HomeMy WebLinkAboutPermit Mechanical 2009-7-24
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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
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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
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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-
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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