HomeMy WebLinkAboutPermit Mechanical 2009-11-30
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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
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I 0 New Construction IX] Addition/alteration/replacement
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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
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INSTAll GAS FURNACE AND HEAT PUMP
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Name: GORDON OBRIEN
I Phone: 541.726-7835 Fax:
I Em.ll: '
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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.
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E.mailed To: lindsey@marshallsinc.com
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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
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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
$4.80
$112.32
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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
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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
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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