HomeMy WebLinkAboutPermit Mechanical 2009-7-9
(.
City of Springfield
69600-BMC-09-00021
Mechanical Authorization To Begin Work
E~mailed.To; lindsey@marshallsinc.com
7/9/2009 11:39 am
Approval Code: 02990D
Check on status of permit
By Phone: 54] -726-3753 or Email: pcrmitcentcr@ci.springfield.or.us
10 NewConstruction
o Addition/allcmtiow.replacement
I
o I U\" 2 family Qwelling 0 Multi-family 0 Commercial o Accessory Building
I Jub Address: 2837 MANOR DR
I Cif)./S'tatclZIP: SPRINGrJELD. OR 97477
I Suile/lJldg./apf.no.: .
I Project Name: BARTH
I C"" S.",vd;,,";o", '"job';'"
I Tax: map/parcel no.: O\A..cx...>
INSTALL DUCTLESS HEAT PUMP
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I Em';], AUTHORIZED UNDER THIS PERMIT'S Nf):r I
l~t~~\%~":';CO MM!iiN@8D,O ~6lWiMfti~'(ijNF'11'FnR::,~1~~~~~1
I CC6u,.oo.,zAWY 180 DAY PERIOn I
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I N"m" NORA dIIUJ"!(;E:
I Pboo" 503-754fMIS PERMIT SHAU:"EXPIRE IF THF WORK
I Business Name: MARSHALLSINC
I Contact:
I Address:41100LYMPICST
I CityfState/ZIP: SPRINGFIELD, OR 974785620
j Phollc; 541-747-7445 Fax: 541-741-0821
j E:mail:
I Metrolic.nu.:
eil)' lie. no.:
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.
The local buflding department may determine that an Authorization To
Begin Work is null and void if it does not meet _applicable la.nd use laws
and local ordinances
I Description
QI)'. Ell.
Tutal
T'.:$:,!fi:ii':-J;:_~-.a;'
f/;:t-
I First Appliance Fee
I.
I Subtotal
I State surcharge (12% of penn it
total)
ITCChnO]OgY.fec (5% of penn it
total)
I TOTAL I'I<:RMIT FEE
$79.00
$9.481
53.951:
$92."1
I
i CC\-\om t~ 1 q leA
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ATTENTION: Oregori law requires you to
follow rules adopted by the Oregon Utilily
~otification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
. calling the denier. (Note: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
\
It
This Authorization To Begin Work must be P?sted at the job site until replaced by a Permit
CITY OF ~r KIl~GFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01009
ISSUED: 07/09/2009
APPLIED: 07/0912009
EXPIRES: 0110912010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2837 MANOR DR
ASSESSOR'S PARCEL NO.: 1703233201400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pnmp in residence
Owner: BARTH DELOIS
Address: 2837 MANOR DR
SPRINGFIELD OR 97477
I CONTRACTOR INFO~MATION.I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# ofUnits:NOTlCE: # of Stories:
Primary ;jI8ancl'lFv1~: He~~t of Structure
Secondary b'i':/f{ Ct r . LL EXPIREIF THE ~pt\of Heat:
Primary aJ I Jtrblli\fn-' ER THIS PERMIT ISWlilTr Type:
Secondarfe~A~~fJ'Jfi Be!S ABANDONED FOfFange Type:
# of Bedn/lJ'rh~: 180 DAY PERIOD. Energy Path:
Sprinkled Building:
Lot Size:
Sq Ftlst Floor:
ATTENTION: ~~OOt!bl;\lqequires you to
follow rules al$g~lft~iVl,eQjltn(;)regon Utility
Notilication Ce;SilJft-rn~(agel.marporlSet forth
in OAR 952-001Sq(FJICOtber:gh OAR 952-001-
0090.nYaJu mayo.!"dUpalitlpiJ1lfIpf the rules by
......ll;....3 +h", .............t..... t~I^+^. tho tC\IQ~ht"\no.
I DEVELOPMENT INFORMATIIONlfr for the Oregon Utility Notification
Center is 1-80Rj~?ib4R:E1)'PARKING
Frontyard Setback:
Side I Setback: .
Side 2 Setback:
Rearyard. Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
; Total:
, Handicapped:
:, Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: -
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
"
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I 0\"2
-';
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
7/9/09
7/9/09
7/9/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01009
ISSUED: 0:7/09/2009
APPLIED: 07/0912009
EXPIRES: 01109/2010
VALUE: '
Receipt Number
2200900000000000775
22009000U0000000775
2200900000000000775
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. .
Reolliredlnsnections,
r, .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 performedshall:be done in accordance ~ith
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 without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
Pal!e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
54.1 -726-3759 Phone
Job/Journal Number
COM2009-0 I 009 .
COM2009-0 I 009.
COM2009-0 I 009
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
a~Ii!'~~_f;!_E.L-1? _.. I j
ilL~
CitY of Springfield Official.Receipt
Development Services Department
Public Works Department
2200900000000000775
Date: 07/09/2009
I :42:33PM
Item Total:
Check Number Authorization
Received By Blitch Number Number How Received
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$92.43
Payment Total:
$92.43
Page I of I
7/9/2009