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HomeMy WebLinkAboutPermit Mechanical 2009-7-20 City of Springfield Mechanical Authorization To Begin Work E-mailed To: By Phone: 541-726-3753 or Email: pennitccnter@~i.springfie1d.or.llS Check on status of perinit I D NewConstruction 69600-BMC-09-00033 7/2012009 9:06 am Appro\'al Code: 0316JD IneSniPtiOIl J Qty. Ili~~t!~'lr/cooiilltappliances~.}"; :^':.".~~,: IHeatPull1p 11 1J\1;n~iU'j~~;s}xit;~1 I Firsl Appliancl: Fe!: J I~EG~ANJCAt.I~EO(~~rE!:~E_~"~?i "Il:~,-'-~:: I Subtotal I State surcharge (J2% o[p.t:nnil total) ITeChnOIOb'Y fee (5% of permit lotal) I TOTAL'PERMIT FEE o Addition1alterationlreplacemt:nt 1 01"2f=;IYd"";'" DM"'M=lIY Dcommo,,;,' DA"",o'YB";Id;'" ~~.. ~~-~:'r~~;~4j'OB:sITEliNF6R-MA"':TIot;frAND"L:'hcATloN~lb'^~"",'" ;W;,,:'~~~~ Job Address: 1023 65THST City/State/ZIP: SPRINGFIELD, OR 97478 Suitefbldg.lllpt.no.: Project Name: WOODMAN Cross Sireu/dirertions to job site: Tax map/parcel no.: \ 'l vz.. 00 INSTALL HEAT PUMP'AND A[R HANDLER I ~ame: Lind5~Y Blleth I Phone: 541-747-7445 I Emll.il: [indsey@marshallsinc.com IL- I CCO lir. no.: 25790 I Business Name: MARSHALLS INC I Contact: I Address: 41 10 Ol.,YMPIC ST City/State/ZIP: SPRINGFIELD, OR 974785620 Fax:,541-741-0821 Phone: 541-747-7445 Fax: 541-74[-082] Emllil: Metro lie. no.: Citylie.nfI.: 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. .~: ' .J)~ -"^- ~,fIv,d\ :v' .V' 'f\:ft (V ~{)). ~k> '. SQ. ~\Y \'\i'~ ~ NOTE: This Authorization To Begin Work .expires within 180 days if a permit is not obtained. The local building department lTlay 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' Co/nzUZJ 9 j)/Yl-.-- {)/(JL/2 1-20~()q cq ---I D+~ Ell. $17:00 $ $17.0~1 $79.001 $9:0;1 $11.521 54.801 :>112.321, ,"~'. ~'^ri ~1>,,' _~~~1~~!i1!i!!;9' r Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa. 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit , PERMIT NO:COM2009-01043 ISSUED: 07/20/2009 APPLIED: 07/17/2009 EXPIRES: 0'1/20/2010 VALUE: SITE ADDRESS: 1023 65TH ST ASSESSOR'S PARCEL NO.: 170234]200428 Springfield TYPE OF WORK: Electrical Work Only PROJECT DESCRIPTION: Electrical for HV AC equipment. Owner: WOODMAN CLINT & HEATHER Address: 1023 65TH ST ~PRINGFIELD OR 97478 TYPE OF USE: New, Residential I, CONTRACTOR INFO~MA TION I License ]78518 25790 BUILDING INFORMA nON I Contractor Type Electrical Mechanical ' Contractor RITE ELECTRIC MARSHALLS INC # of Units: Primary Occupancy Group: Secondary Occnpancy 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: Expiration Date 09/24/2009 ] 2/23/2009 Phone 541-895-4466 541-747-7445 n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: " Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT I~FORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: i: REQUIRED PARKING , Total: , Handicapped: , Compact: " Street Improvements: S S A "I""'I....E. fOfm ewer Val;,lu e:", . Speciallnstructi?\liIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT' COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD, I PUB~]C ]MPROV~ME~TS I ATT~\~~':"Jl!!< l);g'iio~ law requires you to follo'D" r11lpc ~r<t"/-D'or'.' h" the Oregon Ut'llr'ty .. ownspou s rams: ~ollfrcatlon \Jente!. '19ose ruies are set forth In OAR 952-001-0010 t,hrough OAR 952-001- 0090, You may obtain, copies 01 the rules by calling the center, U~ote: the telephone number lor the Oregon Utility Notification Center is 1-800-332-2344), Notes: Paee 1 01'3 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-0I043 ISSUED: 07/20/2009 APPLIED: 07/1712009 EXPIRES: 01/20/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726"3676 Fax 541-726-3769 Inspection Line I Valuation Descdotio,n I Descriution Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project L.Fpp, pqiaJ 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 Receipt Number i $7.32 7/20/09 3200900000000000540 $11,52 7120109 3200900000000000541 $3.05 7/20/09 3200900000000000540 , . $4.80 7/20/09 3200900000000000541 $79,00 7/20/09 3200900000000000541 $55.00 7120109 3200900000000000540 $6.00 7120/09 3200900000000000540 $17.00 7120/09 3200900000000000541 Total Amount Paid $]83.69 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections'r~quested 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. Rpnllirp<lln'n~rti'1'1' I Rough Electric: Prior to Cover Final Electric: When all electrical work is complete, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Paee 2 01'3 _~,'J~p:el!~,J~;"~;,:,,:,,V;"'~h~!;;ij ~ " ,. Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPR[~l.l'lJ'.LD Building/Combination Permit PERMIT NO: COM2009-01043 ISSUED: 07120/2009 APPLIED: 0.7/17/2009 EXPIRES: 01120/2010 VALUE: By signature, I state and agree, that I have carefully examined the completed application and do hheby 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 w6rk 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. I~, Owner Or Contractors Signature Pa2e 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759Phone Job/Journal Number COM2009-0 I 043 COM2009-0 I 043 COM2009-01043 COM2009-0 I 043 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description Heat Pump I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 3200900000000000541 CitY of Springfield Official Receipt Development Services Department Public Works Department Date: 07/20/2009 9:18:59AM Amount Due 17,00 79,00 ! 4,80 11,52 $112.32 hem Total: Check Number Authorization Received By Batch Number Number How 'Received Amount Paid NJM ONLINE MARSHAL Online LS $112,32 Page I of I Payment Total: $112,32 7/20/2009