HomeMy WebLinkAboutPermit Mechanical 2009-8-28
69600-BMC-09-00098
Mechanical Authorization To Begin Work
E-~ailed, To: lindsey@marshallsinc.com
Check on status of permit
ByPhone: 541-726~3753 or Email: permitcenter@ci.springfiel?or.us
o NewConstructiOll
o Addition/alteration/replacement
10 ] 0< 2 f=i1y dw,lIl", 0 Moltl.f,mlly
o C~mmercial
o AccessoTY Building
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Job Address: 2741 MANOR DR
City/Stale/ZIP: SPRINGFIELD, OR 97477
Suitelbldg.lapt,JlO.:
I ProjectNlIme:yentz
I Cm" S,,,../dl,,,.o", 10 job ,Ito, b'yd" brid"
I Tum'P/P'm]"O'\'lrf'{)'?-,~~ ~)
l~i~~:~~i~~~ft~PEs~CRla':ioN~O~rw:ORk~~~r*~~;',:~ .
install ductless heat pump
FRED YENTZ
I Phone: 541-747-7878
I Emllil:
Fax:
CCB",.oo.,,,,%U IIl,;E:
B",'""'N'm,:~I<!\&.tthf!MIT SHALL EXPIRE IF THE WORK
Co",,,, AU 1 HORIZED UNDER THIS PERMIT IS NOT
I Add""'4110~ij.fl'iMENCED OR IS ABANDONED FOR
I Gty/S",dZIP, M\lifGt]g.(Mlli\Y,K~O D,
Phone: 541.747~7445
Fax: 541-741.0821
Emsil:
8/27/2009 4:28 pm
Approval Code: 093510
I Description
Qty.
Ea. J Total
,.,~.'t--~;"~~.{:.7f~ :~~..
I First Appliance Fee I J
~lEC.IiANtC:A.(~~RJ\jit;~~~$:~~/~~.~~~)~';;; .
I Subtotal
IState surcharge (12% ofpenllit
total)
ITechnoIOb'Yfee(5%OfPerinit
tOtal)
ITOTAL PERMIT FEE
179,001
$9.481
$3.951:
$92.431
~g-\WL1
~. ~~'~~01
ATTENTION: Oregan law requires yauto
fall .ow rules adapted by the Oregan Utility
Natificatian Center. Thase rules are set farth
in OAR 952-001-0010 thraugh OAR 952-001-
0090. Yau may .obtain capies .of the rules by
calling the center. (Nate: the telephane -
number far the Oregan Utility, Natlflcatlan
Center is 1-800-332-2344).,
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Metro lic. no.:
Citylic. no.:
Upon review and approval by your local jurisdiction, your pennit will be
e-malled 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 'oca'
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
-"'.~9!i!!~~k.lW;,~i~J1P,,:~~';t
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01269
ISSUED: 08/28/2009
APPLIED: 08/28/2009
EXPIRES: 02/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726"3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2741 MANOR DR
ASSESSOR'S PARCEL NO.: 1703233300500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence
Owner:
Address:
YENTZ JOHN F & MARY LEE
2741 MANOR DR
SPRINGFIELD OR 97477
Phone Number: 541-747-7878
I ,CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
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 Stol'ies:
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 Ft Garage/Carport
Sq Ft Other:
Occupant Load:
~
n/a
REQUIRED PARKING
Frontyard Setback: Overlay Di~t: Total:
Side I Setback: # Street Trees Rqd: Handicapp.ed:
S'd 2 S b k P d D' R d ATTENTION: Oregon.Joom'''p'aOc~t,..lires you,t.o
I e et a'li hTICE ave rive q: c
Rearyard Setback: : '% of Lot Coverage: follow rules adopted by tlie Oregon Utility
Solar SetbaclWIS,PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
., ,~, ,~~,~~~ ,..,~~~ T' "" nrn"'T 'C' WH in OAR 952-001-0010 throuoh OAR.952-001-
"V" ,:.:,,'~~v v,'..... ..... . ."0. . MPROVEMENTS 0090. You may obtain copies OT me rUles DY
COMMENCED OR IS ABANDr1i1r ,?r;;{ffiI , calling the center. (Note: the telephone
Street Improv.emeDfs9 DAY PERIOD. nurSlde'~alkllf<ype:egon Utility Notification
Center ill-.. 1-1)00-332-2344).
Storm Sewer Available: DownspouTsfUrams:
Speciallristruction:
I DEVELOP~ENT INFORMA T10N I
Notes:
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01269
ISSUED: 08/28/2009
APPLIED: 08/28/2009
EXPIRES: 02/28/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
. Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3,95
$79,00
8128109
8128109
8128109
1200900000000001001
1200900000000001001
1200900000000001001
Total Amount Paid
$92.43
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 ~~\1l'ir~d Insnectinns I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and agree, that I have carefulliexamined 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 dune in accordance wiih
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 70i.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe
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
Springfield, Oregon 97477
541-726-3759 Phone
Job/Jour~al Number
COM2009-0 1269
COM2009-0 1269
COM2009-0 1269
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description .
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001001
Date: 08/28/2009
8:45:13AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
KR
ONLINE MARSHAL Online
LSINC
$92.43
Payment Total:
$92.43
Page I of I
8/28/2009