HomeMy WebLinkAboutPermit Mechanical 2009-10-8
City of Spring(ie~d ). ;;i> -,.{_.
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Mechanical Authorizaiion To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-BMC-09-00144
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10/7/2009 3:08 pm
Approval Code: 093750
Check on status of permit
- By Phone: 541-726-3753 or Email: pennilccnter@ci.springrie.ld.or.us
I 0 New COl1structi:o~
o >:':,!~.dditionJalteTationJTeplacement
I Description
'. .10 1 ,,2f~!ly dwf~i~' '\ 0 Moili,'.nily ,0 Cnmm"",1 DA"""'Y Boildi'g
1!l)!~EiINFORMATIOWAND'i:oCATION~JlIi?jll'1!fxr:~~l
I Job Address: 4321 MT ':ERNON RD :;~ ....' I
I City/State/ZIP: SPRINGFIELD, OR 97478 1
I Suilelbldg.lapt.no.: I
Pmj'" N.m" KORTE .' II Q(') _, \ I \.. D, \, I /.n
Cross Streetldirections'tojob site:'"S 43RD ST ;--- \ ..........\ u, '(-~
I
I First Appliance Fee
IS~tesurCharge(]2%Ofpermit
total)
ITI;ChnO!Ogy fl;e (5% of permit
total)
I TOTAL PERMIT FEE
lO\b\01
T"m.p/p.,,"n... I IDd.()Sd.-\O 'i('?,Q,3
INSTALL HEAT PUMP
I Name: DORIS KORTE
Phone: 541-747-9709 .
Fax:
Email:
CCBti,.n...2l,9p,C; P'FRMIT SHAL~_ - ."f r il::lT
BusinessName:MARSHA[:LSiINg UNDER I HI::' t"cnlVlI J..
J-\II j IIVIII'-..... -.......... .........1"'
Cool.." r.nMMENcED OR I::; I-\~I-\I~UV"L'-' , .,)"
Add","'1I0\'.~~';"'IF~D DAY PEKIUU,
City/State/ZIP: SPRINGFIELD. OR 974785620
I Phone: 541-747-7445 Fax: 541-741-0821
'I Emllil:
I Metrolic.no.: City lie. no.:
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 Ol\R 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),
Upon review and approval by your localjurlsdiction,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 Authorization To Begin Work expires within 180 days if a pennit is
not obtained.
The local building deparbnent may detennine 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 Auth~~izatirin To Begin Work must be posted at the job site until replaced by a permit!1
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L11 i' OF SPRINGFIELD
F
Building/Combination Permit
"
Status
Iss u ed
PERMIT NO: COM2009-0]484
ISSUED: 10/0812009
APPLIED: ]0/07/2009
EXPIRES: 04/08/2010
VALUE:
225 Fifth Street, Spr!ugfield, OR, '
541-726-3753 Phoue,.,... .
541-726-3676 Fax':.
541-726-3769Insp~c'tion Line
". . .~ ".
SITE ADDRESS: 4321 MT VERNON RD
ASSESSOR'S PARCEL NO.: 1802052108803
Spriugfield TYPE OF WORK: Heatiug System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Instali heat pump in resideuce,
'"
Owner:
. Addr~ss:
KORTE DORIS ELAINE
4321 MT VERNON RD
SPRlNGFIELI) OR 97478
"
Phoue Number: 541-747-9709
I CONTRACTOR INFORMATION.
Contractor Type
Mechanical
Contractor
, MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Euergy Path:
Spriukled Building:
"
Lot Size:
Sq Ft 1st Floor:
"
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther:
Occup~ut Load:
u/a
,I
I DEVELOPMENTlNFORMATlON .
