-726-3753 or Email: pennitccntcr@ci.springfield,oLuS
10 10<2 "mily dwell;,. 0 M,hi.f,m;]y 0 Comm,,,;,] o Acoe;,"cy ",;Id;,.
SublDlal
o NewCollsrruction
o Addition/alterationhepJact:me1l1
Description
" '7-
~ :,'j ,
r:irst Appliance Fee
St3tcsurcharge{12%ofpCn11it
tOlal)
Technology fee (5% of per mil
lotal)
TOTAL. PERMIT FEE
$3.95
I Job Address: 1139 CUSTOM WAY
I City/State/ZIP: SPRlt-:GFIELD, OR 97477
I Suitc/bh.lg.h1Ilt.no,:
I Project NlIme: MARTIN
Ie,"". SI",ud;,,";'" to iob ';I~'
I Taxffillpfparcelllo.:
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INSTALL DUCLTESS IIEAT PUMP
Name: BRANDI MARTIN
1"hone:541-915-5095
I F:mail:
Fax:
I CCBIic. no.: 25790
I Business Name: tvlARSHALLS INC
I Contact:
I Address: 41 10 OLYMPIC ST
I GI,/S""/ZIP, SP""'&-~4_Q;~ 974~5620 - - - l~ VlC..fIri'
I Pbo."'41.747.744fHIS PERMIT 5HAl1gI:,..t:d,r"t:~~ .'.1.::- r 'J:'-{
I Bm.'" AUTHORIZED UNUtK I HI~ l'_t,~~V~ '~~Unl v
I M,"ol;,_,"" r:OMMENCED Ohr;J,::i;,l\.l;jtll~UU"t.U ,u..
ANY 180 DAY PERiuu,
Upon review and approval by your local jurisdiction, your permit will be
e-mail~d 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 obtained.
ATTENTION: Oregon law requires you to
follow rules adopted' by the Oregon Utility
Notification Center, Those rules are set forth
in OAR 952.001-001 0 through OAR 952.001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344),
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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit';
t
Status
Issued
I
CIT\j OF SPRINGFIELD
,
,
Building/C~mbination Permit
PERMIT NO: COM2009-00900
ISSUED: 06/22/2009
APPLIED: 06/22/2009
EXPIRES: 12122/2009
VALUE:
_4:;~~INQI1lIIt~:
~:
'~
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1139 CUSTOM WAY
ASSESSOR'S PARCEL NO,: 1703263407300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New'.
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner:
Address:
CONNOLE BRANDI
1139 CUSTOM WAY
SPRINGFIELD OR 97477
, CONTRACTOR INFORMA TION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expirati~n Date
12123/2009
Phone
541-747-7445
# 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 1st Floor:
Sq Ft 2hd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther:
Occup4nt Load:
,
n/a
I DEVELOPMENT INFORMATION'
I PUBLIC IMPROVEMENTS I
REQUIRED PARKING
"
,
ATTENTION: Oreg~ffq!~l:requires you 10
follow rules adopt~~HjlJ'!I\~af!p~~:Jn Utility
Notification Center. :r~9!l!P.ll~tJS are' set forth
in OAR 952-001.0010 through OAR 952"001-
0090, You may obtaJncopies of. the rules by
_ _'",,_ _. -1-'- _ ___.._~', {"............. .1-1..... "'....I...."h"".........
n-u-~b;r to; t-h'e Or~gon Utility Notiiication
, Cenl.e.r is 1:.800.332-2344),
S,dewalk Type: '
F:ontyard Setf.t&i'ICE: Overlay Dist:
S~de I Setback: MIT SHALL EXPIRE IF T~t~~R"ees Rqd:
S,de 2 SetbackTHIS PER . ~ve Rqd:
Rearyard Setb~tk1HORIZED UNDER THIS PERMI y}ij;, t Coverage:
Solar Setbacks(;;OMMENCED OR IS ABANDONED FOR
!'fl,' ~ ~{ :1:1 ~:.~"::~.
Street Improvements:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
,
Notes:
IValuation Descriotion ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
f
Valuel:
, i
Date Calculated
Paee I of 2
. _S;Pr~tl!l~JRl.~K2,', .
~,;;. -
-"
-,
;1:.
Status
Issued
CITY VI' :srI{INGI'IJ!,LD'
BOilding/C()mbination Permit
PERMIT NO: COM2009-00900
. ISSUED: 06/22/2009
APPLIED: 06/22/2009
EXPIRES: 12/22/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
Total Value of Project
Fees Paid I .
$9.48
$3,95
$79,00
6/22/09
6122109
6122/09
Receipt Number
1200900000000000719
1200900000000000719
1200900000000000719 ,
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Total Amount Paid
$92.43
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 requested after 7:00 a.m, wm:be made the following
work day.
I Re9.,!ired Insp~,cti!"ns I
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 shali be done in accordance with
tbe Ordinances of tbe City of Springfield and the Laws of the State of Oregon pertaining to the work described berein, and
~,
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I fnrther certify that only contractors and employees who are in compliance with ORS701.005 will be used on this project, '
I further agree to ensure that all required inspections are requested at the proper time, that each a:ddress is readable from the
street, tbat 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
Paee 2 01'2
225 Fifth Street
Spri,ngfield, Oregon 97477
541-,726-3759 Phone
Job/Journal Number
COM2009-00900
COM2009-00900
COM2009-00900
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
In:<<~I~iJ..'....'':.....
..: .
.'. ...,. '.
,""",'-'---' "--.'"",'"
Ii
City of Sprihgfield Official Receipt
'i
Development Services Department
'.
Pu~lic Works Department
,
Date: 0612'2/2009
2:23:S8PM
1200900000000000719
Description
1st Appliance
+ S% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Received By
KR
Page 1 of 1
Item Total:
Check Number Authoriz~,tion
Batch Number Number
Amount Due
79.00
3,95
9.48
$92.43
i:
How Received
Amount Paid
ONLINE MARSHAL
LS INC
$92.43
Online
Payment Total:
$92.43
I
6/22/2009