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HomeMy WebLinkAboutPermit Mechanical 2009-7-24 (~q - Dlo1t( City of Springfield Mechanical Authorization To Bcgin Work E-mailedTo:lindsey@marshallsinc.com 69600-BMC-09-00041 , 7/2412009 12:48 pm Approval Code: 00328D Check on status of permit By Phone: 541-726-3753 or Email: permilcenter@ci.spfingfield.or.us D NewConstruction o Addition/alteration/replacement Oescription t Qty. I Job Address: 5335 MAIN ST I I Suite/bldg./upt.no.: 18 I Project Name: BRILEY I I Tn,p!p"'''"o: \f)01, ,?>?CD o..1:>(X) 1iiff?;T"';:?:d7:;:3!!;.c~~;~,,'21?;'J:'~'""-"E'''''S.CRI.P-T''''%IO'''''-N' 'i("Ol:~W'-'"O'~R=K'~,_;F"::;P :;;:::Y'ifd'FF:;0>ZdiLJft",i'-:r ;ib_"c:?,7T'1'''~''i~ ~'"' ,,,,'" 0:8!0\lf:D . "" . :''--'" <-?"-:~-;'_!!0!0~,:,:~~:)~~iff?;Jgk<; 10 I ",2 f=;ly dw"l;o, 0 M,It.-f"mly 0 Comm",,;1 0^,,,,,0'1' B,;ldmg 1 1];2-;:~~=4~:'~OBTSITElrNFoRMA:TI0N:AND:LOCATrON~~~~":_~-"~'f~ '7-!b.1,~:~:1 I I I I 1 City/State/ZIP: SPRINGFIELD, OR 97478 (Firs! Appliance Fce IMECliAfilf;AL;pjt~"~T:FEIi:~3t:,~~,!~i,:,~; I Subtotal I Stale surcharge (12% ofpemlit lotal) ITeChnOIOgy fee (5% of penn it lotal) !TOTAL PERMIT FEE $79,00 S9.481 $3.951 $92..ul Cross Street/directions to job site; HWY 126 TO MAIN, WEST ON MAIN INSTALL HEAT PUMP I Name: CONNIE BRILEY Phone: 253-722-7961 Fax: Email: CCBlic. no.: 25790 Business NlIme: MARSHALLS.]NC I Contact: I Address: 4110 OLYMPIC ST I City/State/ZIP: SPRINGFIELD, OR 974785620 Phone: 54]-747-7445 Fax: 54]-741-0821 ~ ~~:t ~ f~ ~ ~.6' ~, Email: MetTolic.no.: City lie. no~; 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. NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building deparbnent may 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 b~ posted at the job site until replaced by a Permit CNm~ r 01074- \1m ( ~ dl..{ -- cYi _~.~~J;~Q'f"~,;'.PJ :1 l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01074 ISSUED: 07/24/2009 APPLIED: 07/24/2009 EXPIRES: 01/24/2010 VALUE: SITE ADDRESS: 5335 MAIN ST 18 ASSESSOR'S PARCEL NO.: 1702330001300 SPRINGFIETYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pump Owner: SANTIAGO ESTATES ASSOCIATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 TYPE OF USE: New Residential Phone Number: 253-722-7961 I CONTRACTOR INFORMATION I License 25790 BUILDING INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC # 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: Expiration Date 12/23/2009 Phone 541-747-7445 n/a Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer A~ailabl'j;JOTlCE' Specl3llnstructlOn: T . Notes: A~~SH6~~~~ ~~~LL EXPIRE IF THE WORK COMMF~Ir.m nn I~R, ~~I.~__P_ERfl~IT IS NOT Ar~Y 180 DilY PE' ';:" .~,""" :.;:: . liIL 'PValuation Descriotion REQUIRED PARKING Total: Handicapped: Compact: - Sidewalk Type: ATTD"NTION: Ot /D'"C!"n r"w reol 'Irps vou to f II ownsp'ou s rams: .'.. - , o .ow ru",,; aaoptea DY the O.Eg::m Utility Notification Center, Those rules are set fOt'th In OAR 952-001-0010 throW;I: CJl,r-. 332-001- 0090. You may obtain copies of tile rules by r:~lIinn tho ,..anf,..", (f\I^~...., h.~ 4_r__.L_ I number for the Greg-on Utility Notiiic;U;n Center is 1-800-332-2344). Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Paee I of 2 Value ._4?:~~I~!!FI~,~A'~~,!i,;~,!~I,~,,:r'; r '- , -." I~ ' Status Issued CITY OF SPRIN\jJ:<l~LD Building/Combination Permit PERMIT NO: COM2009-01074 ISSUED: 07/24/2009 APPLIED: 07/24/2009 EXPIRES: 01/24/2010 VALUE: 225 Filth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541'726-3769 Inspection Line , Total Value of Project Fees Paid I $9.48 $3.95 $79.00 7/24/09 7/24/09 7/24/09 Receipt Number 3200900000000000549 3200900000000000549 3200900000000000549 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Total Amount Paid $92.43 I 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 the following work day. Reo."ir,ed Insllections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the 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 Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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. Owner or Contractors Signature Date Paee 2 01"2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01074 COM2009-01074 COM2009-0 I 074 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 3200900000000000549 Date: 07/24/2009 1:13:29PM Item Total: Check Number ,Authorization Received By 8atch Number Number How Received Amount Due 79.00 3_95 9.48 $92.43 \ \ \ Amount Paid NJM ONLINE MARSHAL Online LS $92.43 Payment Total: $92.43 Page I of I 7/24/2009