HomeMy WebLinkAboutPermit Mechanical 2009-11-9
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;'::C.ity Of Springfoeid
':; 225 Fifth 5t" "1
. Springfield, OR 97477
.,.'~hone: 541-726-3753
'.", y,;;~:; E.mail: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00180
Approval Code: 01796D 11/9/2009 11:12 am
E-mailedTo:lindsey@marshallsinc.com
Pump
Total
I 0 New Construction
[RJ Addition/alteration/replacement
I Description
11it~~CATE9~Q8y,:ClF.lq,O.N~f[(ji::'fii.'iI\i~~~~
I 00 1 or 2 famiiy dwel,~i~~,. .";;.; D /~_, MUltHarni.!v':.::"[J Co~mercial D Accessory
1~~OBrSiTEHNiIoRM7>.-TIONrANDjltoc:O;fioNg~Jt~~"'iili
I ~obAddress: ~531 ~ ST ~
I'CityfStatelZlP: SPRI'N'GFi:ELD:,:9R-~~747~
I SuitelbldgJaplno.:
I Project Name: RUIZ
I C.oss SlreetJdi.ectio:t~ jr~~:S~.3~~{SiY(~: ,-
I Tax mapfparcel no.: .., 170234'1'300321 ...
$17.00
First Appliance Fee
$79.00
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I Sublotal
I State surcharge (12% of permit
Iota))
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$9600 I
$11.521
$4.80 I
$112,32 I
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C9-llo35 ~ II/ctJtf1
,INSTAll HEAT PUMP AND AIR HANDLER
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I Na~~~ JOHN RUIZ
I Phone: 541-744-1.322
I Email:
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CCB lie. no.: 25790
I Business Name: M~~S~ALLS INC
I Contact' NU I ILl:; . r,r':..ueWORK
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I Address: 41^~JMi~Ii1E[:fj INflFR'THis PERMIT IS NOT
I c;ty/StatelZ'/':'r'!\\IlltifliMElt!?l'OR1&<A<BANOONEb fUti
I Phone: 5417Nt~"t5t80 DAY,' PERIOD. Fax: 5417410821 '
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J Metro lie. no.:
City lie. no.:
ATT!:NTION: Oregon law requires you to
f~~,ow rules adopted by the Oregon Utility
NUliflcatloll Center. Those rules are set forth
in OAR 952'001-0010 through OAR 952-001-
0090" You may obtain copies of the rules"
calling the center. (Note: the telephone
number for the Oregon Utility NotlflaatIoa
Center II 1-800 \"1'. 11144).
Upon re~lew and approval by your local Jurisdiction, your ~permlt will be e-malled or faxed
withIn one business day. with lmrtructlons on how to schedule your InspectIon.
NOTE: This AuthorizatIon To Begin Work expires within 180 days If a permit Is not obtained.
- : . t.
The local buildIng department may detennlne that an Authorb';atlon To B.egln Work Is null and
voId If It does not meet applicable land use laws and local ordinances.
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... . ., Inspections Phone: 541-726-3769
r Th,is 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: COM2009-01638
ISSUED: 11/09/2009
. APPLIED: 11/09/2009
EXPIRES: 05/09/2010
VALUE:
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Status
Iss,'ued;"-:" ", "
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225 Fifth Street; Springfield, OR
541-726-3753Ph'one"".",r:' ,
541-726-3676 F~~' .' . ;.... t
541-726-3769 l~spectionLine '
SITE ADDRESS' .' "(;531 E ST)i,(i;; ;;.:,:.' '
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ASSESSOR'S pARCECNO;:"e., '1702341300321
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Springfield TYPE OF WORK: Heating System
, PROJECT DESCRIPTION:
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TYPE OF USE:
Instal~ heat pump and air handler in residence
New
Residential
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Phone Number: 541-744-1322
Owner:
Address:
RUlZ JOHN A III
6531 E ST .-
SPRINGFIELD OR 97478
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Contractor Type, . Contractor
Mechanical ~t;;, i ',~:.:'MARSHALLS INC
I CONTRACTOR INFORMA,TION ,
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License
25790
BUlLDlNG,INFORMATlON I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Qroup:
Primary Construction Type
Secondary Construction Type:
, ,
'# of Bedrooms:";' " ;' ':,:'
(.,. \' ,C', ".
