HomeMy WebLinkAboutPermit Mechanical 2009-7-13
Mechanical Authorization To Begin Work
E-mailcdTo:lindsey@rnarshallsinc.com
69600-BMC-09-00024
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City of Springfield
7/13/2009 8:03 am
AplJrOva,J Code: 04348D
Check on status of permit
By Phone: 54] -726.3753 or Email: pennitccnter@ci.springfield.or.us
10 I """nlly dwdh" D M"h;.f.m;]y
DCOllllllCl'cial
DACCeSSOryBuilding
Heat Pump
~~i'niinu~n;fees""
First Appliance Fee I
1~1,~CH,\~i~Aifp~~~~[)':t~ES~~~o?:Z'~"
Subtotal
I D NewConstruction
o Addition/alteration/replacement
Descrilltion
Total
JobAduress:5279 DST
Project Name: MACHUCA
SlaleSllrcharge(12%ofpennil
total)
Technology fee (5% of per mil
total)
Cily/StllfefZIP: SPRINGFIELD, OR 97478
TOTAL PERJ\HT FEE
$4.8.01
$112.321
Suite/bldg./:lpt.no.:
CrossStrce{/directions tojobsitc;
I Tax~ap/parcelno.:
INSTALL HEAT PUMP AND AIR HANDLER
I Name: DA VlD MACHUCA
I Phone: 541-9]5-4448
I Email:
V
I CCBlie. no.: 25790
I Business Name: MARS HALLS INC
I Contact:
I ,\ddrl'ss; 4JJO OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR
Phone: 541-747-7445
F:lx:
974785620
Fax: 54]-74]-0821
Melrolie.no.:
City lie. no.:
~V)j>\
CV\~~
.~~ .
Email:
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
pennit 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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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010115
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01018.
ISSUED: 07/13/2009
APPLIED: 07/10/2009
EXPIRES: 01/13/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax.
541-726-3769 Inspection Line
SITE ADDRESS: 5279 D ST
ASSESSOR'S PARCEL NO.: 1702332400167
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electrical for heating system in residence
Owuer: MACHUCA J DAVID
Address: 5279 D ST
SPRINGFIELD OR 97478
Phone Number: 541-915-4448
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
J78518
25790
BUILDING INFORMATION I
Expiration Date
09/2412009
12/23/2009
Phone
541-895-4466
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basemen.t:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/.
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I 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'
Street Improvements:
Storm Sewer Availahle:
Special Instruction:
I requires you to
Notes: ATTENTION: orego; ba~he Oregon Utility
folloW rules adopte ThJse rules are set forth
Notificationcetg~10 through OAR 952-00~-
-in OAR 952:00 - . 0 ies of the rules Y
0090. You may obtain c ore. the telephone
calling the center. (N Utility Notification
number for the 0~~~g~_332-2344).
Center IS
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
I ~alu.atioo Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
J<PPr~' pu;.J .
"' II' iMMIW
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance.
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amount Paid
Date Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
7/13/09
7/13/09
7/13/09
7/13/09
7/13/09
7/13/09
7/13/09
7/13/09
Total Amount Paid
$183.69
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01018.
ISSUED: 07/13/2009
APPLIED: 07/10/2009
EXPIRES: 01/13/2010
VALUE:
Value
. Date Calculated
Receipt Number
1200900000000000798
3200900000000000525
1200900000000000798
3200900000000000525
3200900000000000525
1200900000000000798
1200900000000000798
3200900000000000525
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.
~~ti~n~ I
Rough Electric: Prior to Cover
final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechauical work is complete.
. ,
I
Paee 2 00
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01018
ISSUED: 07/13/2009
APPLIED: 07/10/2009
EXPIRES: 01113/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I - 726-3676 Fax
541-726-37691nspection Line
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 further certify that any and all work performed shall he donc 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 he. 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.
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
Paee 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 0 18
COM2009-01018
COM2009-0 1018
COM2009-0 1 0 18
RECEIPT #:
Description
+ 5% Technology Fee
1 sl Appliance
Heat Pump
+ 12% State Surcharge
Payments:
Type of Payment . Paid By
ONLINE CHOS
cReceintl
ONLINE PERMIT CHOS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000525
8:08:26AM
Date: 07/13/2009
Item Total:
Check Number Authorization
Receive~ By Batch Number Number How Received
Amount Due
4.80
79.00
17.00
11.52
$112.32
Amount Paid
NJM
ONLINE MARSHAL Online.
LS
$112.32
Payment Total:
$112.32
Page 1 of 1
7113/2009