HomeMy WebLinkAboutPermit Mechanical 2009-12-18
SPRINGFIELD-
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541~726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00225
Approval Code: 01001C 12/18/2009 4:30 pm
E.mailed To: lindsey@marshallsinc,com
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I D New Construction [g] Addition/alteration/replacement
I: "~";i'<,--{~C;tI']~G(:f8'Yl0F,.i:6NSTRl:iG'ri16N.l,iCf~.t
I 00 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
". ,. ,~': 'JOB:SI:fE;iNF()RI'IIA;fI(::lIc':l~AN15!l::0C,6,ffQN:
Job Address: 3063 HAYDEN BRIDGE RD
Suite/bldgJapt.no. :
City/State/ZIP: SPRINGFIELD, OR 97477
Project Name: barth
Cross Streetfdirections tojob site: n 31s1 51
I Tax mapfparcel no.:
install ductless heat pump
I Name: ron barth
I Phone: 541-746-2212
I Email:
I:'
Business Name: MARS HALLS INC
I Contact:
Address: 4110 OLYMPIC ST
1702193200204
Fax:
CCB lie. no.; 25790
Phone: 5417477445
City/State/ZIP: SPRINGFIELD, OR 97478-5620
Fax; 5417410821
I Email:
, Metro lie. no.:
City tic. no.:
Upon review and approval by your 10cllI jurisdiction, your permit will be e-malled or failed
within one business day, with instructions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work ellpires within 18.0 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 lanci"use laws.and local ordinances.
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I Description
Ea,
I First Appliance Fee
I Subtotal
I Stale surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
Rr0
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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
Total
$7900 1
',~.. _~ -fr iI
$79.00 1
$9.481.
$395 1
$92.43 I
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01814
ISSUED: 12/21/2009
APPLIED: 12/21/2009
EXPIRES: 06/21/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3063 HAYDEN BRIDGE RD
ASSESSOR'S PARCEL NO,: 1702193200204
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: BARTH RONALD L & MICHELLE L
Address: 3049 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
Phone Number: 541-746-2212
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
B,UI~DING INFORMATION I
Expiration Date
12/2312011
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constructiou Type
Secondary Coustruction 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:
S(I Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
! DEV,ELOP~ENT INFORMATION'
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: ,>' Downspouts/Drains:
Special Instruction: JJYrGE:
N~tesATTENTION' 0 tHIS PERMIT SHALL EXPIRE IF THE WORK
. ;0110101 rules ~d;~t~~n~~'fr,~eg~::~i~' ~~!.~?~~~~~ ~~D~H~HIS P.ERf\i1IT IS NOT
:'UlIlIwduun \Jenter. I nose rules are s~o~ - ~ "OIV'''''~V''''U vii Iv MUJ-\II,lUUIIlCU run
In OAR 952-001-0010 through OAR 95 uation Descrioti%W"'180 DAY PERIOD.
00;0., You may obtain copies of the rules '
D ,~ the 9fnter"Wote:m.lf.telepho/liEl'er Sq Ft Square Footage
esc,"o""""rCfor tl'l~'Gfflg'ol\ltftfmY'N~tificallO"1Ultiplier or Bid Amount Value Date Calculated
enter IS 1-800-332-2344).
Page 101'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01814
ISSUED: 12/21/2009
APPLIED: 12/21/2009
EXPIRES: 06/2112010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541~726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amonnt Paid
Date Paid
$9.48
$3.95
$79.00
12/21/09
12/21/09
12/21/09
Receipt Number
3200900000000000819
3200900000000000819
3200900000000000819
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,
"R~ruir~d ,I,~s~ecti?~~ I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 compliance with ORS 701.005 will be used on,this project.
I further agree to ensure tha.t all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at th'e 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
,.,' ,~.
Pa2e 2 of 2
225 Fifth Street
Spl"ingfie'ld, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009"01814
COM2009-01814
COM2009-0 1814
Payments:
Type of Payment
ONLINE CHGS
cReceinLI
RECEIPT #:
Description
1 st Appliance
+ 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
3200900000000000819
Date: 12/21/2009
Item Total:
Check Number Authorization
Received By Batch Number Number Bow Received
njm
ONLINE marshalls Online
Payment Total:
.r
Page 1 of I
8:51 :48AM
Amount Due
79,00
3,95
9.48
$92,43
Amount Paid
$92.43
$92.43
12/21/2009