HomeMy WebLinkAboutPermit Mechanical 2009-10-12
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". City of Springfield",:'''' , , Mechanical Anthorization To Begin Work
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E-mailedTo:lindsey@marshallsinc.com
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Appro\'al Code: 002730
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.' ,:;':': ~Y;~bOiJe:.541-?26-3753 or Email: permitcenter@ci.springfield.or.us
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- D-.~ewcin~~~~~;W:!W':~vr"";';; ":~-:0 :;i'dditiOnlalleratiOlvreplacement I,DescriPtion '_ _' I Qly. I Ea.
, i[I;ir.~~~~~!~C~~~~~Y~?,~~C,ONSTRUCTION J2'S'~'_':~.- . :t~:::~~;:"lin.ippfi.ni"" y', ';7/';1:001
o lor 2 family d;~!f(~g ":,\ EJMulti~f~'lr<)7l ~orrunerei~I' DACCeSSOry Building IN,i~j!numl<'ee~ :\.~ -,
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1M"~C}IA~~C:;,AVj>tRI\,lrf ~'EES :r:i:.
ISubtolal
I State surcharge (12% of pen nil
tolall
I Tt:chnology fee (5% orpt:rmil
total)
1 TOTAL PERMIT FEI<:
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Check on status of permit
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~4~~~~~jOBSITE\INFORMA:.IO-N~r:lri i!CrCAi1ON1;~;i~~_r. l:'~~
I Job Addreu: 6895 C~T' , .' .: (~< -; . I
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.'1 prOjutName:BELL~,~~::~:'::-~: - j
'; I: Cros"Streetldirecrio~' ill job: sit~~ 69TH ST I
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h~~1'l!fi!-IlESCRIPJ10N,OF,.wOR~~,-~i'"4.t~....i~",%. f'."""I
INSTALL HEAT PUMP AND AIR HANDLER
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Name: JOSE BELLlN~":~! .il' . ~ .
Phone: 541.729.5876
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I B~;o<"N'm"M~!jA~W~Mlt!SI1AUL EXPIRE IF I Ht ~V?~~ I
I Con'"'' . nj'i'1'fmtMFo UNDER THI~ r'tKIVIII I" IW j I
.; I Add"''''I!OOLY!'IP.lfij,~\MO~Ir.FD OR IS ABANUUNtU rUfl 1
'I' CUylSla'<1ZtP, SPRlNGKiEw.-ORI97.47j.,.,If.,RIOD I
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Phone: 541-747-7445' - 'Fax\.541-741-Q821 1
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. "Upon review and approval by y~ur local Jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your l~s~ctIOn:! :'~ '.
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I J, NOTE: This A'uthoniati~n,To Begin Work expires wtthin 180 days if a permit is
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not obtained. i: I '
To..1 'I
$17.00
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$96,00
$11.52 ~
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$79,00
t<<- \500
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ATTENTION' Ore
follow rules ~do tg~n law requires you to
Notification Cent~ \, by the Oregon Utility
in OAR 952-001,00'10 t10se rules are set forth
0090, You ma ob . lrough OAR 952-001_
calling the c~nte;al(~Otes of the rules by
number for the Or~gonO ~ii/l~e ~elephone
Center is 1_800_332-l34~t.'f'catJOn
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. : :'~;~~'~ '" This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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The local building department may determine that an Authorization To Begin
Work Is null and void If It does not meet applicable land use laws and local
ordinances , .'~,
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Sta tus ~os~g~~~11.~J~~f:; i:~t!:,:',~~:~):~{r:j,;
, 225 Fifth Street;'Springfield, OR -
i;541: 726-37~3 P~~ne:;,;;.< .
i:::541-726-3676Fax;F\:~::\;:;;{ ':,""i';') - .
541-726-3769 In~pection'Line;""::i~>;' .
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01S00
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/12/2010
VALUE:
SITE ADDRESS: . : .68951;:: ST<~;~' ..,) Springtield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL'NO;:i>i70i353202900
";.~$~:~f:;.~t~:tN;;~;~ ~~:~~2:~';~::.~;;,~rt,:~;. TYPE OF USE: New Residential
.: PROJECT DE~9,~.TION: Install heat pump and air handler
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, Owner:
Address:
. !s~k~i~;;OSE::A;~XiJ~<;.
SPRINGFIELD OR 97478 0...
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Contractor' T;ypet /:;., Contractor
; Me~hanical '~11i' ~l ';" MARSHALLS INC
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# of Units:
Primary Occupancy Group:
Secondary Occupancy Group: ..,! '.~,;.
Primary ConstruCtion Type"'; . ,,) 'f,
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, Secondary Con~tnic}ion Type: .
': #'ofBedrooms:'c:,: \ :,
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Phone Number: 541-729-5876
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-I CONTRACTOR INFORMATION.
