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Home My WebLink AboutPermit Mechanical 2009-7-27 Mechanical Authorization To Begin Work' E~mailed To: lindsey@m:ushallsinc.com Check on status of pe~mit By Phone: 541-726-3753 or Email: perrnitcentcr@ci.springfield.or.us ., I D NewConstruction o Addition/alteration/replacement 10 I ,,2 f,mily dwdll,. D M;lti.f,mily D Co""""i,' DA'''''''Y"'il'''' 1~~"~~;~~':5~~DOB:SrrETINFORMATI6N-tANO~LHcATiON"~' I Job Address: 2150 LAURAST I City/State/ZIP: SPRINGFIELD, OR 97477 I SuiteJbJdg.lapf.no.: 9 I Project Name: KISSELL I C,"" S""ud'","",' to job .h" I TllX mllp/parcel no.:. INSTALL HEAT PUMP Name: MIKE KISSELL I Phone: 541-606-9625 Fax: I E"',il, NOTICE: 1~:l'~~Gii~HrS"~fi.BI\ilIJl:Tt'liSmlt!..Clr!1ll'IRP!rR~tH.r.wnRK l,;,,,~~ I CCBIi"oo,'2579,O,lJTHORI7Fn 11~lnFR THIS PFRMIT IS NOT I B",""'N'm"'13B'/j~M'El\!SED OR IS ARA~100NF[) FOR I c""" ANY 180 DAY PERIOD. I Address: 4110 OLYMPIC ST I City/State/ZIP: SPRJNGFIELD, OR 974785620 I Phon'e: 541.747~7445 Fax: 541-741-0821 Emili!: I Metrolic.no.: City Iic. 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. I Description 1 First Appliance Fee 69600-BMC-09-00042 7/27/2009 2:53 pm Approval Code: 04852D Ea. Tolal --+:_~;,~ ','. --' -".. $79.001 '",1 179001 $9.481 $3.951 $92,"\ 'il I Subtotal IStatl;: surchargc (12% of penn it total) I'Tl;:ChnO!OgYfCC(5%OfPermit. IOta\) l'fOTAL PERMIT FEE QCl-lOO5 ~ 1(Ollui ATTENTION: Or~gon law requires you to follow rules adopted by the Oregon Utility ~otification 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). 'o~c5' ~~~}o ~W C\; V '\ NOTE: This Authoriz.atlon 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 ~. ~.~~ .~ ~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRIN\JNI'.LD Building/Combination Permit PERMIT NO: GOM2009-01085 ISSUED: 07/27/2009 APPLIED: 07/27/2009 EXPIRES: 01/27/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2150 LAURA STSPACE 9 ASSESSOR'S PARCEL NO.: 1703271004400 Springfield TYPE OF WORK: Heating System 1;' TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump in manufactured home Owner: Address: MONTA LOMA MHP 2150 LAURA STREET SPRINGFIELD OR 97477 Phone Number: Unlisted I CONTRACTOR INFORMATION . Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expirat~on Date 12123/2009 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: Lot Size: Sq Ft 1st Flool': Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I . REQUlRE;D PARKING unTlr.~. ATTENTION: Oregon law reqUires you to Frontyard\Setliaek:-' IF THE vlftlffi<'Y Dist: follow rules adopted'E'tt~:I;e Oregon Utility Side I Setb'ji"ll:S PERMIT SHALL EXPIRE 21 ~t5rt Trees Rqd: Notification Center. TtIhlldicapped: set forth Side 2 SetbAsk::HORIZED UNDER THIS PERMIT l~ilVC Drive Rqd: in OAR 952.001-0010 !1lompjcC:JAR 952-001- Rearyard Setback::NCED OR IS ABANDONED FO~ of Lot Coverage: 0090 You may obtain copies of the rules by V\j\VlIVIL- . Solar Seth""fuV 180 DAY PERIOD. calling the center., (Note:the telephone J-\.l\l _. ,.....l,......... f....... .h.... n..,.,r""'In 11t.I,h, I\I"tlfll"'~:dlnn I PUBLIC IM~ROVEMENTS I Center is 1-800-332-2344). Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Desc~'iDtionJ Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amonnt Value Date Calculated Page I of 2 Status Issued CITY OF SPRINtJl'lELD Building/Combination Permit PERMIT NO: COM2009-01085 ISSUED: 07/27/2009 APPLIED: 07/27/2009 EXPIRES: 0112712010 VALUE: 225 Fifth 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 7/27/09 7/27/09 7/27/09 Receipt Numher 1200900000000000847 1200900000000000847 " 1200900000000000847 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 ~equested 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 Re/luired Tnsnectior~ 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 trne and correct, and I fnrther 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 w'ork 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. Owner or Contractors Signature Date '. Pace 2 of2 225 Fifth Street Springfield, Oregon 97477 541- 726-3759 Phone Job/Journal Number COM2009-0 1 085 COM2009-0 I 085 COM2009-0 1 085 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 Receip( Development Services Department Pu~lic Works Department 1200900000000000847 Date: 07/2712009 3:01:18PM Item Total: Check Number Authorization Received By Batch Number Number How,.Received Amount Due 7900. 3,95 9.48 $92.43 Amount Paid KR ONLINE MARSHAL Online LS INC $92.43' Payment Total: $92.43 Page I of I 7127/2Q09