HomeMy WebLinkAboutPermit Mechanical 2009-8-4
I Description I'!, Qty. J Ea.
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I FirSI Appliance fee 1,\ I J
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I Subtotal
I Slate surcharge (l2% ofpemlil
total)
I Technology fee (5o/~ ofpermil
total}
I TOTAL PERMIT FEE
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Mechanical Authorization To Begin Work
E~mailed To: lindsey@mar'shallsinc.com
Check on status of permit
By Phone: 54IM726-3753 or Email: permilcenter@ci.springlleld.or.us
I 0 New Construct.ion 0 Addition/alteration/replacement
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I Job Address; 1829 EST I
I City/Slute/ZIP: SPRINGFIELD, OR 97477 I
I SuileJbldg./apt.no.: I
I Project Nome: REID I
I c"" 5"""";"'''0'''0 job ,It" BET~'EEN 18TH AND 19TH I
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Q.9-lld5
INSTALL DUCTLESS HEAT PUMP
69600-BMC-09-00056
8/4/2009 11:18 am
Approval Code: 00509C
Total
'_ >~0.
$79.00
$19.00
$9.481,
5]'''1
$92.43
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I Nllme: ALAND REID I
I Phone: 541-747-1787 Fax: I
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I CCBh...o: 1;7,9~:crr-7m IINOFR THIS PERM II I::> NU I I ' 0(\ W~\\\e'Ole;'lese~()()\-
I BO"o"'N;';'F.,iit:~~i!~kh~l"FnR IS ABANDONED [-UK I ..."O~" ole1eo 'O'1ose IU\e~f'-?-. c!F"IU\es '0'1
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Ad"",,, 4110 OLYMPIC ST \0\\0 \\0(\ ()\-() .(\c,o,-, \'(Ie \\W;:,
I C'tyIS.."IZlP, SPRINGFIELD, OR 974785620 I ~O\\,\C~ cJ)~.() -0.'1 0'0\'0.\ ~o\t\\\\\'1 ~Zl\\'
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I Pho", 541.747-7445 Fo" 541-74\-\1'" I \(\ () '{O '(Ie ce Ole<0 ()_'1>-:;..-
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Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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NOTE: This Authorization To Begin Work expi~es within 180 days If a
permit is not obtained.
The local building department may determine that an Authorization To
Begin Work is null and void if-it does not meet applicable land use laws
and local ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a permit';
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Status
Issued
CITY OF SPRINGFIELD
Building/C?mbination Permit
PERMIT NO: C::OM2009-01125
ISSUED: 08/04/2009
APPLIED: 08/04/2009
EXPIRES: 02/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1829 E ST
ASSESSOR'S PARCEL NO.: 1703362400200
Springfield TYPE OF WORK: Heating System
TYPE OF USE:
PROJECT DESCRIPTION: Install ductless heating system in residence
Residential
Owner: REID ALAN D & LORENA M
Address: 1829 E ST
SPRINGFIELD OR 97477
Phone Number: 541-747-1787
,
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION.
Expiration Date
12/23/2009
Phone
541-747-7445
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
'r\\'-.'fSprinkled Building:
(,!\Iv _
't:.'/..?\\'-.'t:. W\'-.~tU'fltiiL'oPMENT INFORMATION'
~\C~:. ~ 'O\\~\.\. ,\\\'O?t: ~'t:.() r\l~\
Fron~~~\~"fbJi'.!~\ Ij~()'t:.\'-. ~'i)~~()() Overlay Dist:
Side I S'etba~\'-.\lt: ()\'-. \'0 # Street Trees Rqd:
Side 2 S~t'1l1Ck:,\,~C,'t:.\) oC\'-.\\)\)' Paved Drive Rqd:
S"~\\"k: ",,! r'-
RearyardJ ,etbac\)G \)... % of Lot Coverage:
Solar SetbacR~:'\
.....
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Lot Size:
Sq Ft I,st Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement: ,
Sq Ft Garage/Carport
Sq Ft 0ther:
Occupht Load:
Ii
n/a
Street Improvements:
Storm Sewer Available:
Special Instruction:
REQUU}ED PARKING
"'~ '~\,
Tot3l: \~,,' 11'
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,,\}'Handicapp'ed;'
~ev., "','-!J c;.,'<J (J\J
~' CCompact:: 'Q~
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O,eC$ 0 '<:J~ ~e ,0 ~ O~ ~e 11'0<:' 0<:-
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I PUBLIC IMPROVEMENT.s:I."'~e'i>;~<:-\'3;~\\')~ c,?~~e':~~,\ "'~~.
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, ,- or DownspoutslDrams:
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Notes:
I V aluation Descri~tion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
I
Value
Date Calculated
Paee I 01'2
.-
_s;~~'~~~!il~~,:~r
1I.J .
,
Status
Issued'
225 Fifth Street, Springfield, 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
Date Paid
8/4/09
8/4/09
8/4/09
I Plan Reviews I
CITY OF SPRINGFIELD
,
I:
, Building/Combination Permit
PERMIT NO: €OM2009-01125
ISSUED: 08/04/2009
APPLIED: 08/04/2009
EXPIRES: 02/04/2010
VALUE:
Receipt Number
1200900000000000875
1200900000000000875
1200900000000000875
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. '
Reouired Insneet,!nns I
Rougb 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 hheby certify that all
information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with
tbe Ordinances of the City of Springfield 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 in compliance ";ith ORS 701.005 wil'i 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. '. I
Owner or Contractors Signature
Pal!e 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01125
COM2009-01125
COM2009-01125
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
City of Springfield Official Receipt
Developmerit Services Department
"
Public Works Department
,
"
RECEIPT #:
1200900000000000875
Date: 08/0412009
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge '
Paid By
ONLINE PERMIT CHGS
Received By
KR
Pal',e I of I
Item Total:
Check Number Authorization
Batch Number Number
How ~eceived
Online
ONLINE MARSHAL
LS INC
Payment Total:
,
I
I:'
II :27:54AM
Amount Due
79,00
3,95
9.48
$92.43
AmountPaid
$92.43
$92.43
8/4/2009