License
25790
BUILDING INFORMATION I
Expiration Date
12123/2009
Phone
541-747-7445
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Fllst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
ATTENTION: CS'I;I:t:,q!~~~bquires you 10
foUow ii/aes adtl!>ccu'papt.tJ,..g'!!\:3gon Utilily
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NOTICE: , "i I DEVELOPMENT INFORM\\:TION","'001'0010Ihr~~gh~OAR~952_00;'~
THIS PERMIT SHALL EXPIRE IF THE WORK __cJ,. ,~u may obtain CO~EQUIR.f)DtP't\:RJ),\NG
A ":ri'nl'I"7ED UN ' c) calling Ihe center, (NotA' the telephone
Frontyard-Setbaclk, . D, ER W!9 PERMIT .IS IQWrlay Dist: number for Ihe Oregon Total: Nol'f' I'
n~"'l"'" ' ....'" "',,"'" I/Calon
Side I S.tback:~f~{;1ltliljQR)S/AB!>TlJDONED FOR # Street Trees Rqd: Cenler is 1-800,~'tQ~~c.\w~ei1:
Side 2 S\it!l,ii,CI<i:~(];bfIYl'ERIOD"'I, Paved Drive Rqd: Compact!
Rearyard Setback: ,",' % of Lot Coverage:
~; Solar Setbacks:'7:;~' i h .
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Street Improvements:
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Storm Sewer Available:. .- ::~r:~!t.....
Special Instruction: .ji,d;~b4' , .s,,': ":.r~ '1!}~",
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Description
Type of Construction
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I PUBLIC IMPROVEMENTS'
Sidewalk Type:
DownspoutslDrains:
I Valuation DescriDtion I
,J $ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
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CITY OF SPRINGFIELD
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. 225 Fifth sireei,'Springfieldi'OR:'f!",~t:; .:,
541-726-3753 Phone', . p'.X ..;,.
541,726-3676 Fax . ".'
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541-726-37691nspecti~nLine ::~;;::it;.
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Building/Combination Permit
PERMIT NO: COM2009-01500
ISSUED: 10/12/2009
APPLIED: 10/12/2009
EXPIRES: 04/12/2010
VALUE:
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Total Value of Project
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Fe~s Paid I
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Amount Paid
Fee Description :. I': ," .. ,;:' _;!,~;. . ..\
+ 120/0 State Sl.:l:rc~a~g~;~.t. .,~'.<8:':':\~"+~::-~'~~;',
. . + 50/0 Tecbnolrip Fe~i~>' '_,~;,~t:i{:~~'~~~!'U:
1st Appliance ,; ,,' ~".': ' ' ",
" Air Handling Dnii Up to 10,000
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:" To't~{Xm.;~tPaid.;,~ :;
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
10/12/09
10/12/09
10/12/09
10/12/09
2200900000000001174
2200900000000001174
2200900000000001174
2200900000000001174
$112.32
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" To Request a~i'n~p~ction call the 24 hour recording at 726-3769. All inspections requested before 7:00
:i a:~m. will be:'rii;~d~tiie' same. wo,rking day, inspections requested after 7:00 a.m. will be made the following
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work day. . ,!"",,,". ."","l:'.,:c
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I Plan Reviews I
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Rough Mechanical: priorio;:Cover
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Final Me,chilliical: When an mechanical work is complete.
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Rf'IIuirf'd Insnedillns I
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.1 iKsignatu~~~ i~f~l~i~i-i~gree, tlt.t'I have carefuny examined the completed application and do hereby certify that an
information hereon is true and correct, and 1 further certify that any and an work performed shan 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.
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1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
l,further agree t~,~n~l!r~.~ha.iia!I".r.equired inspections are requested at the proper time, that each address is readable from the
street, that the perinit'card is located at the front of the property, and the approved set of plans will remain on the site at an
times during cOD.sthiction.
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Owner or Contractors Signaiure
Date
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Page 2 of 2
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225.Fifth StreeF"F).,'....", ';. ;
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Springfield,oregori':~7477;;;'i;' ,:'.
5410726-3759 pIio~e'"':" . ''''/;
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Job/Journal N umber.~_~~;.~':~;' Descriptioii:'::"~':~,:~ ::~):.t; '-:' '.
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COM2009-0 f500 c.:f:c:';:.'i,fsi:Appliance "., '
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cgrvPQ09-01 ~gQ)j:iM i}.ir!;landling Unit Up to 10,000
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COM2009-0 1500.;;l;;~~jtt~f,~,!:o:T"S\,!!g,lo~Y Fee
COM2009-01500 ,.;;/,,>;,(120/0 si.te!iuicliarge, .
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Payments:
Type of Payment
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ONLINE CHGS ,i::@LINEPERM!TC;,HGS
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.,t. Received By
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Page I of I
Check Number
Batch Nu_mber
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 10/12/2009
2:39:47PM
Amount Due
79.00
17.00
4.80
11.52
Item Total:
Authorization
Number How Received
jUu".:J1.
Amount Paid
ONLINE MARSHAL Online
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$112.32
Payment Total:
$112.32
10112/2009