HomeMy WebLinkAboutPermit Mechanical 2009-8-10
;.City of Springfield
s;~~!~,'I~~;~?
Mechanical Authorization To Begin Work
E-inailed'To: Iindsey@marshallsinc.com
69600-BMC-09-00067
8/tO/2009 1:26 pm
ApprovalCode:04451D
Check oDstatus of permit
By Phone: 54 J ~ 726~3753 or Email: permitcenter@ci.springfield.or.us
I tJ New Construction 0 Additionlalteralionlr<:pJ~celllent
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Description I Qt". Ell.
~1_euii~i~~~\lIiDg~pp~~~~~3-:~~i,;:: g#- :t:."~~
Heat Pump
Total I
"'-~<I
S17.001
~-;;;~~j
$96.00'1
$11.521
$4.801
S1I2.321
FirSlAppliailCt:Ft:c J J
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Subtotal
State surcharge (12% of permit
total)
Technology fee (5% of pen nil
total)
TOTAL PERMIT FEE
I Job Address: 2824 CHATEAUPL
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldg./apt.no.:
I Project Name: combs
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TllX map/pllrcel no.:
Qq -\\51
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install heat pump and airhand]cr
I Name: Don Combs
Phone: 54]-747-0538
Fax:
I Email:
I CCB'" no, '1:.~:-: 'r::;rl.-'-;" GIIALL ::Xf'lF:f: 1:- -;"11:: WfrRi{
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'Contact: ('r\ftnn1fr~I{"\.r-D 01'"\ If" "-""tL"'0..~Ir-D ~"'t'
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City/State/ZIP: SPRINGF]ELD, OR 974785620
I Phone: 54]-747-7445 Fa';\;: 541-741-0821
I Email:
1 Metro lie. 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.
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-001 0 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).
NOTE: This Authorization To Begin Work expires within 180 days if a
pennit 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
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Iss u ed
CITY OF SPRINGFIELD
oBuilding/Combination Permit
PERMIT NO: COM2009-01157
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2824 CHATEAU PL
ASSESSOR'S PARCEL NO.: 1703233203000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electric & Mechanical for heating equipment
Residential
Owuer: DON & JUDY COMBS LIVING TRUST
Address: 2824 CHATEAU PL .
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/24/2009
12/23/2009
Phone
54] -895-4466
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 Floor;
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENTINFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Iiandicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special ]nst~~{!ijj~~E:
Notes: liHIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
,
Sidewalk Type:
Downspouts/Drains:
ATTENTION: Oregon law requires youto
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
callfng the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
,
"
,
I
Pa2e I of3
Status
Issued
,
225 Fifth Str~et, Springfield, OR
541-726-3753' Phone
,
541-726-3676 Fax
,
541-726-3769rlnspection Line
I Valuation Descrirtion I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fe~s Paid I
Fee Description .
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea.Add
Heat Pump
, Amount Paid
$7.32
$11.52
$3.05
$4.80
$79.00
$55.00
$6.00
$17.00
Total Amoun, Paid
$183.69
I Plan Reviews I
Date Paid
8/10/09
8/10/09
8/10/09
8/10/09
8/10/09
8/10/09
8/10/09
8/10/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01157
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02/10/2010
VALUE:
Value
Date Calculated
Receipt Number
3200900000000000570
1200900000000000894
3200900000000000570
1200900000000000894
1200900000000000894
3200900000000000570
3200900000000000570
1200900000000000894
To Req'uest 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.
I Refluired In,S,n~di?n\ I .
Rough Electric: Prior to Coyer
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Coyer
Final Mechanical: When all mechanical work is complete.
Paee 2 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01157
ISSUED: 08/10/2009
APPLIED: 08/10/2009
EXPIRES: 02(10/2010
VALUE:
By signature, 1 state and agree, that 1 have carefully examined the completed application and do her,eby certify that all
information hereon is true and correct, and I further certify that any and ..II 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 described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 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
Pa2e 3 of3
Date
22:1 Fifth Street
Sp~ingfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01157.
COM2009-01157
COM2009-0 1157
COM2009-01157
Payments:
Type of Payment
ONLINE CHGS
cReceilltl
RECEIPT #:
Description
1st Appliance
Heat Pump
+.5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS .
City of Springfield Official Receipt
Development Services Department
Publie Works Department
1200900000000000894
Date: 08/10/2009
Item Total:
{':hcck Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LSINC
Payment Total:
Page 1 of 1
1 :49:24PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
8/1 0/2009