HomeMy WebLinkAboutPermit Mechanical 2009-1-17
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CitY Of Springfield
225 Fifth St
Springfi~ld, OR 97477
Phone: 541-726-3753
Email: p'ermitcenter@cLspringfield.oLuS
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00182
Approval Code: 02500D 11/17/2009 11:59 am
E~mailed To: lindsey@marshallsinc.com
I 0 -~ew Construction
IRJ Addition/alteration/replacement
I Description
I Heat Pump
I ~ ;1, or 2 family dwelling 0 Multi-family D Commercial D Accessory
:::JbB'S1TE:rNFORMAtION7\ND',L:6'CAfION:&r~~,''j2~~~~';i
I Job ,~ddress: 857 S 46TH 5T
I CitylState/ZJP: SPRINGFIELD, OR 974?8
I Suite/bldg.lapt.no.:
I Proj~ct Name: SKilES
I First Appliance Fee
Cross Street/directions to job site: HOllY 8T
Subtotal
State surcharge (12% of permit
total)
Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$96.00
$11.521
$4,60 I
$112.32 I
Tax ~aplparcel no.:
1802051204701
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INSTAll HEAT PUMP.AND AIR HANDLER
Nanie: SHEllEY SKITES
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Phone: 541-726.6891
l'E"ma!l:
Fax:
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I ",nTIr.r:.' CCB He no.: ~57,.,.fUl_
I Bus;"." N'~~;;;'';'R''~%111fcSHAlL t:^"',\t! ~~".. a1M' ,
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I Cont"ct 'Jl.UTHOR\ZJ~ U;'1U';. ~NEU f01\
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Address: 4110..0~':1f;C-ST v DI:A\f\D- " .
I' ;-"'1 160 D.^(, .
City~StateIZIP:'SPR NGFIElD, OR 97478-5620
I Pho':!e: 5417477445 Fax: 5417410821
I Emait:
I Met~o lic. no.: City lic. no.:
ATTENTION: Oregon raw requires you to
foll.~w r~les 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 Notificallon
Center 18 1-800-332-2344).
NOTE: This Authorization To Be91n Work expires within 180 days If a permit Is not obtained.
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Upon' review and approval by your local jurisdiction, your permit will be e-malled or fa){ed
within 'one business day, with Instructions on howto schedule your Inspecllon.
The local building department may determine that an Authorization To Begin Work Is null IInd
void If it does not meet appllcabte land use laws and localordinan ces.
,
Inspections Pbone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541.726-3769 Inspection Line
CITY OF SPRINU:l'H.,LlJ
Building/Combination Permit
PERMIT NO: COM2009-01645
ISSUED: 11/12/2009
APPLIED: 11/12/2009
EXPIRES: 05/17/2010
VALUE:
SITE ADDRESS: 857 S 46TH ST
ASSESSOR'S PARCEL NO.: 1802051204701
Springlield TYPE OF WORK: Heating System
Residential
TYPE OF USE: New
PROJECT DESCRIPTION: 2 circuits for heat pump and air handler in residence.
Owner: SKITES SHELLY K
Address: 857 S 46TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING Iro:FORMATlON'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure,
Type of Heat:
Water Type,
Range Type:
Energy Path:
Sprinkled Building:
_ ;...~:_..::.l'. '."
Expiration Date
09/25/2011
12/23/2009
Phone
541-895-4466
541-747-7445
n/a
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
';" Sq Ft Baseme'!.!;._.
Sq'Ft Garage/Carport
Sq Ft Other:
Occupant Load:
~toPMENT INFORMA~N' Oregon law requires YU~i\itv
. ~O\v..~ \~;~ 1 follow rules ~dopted by t~lijt'ldl'ftiGNG
~\C',~. ,,~\.\. ",... c. Vt."I" lt~? ., f Center. ihoseru 52001-
FrontY:lAaJ1el~t~~ Srl tv.. \\-\~" O",,-'i)~" Overlay Dist: Notlllca lon_001.0010throllgll.JllAR 9 - b
Sid~ I Set~tl<Y 't.U \}"U 1\'31\"0 . # Street Trees Rqd: In OAR 952 ma obtain copillinllf~~~e Y
Side 2 Setb31\ft\~?\7.: t.O o? \'21 . Paved Driv~. Rqd: 0090.. YO~he Janter. (Note~jl~@/~p'hOtion
Rearyard Stl~\l.qlC"C :i ?t.?\QO , % of Lot Coverage: calling lor the Oregon Utility Notllica
Solar Setba'~~\I '\ 'OQ,Oflo(, . numbercenter is 1-800.332.2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Page I of 3
Sidewalk Type:
DownspoutslDrains:
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01645
ISSUED: 11/12/2009
APPLIED: 11/1212009
EXPIRES: 05/17/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descrintion 1
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees P~id I
$7.32
$3.05
$55.00
$6.00
$11.52
$4.80
$79.00
$17.00
Date Paid
11/12/09
11/12/09
11/12109
11/12/09
11/17/09
11/17/09
11/17/09
11/17/09
Receipt Number
Fee Description
+'12% Slate Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump,
Amount Paid
2200900000000001280
2200900000000001280
2200900000000001280
2200900000000001280
1200900000000001261
1200900000000001261
1200900000000001261
1200900000000001261
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 Reouired Inspections 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.
Page 2 of 3
Status
Issued
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01645
ISSUED: 11/12/2009
APPLIED: 11/12/2009
EXPIRES: 05/17/2010
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 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 or 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 of 3
22~ Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,0 1645
COM2009-0 1645
COM2009-0 1645
COM2009-01645
Payments:
Type of Payment
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
ONLINE C1-IGSONLlNE PERMIT CHGS
Paid By
cReccintl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001261
Date: 11/17/2009
12:01 :28PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
4.80
11.52
$112,32
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$112.32
Payment Total:
$112.32
"1, ':'"':
Page 1 of J
1111712009 .