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
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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;'"
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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.
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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'
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$17:00
$
$17.0~1
$79.001
$9:0;1
$11.521
54.801
:>112.321,
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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