HomeMy WebLinkAboutPermit Mechanical 2009-8-26
City of Springfield
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69600-BMC-09-00095
Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitccnter@ci.springfield.oLus
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o New Construction
o Additionlnltellltionlreplacement
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Job Address: 530 65TH ST
City/SlateJZIP: SPRINGFIELD, OR 97478
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Project Name: ARMSTRONG
Cross Street/directions to job site: THURSTON ROAD TO 65TH ST
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INSTALL DUCTLESS HEAT PUMP
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-.. SITE.CONTACT....~-%;...,;-I,;
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Name: ROBERT ARMSTRONG
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Phone:
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Email:
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CONTRA~ioR:~ ":h1':'.
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CCD lie, no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4] ] 0 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
)<'P);: 541-74]-0821
Email:
Metro lie, no.:
City lie, no.:
Upon review and approval by your local jurisdiction, your permtt 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.
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
8/26/2009 9:39 am
Appro\'al Code; 004980
I Description
l~li~!!-num\Fces~2{, ~" .;.,
1 First Appliance Fee
1~IEql,~NIC,\ij PEI!~IITi!"EES
I Subtotal
I State surcharge (12% of permit
total)
ITeChnO]ogyfce(5%ot'pcnnit
total)
I TOTAL PERMIT FEE
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This Authorization To Begin Work must be posted at the job site until replaced by a Perm,it
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6126/09
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Total I
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$79.001
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$79.00 (
$9.4&
$3.95
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Status
Issued
CITY! OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I255
ISSUED: 08/26/2009
APPLIED: 08/26/2009
EXPIRES: 02/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 530 65TH ST
ASSESSOR'S PARCF;L NO.: 1702341300434
Springfield TYPE OF WORK: Mechanical Only
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TYPE OF USE: New' Residential
PROJECT DESCRIPTION: Instal! ductless heat pnmp
Owner: ARMSTRONG ROBERT C & LISA J
Address: 530 65TH ST
SPRINGFIELD OR 97478
I,
l CQNTRACTOR,INFORMATION I
Contractor Type
Mechauical
Contractor
MARS HALLS INC
License
25790
BUILDING INF?RMA TION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
n/a
Lot Siz~:
Sq Ft I~t Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
I
Occup~nt Load:
I:
,
;, REQUIRED PARKING
: Total:
" Handicapped:
"
. Compact:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side r Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
~idewalk Type:
. ,
. Downspouts/Drains:
ATTENTiOn: Oregon, law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Th'ose rures are set forth
.,... -:SE: ~n. ~!,R, ~52'001-0,0.~ O.t~r_o_~~~ S~~_9~~~~0~,~
"- ., ERMIT SHALL EXPIRE 11- ~;;~ .::~~;; .. Ivv;~iin'gth~~k~t~'r~'(N~ie: the telephone'
.: .!OI'1IZED U~mER THIS PE <MaIuatIonrDescrmtlOn number for the Oreg~Jn Utility Notification
":OfJiMENCED OR IS ABANDONfP FgRF Sqnare Footage Center is 1-800-332-2344).
DescriptionANY ~I T~pe of/(!:onstruetion erlt,ql' t Valuel! Date Calculated
'V'"' ...,1 HI"'" II...,;;l'. or mu Ip lef or Bid Amount .
Storm Sewer Available:
Special Instruction:
Notes:
Paee I of2
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11 {'(: '< <:c' "-,
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
Total Value of Project
Fee~ Pa.id ~
Date Paid
I Plan Reviews I
8/26/09
8/26/09
8/26109
CITY OF SPRINGFIELD
Building/CQmbination Permit
PERMIT NO: COM2009-01255
ISSUED: 08/26/2009
APPLIED: 08/26/2009
EXPIRES: 02/26/2010
VALUE:
Receipt Number
3200900000000000605
3200900000000000605
3200900000000000605
To Request an inspection call the 24 hour recording at 726-3769. All inspections rJquested 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 Reruired Insn.~ctions I
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:! he 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'ibe used on this project.
I further agree to ensure that all required inspections are requested at the propel' 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
Paee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1255
COM2009-01255
COM2009-0 1255
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
Description
15t Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Developmerlt Services Department
Pu6lic Works Department
l
3200900000000000605
"
Date: 08/26/2009
10:04:33AM
Received By
Item Total:
Check Number Authorization
Batch Number Number
NJM
ONLINE MARSHAL
LS
Page I of I
Amount Due
79,00
3,95
9.48
$92.43
,
How Received
Amount Paid
$92.43
. Online
Payment Total:
$92.43
I
8/26/2009