HomeMy WebLinkAboutPermit Mechanical 2009-7-20
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-IilMC-09-00034
712012009 9:57 am
Approval Cod~: 076690
tq ~/(}'-I5
Check on status of permit
By Phone: 541-726-3753 or Email: pennitcenter@ci..spnngfield.or.us
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I D New Construction 0 Addition/alteration/replacement
11!t~;/~.JlIifCATEGORyro~coNsTRUCTION~~~~1
10 10<2 f=i1y dw,'H" D Molti,fiunily D Comm",i,1 DA'''''''Y Soildi" 1
I Job Address: 1373 MQDOC 5T
1 City/State/ZIP: SPRINGFIELD, OR 97477
I Suile/bldg.lapt.no.:
I Project Name: CIEUTAT
1 C"" S"".",,,.o., to job ,it" MOHAWK RD
I Tax map/parcel no.: ~ ~117'l-'2.. t::IU::X:1;/
1~~~~5ESCRli'>cTloNrO!ilwciRK~~",~~~~i',i~
INSTALLING DUCTLESS HEAT PUMP
Name:
Phone:
Fax:
Email:
CCBlic, no.: 25790
Business Name: MARS HALLS INC
Contact:
Address: 4110 OLYMPIC 5T
City/Slate/ZIP:~PRINGFIELD; OR 974785620
Phone: 541-747-7445
Fa;\:: 54]-741-0821
Email:
I MeITolic.no.:
City lie. nil.:
Upon review and approval by your local jurisdiction, your permit wlll be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspec~ion.
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
1~=~"~''''''''''''m_'''~~~~~'''''',''''''''''~'''''''''"''''''''''"''''''1
~~~i~'5ffi~'AT~1~aF,EE(SPHEDlJl!E~1~~~_~"'t:;~~
I Descriptilln . ,I Q~. , Ea. I Total ,
~'''''-''''~:=F~'''~'''K1'~'':J''''1
l\1.ii!J#i_IIlD:I:eesirw.mmS!z:S1''0~~~-P..3f!iG~~jf,:;b..~
First Appliance Fee I:! I I $79.00
~~~;~\~~AL~~[~!ff:t~~$)~~li;~~1t&~1
1 State surcbarge (12% of penn it $9.481
total) .
ITi:ChnOlogYfee{5%ofPennit $].951
total)
!TOTAL PERMIT FEE $92.431
.
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
,CITY OF SPRINGFIELD
Building/Co"l!bination Permit
PERMIT NO: COM2009-01045
ISSUED: 07/20/2009
APPLIED: 07/20/2009
EXPIRES: 01/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
54I-726-3676 Fa.
541-726-3769 Inspection Line
SITE ADDRESS: 1373, MODOC ST
ASSESSOR'S PARCEL NO,: 1703362202000
,Springfield TYPE OF WORK: Heating System
TYPE OF USE: New,
Residential
PROJECT DESCRIPTION: Ductless heat pump installation
Owner: CIEUT A T SUZANNE
Address: 1373 MODOC ST
SPRINGFIELD OR 97477
I CONTRA~TOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INF?RMA T10N I
Expiration Date
] 2123/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy 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:
, n/a
Lot Size: "
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Othd.:
Occup~nt Load:
I DEVELOPMENT INFO~:'1ATlON I
Frontyard Setback:
Side I Setback:,
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
, R~QUlRED PARKING
"
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVEMENTS I NTION: Oregon law r?C~";--" ': , :'1
, , "HE -"Ip.dbythCO, J-
101l0wSid'ewalk"lrype:l,rse'rule" :'o,e .."IT ;rlh
Notilic"\ion Cen,"\. ~ "~--'u' h OAt:; 952-00i-
. OArcDowns!!o,ntslDrams: ,9 , the I'ules by
In n >1"'- , - 'coRles 0, "
0090, You may obtain Noth: the telephone
c'alling the center. ( \:Jtillty Notliicalion
number 101' the orie8gg~_332-2344),
Center IS -
Notes:
NOTICE: ' I ValuationDescrilDtion I
THIS PERMIT SHALL EXPIRE ',i' ",J!, ~u, "i"
D . t' AUTfJTC1RI7F.fncIJNOt ER .THIS pt$lp.ms\jlJitGT Square Footage
escnp IOn l'pe'o ons rnctlon 0" r;;- II" J' B'd A
COMMENCED OR I~ A13AND '\~@.JI, [p,ler or I mount
ANY 180 DAY PERIOD,
Value
Date Calculated
ll"
Page] of2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,
PERMIT NO: OOM2009-01045
ISSUED: 07/20/2009
APPLIED: 07120/2009
EXPIRES: 01/2012010
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Total' Value of Project
. I Fees Paid I
IIIII
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Amount Paid
Date Paid
Receipt Number
:1
$9.48
$3,95
$79.00
7/20/09
7/20/09
7/20/09
320090Q000000000543
3200900000000000543
"3200900000000000543
Total Amount Paid
$92.43
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections reqJested 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 ~e\1.~~ir,~dI nso~ct.jons I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
B'y signature, I state and agree, tball have carefully e.amined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any a'nd all work performed sball be:done in accordance with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work described herein, aud
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 fnspections are requested at the proper time, that each a,ddl';ess 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
Date
Page 2 of2
225 Fifth StJ:eet '
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1045
COM2009-01045
COM2009-01045
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
15t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
3200900000000000543
Received By
NJM
Check Number
Batch Number
Page I of I
City of Springfield Official Receipt
Development Services Department'
Public Works Department
"
Date: 07/20/2009
11 :30:24AM '
Item Total:
Authorization
Number
Amount Due
79,00
3,95
9.48
$92.43
'I
How-Received
Amount Paid
ONLINE MARSHAL Online
LS
$92.43
Payment Total:
$92,43
. ,
7/20/2009