The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-7-14 City of Springfield . S.~R,N,~<>;~I,~ ~.'.~. ','''''''',. ~,.. .",.. ,j . ',:' .- , ' -"'-~'. ~:'. .,~._,:: "2 -'..-' '-~.""-. -"'"~ ", ~ 69600-BMC-09-00028 Mechanical Authorization To Begin Work E.mailed To: lindsey@marshallsinc.com 7/1412009 10:24 am Appro\'al Code: 082] I D Check on status of permit 1'- TYPE OF WORK, -j.....,.......' ., ~_~. r By I)hone: 541-726-3753 or Email: pcrmitcenter@ci.springfield.or.us I D NcwConstruction o Additionlaltcfulion/replacemClll I... .,;e', +, 10 10,2 r=;ly dwdl;o. D M.It;.f=;'y D Com~m;" DACC""'" B.;ld;o, r~'b Add",,, 1196 0::~~=DS:~EINFORMATibNAi'1I5'LciCA TioN"'\",,~: I 'City/State/ZIP: SPRINGFIELD, OR 97477 I Suitelbldg.lllpt.no.: I Project Name: SINCLAIR I Ceo" S'",Ud;,.,';oo"o job ,It" I 'n m'p/p"'''""' \fl()';"fW? A:- fXl.1..(J<J I~ ~~ '~,,':~DEsc'RipTI-oN OF~~iORK~~~~. INSTALL DUCTLESS HEAT PUMP ~, CA TEGORY OE~CONSTRUCTioN ~". '" '" L .'~,NnTlr.I=.'\,'74.SITECONTACT", , I Nom" DORIS!f11f:lR"il'I=RMIT ~I-lAll f:\lPIRf: If:TI-l':...W[lPk' 1 Pboo" '41''''A'P1THORI7I=n 11~lnl=~'fI-lIe;: Pf:PMIT Ie;: W1T I "m.n, ,r.Ofll1jV1I=~Ir.i=n f)R I~ I\RA~lnmli=n i=OR I' " ,."ll~IV;~An'f'lly.:DIOONTAACTOR '\c "~~ ." I CCBlic.no.:25790 I Business Name: MARSHALLS INC I Contact: I Addrl'ss: 41 10 OLYMP1C ST I CiI)"/SlateJZIP: SPRINGFIELD, OR 974785620 I Phone: 541-747-7445 Fax: 54].74].0821 I Email: I Metro lie, no.: Citylic.no.: ,,'1';"":' 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 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 "jf I "d I -EEE,SCHEDULl~ ,,,,,,'.1 Description I Qty, I Ea. M~imu'lD Ferp"'-~': . ,~ I Firsl Appliance Fee '79,001 ME-ciIANIc'AJ,..PERMIT FEES - $;9.00'/ Subtotal Stale surcharge (] 2% of pennit $9.48 total) ITeChllO!OgyfeC(5%Ofllcrmit $3.95 total) I TOTAL PERMIT FEE $92,43' Cq - I OLL[' Y(~ l IL{\LA 1 'I 1 1 1 'I 1 I 1 I ATTENTION: Oregon law requires you to . follow rules adopted by the Oregon Utility Notification 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 center. (Note: the telephone number for the Oregon Utility Notiiication Center isI:1-800-332-2344). This Authorization To Begin Work must be posted at the job site until replaced by a Permit CITY OF SPRINGFIELD' I Building/Combination Permit <, Status Issued PERMIT NO: COM2009-01024 ISSUED: 07it4/2009 APPLIED: 07/14/2009 EXPIRES: 01/14/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1196 DIAMOND ST ASSESSOR'S PARCEL NO.: 1703342400203 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump in residence Owner: DORIS SINCLAIR LIVING TRUST Address: 1196 DIAMOND ST SPRINGFIELD OR 97477 '.. I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC , License 25790 BUILDING INFORMATION' 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: . 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: n/a Occupant Load:, I.r-:-:~:-:-~:'~~: ':"-___::....... I...... .....'":"il'^~ ~"..", tn , I DEVELOPMENT INFORMATJ(j)Ncll rules adopted by the Oregon ~~Ii~y NOTICE: RK NOllllcation Cenler. TRIJQUIRED1PWRl<'fN(lj U' pJ:RMIT SHALL EXPIRE IF THE WO . in OAR 952.001-0010 through OAR 952-001- F~ontylrlI~etltatk: NDER THIS PERMIT IS N~erlay DlSt: 0090. You may obtaii{'(~~,ies of the rules by SIde I StltlifauQ;RIZED U ANDONED FOR # Street Trees Rqd: calling the center,.: 'II'!9~Jc~I!P'll!lephone Side 2 ~Ji~~RENCED OR IS AS, Paved Drive Rqd: number for the Ore~.9.IpP~.WI Notification Rearya",4~~t/OO1iiJAY PERIOD. % of Lot Coverage: Center is 1'800-332-2344). Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description TVDe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 lit' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01024 ISSUED: 07/14/2009 APPLIED: 07/14/2009 EXPIRES: 01/14/2010 VALUE: Status Issued 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 $9.48 $3.95 , $79.00 Date Paid 7/14/09 7/14/09 7/14/09 Receipt Number Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance - Amount Paid 1200900000000000803 1200900000000000803 1200900000000000803 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 RelllliredlnsnectionsJ 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 dune 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 OI!S 701.005 will be nsed 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 011 the site at all times during construction. Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 I 024 COM2009-0 I 024 COM2009-0 1 024 Payments: Type of Payment ONLINE CHGS cRcceiotl RECEIPT #: Description 1st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS GJiI~I~Q~8LP'! llil WIc.- -'_._._----~ City of Springfield Official Receipt Development Services Department Public Works Department 1200900000000000803 Date: 07/14/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR ONLINE MARSHAL Online LS 1NC Payment Total: Page I of I 1I:15:08AM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 7/14/2009