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HomeMy WebLinkAboutPermit Mechanical 2009-11-30 { City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: pennitcenter@cLspringfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-09-00193 Approval Code: 087350 11/25/2009 3:20 pm ;r~~I~~~ ~~~L \~.~ F~,}1\. OREGON li'I'''''''''''''''''O",6'''''''''''''''''''''''- "~nE'OF.'WORK"",,,,,,c,,;,,,,;<."'~~"F''''''' ',,,,,,,, r:r;~J:,..,~-m'lfJ?r'~~~~~;f11~I:llr: ~ ,.it" "i5b_~~~r..'l';:"~~I..W""'1!B;l I 0 New Construction IX] Addition/alteration/replacement Iff~!~~~~gAfE9:C>:R:yr6Flc'6N~'fFiDcJi91iJ,f.l.!'J'''''~~ IlK] 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory 1::o&~:~~'N:'i!~1}~jOB!Sl'tEWNF:ORMATio;:,f!ii:i;jD!i!6cAfI6N~~1~t.'''i!J!~1~ I Job Address: 927 FAtRWA Y Pl ' I CitylStatelZIP: SPRINGFIELD, OR 97477 Suitelbldg./aplno.: Project Name: OBRIEN I em.. S.,..Udl,ooUO"5 to job site: WINDSOR CRT I Tax map/parcel no.: 1703342200836 1':jJ~,g:~}~\j~t{~~~~~.R~SCRi~TIOEf.Q~~~OR~~~~~~~ INSTAll GAS FURNACE AND HEAT PUMP ".. "...., "'JI:' tvP',""""" ,..""-,~,,, ",h' .. ' ...., ,.., .. """"'~""",:@'''_''~'''";y~",V' , ~~,:\'i~f:t;.i.\_~11ilrtidt~{!~~1~;~~:~~~?;~~~JT~J.~9_~JA.9;miAi~{~'mi'J!Ji~:t~1lJ2i;;l1@.i~~~M;J Name: GORDON OBRIEN I Phone: 541.726-7835 Fax: I Em.ll: ' ~"t"'?"",,-~1iCONTRACf6R:.,-3:""""1'J;""""C<:"""~"'" l$~f~\t~~:;&~~~l_"'~ ~__._.,_,__ _-_'__' ,f\.~~'~~1 I cca lie. no.: 25790 I Business Name: MARSHAllS tNe I Contact: I Address: 4110 OLYMPIC ST I City/State/ZIP: SPRINGFIELD, OR 97478-5620 Phone: 5417477445 Fax: 5417410821 Email: I Metro tic. no.: City lie. no.: UpOIl review and approval by your locat Jurisdiction, your permit will be e-malled or faxed within olle business day,wtth instructions on how to schedule your lnspectlon. NOTE: This Authorizatioll To Begin Work expires within 180 days if. permit is not obtained. The local building department may determine that an Authorizallon To Begin Work Is null and void if it does Ilot meet applicable land use laws and local ordinances. '~ ~~~.o<\ {a-:' 6'V E.mailed To: lindsey@marshallsinc.com 1t~~~~r~~Es;!;g~.EPU!LE~~.Si:'ili~:;::l I Description J Oty. J Ea. J Total - 18.~tiffgiC02lh,g'Appifa"[c~~~J?1~~~!W!>.!llO! I Fymace - up to 100,000 BTU J 1 J $17.00 ,I $17.00 I IMiiliffiU:nnF.iie';j;j~Ji"'I;:I;l~\t!1!l1il!~~~M1irjil;~~~1 I First Appliance Fee l l l $79.00 I IMech1'ii@lgiitiiiJl!f"~.;\'f~~J,\'?:Iii!~~$i1 I Subtotal $96.00 I I State surcharge (12% of permit $11.52 lotal) I Technology fee (5% of permit total) I TOTAL PERMIT FEE Cq- liDS I~ ~\cf' \\);' ~<Y ~\}\ Inspections Phone: 541,726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit $4.80 $112.32 11/3D/CA " di!!AINQi;:llilLP; - ;~-,.. """" '--~" ;'1 , CITY OF SPRINGFIELD Building/Combination Permit , PERMIT NO: COM2009-01703 ISSUED: . 11/30/2009 APPLIED: 11/25/2009 EXPIRES: 05/30/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 927 FAIRWAY PL ASSESSOR'S PARCEL NO.: 1703342200836 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install gas furnace and heat pump in residence Residential Owner: O'BRIEN TERESA C Address: 927FAIRWAYPL SPRINGFIELD OR 97477 Phone Numher: 541-726-7835 I CONTRACTOR INFORMATION , Contractor Type Mechanical Contractor MARS HALLS INC License 25790 BUlLDI~G INFORMATION I Expiration Date 12123/2009 Phone 541-747-7445 # 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: Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOP!'1ENT I~FORMATlON, I Front yard Setback: 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: Stnrm Sewer Available: Special Instruction: I PUBLIC IMPROVEMENTS I to . . uires Y?U _moN' oregon law ~,wI'iitllsrfU\i\\ty A'll ",'W ' ted b'/ the '0 _rt~ tolloW rules adop "'hose~ill~ ' ~tDS: I center. I hOAR' Hotilieat on ..()(\1.o010 throug t the rules by In OAR 952 ob\ain copies 0 telephOne Ql)90. '(o~:e~ntel. lNot~~i1~~ Notitication e9.111"g ... _ "".oon _ _ . A) --,' .... !:C' QOU',)"/.-~- ' I -..-. tar I'~'" NOTICE: . Valuation Descf4lll1on THIS PERMIT SHALL EXPIRE IF THE ~ut\1\ . DesHJif/ilfnRIZEDt\I'P~bRc1lrlltr.l'Jif6MIT ISWI' Sq Ft. Squa.re Footage COMMENCED OR IS ABANDONED FOt:\' multIplIer or Bid Amount ANY 180 DAY PERIOD. Value Date Calculated Street Improvements: Notes: Page I 01"2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01703 ISSUED: 11/3012009 APPLIED: 11/25/2009 EXPIRES: 05/30/2010 VALUE: 225 Fifth Street, Springfield"OR 541-726-3753 Phone 541-726-3676 Fa" 541-726-3769 Inspection Line Total Value of Project Fees Paid ], ~ " I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Furnace - up to 100,000 btu Amount Paid! ' (' Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 11I30/09 11/30/09 11I30/09 11/30/09 3200900000000000776 3200900000000000776 3200900000000000776 3200900000000000776 Total Amount,Paid $112.32 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 ~eOliirrd InsneetiDns I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work;;s complete. By signature, I state and agree, that I have carefully examined the completed application and do herehy 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 descrihed 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 thatall required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is loeated 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 2 of2 I, \. ~, 225iFifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1703 COM2009-0 1703 COM2009-0 1703 COM2009-0 1703 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Descripti~n 151 Appliance Furnace - up to 100,000 btu + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS aP.~~NQ,.~I,,"""_'~' .1.. _.1.. _. . . . . , ....;"" Jii,& ~-~'~"....' City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000776 Date: 11/30/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE marshalls Online Payment Total: Page I or I 7:3S:ISAM Amount Due 79,00 17.00 4,80 11.52 $112.32 Amount Paid $112,32 $112.32 11/30/2009