HomeMy WebLinkAboutPermit Mechanical 2009-11-20
,
City Of Springfield
225 Fifth 51
Spring'field, OR 97477
Phone,: 541-726-3753
Email: .permitcenler@cLsprjngfield.or.us
I O. New Construction
lKl Additiorualteralionfreplacemenl
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I [R)' 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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I Job Address: 1325 PARKER ST
I Ci~IStateIZIP: SPRINGFIELD, OR 97477
I Sui~efbld9.!apt.no.:
I Project Name: harris
I C,os. St,.."d'"c"on. to job .It., mo'h,wk blvd
I Tax ma~/parceJ no.: 1703253313200
install wall gas furnace
I Name: BEV HARRIS
I Phone: 541-915-5741
I Email:
Fax:
I NeTI~::;;' CCB "c. no.: 25790 ".
I Bu.lnm N'"'I'\.m!''l*\Ufl'' ~M.l..EXPIRf IF.ttlll!AllC
I Conteet AUTHORIZED UNDER THIS PERMIf. NOT
I Add"" 411~MENCEDOR_I~ !\BANDOl'4iDruR
I CltYISte'.'ZIPf!\l\;liN~~/,l,!!Ii\lli'~!bW'
I Ph~,ne: 541747~445 Fax: 5417410,821
I Em~i1:
I Metro lie. no.: City lie. n?:
Upon! review and approval by your local Jurisdiction, your permit will be e-malled or faxed
withi~:onebuslneSsday,WilhinstruCtionsonhowtoschedUleYOUrInspectIon.
NOTE: This Authorization To Begin Work expires within 180 dilYs If il permit Is not obtained.
The local building department may determine that an Authorization To Begin Work Is null and
void If.itdoes'not meet applicable land use laws and localordlnan ces.
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00190
Approval Code: 056440 11/20/2009 12:19 pm
E-mailedTo:lindsey@marshallsinc.com
\ Description
$79.00
Total
I First Appliance Fee
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit totEd)
I TOTAL PERMIT FEE
$79.00
$9-481
$3.95
$92,43
CLi-1 Le%1
II I'LO 109
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I\'TTENTlON: Oregon law teqU1reI YOU,~
follow. rules adopted by the Oregon Utilitl
NotifICation Center. Those rules are set foillt
In OAR 952-OO1.Q010through OAR95z.oot..
0090. You may obtain copies of the rules:by
calling the center. (Note: the telephone
number for the Oregon Utility NotifIcatIOlI
Qent8r1l1 8QO ia2,~).
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Inspections Phone: 541-726-3769
This Au~horization To Begin Work must be posted at the job site ut:1til replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01681
ISSUED: 1112012009
APPLIED: 11/20/2009
EXPIRES: OS/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Li~e
SITE ADDRESS: 1325 PARKER ST
ASSESSOR'S PARCEL NO.: 1703253313200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install wall gas furnace in residence.
Owner: HARRIS BEVERLY DARLENE
Address: 1325 PARKERST
SPRINGFIELD OR 97477
Phone Nnmber: 541-915-5741
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
Expiration Date
12123/2009.
Phone
541-747-7445
r BUILDING I~FORMATIONI
# 0,1' 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
. , Sq Ft Other:
Occupant Load:
n/a
. . -, ! DEVELOPMENT INFORMATION I
. . . ATTENTlON: Oregon la\Q.~tJ9trJjlOU\tQKING
Fr6ntyar~'QeTdr&: ,. ~ lay Dist. follow rules adopted bYI9l~~~n Utility
Side 1 Settllll&:PERMTT SHAll EXPIRE IF THE W et Tre;s Rqd: ~og~ag~~:~~1~~ ~~~~t
Side 2 Setli..~!ORIZED UNDER THIS PERMIT 15 0'1 Drive Rqd: 0090. You may obtain co ~8Ptfie rules by
Re~ryard~~em.~~lJCED OR,IS ABANDONED FOR Yo ot Lot Coverage: calling the center. (Note: the telephone
Solar Setg~J'~si 80 DAY PERIOD. IlUmber for the Oregon Utility NotifIc8l\oft
""IIWI ID ~....:,.;,:.'::.:. 'i: "1)..
I PUBLIC IMPROVEMENTS I
Street Improvements:
Stol'm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Description
Tvpe of Construction
I Valuation DescriDtion I
$ Per'Sq Ft Square Footage
or multiplier 01' Bid Amount
Value
Date Calculated
Paee 101'2
Status
Issued
;,...
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-01681
ISSUED: 11/20/2009
APPLIED: 11120/2009
EXPIRES: OS/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P,\irl I
Fee Description
+12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
11120/09
11/20/09
11/20/09
1200900000000001276
1200900000000001276
1200900000000001276
Total Amount Paid
$92.43
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 R~9l1ired 1n~pectio"o1.l
Rough Mechanical: Prior to Cover
Final Mechanical: 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 furth~r 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
Paee 2 01'2
225' Fifth Street
Springficld, Orcgon 97477
541c 726-3759 Phone
Job/Journal Number
COM2009-0 1681
COM2009-0 I 681
COM2009-0 1681
Payments:
Type of Payment
ONLINE GIGS
cRcceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
a~..~}~!NO_F~...~"' ...'.__........
-,- - -
. .
~~ :
~:..,_.>' .:
City of Springfield Official Receipt
Devclopment Services Department
Public Works Department
1200900000000001276
Date: 11/20/2009
1:16:51PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$92.43
Payment Total:
$92.43
,
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11120/2009