HomeMy WebLinkAboutPermit Mechanical 2009-7-14
Mechanical Authorization To Begin Work
E-mailed.To:lindsey@marshltllsinc.com
69600-BMC-09-00029
City of Springfield
7/14/,~009 11:30 urn
Approval Code: 056090
Check 'on status of permit
By Phone: 541-726-3753 or Email: permitcentcr@ci.springfield.or.us
T~I~l-'1
sl~:~1
$79.~'ol:
:9:~~~j
$11.52
I D New Consmlction
o Addition/alteration/i-eplacemellt
I Description
I ,Qty
Eo,
IHeatPump
l "
1 I $17.00.1
:'i-L."
o I or 2 family dwelling D Multi-family D Commercial
DAccessorYBlIilding
I First Appljance Fee
1:!;~";.:~OB'SrrEIINFORMA'i1()N7ANDT'E(rCA'TlbN l~i!fqj{~"1~cA,L
I IS~~al
Job Address: 328 S 68TH PL
I Slatcsur~harge(12%orpcnnil
Cit)'/Sfatl"JZIP; SPRINGFIELD, OR 97478 total)
Suite/bldg.lapt.no.: Technology fee (5% of penn it
I I tatnl)
Project Name: LUCIER
I, 'TOTAL PERMIT FEE
1 Cm""",tldi,,"""' toj,b,""
:~o:~;:;;~~~~~~6Nl0F:WORK\I~~~~"r~~;~J: CPt - \ C52>tJ
$4.80
$112.32
~l 111L\ICA
INSTALL HEAT PUMP AND AIR HANDLER
I Name: MARGUITA LUCIER I
I Phone: 541-746-5242 Fax:
I Emoil NOTIf;.F" I
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I Adtlress:41100LYMPICST- .. --. t. . I
I City/State/ZIP: SPRINGFIELD,OR.974785620 I
I Phone: 541-747-7445 l'ax: 54[.741-0821 I
I Email: I
I Metro lie. no.: City lie. no.: I
Upon review al!d 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.
ATTENTION: Oregon law requires you to
follDw rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
m OAR 952.001-0010 through OAR 952-001-
0090., You may obtain c,?pies of the rules by
calling the center. (Note: the telephone
number for the Oregon, Utility Notification
Center is 1-8001332-2344).
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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~;
"
CITY OF 1SrKlr'H..FIELD .
Building/Combination Permit
"
PERMIT NO: COM2009-01025
ISSUED: 07/14/2009
APPLIED: 07/14/2009
EXPIRES: 01/1412010
VALUE: "
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 328 S 68TH PL
ASSESSOR'S PARCEL NO.: 1702344400701
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION:
TYPE OF USE:
Install heat pump ad air handler in residence
,
Newl
,
Residential
Owner: ENDICOTT MARQUITA
Address: 328 S 68TH PL
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
..BUILD~~G Iro:FORMATION I
E . .1 D
xplratJon ate
"
12/23/2009
Phone
541-747-7445
NOTlCE~
THIS PERMIT SHAll EXPIRE IF~Ml~I)tENT INFORMATION I "
AUTHORIZED UNDER THIS PER,oMIT IS NOT .REQUlRED PARKING
ATTENTION: Oregon law requires you to
FrontyardCSJM~~~NCED OR IS ABANDONED FOl\>verlay Dist: follow rules adopteCf!!~a!l1e Oregon' Utility
Side 1 Set1M\lU: 180 DAY PERIOD. # Street Trees Rqd: Notification Center. nl@l!gi~~PRejj:e set forth
Side 2 Setback: Paved Drive Rqd: in OAR 952-001-001 C<IQmpalit:OAR 952-001-
Rearyard Setback: % of Lot Coverage: 0090. You may obta)n copies of the rules by
Solar Setbacks: calling the center.' (Note: the telephone
n. I r"l"\h f'\1' f,..,1' tht"\ nro"""'\I") Iltilih, f\ll""Itifi,....;;ltinn
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft )~t Floor:
Sq Ft 2nd'Floor:
Sq Ft B~sement:
Sq Ft Garage/Carport
Sq Ft O.thcr:
Occupa'nt Load:
. I'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
n/a
I ~UBLIC IMPROVEMENTS I
Center is 1-800-332-2344).
"
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type: I
Downspouts/Draips:
Notes:
'l.
I Valuation Descri~tion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value'
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/cQmbination Permit
PERMIT NO: C.OM2009"01025
ISSUED: 07/14/2009
APPLIED: 07/1412009
EXPIRES: 01/14/2010
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
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$0.00
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 Relluired Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
I
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 structnre 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 willi,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 ofthe property, and the approved set of plans will remain on the site at all
times during construction. I
Owner or Contractors Signature
Date
Paee 2 01'2
225 Fifth Street
Sp:ringfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 I 025
COM2009-0 I 025
COM2009-01025
COM2009-0 I 025
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
8,f.~Q~;.' .,
lli:o, ..' .
- ,
, '
,.. "~.'" .......,..... ..... ,.:'
City of Springfield Official Receipt
Development Services Department
.'
Public Works Department
1200900000000000804
Date: 07/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LS lNC
Payme,nt Total:
Page I or I
] I :34:46AM
Amount Due
79,00
17,00
4,80
11.52
$11 2.32
Amount Paid
$112,32
$112.32
7/14/2009