HomeMy WebLinkAboutPermit Mechanical 2009-12-11
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City Of Springfield
225 Fifth 51
Springfield, OR '97477
Phone: 541.726-3753
Email: permitcenter@cLspringfield.or.us
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[R] Addition/alteration/replacement
New Construction
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1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 5752 A 5T
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no. :
Project Name: CRAMPTON
Cross Street/directions to job site: 58TH ST
Tax map/parcel no.:
1702334100400
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INSTALL HEAT PUMP AND AIR HANDLER
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Name: MARK CRAMPTON
Phone: 541-914.2977
Fax:
Email:
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:;'C'ONTRACTOR',;'.i!l;,':' ",:>or::.,.,"
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cce lie. no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4110 OLYMPIC ST
CitylStatefZIP: SPRINGFIELD, OR 97478-~620
Phone; 5417477445
Fax: 5417410821
Email:
I Metro li.c. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with imilructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work eJlpires 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 ordinances.
cH ' 11115
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00215
Approval Code: 02632C 12/11/2009 10:04 am
E.mailed To: lindsey@marshallsinc.com
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I Description
Itieatin9JCoolirig'App.i.iaric9siiJ~;~ .
I Heat Pump
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I First Appliance Fee
IM~ch~ni.calperini(F_~9S .-;.~~L:~- i..
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
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$17.00 I
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$79,00 I
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$96,00 I
$11.521
Total
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$4,80
$112.32
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-0I765
ISSUED: 12/11/2009
APPLIED: 121l1l2009
EXPIRES: 06i11/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
54l-726-3769Inspeetion Line
SITE ADDRESS: 5752 A ST
ASSESSOR'S PARCEL NO.: 1702334100400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat Pump & Air Handler
Owner: CRAMPTON MARK A & NATALIE I
Address: 5752 A ST
SPRINGFIELD OR 97478
. Phone Number: 541-914-2977
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARS HALLS lNC
License
25790
B.UIL,DING ,INFORMA nON.
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 Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
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I DEVELOPMENT INFORMATION I
. REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I YOU,o
., ,~w requireS . .
AiTENTIOt-t~~R~Jlb~J("~ Oregon Utility
tollow rules adop ~ 1lP.IIlWml! ~re se' fort~
Notification Coodf.:1~hrOUgn'O~R 9521~~
In OAR 952- 'opies of 'he ru e v,
0090. 'fou may Obtalll~ote: the 'elepho~e
camng the ~~~~~gon Utility Notifica\iOll
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IVU fILE: ,... center lit ·
THIS PERMIT SHALL I Valuation Descriution I
/\lJTHOR EXPIRE IF THE WORK' " .
.'0"'.' t-'ZED UNnTtR Tl:!fCIS Pr:tR~nt,.T 'S NOS Per Sq Ft Square Footage
escnp IOn-[' .0 ~pe 0 'ODS rue lOll I .. ..."
.;,...~-'"~c.! Rib A!.:ANDONED FOR or multIpher or B,d Amount
1 J) ,.tv j'V:"r(l'-'
Stroeet Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
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Value" .. Date Calculated
Paee lof2
Status
Issued
CITY 01' ~rRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01765
ISSUED: I'Ul1/2009
APPLIED: 121ll/2009
EXPIRES: 06/11/2010
VALUE:
225 Fifth Street, Springtield, OR .
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 lnspeetion .Line
Total Value of Project
Fees P,a~d I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
12/11/09
12111/09
12/11109
12111109
3200900000000000804
3200900000000000804
3200900000000000804
32Q0900000000000804
Total Amount Paid
$112.32
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. wilIbe made the following
work day,
Rer"i~e,d In~;r~~ti,?~s'
Rough Mechanical: Prior to Cover
Final Mechanieal: When all meehanical work is complete.
By signatnre, I state and agree, that I have carefnlly 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 Ordinanccs 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 'lilY structure without permission of the Community Services Division, Buildiug Safety.
I further certify that only contraetors and e.mployees 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. . . '
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Owner or Contractors Signature
Date
Page 2 of2
225 Fifth Strcct
Springfield, Orcgon 97477
541-726-3759 Phone
Job/Journal Number
COM2009.0 1765
COM2009.0 1765
COM2009-0 1765
COM2009.0 1765
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
151 Appliance
Heat Pump
+ 5% Technology Fee
+12% State Surcharge
Paid By
ONLINE PERMIT CHGS
, City of Springfield Official Rcccipt
Dcvclopmcnt Scrviccs Departmcnt
Public Works Dcpartmcnt
3200900000000000804
Date: 12/11/2009
Item Tot.l:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE m.rshaJl5 Online
Payment Total:
Page 1 of 1
1:40:48PM
Amount Due
79,00
17,00
4.80
11.52
$112.32
Amount Paid
$1 ]2.32
$112.32
12/ II /2009