HomeMy WebLinkAboutPermit Mechanical 2009-8-20
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City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-BMC-09-00083
812012009 10:23 am
Approval Code: 0532] 0
Check on status of permit
By Phone: 541.726-3753 or Emai!: perrnitcenter@ci.springfield.or.us
I D NewConstruction
o Addition/a1teration/repll1cement
I Description
I
10 I ,,2 f=;ly,dwd"o. DMO";-f,m;IY D Comm"o;,l DA''''''", 80;1"0'
1 First Appliance Fee 1
IME.tH_!\N.I~AL:P~~ij(t;If'~~'F~"J':~t ->~.
I Subtotal
IStfttesurCnarge(12%Ofpellllit
total)
\TechnO!OI;YfeC(5%OfPermit
total)
!TOTAL PERMIT FEE
$79.001,
- .;:~:.;~_~_'~jl
$79,00J
$9.48
Job Address: 795 JANUS ST
I City/State/ZIP: SPRINGFIELD, OR 97477
I Suite/bldgJapt.no.:
I Project Name: JACKSON
I C,"', S"""d;,,,I;o" .. job ,U" CENTENNIAL TO RAINBOW DR TO JANUS
$3.95
I
I
I t9 -1d.\5
'92,43\
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5!aD/OC)
I Turn'p!p",,'"'' no."-~~::w~\')~~{)()
1":2,""s:rii2~:!f'" ;;!J!L~!2l!!1iJf:"'D-eS-C-"R-'-I"P-Tl--'O--N~O'~F -W-~O--R-K" -.d!?10yg,!!%~J~';,,~jg-
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INTALL DUCTLESS HEAT PUMP
I Name: PAUL JACKSON
I Phone: 541-359-9789 Fax: 1
I Em,;I, NU II\Jt: I
I :-~~l;YIS;P.E:rt"lq;0l-8:tJiI:"!~ I:lilll1'>HlZIl'-'!ffi-Hh'WtlKK'"c:;, ~-,;
tft:'c.,:r~,?:, ,F,I _ ". JVL..f ",UON:P-RAC'tiORL pc,c..""-.1*4Ac.A'';..__ _ ~.~;>"1'. rZ~
I CCBlk,oo, 211JJTHORIZED ufifoER tHIS PERMIT IS NUl
I B".;n"'N'm,cw.~gM[<NGED OR IS ABANDONED FOR
I c..",,, ANY 18U IJAY Pl::KIUlJ,
I Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: 541-747-7445 Fax: 54]-741-0821
I Email:
I Metrolic. no.: Citylic.no.;
ATTENTION: Oregon law requires you to
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 caples of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
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 expires within 180 days if a
pennlt Is not obtained.
The local build.lng department may determine that an Authorization To
Begin Work is ntill 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
Building/Combination Permit
PERMIT NO: COM2009-01215
ISSUED: 08/20/2009
APPLIED: 08/20/2009
EXPIRES: 02/20/2010
VALUE:
225 Fifth Street, Springfield, OR
5~1-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 795 JANUS ST
ASSESSOR'S PARCEL NO,: 1703341202300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence
Owner: JACKSON PAUL ROBERT
Address: PO BOX 5496
EUGENE OR 97405
Phone Number: 541-359-9789
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFO~MATI~.~.1
Expiratio"n 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 Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist,Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber:
Occupant Load:
nla
NOTICE:
Frontyard Setoacle PERMIT SHALL EXPIRE IF TIQYW€!Y1~ist:
Side 1 Setback,!\UTHORIZED UNDER THIS PERMIIf~g-~orrees Rqd:
Side 2 Setbac!<eOMMENCED OR IS ABANDONED~!!P Drive Rqd:
Rearyard SetbtlfN 180 DAY PERIOD :I. 01 Lot Coverage:
Solar SetbackS:,' ,
I ,DEVELOPMENT INFORMATION I
'REQUIRED PARKING
, ATTENTION: Oregol'flitalrequires you to
follow rules adopted HlInllicappe.!l:;m Utility
Notification Center, TI(!;'ompactf; are set forth
in OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
"Rllinn thl'! "l'!ntl'!r' INotl'!' )hl'! tl'!ll'!ohnnA
I PUBLIC IMPROVEMENTS I number for the Oregon Utility Notification
, , Center is 1-800-332-2344), ,
Sidewalk Type:
Street Improvements:'
Storm Sewer Available:
Speciallnstrnction:
D9wnsPo'utslDrains:
Notes:
I Valuation 'DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01215
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
541-726-37691nspection Line
Total Value of Project
~ees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3,95
$79,00
8/20/09
8/20/09
8/20/09
1200900000000000951
1200900000000000951
1200900000000000951
Total AmoiInt Paid
$92.43
I 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 reqitestedafter 7:00 a.m. will 'be made the following
work day.
~Pr?ujred Tnsneetions .
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 shalfhe 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 Servi~es Division, Building Safety,
I fnrther 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
Date
Paee 2 of2
225 Fifth Street
S~ringfield, Oregon 97477
541-726-3759 Phone
.
Job/Journal Number
COM2009-01215
COM2009-01215
COM2009-01215
Payments:
Type of Payment
RECEIPT #:
Description
I 5t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000951
Date: 08/20/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LSINC
Payment Total:
Page I of I
10:31:13AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92,43,
8/20/2009