HomeMy WebLinkAboutPermit Mechanical 2009-11-2
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, City. Cl,f S~rin,gfield
'-:225 Fifth '8'" '\,.:;<:~.'
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,~~.;~~,s-pringfie'ld:- O~_ 9.7477
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. . Email: permitcenter@ci.springfield.or.us
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I 0 New 'Constructjo~ ' IKl Addition/alteration/replacement
00 1 or 2 family dwell~~g O. Multi-familY,' .[J Rommercial, 0 Accessory
r,~jdBIsl:tE!iN~ORMAf10Nlii'Nbji[oc":fION~~~ll'nJi!i!l[H
~ob Address:'3792 . "013.EG~'N~/..VE-
I ~ity/StatefZIP: .~PRI~:~'~i.E~p, C!~ 97478
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Suite/bldg.fapt.no.:" ;:S'..':-:
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Project Name: garcia
I C.os. S".otIdl"'CtiOn~ to Job .,tei 39th 51 ;i
Tax map/parcel no.:
170231420820'2
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install heat pump and air ha~dler,
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Name: ralph Qarcia
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Phone: 541-746-5006'
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Email:
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eca lie. no.: 25790
Bu.lne.. Na"l'lll'l"l'rfl-i:!8 INC' " . -- ; nil W~\(
Conlacli THIS PERMIT SH~~~ ~~SR~~~MU NOT
Add..... 4110~\1~9~t~E U3~~ .(ewnONED fOR
I Clty/SlaleIZIP, ~1~~~~L,w\j~l\.l:Ii
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Phone; 5417477445; .. . ' Fax: 5417410821
~mail:
I Metro lie. no.:
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Upon review and approval by your local" Jurisdiction, your pennlt ~II be e-malled or faxed
withIn one bu5Jne$S day, with lnslroctlons on how to schedule your InspectIon.
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NOTE; This Authorization To Begin Work expires within 180 days If a pennlt Is not obtained.
The local building department may detennlne that an Authorization To Begin Work Is null and
void If It does not meet ap'pllcabl~ land 'use laws and local.ordlnances, .
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00175
Approval Code: 05589D 11/2/2009 11 :20 am
E-mailedTo:lindsey@marshallsinc.com
I Oescrip_tion , Qty, J Ea, J Total
tt[~t~fi'g{9?oIing~ppij~tl~-~~I~~t(t::~;~'u;t}~;.;}:t~\~s!rt~
Heat Pump 1 $17.00 $17,00
I First Appliance Fee
$79,00
1 Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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$96.00
$11.521
$4.80 I
$112,32 I
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lL:j2-I01
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 HI00-332-2344),
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;; ,. , Inspections Phone: 541-726-3769
: This Authorization'To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Buil4ing/Combination Permit
PERMIT NO: COM2009-01601
ISSUED: 11/02/2009
APPLIED: 11/02/2009
EXPIRES: 05/02/2010
VALUE:
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Status . ISSr~d;;;:,i!"; .
2?5 Fifth Street;Springfield, OR
541-726-3753 Phone:,. ';
541-726-3676 F~i 'q' >. ,.
541-726-3769 Inspection:Lin~"
SITE ADDRESS: ,.3792 OREGON AVE" .
ASSESSOR'S PARCEL'NO.:,:'.1'702314208202
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Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
PROJECT DESCR'lPTlON: Install heat pump and air handler
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Owner: GARCIA RALPH&:JEAN T
Address: 3792 OREGON AVE' i' .
SPRINGFIELD OR 97478
Phone Number: 541-746-5006
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Contractor Typei'
Mechanical "!
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I CONTRACTOR INFORMATION I
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; . Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION ~
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms: "
~s: ' .;.
,
.,
# 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
REQUIRED PARKING
ATTENTION: Oregon ~equlres you to
follow rules adopted tJf~<e~lln Utility
Notification Center. Th~IlI!!!l'are set forth
In OAR 952-001-0010 through OAR 952~01.
0090, You may obtain copies of the rules by
("~lIin,... th~ ..........+,..,.. ,,,,,,,.L~, .LI~ ~ .. \
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NOTICE: . ' lL1~ IMPROVEMJ<:NTS ,lumber for the. Oregon Utility Notification
SH~ll EXPIRE \f " Center IS 1-800-332-2344)
StreetWl16q\lE6lU\'t: " THIS PERM~ \S NOT Sidewalk Type: '
Storm Aill'~lA~~Ii.~I~~~~SR ABANDONED fOR . Downspouts/Drairis: .' '
Special(Jij,iflilNif!lGJ:D - 100 ~- .
ANY 180 DAY PER .
Notes:' ,
, DEVELOPMENTINFORMA~WN I
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Frontyard Setback:
Side 1 Setback: " ,. lc ,
Side 2 Setback: ;
Rearyard Setback:
Solar Setbacks,,;' ,.
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Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
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I Valuati~n Descriotio~ I
Descriotion
Tyoe of Construction
, $ Per Sq Ft
or multiplier
Sq nare Footage
or Bid Amount
Value
Date Calculated'
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Status . Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ':.,:/..,';
541-726-3769 Inspectio!, Line:,:;.,:~),;)t!.
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Total Value of Project
F~es Pairl ,
Fee Description.. , ',.,'. '
+ 12% State Surcha.rge\'::
+ 5% Technohiijy'Fee ., ,
1st Appliance
Heat Pump \i,.:!,.j; ,""h
$11.52
$4.80
$79,00
$]7.00
Amount Paid
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Total Amount Paid
$i]2.32
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I., Plan Reviews I
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Date Paid
ll/2/09
1112/09
1112/09
1112/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01601
ISSUED: 11/02/2009
APPLIED: 11/02/2009
EXPIRES: 05/02/2010
VALUE:
Receipt Number
1200900000000001220
1200900000000001220
1200900000000001220
1200900000000001220
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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:'1 ~eoui~erl I n~,I?ectio~~ ~
Rough Mechanical: Prior to Cover
Final Me,chanical: 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 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 strncture 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.
1 further agree to ensure tliat all required inspections are requested at the proper time, that each address is readable from the
street, tbat the permit ~ard is located at the front of the property, and the approved set of plans win remain on the site at all
times during construction. " ,
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Owner or Contractors Signature
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Pa2e 2 of 2
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Date
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2Z5 Fifth Street'..'., ' ,
Springfield,Oregon',97-47L "
511-726-3759 Pho~~"" .~
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City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 11/02/2009
RECEIfT#: ..1200900000000001220
Job/Journal Number';.~ '."p~s,~,~~_pti~.~..',~{?~/~:,:t~:~.:/,.""" .
COM2009-01601 ':{:, ,;,',l'stAppliance"";,'
COM2009-01601~-.r' : Heilt Pump
COM2009-01601.'i,;'\',;,,:5% Technology Fe~
COM2009-0 160( ''0':'''\+':12% SiateSurch";'ge '
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Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT.CHGS '
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE MARSHAL Online
LSINC
Payment Total:
1:36:16PM
Amount Due
79.00
17.00
4,80
11.52
$112.32
Amount Paid
$1 ]2.32
$112.32
1112/2009