HomeMy WebLinkAboutPermit Mechanical 2009-8-20
...city of Springfield
Mechanical Anthorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-BMC-09-00084
812012009 II :25 Uill
Approval Code: 003320
Check on status of permit
By Phone: 541-726.3753 or Email: pt:rmitcenter@ci.springfield.or.us
10 NewConstruction
o Addition/alteration/replacement
QIy,
$79.001,
~-:'''''~I
$96,001
$11.521
$4.801
$112.321
I Heat Pump
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DAccessoryBuilding
First ApplilUlce Fee
Project Name: RICH
Subtotal
I State surcharge (12% of pennil
total)
I Techno]ol:\Y fec (5% o[pemlit
total)
I TOTAL PERMIT FEE
I Job Address: 463 63RD 51'
I City/State/ZIP: SPRINGFIELD, OR 97478
Suite/b1dg./lIpt.no.:
Cross Street/directions to job site: MAIN TO 65.TH PL, LEFT ON A, RIGHT ON
64TH ST,LEFT ON C, RIGHT ON 63RD
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INSTALL HEAT PUMP AND AIR HANDLER
J
I Name: SU~AN RICH
I Phone: 541 ~Q<;3.8631...
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Email: TI ~I"" ....1"-...... ......
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I BUSiness~n~Ht!fjJ1H~~.s1NeF_~ I.~ .0tsAI\JUUI\ltU fOR
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Contact: .
I Address: 4110 OLYMPIC ST
I City/Slate/ZIP: SPRINGFIELD, OR 974785620
I Phone: 541-747-7445 Fax: 541-741.082]
I Email:
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),
Fax:
Metro lie. DO.:
Citylic. 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.
NOTE: This Authorization To Begin Work expires within 180 days if a
permit is not obtained.
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The local building deparbnent 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
._~!,~~~~~t~~IH.:t1,.~M!i"'~;{i
'I- 1" ""
Status
Issued
CITY OF SPRINGFIELD.
, Building/Combination Permit
PERMIT NO: COM2009-01218
ISSUED: . 08/20/2009 '
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 463 63RD ST
ASSESSOR'S PARCEL NO,: 1702342402300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: RICH SUSAN K
Address: PO BOX 227
EUGENE OR 97440
Phone Number: 541-953-8637
.1 CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupaucy 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GarageiCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMA'liIONJ'ION Oregon la~~r:c;;~~~~X~~i;i~V
. 10Jlow rUles adopted by REQUIRED ItARKING
, 'lication Center. Those rwes ,:U~ ~"" 'u,."
Frontyard\~<(!~~c.!<E: q~'Q"ay Dist: Notl AR 952-001-0010 thrCIlo!al:'JAR 9J2-001-
Side I Setback:, PERMIT SHALL EXPIRE IF THE \~ 's'tr&t Trees Rqd: III ~O You may obtain d[~andic'''pri'eil:les by
Side 2 setb~f~iHnRIZED UNDER THIS PERMIT Ifp~~'Jd Drive Rqd: OOcaliing the center, (N(Con\J)act:\~pho,ne
Rearyard S~~~ck:ENCED OR IS ABANDONED FO'P. of Lot Coverage: number lor the Oregol1 Utility Notlftcatlon
Solar Setbacks:~M FRIOD Center'is 1_800-332-2344),
^,'v Hln nAY P , '
1 PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction :
Sidewalk Type:
, DownspoutslDrains:
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
CITY OF SPRINGFIELD
Building/CQmbination Permit
Status
Iss u ed
PERMIT NO: COM2009-01218
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fee,s Paid I
Fee Description
. + 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$1l.52
$4,80
$79,00
$17,00
8120109
8120109
8120109
8120109
1200900000000000955
1200900000000000955
1200900000000000955
1200900000000000955
Total Amount Paid
$112,32
Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00
a,m. will be made the same working day, inspections requested after 7:00 a,m. will be made the following
work day,
I Rer~ired Tn~n~c~i~,~sJ
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all req"!lired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa!!e 2 of2
22{ Fifth Street
Springfield, Oregon 97477
54p726-3759 Phone
Job/JournalNumber
COM2009"0 1218
COM2009.01218
COM2009-0 1218
COM2009'01218
Payments:
Type of Payment
ONLINECHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Heat Pump
+ 12%$t.te Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development SerVices'Department
Public Works Department
1200900000000000955
Date: 08/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LS INC
, Payment Total:
Page I of I
1:27:14PM
Amount Due
79,00
17,00
11.52
4,80
$1l2,32
Amount Paid
$112.32
$112,32
8/2012009