HomeMy WebLinkAboutPermit Mechanical 2009-7-23
,-
'. City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo;liridsey@niarshallsinc.com
69600-BMC-09-00039
7/23/2009 1:04 pm
Approval Code: 08205D
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
D NcwConstruction
o Addition/alteration/replacement
10 I ,,2 r"nlly dwell;", D MoIII,r,mlly D C"mn"o;,1 DAce",,,y Boddl",
Ib~5!:l.fs~~~;;;~;:J08siTE!INFbRMAhC)NmD+'[acAtl6N ;'::~ff~-4:i..i.l~~1
I Job Address: 6646 B ST
I City/State/ZIP: SPRlNGFIELD, OR 97,i"78
I. Suite/bldg.lapl.no.:
I Project Name: L;AMB
I C"', S,,,,"dl,,,.o", ,,, job ,;,,,MAIN TO 66TH TO B
I Tax mup/parcel~o.:
INSTALL HEAT PUMP AND AIR HANDLER
I Name: CHRISTINE LAMB
I Phone: 541-744-0850 Fax:
I Em,lI: .M nTJf' C.
1""-;':';~~:>.'T?:~f~~:Ii'f3~;~'..Rt%q~EYlr91':E~\;~~v?c,-,E.Zb,
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I B",'",,, N"m'ii!}~.~~t~t~~E~ 2n I~ .'\BP.NDONED f~R
I CO",,,,, MY 1 ~2 8;^~' r[[~mr.
I Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: 541-747-7445 Fax: 541-741-0821
I Emllil:
I Metrolic.no.: City lie. no.:
Upon review an~ 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: TI1i5 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
lDescriPtion
l~e~t!.["gf~~o!!~}fppifa1{ces(m~
I HCllt Pump
Il\i(nimliiil'f~cs~,
IFirst.Appliance Fcc I
l~jECHANIJjAl.'PERMIT,FEES:x,~+,,\k; ":}it
I Subtotal
I State surcharge (12% of penn it
rotal)
ITI;:ChnOIOgYfee(5%OfPenlli.r
toral)
I TOTAL )'I<:RMIT FEE
~. . ""...
":"..-"..
S79.001,
.I
S9600 !
$1l.521
$4801
5112.321
'I
Q9-It>>q ~ --1/03(01
II
ATTENTION: Oregon law requires vou to
lollow rules adopted by the Oregon UtilitV
Notification Center, 'fhose rules are set lorth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules bV
calling the center,:' (Note: the telephone
number lor the Oregon Utility Notification
Center is 1:800-332-2344),
.~
~~p,6'
\
~
\J~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit"
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I069
.ISSUED: 07/23/2009
APPLIED: 07/23/2009
EXPIRES: ()1/23/20IO
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
SITE ADDRESS: 6646 B ST
ASSESSOR'S PARCEL NO.: 170234410]800
Springfield TYPE OF WORK: Hea,ting System
TYPE OF USE:
Residential
PROJECT DESCRIPTION: Install heat pnmp and air handler
Owner: LAMB CHRISTIE NOEL
Address: '6646 B ST
SPRINGFIELD OR 97478
. I CONTRACTOR INFORMA TION .
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
"
,
IC
Expiration Date
12/23/2009
Phone
54]-747-7445
# of Units:
Primary OC,cupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Sil:e:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
"
Occupant Load:
nfa
NOTICE:
Front yard Sd~\}~c"ERMIT SHALL EXPIRE IF THE ~~W Dist:
S~de 1 Setb;i!W1HORIZED UNDER THIS PERMIT I tFfTt T.rees Rqd:
Side 2 setbre'JI(V1ENCED OR IS A a ~dlDnve Rqd:
Rearyard SAl~h'8 BANDONED F~ of Lot Coverage:
Solar Setbacl,~s: 0 DAY PERIOD.
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
ATTENTION: Oregon i']W~quires vou to
follow rules adopted t.1;J,\!\~it.ap'p~e.9., UtilitV
Notification Center. Th&<!.l\lI/""l<P3.re set forth
in OAR 952-001-001O,through OAR 952-001-
0090, You mav obtai~ copies 01 the rules by
'J- '\ ,- ,- '~"I-~-. +1-.... +,...,',.......h"'l"\o
VU"lI't1 .""" ..,.......~.. j'" - -- .
I PUBLIC IMPROVEMENTS Inumber lor the Oregon Utility Notilication
, , , , r.en.tey's 1.800-332-2344).
Sld~walK ype:" ,
I:
Downspouts/Drains:
I
Street Improvements:
Storm Sewer Available:
Speciallnstfuction:
Notes:,
I Valuation Descrioti,on ~
Description
Tvpe of Construction
$ Per'Sq Ft
or multiplier
Square Footage
or Bid Amount
"
I
Value
I'
Date Calculated
Paee 1 of 2
..
Status : Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CIT~ OF SPRINGFIELD
ji
Building/qombination Permit
PERMIT NO: COM2009-01069
ISSUED: 07/23/2009
APPLIED: 07/23/2009
EXPIRES: 01/2312010
VALUE: '
Total Value of Project
F~e.~ Pai,~, I
$11.52
$4,80
$79,00
$17,00
7/23/09
7/23/09
7/23/09
7/23/09
Rece!pt Number
1200900000000000830
]200900000000000830
12~0900000000000830
1200900000000000830
Fee Descripiion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Amount Paid
Date Paid
Total Amount Paid
$1l2.32
I Plan Reviews ,I
To Request an inspection call the 24 hour recording at 726-3769. All inspections fequested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. wiIl be made the following
, "
work day. ' ,
I Rellnirerl Insn,ections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
"
By signature, I state and agree, that I have carefully e.amined the completcd 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 ~ddress 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 tbe site at all
times during construction.
Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Street
, ,
Springfield, Oregon 97477
54'1-726-3759 Phone
S.~.'..~'~.".""'.
.- ;
City of Springfield Official Receipt
Developmbnt Services Department
Public Works Department
RECEIPT #:
1200900000000000830
Date: 07/23/2009
I :32:55PM
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
4,80
11.52
$112.32
Job/Journal Number
COM2009-0 1 069
COM2009-0 I 069
COM2009-0 I 069
COM2009-0 1 069
Description
1st Appliance
Air Handling Unit Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
KR
ONLINE MARSHAL Online
I
LS INC
$112,32
Payment Total:
$112,32
cRcceintl
Page I of I
7/23/2009