HomeMy WebLinkAboutPermit Mechanical 2009-12-7
e,q '/711
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
Residential Mechanical Authorization To Begin Work
69600.BMC-09.00205
Approval Code: 034130 12/7/2009 9:31 am
E-mailedTo:lindsey@marshallsinc.com
I~~,+~- ':,,~;;~.!~;:~"f:;~'TYPE~,OF:~w6ij>t?~~";k\~~;~:F;~;~f~~"~
I 0 New Construction [Rl Addition/alteration/replacement I Description
I 00 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
JOS'si'rE'INFORMATION:ANOICo.CATION r:".;-~');.~"~
I Job Address: 1465 PIEDMONT 5T
I City/State/ZIP: SPRINGFIELD, OR 97477
I SuitelbfdgJapt.no.:
I Project Name: EDMONSTON
, I C'o" S""Ud;mct;ons to job s;t" MARKET ST
I Tax map/parcel no.: 1703253205300
I First Appliance Fee
I Subtotal
I Stale surcharge (12%01 permit
total)
I Technology fee (5% of permit total)
r TOTAL PERMIT FEE
$79.00
$9.48
$3,95 I
$92.43 (
L9 ~ \591
~ \'L\1\'D9
INSTAll DUCTLESS HEAT PUMP
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',V"ii1--:;:~\t1;~~.h'_
I Name: HEATHER EDMONSTON
I Phone: 541-746.5157
I Email:
,Fax:
-....ON. Oregon law requires you,t~
~1I "" ..' d b the Oregon Utility
fellow rules adopte Y e rules are set forth
Notification ce~~~1~~~~U9h OAR 952.001-
In OAR 952.()0 btain copies of the rules by
0090. You may 0 (Note: the telephone
calling the :n~~~gon Utility Notification
IIUmberJ~~tereiS 1-600.332.2344).
. -....J"o\{
}_~~'i~i:':'~CONTR~cfr:a.R;'\Q'i;:.i,W,'\~~~,f\",.l>i'K: '1
I I~V"- - S\-IL\l...\... ...1" RWlII Iv I -
,,;\",c. PERMI"\' u\~'5~8c'Wti!j~f. \'1(.0 f(\1'\
I Bus;ness Nam" M'li\~'1,,~/}\ilJl\:U~ 1)0 \~ J>,BJ>,NDU
I Contact COMWI~\~V~~ PERIOD.
I ^~" \{)0 g,
Address: 4110 OL YMi\K} 5T
I City/State/ZIP: SPRINGFIELD, OR 97478-5620
I Phone: 5417477445
I Email:
I Metro lie. no.:
Fax: 5417410821
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be'e-malled or faxed
within one businel>s day, with Instl1.lcllons on hOw to scheduleyourin spectlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
vOid If It does not meet applicable land use laws and local ordlnan ces.
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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
CITY OF SPRINLiHI',LD '
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01597
ISSUED: 10/30/2009
APPLIED: 10/30/2009
EXPIRES: 06/07/2010
VALUE:
225 Fifth Street, Springtield, OR
541-726.3753 Phone
541.726.3676 Fax
541.726.3769 Inspection Line
SITE ADDRESS: 1465 PIEDMONT ST
ASSESSOR'S PARCEL NO.: 1703253205300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: 200 amp panel change & install ductless heat pnmp system in residence.
Residential
Owner: EDMONSTON HEATHER
Address: 1465 PIEDMONT ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contl'actor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARS HALLS INC
License
178518
25790
BUILDING INFOR~ATION I
Expiration Date
09/25/2011
12/23/2009
Phone
54 I .895-4466
541.747.7445
Lot Size:
Sq Ft 1st Floor:
Sq Ft,2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: Ires you to
a..--nl.....ON. I.l~ """.,; 14~~lIAU n um....
"Tll:NII '11 ,,:,..l h~"h90reJ!O ..~
..:.cl\~UIG--"" ap .esaieti,,"""IJ.
I DEVELOPMENT INFORMA"l,J.\)?.,ionCenter. Thos~eru Q~a~2-OO'.
, ,,'''R~' In OAR 952.Q01-001~tlW s 6f'tWf6li~G
-<f\t ~,v -< . Y obtain cop
Front yard Setback: IRt \r \ ~~\Dist: 0090. You ma nter (<<.,:the tel~phon8
Side 1 Setbac~':01\C~:. Sf\I'\.\. t1\:\S ?'i:.RtJI' l(i,eet Trees Rqd: calling tfe;'e Or~gMll~\'Ia\\lIQatlon
Side 2 Setbac~\.\,S ?t.I'>tJll'i \\~\)tl'> 'if\ \)O~t\) a ed Drive Rqd: . numb~c~~ter \8 ,~~).
Rearyard SetbaCK: \-\0l'>11t.\) I'> IS I'\)I'~ 'Yo of Lot Coverage:
Solar Setbacks:\\\1 "t.~Ct.\) 0 010\). ,
~,,~~,~'. .:{ 0>'''
vl'~'i ~ 'Oil UI" I PUBLIC IMPRo.VEMENTS I
# of Units:
Primary Occupancy Croup:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Typc:
Range Typ'e:
Energy Path:
Sprinkled Building:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Pa2e 1 of 3
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01597
ISSUED: 10/30/2009
APPLIED: 10/30/2009
EXPIRES: 06/07/2010
VALUE:
Status
Issued
225 Fifth Street. Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I V aI~ation De~criDti?n ,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
Fees Paid I
Fee Description-
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ Ea Add
Perm Serv/Fdr 200 amps or less
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$1I.16
$4.65
$12.00
$81.00
$9.48
$3.95
$79.00 .
10/30/09
10/30/09
10/30/09
10/30/09
12/7/09
12/7/09
12/7/09
Total Amount Paid
$201.24
Plan Reviews ,I
Value
Date Calculated
Receipt Number
1200900000000001215
1200900000000001215
1200900000000001215
1200900000000001215
1200900000000001309
1200900000000001309
1200900000000001309
To Request an inspection calI the ,24 hour recording at 726-3769. AII inspections requested before 7:00
a.m. will be made the same working day,' inspections requested after 7:00 a.m. wiII be made the folIowing
work day.
I Rel1U!irerllns}>ect10lnS.
Illflllll,1 1111 111I11,1'li
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: \Vhen all mcchanicnl work is complete.
Pa2e 2 01'3
"
Status
Issued
225 Fifth Street, Spriuglield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0]597
ISSUED: 10/30/2009
APPLIED: ]0/30/2009
. EXPIRES: 06/07/20]0
V AUUE:
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 Ordiuanccs 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 of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in complianee 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 remaiu ou the site at all
times during construction.
Owner or Contractors Sig-nature
, ,
',"
Paee 3 01'3
Date
225 Fifth Street
Springfield, Oregon 97477
54(-726-3759 Phone
Job/Journal Number
COM2009-0 1597
COM2009-0 1597
COM2009-0 1597
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 sl Appliance
+ 5% Tec~nology Fee
+ 12% Stalc Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Dcvclopment Services Department
Public Works Department
1200900000000001309
Date: 12/07/2009
Item Total;
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LS lNC
Payment Total:
(
Page 1 of 1
9:56:05AM
. Amount Due
79,00
),95
9.48
$92.43
Amount Paid
$92.43
$92.43
12/7/2009