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Home My WebLink AboutPermit Mechanical 2009-10-1 .. City of Springfield '.{. . Mechanical'Authorization To Begin Work [.,mailed To: lindsey@marshallsinc.com Check on status of permit . By Phone: 541-726-3~53 or Email: pcrmitcenter@ci.springfield.or.us .1~*;~E~~~~~mi~~6;f~TY~E:OF;. WORK;.Fr,~t~,~:::'lt.r;~'')'1:'~.y-';':t?;;'\~,';~,~1 I D New Construction 0 Addition/alteration/replacement I 1~~t2~~~"~tEGORYJcfF"CONSTRUCTIONk~;~_I~:!:~~~;l~f~;~ig .,,~,}.;I First Appliance Fee 10 I ,,2 r='ly dW'll,'" D M.II,.r"""ly D Comm,,",1 DA,mw<)' B.ild'., 1 1~~.::t;;'~~(UOB'sITE'iN'FbRM)(TioN'AN[)rOCATT6N\i:f::'-f:[.;'11"';"':",1 I Job Address: 2736 YOLANDA A vi:: I I City/StufelZIP: SPRINGFIELD, OR 97477 I I Suite/bld&.Il1pl.no..: ~:'\' I TOTAL PERMIT FEE I Pmj'otN.m" ROLLAND , , I tq - \ Lll.i>O I Cm" S,,,,ud'mtio", '0 job 'd",BETWEEN 31ST AND 2ITH I Tn.p/p""Joo, ~lf)~~~()~~ '^>. l~b~i3';~t.!f~DEs,cRI~nc,lti[()~:bWoRK?j:1Wi~~OJ;::..:t1i.;f"~,~~ff:VIf 69600- BM C-09-00 140 101112009 11:01 om Approval Code: 06672D ","0., "'~'~'''":''I ,'~r~ ": '\7:rL!.f"d::~ EII, I Total " 1~~'~4ifif~I;-.f ~~: -~' F.EE'S'~8EDUtE I Description I ~1ECiIA_f1JCALP~M!IT FEES_;;{:;..~ ." ': -,' l:~_ _ Subtotal State surcharge (12% ofpermil total) Technology fee (5% ofpennit tota]) 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 for the Oregon Utility Notification Center is 1.800.332-2344). INSTALL GAS FURNACE 1"F~..-~~tji"6~~~~~~~21sIT~cONTA"CTt'~~~~~j\t'~~Y~,:"-,~~ I Name: DA VID ROLLAND I Phone: 541.746-0044 Fax: I Email: liJf~e~f~CONTRACi()k;jt. I ceo lie. no.: 25790 I OWlinen Name: MXRSR~n~INC .""fliuL." I Coo,"',, TI-lI" Pl=RMIT SHALL EXPIRE IF THE WUKK I Addm" 4110 O\:.WrmTRI7Fn UNDER THIS PERMIT 1:5 NU I I CUy/S'''dZIP''i''\'I!'!Sm~~q'J~I''m'% ABANDONED FOR 1 Phon" 541.74"'di1;v 1 Rn nAY PFRlnfl~41-74I.0821 I Email: I MetroUe.no.: City lie. no.: 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. NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained. .,. The local building deparbnent may determine that an Authorization To Begin Work is null and void If it does not meet applicable land use laws and local ordinances ~ ~ k'.-~ Ip,\ i \ ()~ .-...- ~~ .0;;; ,~W \~~ 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: COM2009-01460 ISSUED: 10/01/2009 APPLIED: 10/01/2009 EXPIRES: 04/01/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax' 541-726-3769 Inspection Line SITE ADDRESS: 2736 YOLANDA AVE ASSESSOR'S PARCEL NO:: 1703244103013 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace in residence Owner: ROLLAND DAVID LEE & V AUNDA LEE Address: 2736 YOLANDA SPRINGFIELD OR 97477 Phone Number: 541-726-0044 I CONTRACTOR INFORMATION 1 Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION 1 Expiration Date 12/23/2009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secoudary 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 Baseme.nt: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENTINFORMATION J REQUIRED PARKING Total: Handicapped: . (:9mp.act. . t ATTENTION: Oregonlaw ,,,yOlreS you.o follow rules adopted by the Oregon Utility 'f' t' C ter Those rules are set forth ^ IITllf"\nl""r IlhlrH-n TIll,.. n,nr../I'''T' If" ",("'17 f'1otllca Ion en . _ _ _ ___ ~...... ..- ..._. ..--- -,"-_.. .. ..- . -. ":,'" .- ,"-. in OAR 9b~~UU1-UU IV tlIIVU~'l ......n'. .....'-'~ -_. COMMENCED OR IS ABANDrllP,tJ,BIj;I(j'.lIMPROVEMENTS 10090. You may obtain copies of the rules by Street Impro~~li{ei\l's9 DAY PERIOD.. caSidE)wlilkLlYp." (Note: the telephone : number for the Oregon Utility Notification Downsp.outs'I"mins:'-332-2344j. \.It.::lllIJI :f. ......::.1 Frontyard Setback: Overlay Dist: Side I Setback: # Street Trees Rqd: Side 2 Setback:")TI Paved Drive Rqd: "" CE' Rearyard Setback: ' ..' % of Lot Coverage: Solar SetbaciWIS PERMIT SHALL'EXPIRE IF THE WORK Storm Sewer Available: Special Instruction: Notes: ..,., I Valuation Descrintion I Description Type of Co~struction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 --'---.--'-'- .-. -. CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01460 ISSUED: 10/01/2009 APPLIED: 10/01/2009 EXPIRES: 04/01/2010 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9.48 $3.95 $79.00 10/1/09 10/1/09 10/1/09 Receipt Number 2200900000000001127 2200900000000001127 2200900000000001127 Total Amount Paid $92.43 I 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 Reouired I nsoections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is compl'ete. 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 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. 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 Date Pa!!e 2 of2 <.'- . ',' 225 Fifth Streett .. ,. '... Springfield, Oregon 97477 54.1 ~ 726-3759 Phone Job/Journal Number COM2009-0 1460 COM2009-0 1460 COM2009,01460 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description ..Ist Appliance, :.~+:5,% Technology Fee ."+ 12%State Surcharge . '-, , " Paid By .' . ONLINE PERMIT CHGS 2200900000000001127 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/0112009 11 :28:03AM Amount Due 79,00 3.95 9.48 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received KR Page I of I Amount Paid ONLINE MARSHAL Online LSINC $92.43 Payment Total: $92.43 10/1 /2009