HomeMy WebLinkAboutPermit Mechanical 2009-8-14
IFirstApplianceree I
1~!~(;~~B.I~~~P~~iJ':f'~^~$'~~l,;:?~~
I Subtotal
I State surchargc C,12% of pen nil
total)
I Technology fee (5% ofpennit
total)
I TOTAL PERMIT FEE
City of Springfield
Mechanical Authorization To Begin Work
E~mailed To: Iindsey@marshallsinc.com
Check on status of permit
By Phone: 541-726.3753 or Email: permitcentcr@ci.springfield.or.us
I D New Construction
o Addition/alteration/replacement
IOescription
Il-IeatPump
10 l oc "'mily dwdh", D M,lti-f.TIily
D Commercial
DACCCSSOl)' Building
1092 PLEASANT 51'
City/Stllte/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: MURKLEY
Cross Street/directions to job site: CENTENNIAL TO ] HI-! TO PLEASANT
II';~:':~~;""~:: L:12~~A:l~~Q~ q'~$ '.-s-" ~-0~v~v~1
02l:Gl:ii5::::A2~~~~;0.ffftDESCRIRTIONlOF1WORK'f+0;h:c~,..,:$",:EJ~:::::ur"'?'",,:'j;~
INSTALL HEAT PUMP AND AIR HANDLER
Name: DALE MURKLEY
Phone: 541-736-3060
Fax:
Email:
CCBlie. 110.: 25790
Business Name: MARSHALLS INC
Conlacl:
Address: 4110 OLYMPIC ST
City/Stale/ZIP: SPRINGFIELD, OR 974785620
Phone: 54]-747-7445
Fax: 54]-74]-0821
Emllil:
Metrolic.DO.:
City Ik. 110.:
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.
~~
~ 'b'V.
-~~
NOTE: This Authorization To Begin Work expires within 180 days if a
pennit 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'
(}yy; 2(j7)9 - (JI/7/
/7/Y) If ~/7 .- () 1
69600- BM C-09-0007 4
(1\
to(~
8/14/2009 9:00 am
App~oval Code: 037580
$96,00
$11.52
$4.80
$112.32
V
~\'\~
~'l<
(t
Status
Iss u ed
CITY OF SPRINGi< lELD
Building/Combination Permit
PERMIT NO: C'OM2009-01171
ISSUED: 08/14/2009
APPLIED: 08/12/2009
EXPIRES: 02/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone .
541-726-3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 1092 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703264106000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New'
Residential
PROJECT DESCRIPTION: HV AC equipment
Owner: MURKLEY DALE D & WANDA D
Address: 1092 PLEASANT ST
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
12/2312009
Phone
541-895-4466
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 Gara,gelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
Frontyard Setback:'
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
. Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBLIC IMPROVElV/i-NTS'IT10N: IJre.gon la'p' r9':I",""" Y()L'.'.u
, .. . Ile.s adopted by the O"",:,on UtI!lty
Notitication C SideWaIk .'fypo:,les are sat forth
in OAR 952-001-001 0 through OAR 952-001:
0090 You In' .Downsp'outs/D<ains:he rules by
. la)' UUlC..11 ....""1"'......... ...., .
calling the center. (Note: the telephone
number tor the Oregon Utility Nolitication
Center is 1-800-332-2344).
Notes: K
\'W1Iel.:: XPIRE IF lHE WOR
THIS PERM\1 SHAl~;.\-\\S pERMIT \S NOl
,'-ILliHORIZED LlND~S ABANDONED FOR
~O'~MENCED OR
~\N~{ i 80 DAY PERIOD.
Pa2e I of3
_~;~l!!g!U~;t9,.,1l,
!' . ..... ...,
jt
I
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line,
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
L.F~~, pqj,IIJ
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$7.32
n05
$55.00
$6.00
$11.52
$4.80
$79.00
$17.00
8/12/09
8/12/09
8/12/09
8/12/09
8/14/09
8/14/09
8/14/09
8/14/09
Total Amount Paid
$183.69
I Plan Reviews I
CITY OF ~rKll~uFIELD
Building/Combination Permit
PERMIT NO: COM2009-01171
ISSUED: 08/14/2009
APPLIED: 08/12/2009
EXPIRES: 02/14/2010
VALUE: .
Value
Date Calculated
Receipt Numher
3200900000000000580
3200900000000000580
3200900000000000580
3200900000000000580
3200900000000000584
3200900000000000584
3200900000000000584
3200900000000000584
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.
LJeolliredJnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa2e 2 of3
Status
Iss u ed
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01171
ISSUED: 08/14/2009
APPLIED: 08/12/2009
EXPIRES: 02/14/2010
. VALUE:
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,
By signature, 1 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 ofthe 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 permissiou 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
.)
Pa!!e 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-01171
COM2009-01171
COM2009-0117l
COM2009-0I'171
Payments:
Type of Paym.nt
ONLINE CHGS
cReceintl
RECEiPT #:
Description
1st Appliance
, Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
4P&!..__..... .1U-t!.i;N... .......,
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\i .. ... ';
Ifir';..i, .. 1
, '
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. .
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L' ..... ....~ ...." .
3200900000000000584
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL Online
LS
Page 1 of 1
Payment Total:
9:02:58AM
Amount Due
79.00
17,00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
8/14/2009