HomeMy WebLinkAboutPermit Mechanical 2009-6-22
Qity of,Springfield
lC'!>i
-
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
,
.(
69600-BMC-09-0000 I
.
6122{2009 2:06 pm
Check on status of permit
By Phone: 54] -7+6-3753 or Email: perinilccnter@ci.springfield.or.us
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D NewConstruction
o Addition/alteration/replacement
IDes~riPtioll
l]l Qty.
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jFirsti\pplianceFee
l~tf!;qH~\NICA~\PER~itL F-EES.'':,
I Subtotal
Istme surchargc (12%ot'p<:nTIit
totul)
/TeChnOlogy fee (5% of penn it
total)
I TOTAL PERMIT FEE
J JubAddrcss: 1224S 39THST
City/Stale/ZIP: SPRINGFIELD, OR 97478
I SuiteJbldghpt.no,:
I Project Name: GEORGE
I C,""S:"'<I""'''O", '"iob,;'''
I TllX mapfparcel no,;
$79.00
$9.481
$3:951
$92..131
CC1-QO\
Kt
Lo (00 I OCJ
INSTALL DUCTLESS HEAT PU1\.!P
I Name: MARGARET GEORGE
Phone: 54]-726.9389
Fa\:
Email:
I CCH lie. 110,: 25790 U nTI,.....
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Business Nllme: M~ML~\tJn
I ",,- 1'~.Ir.1!T::JII;"~L E);r;r.E: If filE: V,,Jni\
Conf:,cl: ^'JTIVH'"..,r-O "t"............ '" ,'" .~ _.__
I ,;_. ,J. .,~~ l1.'LJ':'(" III" fHilvllf 10 lVU J
Address: 4110 OL YMP.1r "T
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I Cil)'/Stntc/ZII':SPRINfiFJEID,()R Q7478S J .., UIIJCU run
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Phone: 541-747-7445 I'lIx:s:fJ'-741-082J
Melro lie. no,:
City lie. no.:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952.001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the teiephone
number for the Oregon Utility Notification
Center is 1.800.332.2344),
,
Email:
Upon review and approval by you'r 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 within 180 days if a
permit is not 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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit!
,
"
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CIT~ OF SPRINGFIELD
Building/Combination Permit
"
Status
Issued
PERMIT NO: COM2009-00901
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
SITE ADDRESS: 1224 S 39TH ST
ASSESSOR'S PARCEL NO,: 1802064200110
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: GEORGE MARGARET E
Address: 1224 S 39TH ST
SPRINGFIELD OR 97478
I :CONTRACTOR INFORMA nON I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
i
Expirati'on 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 ind Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
,
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Seiback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage: .
" REQUIRED PARKING
"
I'Total:
II Handicapped:
:~ Compact;
. . [PUBLIC IMPROVEMENTS I ..'
NOTICE. . . , ~ ~t" "'._~ "law requires you to
Street Improvem~\ltspERMIT SHALL EXPIRE IF THE WORK ATTSl(Jewa k.T.yre:on UtTt
[ HI;:' . folio'" rules adoDted by the Oregon I I Y
Storm Sewer AvailablPl"'lZEO UNDER THIS PERMIT IS NOT N t'f,QownspoutsfDrains:'e rules are set forth
. ' ~v " ,;,J'r\ 0 IIL>CtlIUll -.J1:;;11~CiI. . I.",",~
SpecIallnstruceeHJIMENCED OR IS ABANDONED FOR in OAR 952-001-0010;through OAR 952-001-
ANY 180 DAY PERIOD, 0090, You may obtain copies of the rules by
calling the center. {Note: the telephone
n"mhpr for the Oreqon Utility Notification
Center is 1.8UU'00~-~'l'l't},
"
Notes:
I V~luation Descdotion I
Description
Type of Construction
$ Per Sq Ft
. or multiplier
Square Footage
or Bid Amount
,
Value,
I:
ii
Date Calculated
Pa2e 1 01'2
_S!'l!R1U"'QIj'I~~p')
/
Status
Issued
CIT'X; OF SrKll~GFIELD
Building/Combination Permit
"
PERMIT NO: C,OM2009-00901
ISSUED: 06/22/2009
APPLIED: 06/22/2009
EXPIRES: 12/2212009
VALUE: . .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Plli~ ,
$9.48
$3,95
$79,00
6/22/09
6/22/09
6/22/09
Receipt Number
1200900000000000720
1200900000000000720
1200900000000000720
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. will 'be made the following
work day.
I R~P?j.rerl T~~'lections.'
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signatnre, 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
tbe Ordinances of tbe 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 Servi~es Division, Building Safet)',
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
Date
Paee 2 of 2
225 Fifth Street
Spripgfield, Oregon 97477
541-\726-3759 Phone
Job/Journal Number
COM2009-0090 I
COM2009-00901
COM2009-0090 I
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
+ 5% Technology Fee
+ 12% State Surcharge
1st Appliance
Paid By
ONLINE PERMIT CHGS
1200900000000000720
. Received By
KR
Check Number
Batch Number
Page I of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
.'
Date: 06/22/2009
Item Total:
Authorization
Number
ONLINE MARSHAL
LS INC
I
How ,Received
Online
I
Payment Total:
"
,.
2:30:29PM
Amount Due
3.95
9.48
79.00
$92.43
Ama.unt Paid'
$92.43
$92.43
6/22/2009