'" REQUIRED PARKING
Overlay Dist: , Total:
"
Side I Setback: # Street Trees Rqd: ATTENTION: Oregon 1J!,apJl~~~PJ'J'~bu to
Side 2 Setb,~c.!f:i1CE: THE pl\6~Drive Rqd: follow rules adopted bP,?"J,1PJ'S!~on Utility
Rearyard Se~b~c~2RMIT SHALL EXPIRE IF %.of'Mt Coverage: Notification Center. Those rules are set forth
Solar setbath~!lioRliED UNDER THIS PER~IT_~S~NOT in OAR 952-001-0010 through O,^.R 95~-0~1-
MENCED OK I::> I-\tll-\l~UU1"'" '." '..' , '''J''U, TVU ""'Y UL"a" , "UI-"uo v, ,..- ._'---,
, COM '00' I PUBLIC IMPROVEMENTS "ailing the center. (Note: the telephone
St t I ANY1sn DAY PERI " numtS"'dl^"I~PT(J'ar.1on Utility Notification
ree mprovemeuts: I ewa ,,', ype: 32 2344)
Center IS 1-~00-3 - ,
.oownspouts/Dra~ns:
Front yard Sethack:
Storm Sewer Available:
Speciallnstructiou:
Notes:
" ,
I Valuation Descriotion I
tl.l,.'
Description Tvpe of Constructiou
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
I:
'I
Value:,
\ I;
Date Calculated
Paee I of2
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Status
Issued,
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225 Fifth Street; Spriugfield, OR
541-726~3753 Pbone
541-726-3676 Fa.. .;:' ",
541-726-3769 luspection Line
),
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Amouut Paid
Fee Description'" .
+ 12% State Surcharge'
+ 5% Technology'Fee
1st Appliance
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
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Total Value of Project
Fe!,~ Paid ,.
I Plan Reviews ,
Date Paid
10/8/09
10/8/09
10/8/09
CITY OF ~rK1NGFIELD
Building/Combination Permit
Jl
PERMIT NO: COM2009-0]484
ISSUED: ]0/08/2009
APPLIED: 10/07/2009
EXPIRES: 04/08/20]0
VALUE: '
Receipt Number
,
,
1200900000000001123
1200900000000001123
1200900000000001123
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!lbe made the following
work day.
Rel1ui'-I,d JI'sop.ctions'
II 1.1 'iliiil I. 11111.1' ~,
Rough Mechanical: Prior to Cover
Final Mechanical: Wheu all mechanical work is complete,
By signature, 1 state and agree, that 1 have carefully examiued the completed application and do hJreby certify that all
information hereon is true and correct, and I further certify that any aud all work performed shaH be done iu accordauce with
the Ordinances of the City of Springfield aud the Laws of the State of Oregon pertaiuing to the work described herein, aud
that NO OCCUPANCY will be made of auy structure without permission of the Community Servi~es, Divisiou, Building Safety.
1 further certify that only contractors and employees who are i'n compliauce with ORS 701.005 will be used ou this project,
1 further agree to ensure that all required iuspectious are requested at the proper time, that each a'ddress 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 ou the site at all
times during construction. "
Owneror Contr~cto'rs Signature
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,I
Paee 2 of2
Date
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225 Fifth Street.><'~{."ii;;,
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Springfield, Ore,~o,n:)9?477
541-726-3759 .f~~~,~-
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: 'iiECi<:'iPT#:. ,'120090000000000] ]23
Job/Journal Number': . Description
COM2009-01484 ..' ,1st Appliance).
COM2009-01484 ;, '" ,\,"5% T~chn61;;gyFee
.. .. .. .:__.. '... I'..~ .". i'., ,:.. - ,.....' ,_ . ,
COM2009-01484. ';\;C:.;>:t}l% StateSur~harge
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~~~To~n~:~ment '. .;~:i'd'B;t, .'"
ONLINE CHGS.ONLlJ'lE PERMIT CHGS
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cReceiotl
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: ] 0/08/2009
1I:01:02AM
Amount Due
79.00
3.95
9.48
$92.43
Item Total:
Check Number Authorization
Recei,ved By Batl.:h Number Number How ~eceived
Amount Paid
KR
ONLINE MARSHAL Online
LS
$92.43
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Page 1 of 1
Payment Total:
$92.43
10/8/2009