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HomeMy WebLinkAboutPermit Mechanical 2009-9-21 City of Springfield Mechanical Authorization To Begin Work [-mailed To: lindsey@marshallsinc.com 69600- BM C-09-00 130 9/2]/2009 3:19 pm Appro\'al Code: 023860 \~IJI,\fJ ~/ , C Check on status of permit By Phone: 541.726-3753 or Emai1: permiLcenter@ci.springfield.or.us 1~>h~'@~~i'~~':":-=TYP.E-'~OF~WORK~'r'7'1:-i-~:;;;:%~"~"~~::':::;~:;:-:'~:l I D New Construction [I Addition/altemtion/replu!;emCIlI 1 I';, '~Y:';' "~:~f~KcA TEGORy6FCON5TRucfi6N'.:;'~''<i',~)'"::;;q'':,,,L 'I I [Ilm2r=ilydwdlio, DMohi,r=i1Y DCornrn"'i., DA""'~'YBoil;io, I Ili'~;J:i.;:;:,~;&~~B'"sifE:INF.ORMATioNiAND:i!ocATi6'N!'::'~,)','l,,;!~',:~:tl I Job Address: 945 28TH ST: I I City/Stale/ZIP: SPRINGFIELD, OR 97477 1 I SuiteJblde.fllpt.no.: s:: I I Project Name: WILHELM I I C"" St~,"d;"'"OM to job .it" OL YMPIC ST TO 281lI, BITWEEN J AND 0 I I (')\\D\ I Turn.plp",,'"'" \ f)()'1..'O\ 00 1:r,:,~.-~;--:?:i;7~~i5ES:(iRIP.:tr6NroF;Wq_~~:~~;~'f~"": ~:~::-~~i~~~<-; INSTALL GAS FURNACE Ii' -'"tc~:--.:: H':::'P"~'~"!'''~'~'~~SIT'''-E'--'C-'ON' ---,-"" i:l".~'i'~_"";;'~~-;"':" ,",'';''':;:;; "o'-'A~-'l 1",~=;~~~~=:~j~~:-i;P~f_ ",' IA~.T;,,ii_'-i.'i 'V;.;;:f-+,-~n:":':~"';"'~~.-J~:5-"Y&~~~ Phone: 541-231-0323 Fu: [mail: "'t CCBlie.no.:25790 Business Name: MARSHALLS INC Contuel: Address: 4] 10 OLYMPIC ST CitylStatelZIP: SPRINGFIELD, OR 974785620 Phone: 541-747-7445 Fu:541-74I-082J Email: MefTolie.no.: City lie. DO.: 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, I'~T;::~-i~l~~,,~' ~FEJ~~S~tiEOiJlEc~~~o:,~ '>~~~f: ,,;';':~:t:. I Description 1 QIY. J Il\~)!limum' Fce{ ""' i%f~.l~ ' '.',.. "r~!;~ !-t,;-' (FirSI App]iance Fee IS1E;CHANiCA.L!,ER~tlT FEE,S' ISubtota] IStale surcharge (12% ofpennil total) ITeChno]Ogy fee (5% of penn it total) I TOTAL PERMIT FEE " -, ~"",;....... .::k~;::1 '79,00 I $9.481, $3.95 ( s92,431, -~ ~~,8' ctP \~ ~ ~y C\.i~'cf\ \-lSt>(2- ~ 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 This Authorization To Begin Work must be posted at the job site unlit replaced by a Permit 1t.)0)'l~ 00 C(, q,..Lz..,.-CPI OiY::lG (\J'" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01396 ISSUED: 09/22/2009 APPLIED: 09/22/2009 EXPIRES: 09/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ' 945 28TH ST ASSESSOR'S PARCEL NO.: 1702310001101 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace Owner: Address: BROWNFlELDS LAND & DEVELOPMENT LLC 2851 NW 9TH ST STE D CORVALLIS OR 97330 'i I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 1212312009 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 Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: ' Side 2 Setback: ' Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ,REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: ATTENTIODownspouts/Drains: , ,,,. Vl-=:!:jVll laW reqUIres you to foHow rules adopted by the Oregon Utility NotifICation Center, Those rules are set forth Notes: NOTiCE: In OAR 952-.0.01-.0.01.0 through OAf1,952-QQ1- Tj...JjC nrnn "1-.- ...... " _ 0090. You mav obtain r.nnip.c.: nf tho r"I"... h.. A'UTHORIZ"" v, ""ILL CN"Kt If- ;-1;;;:: 'VVUIiI\ ~~'Ifng me center, (Note: the telephone' COM~l ' EO UNDER THIS PERrv INaluation DescriotiBlin Jer for the Oregon Utility Notification d ~/nENCED OR IS ABANDONED m'R Center is 1-80.0-332-2344). . ~NY I bO rlAV prnlnn " $ Per Sq Ft Square Footage DeSCriptIOn Type of'GonstructlOn ' I' I' B'd A Value Date Calculated or mll tip ler or I mount Storm Sewer Available: Special Instruction: Page 1 of 2 - $RJVNGI!\l''':n.", .. ~ r_'+"'4~';-'-;~-~'"~ 'r' ,.' - ,,'" ,~; '-,:~ ~:i4f;~_.:f.~f;' 'i -,-,' 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 Fees Paid I ., Date Paid I Plan Reviews I 9122/09 9/22/09 9122/09 CITY OF ISYKIN\Jl<u.LD Building/Combination Permit PERMIT NO: COM2009-01396 ISSUED: 01)/22/2009 APPLIED: 09/22/2009 EXPIRES: 09/2212009 VALUE: Receipt Number 3200900000000000658 3200900000000000658 3200900000000000658 ' 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. ' R.e\'\;;'r~dlnsnec~i?n,sJ 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 he.reby certify that all information hereon is true and correct, and 1 further certify that any and all 'York performed shall be doue in accordauce 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 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 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 Page 2 of 2 Date 225 ,Fifth Street" ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number. COM2009-01396 COM2009-0 1396 COM2009-01396 Payments: Type of Payment ONLINE CHGS cReceintl "RECEIPT#: Description 1 st Appliance + 5% Technology Fee + 12% State Su~charge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000658 Date: 09/22/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE MARSHAL Online LS Payment Total: Page I of I 8:56:54AM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 9/22/2009