HomeMy WebLinkAboutPermit Mechanical 2009-7-9
Mechanical Authorization To Begin Work
E-inai~ed To: lindsey@marshallsinc.com
69600-BMC-09-00020
\ \)fj1(
O(
G
City of Springfield
719n009 10:05 am
Approval Code: 0122]0
Check on status of-permil
By Phone: 541-726-3753 01' Email: pennitcenter@ci.springfield.or.us
I~TI;:t?:;~.,
I 0 New Con,trl.lction 0
$7;:.00\
$7900 I
$9.481
$3.951,
$92AJI
DAccessory BuiJdil1~
I Description J QI)'.
ll\ii~iiituU~Fee~f":~~{~"?': ,"~~9f;!~~'~_.;."
IFirst Appliallce Fee J
1r.1EGIIAN.!~Ai':t~~~,iJI';fE~S:o!'
ISubtolUJ
ISllItcsurchargC(12%OfPennit
101al)
ITeChnO]OgYfeC(5%OfPermit
total)
I TOTAL PERMIT HE
Ea.
Additionlalteralionfn:plm:emem
10 ] ,,2 ]bm;]y dwell;", 0 ""h;-];"n;]y
o Commercial
7:
I Job Address: 1552 LINDEN AVE
I City/StatclZIP: SPRINGFIELD, OR 97477
I
I
I
Suite/bldg./apt.no.:
Project Name: SPRAGUE
Cross Street/tlirections to job site:
I T","'pIO""] ",., Vlf'?l2)1_'Zn D\ooO
lik~;:*~~';:Yf;~~~DEsc'RI~TToN":Of:rWbR^K~~~~~~-~{;;~~
INSTALL DUCTLESS HEAT PUMP
Name: VIRGINIA SPRAGUE
Phone; 541-746-5004
I<'a:o;:
Email:
CCBlic. no.: 25790
Business Name: MARSHALLS INC
, Contad;
Address: .1110 OLYMPIC ST
City/Stale/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-082]
Email:
Metrolic.no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be
a-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 ifa
permit is not obtained.
The local building department may determine that an Authorization To
Begin Work is null and void if it does no.t 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
Q;Dm Z--()D 1 - 0 / OD I
rJM 7-<:) -ODj
~. .,
'.. I'" ~
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01007
ISSUED: 07/0912009
APPLIED: 07/0912009
EXPIRES: 01109/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1552 LINDEN AVE
ASSESSOR'S PARCEL NO.: 17032732010UO
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Move
Residential
PROJECT DESCRIPTION: Install d~ctless heat pump
Owner: VIRGINIA E SPRAGUE TRUST
Address: 1552 LINDEN AVE
SPRINGFIELD OR 97477
Phone Number: 541-746-5004
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
.25790
BUILDING INFORMATION I
Expiration Date
- 12/23/2009
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I, DEVELOPMENT INFORMATION I
Front yard 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 IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Notes:
AT~mffi~1I5/Drains:
fall . regon law requires you to
~og~~ar~'~~:~~~e1h~~;~~I~;~~~~eY;~iltrh .
2-001-0010 through OAR 952-001-
0090. YO'lmo"Ahho~~__.__ '..
I calling the center. (Noie:-ih;'t~i~~h~;euy
number for the Oregon Utility Notification
Cent.er IS 1-800-332-2344).
Value Date Calculated
NOTICE: . I UiiMU.NL D ..
THIS P.ERMITSHAll EXPIRE lFn;,.1 ':':'r"fnJu escnotIon
_ . l\UTHO~lZED \JNDER T~IS PER~~ ISSNW
Descr~PlldeO M M tN'eE~t ~,~rlU1JWlDONgp:l~r.~lier
A~Y 180 DAY PERIOD,
Square Footage
or Bid Amonnt
Page I of 2
Status
Issued
CITY OF SPRINlJl'lELD
Building/Combination Permit
PERMIT NO: COM2009-01007
ISSUED: 07/09/2009
APPLIED: 07/0912009
EXPIRES: 01/09/2010
VALUE:
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54] -726-3676 Fax
54]-726-3769 Inspection Line
Total Value.of Project
Fees Paicl I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
7/9/09
7/9/U9
7/9/09
32009000000000U0523
320090000000000U523
3200900000000000523
. 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 Reouirerl Tnsnecti~ns I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, ] 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 work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety.
r 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 Signatnre
Date
Page 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 007
COM2009-0 I 007
COM2009-0 1 007
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development'Services Department
Public Works Department
3200900000000000523.
Date: 07/09/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE marshalls Online
Payment Total:
Page I of I
10:35:26AM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
7/9/2009