HomeMy WebLinkAboutPermit Mechanical 2009-7-10
City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
Check on stalus of permit
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R .. 'Y.._ .., ._ ~-.TYPE OF WORK.-~ ,;p -,,_-
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B}' Phone: 541-726-3753 or Email: permitccnter@ci.springfield.or.us
IS: '
'. ~ FEE SCHEDULE'.
QI}', J
Ell.
I 0 New Construction
o Addition/alteration/replacement
C" TEGORY,6FCONSTRlJe-rION,,' -:; .
I
10 ] 0' 2 ]m";]y dw']];', o ""];;-',m;Jy 0 Cm,tm"o;,]
o Accessory Building
I ..'fer c;.*- ';:'JoEilmitINF.ORMATION'ANO\OCATION"'t, <-.
I JubAddress: 289 '73RDPL
I City/Slaff/ZIP: SPRINGFIELD, OR 974711
I Suilclbldg.lapt.no.:
I Project Name: CLARK
I C.."S'",tld;,,";o", tojob,;'"
I T..m"p!p""]"".' Vlo:z..~ D@.OD
I~_ ""t;i;?';r:~:.'"0DEScRIFr.Tio'N:OF;-WORK~;~;p:;s~r,;,;f~~:~~~~~tc~~i
INSTALL HEAT PUMP AND AIR HANDLER
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';"j!_;~ MnTIf'I:. ::. .SITE.CONTACT"_ .,.
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N,m"CONN]E'l'jij~ PtRr~IT 311 ---.
Pb,"d4l-747-\1ljTHORI'~i:':J ~~hJ^,:,~nt I~ I Ht WORK
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CCBlic. no.: 2579Q .
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Business Name: MARS HALLS INC
Contact:
Addrrss: ~ 1 ] 0 OLYMPIC ST
Cil)'/Slale/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541.741-082]
Email:
J\1etrolic.no.:
Citylic,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 if a
permit Is not obtained.
The local building department may determine that an Authorization To
Begin Work is null and yold if It does not meet applicable land use laws
and local ordinances
I DCHription
11J:e~ling/("o~lirig_applianc~_s,'- ,
!HeatPump
ll\tiniinup:!}':en>:;:
l~~-;~:I::~~C;~;E~MIT FE~~. _ (1"--
Subtotal
Statesurchargc(12%ofpennil
total)
Technolob'Yfee(5%ofpennit
lotal)
TOTAL PERMIT FEE
QC[- tOlS
69600-BMC-09-UU022
7/1012009 t1:49 am
Approval Code: 032190
"'." '
I.
To"] _..1
$17:001
$79.001
'96~Or
$]L521
$4.801
SII2.321
]1
517.001
~~ '1/1 olCil
ATTENTION: Oregon law requires you to
~o".ow rules adopted by the Oregon Utility
. og1~atlon Center. Those ruies are set forth
In 952-001-0010 through OAR 952'001.
0090.. You may obtain copies of the rules b
ca".lng the center. (Note: the telephone y
number for the Oregon Utility Notification
Center IS 1-800-332-2344).
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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.il
Status
Issued
CITY OF SPRIN&l'mLD
Building/Combination Permit
PERMIT NO: COM2009-01015
ISSUED: 07/10/2009
APPLIED: 07/10/2009
EXPIRES: 0111012010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 289 73RD PL
ASSESSOR'S PARCEL NO.: 1702354201300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
Owner: CLARK CONCEPCION
Address: 289 N 73RD PL
SPRINGFIELD OR 97478
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 Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: ....lI13 _ OJ:cul!ant Load'
_, _,,~ AI I ENTION: ureyon law requires you to
nJ .Iv... ,"f:'Y2'1l. rUles aoopleo oy me uregoll UllI]ty
THIS PERMIT SHALL EXPIRE IlFpIi'itI:J.IWIIMENT INFORMATlUNdltion Center. Those rules are set forth
AUTHORIZED UNDER THIS PERfv~ll~ r~UI In OAR 952-001-0010 ~~~'~jR';p%I!!W'i(;
Frontyard~tba~k=NCED OR IS ABANDONED FOl!lverlay Dist: 0090. You may obtaIl1Jlo'1!i1~S of the rules by
Side 1 Setb}!f~'18~ DAY PERIOD. . # Street Trees Rqd: calling the center. ~ii'~j\i.~~PP'ifd~phone.
Side 2 Setllac'li: Paved Drive Rqd: number for the. OregetJrI..~:J~,Y; Notification
Rearyard Setback: % of Lot Coverage: Center IS 1-800-3,,2'-2344).
Solar Setbacks:
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
DownspoutslDrains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Paee I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01015
ISSUED: 07/10/2009
APPLIED: 07/1012009
EXPIRES: 01110/2010
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 I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
7/10/09
7/10/09
7/10/09
7/10/09
1200900000000000794
1200900000000000794
1200900000000000794
1200900000000000794
Total Amount Paid
$112.32
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 Reouired Insnections 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 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 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 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1015
COM2009-01015
COM2009-0 I 0 15
COM2009-0 I 0 15
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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'1.11. -. '.
.....
+..... .... . ..- ..........~. -"".
City of Springfield Official Reccipt
Development Services Department
Public Works Department
1200900000000000794
Date: 07/10/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Receh'cd
KR ONLINE MARSHAL Online
LS INC
Payment Total:
Page J of I
II :50:54AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
7/10/2009