HomeMy WebLinkAboutPermit Mechanical 2009-7-23
City of Springfield
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69600-BMC-09-00040
Mechanical Authorization To Begin Work
E:mailed To: Jindsc)'@marshllllsinc.com
7/23/2009 2:55 pm
Approval Code: 00320D
Check on s.t~tus of permit
By Phone: 541-726~3753 or Email: permiicenter@ci.springfield.oLus
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10 NewConstruclion
o Additionlaltcrationheplacement
10 I ,,2 I""ily dw"I;", 0 M"It;-fwn;ly D Comm,,,;,1
DACCeS50l)'BUilding
I Job Address: 2150 LAURA ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I SuiteJbldg./llpt.no.: 18
I Project Name: Raleigh
Cross Street/directions to job site:.Hayden dr wayfharJow to laura Sl
Tax IlHlpJpllrcelno.:
INSTALL HEAT PUMP
NOTICE:
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Ph"""'41_74-!--a\..VIIVltl~\"tU UK I"Ft:\!:lAI~UUI~t:U run I
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CCBlic. no.: 25790
Business Name: MARS HALLS INC
I Contact:
I Address:.j] 10 OL YMPICST
I City/State/ZIP; SPRINGFIELD, OR 974785620
( Phone: 541-747-7445 fill(: 54/-741-0821
Email:
Mctrolic.no.:
City lie. no.:
Upon review and approval by your local juris~iction, 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 ineet applicable land use laws
and local ordinances
I Description
Totlll
I First Appliance Fce I
l~lECfI~NX0\:).fPE:R~1If,I':EE~,~,,= -. ...._
lSUblOlal
IStaleSUT~harge(12%OfPerrnit
cowl)
I Techno]ogy fet: (5% of penn it
total)
I TOTAL PERMIT FEE
Cg - tDl \
~ IIJSloG
.,-"- 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 Notification
Center is 1 :800-332-2344).
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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/Combination Permit
PERMIT NO: COM2009-01071
ISSUED: 07/24/2009
APPLIED: 07/23/2009
EXPIRES: 01/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 2150 LAURA ST SPACE 18
ASSESSOR'S PARCEL NO.: 1703271004400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump in mobile home
Owner: MONTA LOMA MHP
Address: 2150 LAURA STREET
SPRINGFIELD OR 97477 "
Phone Number: Unlisted
I CON!R.^CTOR.INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA TIO~ I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units: # of Stories:
Primary Occupancy Group: Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary CO/rHp.'j!i,?n Type Water Type:
- Secondar~Gonstruetion Type: Range Type:
# of Bedrooh\S: PERMIT SHALL EXPIRE IF THE ~~y Path:
AUTHORIZED UNDER THIS PERMIT IS ~jfJkled Building
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
IJUIVIIVICJ\lI..JI:U un Iv /"'\U/'"\J\lUUI'" J'....~'J
ANY 180 DAY PERIOD I DEVELOPMENT INItORMA1'(1f(!)lS~egonlaw requires you to
. . ruWtv IUI":; auupted by the OrE~QtJ;~ PARKING
. Notification Center. Those rules 'lfe set forth
Overlay DlSt:jn OAR 952-001-001 0 through OItf'l\l1.I?-001-
# Street ~ree'tIB9g: You may obtain copies of ~'e'\~,'iJlJ'Br:
Paved DrIVe Rql!iIlling the center. (Note: the t~Ib'IJP.1\fle
% of Lot Coverng~;ber for the Oregon Utility Notification
Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0107I
ISSUED: 07/24/2009
APPLIED: 07/23/2009
EXPIRES: 01/24/2010
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~es Paid I
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
.1 st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
7/24/09
7/24/09
7/24/09
1200900000000000831
1200900000000000831
1200900000000000831
Total Amount Paid
$92.43
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 th~ following
work day.
Reouked J nsn~ctinns I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature; I state and agree, that I bave_carefully examined tbe 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 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, 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 ill 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.
Owner or Contractors Signature
- Date
Pace 2 of 2
225 Fifth Street
Spr:ingfield, Oregon 97477 ,
541-726-3759 Phone
"
Job/Journal Number
COM2009-0 I 07 I
COM2009-0 I 071
COM2009-01071
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
- Public Works Department
1200900000000000831
8:07:26AM
Date: 07/24/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$92.43
Payment Total:
$92.43
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7/24/2009