HomeMy WebLinkAboutPermit Mechanical 2009-8-24
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@mltrshallsinc.com
69600-BMC-09-00093
8/24/2009 4:08 pm
Appro\'al Code: 00113D
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
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I 0 NewCODstruction
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j Job Address: 90] S 56TH ST
I City/Slate/ZIP: SPRINGFIELD, OR 97478
I Suile/blde../apt.DO.:
I Project Name: petty
I Cross Street/directions to job sill': eugene/springfield hwy to S 57th 51 to glacierdrto south
56th
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'-'-. .; FEE SCHEDULE
I QO, I
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!DescriPrion
hleatin~_rp:l)lilli~llplian'ccs "
IHeal Pump L
l1.iinimum,Fees_.'''''''' .y.> '.-- '.--::" 1; .=
I First App]illnce Fee
1~)~~HXNICAL'P~~1\lI! .FEES:' ,_~J. ~+:,~.";,'-j:Y" j7:}~ ~-
ISublOllll
IStlltcsurchargc{12%ofpcnnit
lotal)
I Techno]ogy fee (5% of pemlil
lotal)
1 TOTAL PERMIT FEE
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$17,00 I $17.00
o Addition/a1teration/rep]acement
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$79.00
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1%001
$11.52
$4.80
$112.321
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install heal pwnp and air handler
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I Name: STEVE PETrY
I Pbone: 54].746.8327
J Email:
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Fax:
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I A'ddress:41'~Q~~~)f~C~SJ':-;n -~~-I~ ^OM\lnnf\ll=n ~nR
I Cil)'/Staledri>;,,,'PRiN'otiEI'o-, OR.9147~is62ci.---;
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I Phone: 541.747:7445' 'V 'V ....'" . -... Fax: 541.741.0821
I Email:
I MetTo Ut, no.: City lit. no.:
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f~,TTENTION: OregDn law requires you to
NDti~~ rules adDpted by the OregDn Utility
in OAR a~~;,g~1~~~'1 oThthDse rules are set forth
009 fDugh OAR 952.001.
0.. You may obtain Copies Df the rules b
calling the center. (Note: the telephone y
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.
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
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is
not obtained.
Thi.s Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01240
ISSUED: 08/25/2009
APPLIED: 08/24/2009
EXPIRES: 02/25/2010
VALUE:
SITE ADDRESS: 901 S 56TH ST
ASSESSOR'S PARCEL NO.: 1802041103800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence
Residential
Owner: PETTY STEPHEN E & FRANCES C .
Address: 901 S 56TH ST '
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical'
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
# 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:
Raoge Type:
Energy Path:
Sprinkled Building:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback: ' Overlay Dist:
Side 1 Setback: NOTICE: # Street Trees Rqd:
Side 2 Setback: THIS PERMIT SHALL EXPIRE IFPaM~"J?O~qd: ,
Rearyard Setbac!<:UTHORIZED UNDER THIS PER~lffSof~Drerage:
Solar Sethacks: COMMENCED OR IS ABANDONFn FnR
f-\I~ Y IllU UAY PERIOD. I PUBLIC IMPROVEMENTS I
Street Improvemeots:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 of 2
Phone Numher: 541-746-8327
Expiration Date
12/23/2009
Phone
541-747-7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oecupant Load:
REQUIRED PARKING
, ATTENTION: Oreg'oTH,,9taW.reouird"s you to
anulcapRe' Ut'l't
follow rules adoptee- vv lilt' _",!Jon II y
Notification Center. 1~l',~lP~5i~s are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
....aIHII~ lllG ....clnl;il. \'..'.n..... ..,.... ,.........1-",.....,...
number for the Oregon Utility Notification
S'd r.r.-lkO'T~r ie 1-800-332-2344).
I ewaype: :. '
Downspouts/Drains:
Value
Date Calculated
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2009-01240
ISSUED: 08/25/2009
APPLIED: 08/24/2009
EXPIRES: 02/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
8/25/09
8/25/09
8/25/09
8/25/09
1200900000000000973
1200900000000000973
1200900000000000973
1200900000000000973
Total Amount Paid
$112.32
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 requested after 7:00 a.m. will be made the following
work day.
I Relluired Insneetions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, tbat I bave carefully examined tbe completed application and du hereby certify that all
information hereoo 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 tbe 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 witb ORS 701.005 wil'.be used on tbis 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 00 the site at all
times during coustruction.
Owoer or Contractors Signature
Date
Paee 2 of2
225- Fifth Street
Springfield, Oregon 97477
541"-726-3759 Phone
Job/Journal Number
COM2009-0 1240
COM2009-0 1240
COM2009-0 1240
COM2009-0 1240
Payments:
Type of Payment
ONLINE CHGS
cReceintl
, RECEIPT #:
Description
1st Appliance
Heat Pump
,+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000973
Date: 08/25/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR ONLINE MARSHAL Online
LSINC
Payment Tolal:
Page 1 of I
8:12:30AM
Amount Due
79.00
17,00
4.80
11.52
$112.32
Amount Paid
$112.32
$] 12.32
8/25/2009