. I.'. ,c'..'
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other: .
Occupant Load:
...i .~;;, .
nla
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I DEVELOPMENT INFORMATION f" "'.,;"",.,."",,;, -"<,
...." REQUIRED PARKING
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Frontyard Setback:" ."'; ~":'" , Overlay Dist: Total:
S~de I Setback:,.: ,\, 'n~: ' .: ~ ' ' # S~Trees Rqd: ATTENTION: Oregon'ra,yfll~ilWBiYliu:1D
SIde 2 Setback:" '''. "1\'\f. ~ rive Rqd: follow rules adopted by ~-' Uti'
Rearyard ~~"f,~~:. ':- \\~\..\.. f.1YWl.E 'R\olI\l \$ ot Coverage: Notification Center, Thos~' ;~I;~ ~~~et'::%.
Solar Setba '\~r~E?-\IJ\\i S €~ 1\,\\5 pt: nfOl\ " In OAR 952-001'0010 through OAR 952;001-
i . _....,""' "M" r'at\~ OOAn Vnlt ""~l' Qbtal- .. ~"I'
fl,\r\J\~~NCf:D oP> \S ~p". I PUBLIC IMPROVEMENT&I'If~ngthecenter, ,(N~le:~ih;'~i;~;;;;';e.:w
r,O\lJ\"... 1"\ ^" PE~\OIl' ' , " "",er(or.the OJ:!l,9 on Utility NotlfiM"....
StreetImproV'~~"t'60 11,,1 ,; ;::, ,,' &1wPWd1lt6ih332'2344). VGUvu
Storm Sewer Available::, ...;~;.t'<"~~ Downspouts/Drains:
Special Instruction: " ' .
Notes:
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Description Type of Constr}'ction
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.'.' ~ ~..Jo.- ' .",j f,'.
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I V~luation Descriotion I
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$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01638
iSSUED: 11/09/2009
APPLIED: 11/09/2009
EXPIRES: 05/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone . "
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541-726-3676 Fax. ..i' ..i. . .:>f'~:~.,ii;,,:':'; -: .
541-726-3769 InspeC:tioh':tinl""~~"'r'
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Total Value of Project
Fees Paidj
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Fee Description;) ':)i,~if!;;;i;':t~Hff(;j,;Ain~unt Paid
+ 12% State Surch~rge' ':: ,.' $11.52
+ 5% Technology Fee' $4.80
1st Appliance" ' , $79.00
Heat pump ': I: . ,\,' ':c., ;,: ,:":. $17.00
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ll/9/09
11/9/09
ll/9/09
ll/9/09
Receipt Number
2200900000000001268
2200900000000001268
2200900000000001268
2200900000000001268
Date Paid
Total Amount Paid
$112,32
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I Plan Reviews I
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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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Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical ~ork is complete,
By signature, I stale 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 a;;d the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY,will he 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 read.able from the
I . street, that the permit c~rd is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.. 1:
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Owner or Contractors Signature ,; ':"
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Date
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Paee 2 of 2
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22~ Fifth Streetr~
Spr~ngfield,.Oregon,97,177
54t :726-3759P~iine",'~;r. .
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:' 2200900000000001268
Date: 11/0912009
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.' ;Heat Pump ',> .."
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C0M2009-01638 ,+ 5% Technology Fee
COM2009-01638 ",:i;:.;, ,,'1-12% State Surcharge
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Job/Journal Number.
COM2009-0 163 8
COM2009-0 1638
Payments:
Type of Payment
ONLINE CHGS
Paid By
ONLINE PERMITSHGS'
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Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE Marshalls Online
Payment Total:
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II:36:48AM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112.32
$112,32