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
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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
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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
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I Turn.plp",,'"'" \ f)()'1..'O\ 00
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INSTALL GAS FURNACE
Ii' -'"tc~:--.:: H':::'P"~'~"!'''~'~'~~SIT'''-E'--'C-'ON' ---,-"" i:l".~'i'~_"";;'~~-;"':" ,",'';''':;:;; "o'-'A~-'l
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Phone: 541-231-0323
Fu:
[mail:
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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,
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ctP \~ ~
~y
C\.i~'cf\
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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(,
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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.", ..
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'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