HomeMy WebLinkAboutPermit Mechanical 2009-6-26
l"
" City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:lindscy@marshallsinc.com
69600-BMC-09-00006
6/26/2009 8:51 am
,
Check on status of permit
By Phone: 541-726-3753 or Email: permitcel1ter@ci.springtield.or.us
o NewConstruction
o Addition/allenltionlreplacement
I Description
-":'1':;;'5,'t,\~1
Ea. l Total I.
'""1!'~!iePt}1
517,001
\~Ci
$79,00j
',.i
'96,001
$11.521'
suo I
SJ12.32(
IHe"tPlImp
01 or 2 family dwelling 0 Multi-family 0 Commercial
o ACl;essory Building
I First AppJianceFee I:
li~'l~GH':Y{(G,~!;" piRM!l;FEES?:1~J~"
ISllbtotal
IStateSI:rchargC(12%OfPcnnit
total)
I Technology fee (5% ofpennil
total)
ITOTAL PERMIT FH
Job Address: 5840 G ST
City/Stllte/ZIP: SPRINGFIELD, OR 97478
Suile/bhJg.!llpl.no.:
Project Name: EUBANK
CrossStreet/tlirections tojobsite;
I r" m.plp;",' .:,- ( 19 ?_~~A i[j1- CD 3Q ]7
r~~~~50::z.€:i'DEsCRIP.TIONIOF:~WOFfK~.,~~i~~:t~~.&:!
INSTALL HEAT PUMP AND AIR HANDLER
Q 9 - <14-1 K~J HUit'QlQ I Dq
L, I '
;, 1__1
I' Name: JIM EUBANKS
I Phone: 541-747-0514
I F.mllil:
FlU:
10
I CCBlic.no.: I
I Bu,'.", N"mrlMh",s~,\1,1C,lVlJd ::JHALL tN'ltlt Ir 'Ht vvunJ\
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I Add"", 411J",W;UPV,lSl'JlJCU Uti Ii) ADili~u0i~cu r0f\
I C,<yIS''''''Z,,I;I!~~INb~\,LeJ& 9"Iii/;\;WU.
I Phone: 541-747-7445 Fax: 541-741-0821
, Emu;l:
,I J\lclru lie. nu.:
Cit}'lic.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 cenlEh. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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 within 180 days if a
permit is not obtained.
U)Xb 00...
\9:V, ~
~~~
: v. --\
The local building department may determine that an Authorization To
Begin Work is null and void if it does not meet a~Plicable land use laws
and local ordinances
This Authorization To Begin Wor~ must be posted at th~ job site until replaced by a Permit
Status
Issued
CITY OF SPRINlJl'mLD
BuildinglCombination Permit
PERMIT NO: eOM2009-00941
ISSUED: 06/26/2009
APPLIED: 06/26/2009
EXPIRES: 12/26/2009
VALUE:
~
225 Fifth Street, Springtield, OR '
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5840 G ST
ASSESSOR'S PARCEL NO.: 1702342200301
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
Owner: EUBANK JAMES S & DEBRA J
Address: 5840 G ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATWN .
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
Expiration Date
,
12/23/2009
Phone
541-747-7445
I. BUILDING INFORMATION'
"
# 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 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 SN@~CE: Paved Drive Rqd: , , COm!!acl' t
RearyarMet'JaEl'iMIT SHALL EXPIRE IF THE WOOl6f Lot Coverage: ATTENTION: dOregodnblaWthre6~~ge~X~~IIi~Y
Solar Setb~ uk,' ' IT S NOT follow rules a opte y e
/-IU fHURIZED UNDER THIS PERM I Noliflcation Center, Those rules are set forth
CDMMENGcU UK I~ /-ItjMUUI~C~'!lfBLlC IMPROVEMENTS;,. OAR 902-UU1-UUW mruug" VfM~ '''''j-vvb-
ANY 180 DAY PERIOD. . " )90, You may obtain copies 0 t e ru es y
Street Improvements: calliSidewalkOiJ1ype: (Note: the telephone
, ' numher for the Oregon Utility Notification
Storm 'Sewer Available: DO~Il~):'gI'1~/I?rgi'!.s:.l32-2344).
Special Instruction:
Notes:
c
I Valuation DescriDtion I .
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valu~
Dale Calculated
Pa2e 1 of 2
Status
Issued
225,Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Pair! I
Fee-Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump'
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
6/26/09
6/26/09
6/26/09
6/26/09
Total Amount Paid
$112.32
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: eOM2009-00941
ISSUED: 06/26/2009
APPLIED: 06/26/2009
EXPIRES: 12/26/2009
VALUE:
Receipt Number
]2<<0900000000000744
1209900000000000744
1200900000000000744
1200900000000000744
j!
II
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.
Renuirer!lnsnections 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 h"ereby 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 Springtield 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 ~ddress is readable from the
street, that the permit card is lo~ated at the front of the property, and the approved set of plans will remain on the site at all
times during construction. 1,
Owner or Contractors Signature
Pa2e 2 01'2
Date
225 Fifth Street
Springfield, Oregon 97477
\
S41-726-3759 Phone
Job/Journal Number
COM2009-0094I
COM2009-00941
COM2009-0094I
COM2009-00941
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
",'~:'.I~.,.":',',.....'.
~'
..,-'
1200900000000000744
Received By
Check Number
Batch Number
I'
City of Springfield Official Receipt
Development Services Department
Public Works Department
II
Date: 06/26/2009
9:10:58AM
Item Total:
Authorization
Number
Amount Due
79,00
17,00
4,80
11.52
$1]2.32
"
"
Howil'Received
Amount Paid
$112,32
KR
ONLINE MARSHAL Online
LSINC
Payment Total:
$] 12.32
Page I of I
6/26/2009