HomeMy WebLinkAboutPermit Mechanical 2009-7-29
City of Springlield
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
Check on status of permit
By Phone: 541-726~3753 or Email: permilcenter@ci.springfield.or.us
I 0 NewCol1strllction
o Addition/alteration/replacement
I Description
o I or 2 ramilydwdling 0 Multi-family 0 Commercial
I First Appliance Fee
ll\l~_G...,,,,'tiq~~,~;c-P~RMI;I: ~EJ<:~~"
I Subtotal
I State surcharge'(12% of penn it
tOlal) .
I Technology fee (5%ofpermil
tOlal)
,I TOTAL PERMIT FEE
o Accessory Building
1~.~:;-~~.~boB;SITEtINFORMATION\6;N6)'ifOCATION.~~~~.~s~~~f~:I
I Job AlIdress: 1693 W QUINALT ST I
I City/State/ZIP: SPRINGFIELD, OR 97477 I
I Suite/bldg.lapt.no.:
I Project Name: ~LANKETSHJP
I Cross Street/directions to job site: W CENTENNIAL. NORTH ON ASPEN;
NORTH ON TAMARACK, WEST ON QVINAL T
I T"ID'p!p",,'"', ,\'It),,,-!1.'1?71-- ~\'1.~
I~E~~J~~:::~t~~EscRiP:rI6NidFiW6'RK~~i*)~'t!i7~~~,:~'"~:7E~:~~~~{
INSTALL DUCTLES~ HEAT PUMP
JAMES BLANKETS HIP
Phone: 541-746-0428
Fill(:
Email:
I CCBlic. no.: 25790
BU5ine5S Nllme: !\1ARSHALLS INC
Contact:
AddreS5: 4] 10 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 54]-741-0821
Email:
I Metrolic.no.:
City lie. no.:
Upon review and approval by yo'ur 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 expire~ within 180 days if a
penn it Is not obtained. .
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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
e"q -lbVJq
69600-BMC-09-00046
7/29/2009 2,27 pm
. Approval Code: 07322D
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This Authorization To Begin Work must be posted at the job site untilreplaced by a Permit ';
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7 - d9/07
-
Status
Issued
CITY;, OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01099
ISSUED: 07/29/2009
APPLIED: 07/29/2009
EXPIRES: 01/29/2010
VALUE: '
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1693 W QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703273200126
Springlield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner:
Address:
BLANKENSHIP JAMES D
1693 W QUlNALT ST
SPRINGFIELD. OR 97477
Phone Number: 541-746-0428
I CONTRACTOR INFORMA T,ION .
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATlON,1
Expiration Date
12/23/2009
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 Patb:
Sprinkled Building:
Lot Siz~:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
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:
- REQUIRED PARKING
-Total:
Handicapped:
Compact:
,__... ",...11 tn
Street Improvements:
I PUBLIC IMPROVEMIDNTS1II ION: orego~'b''';h';o;~gon Utility
, lUll'"'' ules a,dopte _\ .~o rules are set tortn
Notification (SIdewalk Type: I OAR 952-001-
. - 5n_0.n1-0010 thwU9 1, I s by
In OAR 9 '- Downspouts/Drains: the ru e
0090. You may U'J'^'''N~ie: the telephone
calling the center. ( Utility Notification
numbertor,the or1e8g0o~_332.:2.344),
Center IS -
Storm Sewer Available:
S . II "~'-'''E
peCla nstrucllQIJ:.... .
Notes: ~:;j~!16_~~~~3~~~~ ~~~~R~~:~~EL~~~~
,;"'~',"uI:U UK I:::' AtJANDO.Vl:
I., \' 100 DAY PERIOD, 1-,,uafJla~ion DescriDtionJ
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Squ..-e Footage
or Bid Amount
Value'
Date Calculated
Pa2e I of 2
_ s~~~~g,~~I!~,~~~~)l~
.., . - ,
w~
.,r
Status
Issued
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State;Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
7/29109
7/29/09
7/29109
CITY OF SPRINLil'lELD
Building/Combination Permit
PERMIT NO: COM2009-01099
ISSUED: 07/29/2009
APPLIED: 07/29/2009
EXPIRES: 01/29/2010
VALUE:.
Receipt Number
3200900000000000557
3200900000000000557
3200900000000000557
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. willibe made the following
work day.
I Reouirerl I n.nections .
1111111 ,
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 shalllbe done in accordance with'
the Ordinances of the City of Springtield 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.
Ifurther 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
Pa2e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1 09Q
COM2009-0 1 099
COM2009-01099
Payments:
Type of Payment
ONLINE CHGS
eReceiotl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Developmellt Services Department
Public Works Department
3200900000000000557
Date: 07/29/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE marshalls Online
Payme'nt Total:
Pa2e I of I
2:57:3IPM
. Amount Due
79,00
3,95
9,48
$92.43
Amount Paid
$92,43
$92.43 "
7/29/2009