HomeMy WebLinkAboutPermit Mechanical 2009-10-19
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo: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 D NewConstruction
o Addition/alteration/replacement
10 I" 2 f=ily dwdli', D M'''I-f=lly D Co=",I,1
DACCeSSOryBlIilding
I Job Address: 663 0 ST
I Cil)'/StatelZ'U': SPRINGFIELD, OR 97477
I Suite/bldg.lapf.no.:
I ProjectName:kiser
I C,,,, S,,,,"dl,,,",,, to job ."" 7TH ST ,
I TU.p/P""IOO"~I)Jr'oS2.~ nCf...~wrJ
1~~~,,:SFrJ;cl#~~%'e:r)ISIR;ipTlciN!O~WOFiR0lll~.:<::~~~~Yj~~~~
INSTALL HEAT PUMP AND AIR HANDLER
Name: Lindsey Baeth
Phone: 541-747-7445
Fax:'541-741-0821
Emllil: Iindsey@marshallsinc.coin
ceB lie. no.: 25790
Business Name: MARS HALLS INC
Contact:
Address: 4110 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620.
Phone: 541-747-7445
Fax: 541-741-082]
Emsil:
Metro lie. no.:
Citylic. 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.
~OTE: This Authorization To Begin Work expires within 180 days if a pennit 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
IHeat Pump
I First Appliance Fee
I Subtotal
ISlatesurcharge(12%ofpennil
lOlal)
ITeChnO]OgYfee(5%OfPerfilil
total)
I TOTAL PERMIT FEE
c.q.6)'(;;
69600-BMC-09,OOI56
10/19/2009 12:37 pm
~pprovaICode:06447D
$96.00
$11.521
$4.80
$112.32
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit
C0712cro f- () /5-;)&
;7/'l7 /{)/19!09
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 663 D ST
ASSESSOR'S PARCEL NO.: 1703352408200
CITYOF SPRIN~I'lJ!,LJJ
Building/Combination Permit
PERMIT NO: COM2009-01526
ISSUED: 10/1612009
APPLIED: 10/1612009
EXPIRES: 04/19/2010
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Electrical for heating system. HIP & A/H
Owner: KISER ELSIE M
Address:, 663 D ST
. ,.' SPRINGFIELD OR 97477
TYPE OF USE:
Residential
Phone Number: 541-747-7445
I.CONTRACTOR INFORMATION I
, Contractor Type
,Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type '
Secondary Construction Type:.
# of Bedrooms:
License
, 178518
25790
BUILDING INFORMATION I
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
09/25/2011
12/23/2009
Phone
541-895-4466
541-747-7445
nla
Lot Size:
Sq Ft 1st Floor:
Sq Ft2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Sethack:
Side I 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 lmNTION: Orego;~~~h":b~~g~~ Utility
. ,101l~W l!l~~{&.~3'tIOSe rules are set forth
Notlflca1l l:ltHhrOugh OAR 952-001-
In o~ Au M<<rl" . ies oflhe rules by
0090. You m~y ~ =e. the telephone
call1n9 the,cen~r. (on uiility Notification
number for thels r1e8900 332-2344).
, Center'-
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTIC~ ,
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
Pa2e I of 3
-
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01526
ISSUED: 10/16/2009
APPLIED: 10/16/2009
EXPIRES: 04/19/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion I
Description
Tvpe of Construction
$ Per Sq Ft
or"multiplier
Square Footage
or Bid Amount
Value
Date Calculated
)
Total Value of Project
~F'T~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
. Add, Alter, Extend Circ Ea Add
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid Date Paid Receipt Number
$7.32 10/16/09 2200900000000001190
$3.05 10/16/09 2200900000000001190
$55.00 ' 10/16/09 2200900000000001190
$6.00 10/16/09 ,2200900000000001190
$11.52 10/19/09 3200900000000000713
$4.80 10/19/09 3200900000000000713
$79.00 10/19/09 3200900000000000713
$17.00 10/19/09 3200900000000000713
Total Amount Paid
$183.69
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 ~p.nlli~pgJnsnections I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
Paee 2 of 3
_~8~~~I~~~,~ ,
Wlr
':yf1
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01526
ISSUED: 10/1612009
APPLIED: 10/1612009
. EXPIRES: 04/19/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws ofthe 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
Page 3 00
225 Fifth Street
Springfield,Oregon97477
541-726-3759 Phone
Job/Journal Number
COM2009,Ol526
COM2009,O 1526
COM2009,O \526
COM2009-0 1526
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
RECEIPT #:
Description
1st Appliance
Heat Pump
+12% Stale Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000713
Date: 10/19/2009
I:03:4IPM
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
17,00
11.52
4,80
$112,32
Amount Paid
njm
ONLINE marsh a lis Online
Payment Total:
$112,32
$112,32
Page I of 1
10/19/2009