HomeMy WebLinkAboutPermit Mechanical 2009-10-7
,City of Springfield
Mechanical Autborization To Begin Work
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E.-mailed To: lindsey@marshallsinc.com
Check on status of permit
By Phone:541-726-3753 or Email: permitcenter@ci.springfield.or.us
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, I EJ 1 ,,2 r"ml; d~;~~~~~jg M~~'~;!~.;I~{:rlU Co.,;.~,,;.1 0 A,,,,,,,y Bo;ld;o. I
1~~OB:SITE:IN"ORMATION'ANDmOCATioN'fi1lf!J't.ti.~~~1
LJOb Address: 2716 )~ST;,""~' . I
'I "City/Slale/ZIPtsP~~,9fWM), b.t<97~E I
I SuUeJbldg,Japt.no.;. <):"
I Project Name: NOLAND'
I C,"', S'",lid;,,,.o., to job ,;", N 28TH
I Tax map/pan~e1 no.:
10
NewConstruc~on:
o
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, Addition/alteration/replacement
First Appliance Fee
Subtotal
State surcharge (12% ofperrnii
total)
Technology fee (5% ofperrnit
tolal)
I TOTAL PERMIT FEE
Cq-ILt63
INSTALL OIL FURNANCE .
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Name: JAMES NOLAND
I Phone: 541-747-3989 Fax:. '
I E""n, NOTICE: I
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&-:~~A'k%~t)*J-;.I~:'Jf'4~,r:rfVl' 1t'01..t..Qr'rf'rH\.C,t.Y, '" ;1U1\1:Z::4Hlj!;~~VzV',V,i](\::,%.'".,'1'P,-"
I CCBU,.no.' 25790ArITHORIZED UNDER THIS PERMIT IS N0T I
I B",'","N'~'Mt'Blt',1HC'iSCED OR IS ABANDONED FOR
I Con'"'' ANY 180 DAY PERIOD.
I Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620 _
I Phone: 541-747-7445 Fax:- 5il:74I-0821
I Email:
I Metl"olic, no.:
69600- 8M C-09-00 143
10/7/2009 1:53 pm
Approval Code:'04894D
$79.00
$9.481
$3.951
$91.431,
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utilily
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of Ihe rules by
calling the center. (Note: 1he telephone
number for the Oregon Utility Notification
Center is 1-800.332-2344).
City lie. no.:
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Upon review and approval by your local jUrlSCllctlon, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your inspection.
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NOTE: This Authori2ation To Begin Work expires within 180 days if a pennit is
not obtained.
The local building deparb11ent may determine that an Authorization To Begin
Work is null and void if it does not meet applicable land use laws and local
ordinances.
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This Authorization To Begin Work must be,posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01483
ISSUED: 10/07/2009
APPLIED: 10/0712009
EXPIRES: 04/07/2010
V ALliE:
'.. Status .. Issue,d;
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'.' 225 Fifth street~Springfield, OR,'"
541-726-3753 Phone' .', ':, "':: ';: .
541-726-3676 Fax.' 'r .c'
541-726-3769 Inspection Line
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SITE ADDRESS::' :':'2716 J'ST'" ".
ASSESSOR'S PARCEL NO.: 1703254402500
Springfield TYPE OF WORK: Heating System
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'PROJECT DESCRIPTION:..:,:, Install oil furnace in residence
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TYPE OF USE: New
Residential
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Owner: NOLAND JAMES E & TOMY J
Address: 2716 J ST . ,.,
SPRINGFIELD OK 97477 ,
Phone Number: 541-747-3989
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I CONTRA.CTORINFORMATION "
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Contractor T:~'pe!: "1 Contractor
Mechanical MARSHALLS INC
License
25790
BUILDING INFORM,ATlON,I
Expiration Date
12123/2009
Phone
'541-747-7445
# 9f Units:
Primary Occnpancy 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
NOTICE: . i I DEVELOPMENT INFORMATION 'ION' Oregon law rp,,"irA" vou to
, XPIRE IF THE WORK n. . ~.. o' REQUIRED PA,RKING
THIS p'ERMITSHALL E . follow rules adopted by111" '--'''~\jU'' v,".'"
FrontyardISetba'ck:l"D 'UNDER THIS PERMIT IS r@~lrlay Dist: Notification Center. ThoST6t~I:S are set forth
f'"\V I IIVllI'-_[: h~M=lat::')001
Side 1 Setbac~~ENCED OR IS ABANDONED FOR# Street Trees Rqd: in OAR 952-001-001 0 thrlJIlindicapped:-- -
Side 2 se~b~~~k'i PO .. AY'"I?ERIOD . Paved DriveRqd: 0090. You may obtain cCGompJc'i?e rules by
Rearyard'Setback: Q I' , . % of Lot Coverage: calling.the center. (Note: ttie telephone
Solar Setbacks: . number for the Oregon Utility Notification
. ("o";tar ic: 1-ROO-332-2344). '
I ~UBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instructi~n: .
:\ it.,.
Sidewalk Type:
oj'l
o ,
Downspouts/Drains:
Notes:
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I yaluation Description I
Descriptiou c' Tvpe of Construction
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$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page 1 of2
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Status
Issued
225 Fifth Street, Springfield; OR:;::
541-726-3753 Phone', ;,.;., "'..:':
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541-726-3676 Fax. ;' .__: .
,541-726-3769I1ispection Line
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Fee Description!: "
." + J2 % State Su~chlirge.:,
, .' ~ " ",.: " '--' '.'
'-i- 5% Technology Fee ""'. .
1st Appliance
Total Amount Paid
~:.,l ~.. '.;13"-F~
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Amount Paid
$9.48
$3.95
$79.00
$92.43
Total Value of Project
Fees Paid'
Date Paid
I Plan Reviews ,
10/7/09
10/7/09
10/7/09
CITY OF SPRlNG1<lJi,LD
Building/Combination Permit
PERMIT NO: COM2009-01483
ISSUED: 10/07/2009
APPLIED: 10/07/2009
EXPIRES: 04/07/2010
V ALOE:
Receipt Number
1200900000000001122
1200900000000001122
1200900000000001122
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. '
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. R,ermired 1 ~snecHons ,
Rough Mechanical: Prior to Cover
~t . .
Final Mechanical: When all mechanical work is complete.
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 witb
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 ~.
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Page 2 of2
Date
225 Fifth Stree~}:<'
Spr,ingfield, OregoI197.177. .
541 ~726-3759. PI:ioIi~':,;~;
Job/Journal Number.
COM2009-0 1483.-
COM2009-0 1483
COM2009-0 1483
Payments:
Type of Payment
ONLINE CHGS
! I
cReceintl
RECEIPT #:
1?es~Tiptio~ . . -"i' ~:~ :
.'!I.stj\.ppliance.':;
--'i+ 5%'Technology Fee
. "+ 12% State Surcharge
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P..id By
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ONLINE PERMIT CHGS
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001122
Date: 10/07/2009
2:40:27PM
Item Tot..l:
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 Oolioe
LS
$92.43
Payment Total:
$92.43
Page I of I
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