HomeMy WebLinkAboutPermit Mechanical 2009-8-24
IICity of Springfield
~
Mechanical Authorization- To Begin Work -
[-mailed To: lindsey@marshallsinc.com
69600-BMC-09-00092
8/24/2009 11 :52 am
Approval Code: 02347D
Check on status of permit
By Phone: 541~726-3753 or Email: permitcenter@ci.springfield.or.us
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I 0 New Construction
o AddicjowaltcmfionJrepJocemenl
01 or 2 family dwelling DMU'ti-ramily 0 Commercial DAccessory Building
I Job Address: 929 S 40TH PL
I City/Slate/ZIP: SPRINGFIELD, OR 97478
I Suilelbl,dg./apt.no.:
I Project Name: THOMPSON
I e"" Sl'''"di'''"oo~ to job ,it" JASPER ROAD TO S 40TH PL
I Tn.plp",.lno ~r,01b\g ~ '" ()~:XP
1!I!5;"-l~~Jlli;0*'l:7S~c~Ri",iioNti:iF,;Wt)RiS~~iii'i~';~~
INSTALL DUCTLESS HEAT PU~P
I Name: MARY THOMPSON
I Phoo" 541-7471'H~TlCE: F."
I Em.il: THIS PFRMIT SHALL EXPIRE IF THE WORK
1J!'~J,~L\ifmFl'f.,;fi-Uij;;hlli1R<DNTAAlirr:4:R!fi~I\iiIt,glsttll(i)'[:?J, ID""'lj
I eeBI".no.:25r?~lMMI'~Ir.m nR Ie; ARA~lnnNFn FOR
I B"'in"'N.m"~'I'Hr'Rnl'1'AY PFRlnn
I Contact:
I Address: 4110 OLYMP1C ST
I City/Slate/ZIP: SPRINGFIELD, OR 974785620
I Phone: 541-747.7445 Fax: 541-741-082]
I Email:
I Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will b~
a-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
Description
QIY,
Ell.
Total
First Applillllce Fee
Subtotal
State surcharge (12%ofperrnit
tOlal)
Technology fee (5% of per mil
total)
TOTAL PERMIT FEE
$3.951
$92.431
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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 copies of the rules by
calling the center. (Note: the telephone
number forthe Oregon Utility Notification
Center is 1-800-332.2344).
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I237
ISSUED: 08/24/2009
APPLIED: 08/24/2009
EXPIRES: 02/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Liue
SITE ADDRESS: 929 S 40TH PL
ASSESSOR'S PARCEL NO.: 1802061408300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Installing ductless heat pump in residence.
Residential
Owner:
Address:
THOMPSON ANTHONY V & MARY S
929 S 40TH PL
SPRINGFIELD OR 97478
Phone Number: 541-747-2632
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration 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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Fl Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
. Frontyard Setback: . Overlay Dist: Total:
Side I Setback: # Street Trees Rqd: ~andicaF!ped'
S'd 2 S 11 ~ P d D' R d ATTENTION: Oregon ~w rAn !ires'you to
I e ~I~II/r.r:. '. ave rive q : follow rules adopted I5Jw.~al)iegon Utility
Rearyar _ ,~! atk~ T SHALL EXPIRE IF THE WCl1f(f Lot Coverage: Notification Center. Those rules are set forth
Solar SetI1acksDERMI T'
f 'J",;' ,:-'nmn mlnl'R TI-lI~ PERMIT IS NO In OAR 952-001.0010 through OAR 952-001-
,~...-..-.- BANDONE- .27 \'U:;U. IUU IfI<lY UU'<l1I1 ~ufJre" U'lfle.rUles oy
COMMENCED OR IS A . I-!'UftI'JC IMPROVEMENTS I calling the center. (Note: the telephone
Street Im"pl-'~~rila,U:'W PERIOD. nurrSille~alkhtwe9gon Utility Notification
. Center IS 1-800-332-2344).
Storm Sewer Available: . Downspouts/Drains:
Special Instruction:
Notes:
I Valuation Descdntio.n, I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Liue
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Amount Paid
$9.48
$3.95
. $79.00
$92.43
Total Value of Project
Fee~ Paid I
Plan Reviews I
Date Paid
8/24/09
8/24/09
8/24/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01237
ISSUED: 08/24/2009
APPLIED: 08/24/2009
EXPIRES: 02/24/2010
VALUE:
Receipt Number
1200900000000000970
1200900000000000970
1200900000000000970
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 Reouired Insuect,ions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical'work is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
iuformation hereon is true and correct, and 1 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.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to eusure 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.
Owuer or Contractors Signature,
Paee 2 of 2
Date
22S Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0l237
COM2009-01237
COM2009-01237
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
.+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000970
Date: 08/24/2009
1:28:07PM
Amount Due
79,00
3.95
9.48
$92.43
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL
LSlNC
Page I of I
Amount Paid
In Person
$92.43
Payment Total:
$92.43
8/24/2009