HomeMy WebLinkAboutPermit Mechanical 2009-7-1
City of Springfield
Mechan'ical Authorization To Begin Work
E-mailed To: Iindsey@rnarshallsinc.co'm
7/112009 8:43 am
69600-BMC-09-00009
Check on status of permit
By Phone: 541-726-3753 or Email: permilcenter@ci.springlield.or.us
I 0 New Construction 0 Addition/alteration/replacement
1~'Z~{€t+t~t :.~~>1Jfff\~~'c'J\"iE(fdRY:6F.:c'cfNSTRUCTION?t~if:':~~"t~~~'iMk~~f:#PjSi
10 10" r,mily dwd];" OM,It;-r,m;]y 0 Comm",;,] OA"""'Y B,;]il;"
Job Address: 754 JANUS 51'
City/Slate/ZIP: SPRINGFIELD, OR 97477
Suilefbldg.lapl.no.:
Project Name: BAKKE
Cross Strcet/directioDS'lojob site.:
To> m,p/pm,] ", \ ,:\Q'b'04 ~'l. rOJJlJ
1~.$~;,;i&is~~i;:~=~~:;5DESCRIP'JloN:6F~wo.~Klt4~r~~~FJ~%t04ft&:~4;,;q~il
INSTALL DUCTLESS HEAT PUMP
Name: BARBARA BAKKE
Phone: 541-744-168]
""ax:
Email:
CCBlic. no.: 25790
Business Name: MARSHALl.S INC
Conlact:
Address: 411,0 OLYMPIC ST
City/State/ZIP: $PR1NGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-0821
Email:
Metro lie. no.:
City Jk. no.:
Upon review and approvalby 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.
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
I Description
I First Appliance Fee r 1
1i\~EC!I~Bi~;Ai;pfJiJ)~Iiftt~~(~..!S.lhtff ,,";iP~~~
I Subtotal Ii
I Slale ~lJrcharge (12% of permit
tolal)
I Technology fee (5% of permit
lotal)
ITOTAL PERMIT FEE
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
'I
~ ip-oq
0/-01 :!- 09-
q\J~
GC\/
~:I';1
-,.;..,..+ 'I
$79.001
$79.001
$9.48
$3.95
,92,431
0001(0 f(
f\.j'r<\
_~l~RIN,",Ii'lI!:I:I:~1
-I" .,
k'J'
Status
Issued
CITY OF SPRINGFIELD
Building/Co'mbination Permit
II
PERMIT NO: COM2009-00968
ISSUED: 07/01/2009
APPLIED: 07/01/2009
EXPIRES:. 01/01/2010
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 754 JANUS ST
ASSESSOR'S PARCEL NO.: 1703341202000
Springfield TYPE OF WORK: Mechanical Only
"
PROJECT DESCRIPTION: Install ductless heat pump
TYPE OF USE: New.1
Residential
Owner:
Address:
BAKKE BARBARA R
PO BOX 10893
EUGENE OR 97440
I'
Phone Number: 541-744-1681
:,
I CONTRACTOR INFORMATION..
Contractor Type
Mechanical
Contractor
MARSHALLS 1NC
License
25790
BUILDiNG INFORMA.TlON,1
Expirati~n Date
12/2312009
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:
j ~
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
"
Sq Ft Basement:
Sq Ft Garage/Carport
"
Sq Ft Other:
,I
Occupant Load:
II
n/a
I DEVELOPMENT INFORMATION ,I
Frontyard SetbacK:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
:: REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPR~VEMENTS I
Street Improvements:
. Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Draips:
i!
I
Ii
Notes:
I Valuation DescriDtio~ I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuel:
I
Date Calculated
Paee I of 2
-sr"'li~~i1'II.;U:!:'
~
CITY' OF SPRINGFIELD
Building/CQmbination Permit
;l
Status
Issued
PERMIT NO: COM2009-00968
ISSUED: 07/01/2009
APPLIED: 07/01/2009
EXPIRES: 01/01/2010
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 ~
Fee Description .
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
7/1/09
7/1/09
7/1/09
320~900000000000506
3200900000000000506
3200900000000000506
Total Amount Paid
$92.43
I Plan Reviews ,
!
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. willirbe made the following
work day..
I ~eHuire1 Tnsnedi?n.s,1
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 Laws of the State of Oregon pertaining to the wti'rk 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 arid 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 a~dress 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
,
I
";!
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00968
COM2009-00968
COM2009-00968
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT#:
Description
I st Appliance
+5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000506
Received By
nJm
Page 1 of 1
Check Number
Batch Number
City of Springfield Official Receipt
DevelopmJnt Services Department
I,
Pu.blic Works Department
\\.
I.
II
Date: 07/01/2009
8:51:12AM
Item Total:
Authorization
Number
Amount Due
79.00
3.95
9.48
$92.43
l'
,I
I,
How'l Received
Amount Paid
ONLINE marshalls Online
Ii
Paym~nt Total:
$92.43
$92.43
7/1/2009