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HomeMy WebLinkAboutPermit Mechanical 2010-1-21 (2) " ' CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00085 ISSUED: 01/21/2010 APPLIED: 01/20/2010 EXPIRES: 07/21/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1629 l' ST ASSESSOR'S PARCEL NO,: 1703252400408 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pnmp and air handler in residence, Residential Owner: SKINNER MARJORIE JEAN Address: 1629 l' ST SPRINGFIELD OR 97477 Phone Number: 541-741-9102 I CONTRAGTOR INFORMA T10N I Contractor Type Mechanical Contractor MARS HALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12/23/20 II 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I , ATTEN1'ION: Oregon 1a~~\mMClUAf9KING ,,''',' foil I s adopted by the Oregon Ob1itY FI'ontyar<l.I~~1'reIE' may Dist: ow ru e Th eW4b'e areset forth Side I Setb~ ': . MIl' SH"LL EXPIRE If 1'HE et Trees Rqd: !40tiflca:~~f:10t~dI\~'()()1-, Side 2 SetifM: ,PER 0 UNDER THIS PERMIT IS 'veil Drive Rqd: InO~ARyOU may obtain coplllDJIIlf<the rules by Rearyard Mtn\lil.~\ZEEO OR IS ABANDONED FO~" of Lot Coverage: 0 caliin9 the canter. (Note: the telephone Solar Setb~s^~MENG ERIOD ,,,. ',. '.' number for the Oregon Utility Notlflcation "1\' ; on ') Il.V p. '.. ,"" . I a"~ ^^^ "W} r\l 1 - - .'.' '"'vlnQ'.... ,gQ.,:. I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstfuction: Sidewalk Type: Downspouts/Drains: " .,'" Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage . or Bid Amount Value Date Calculated Paee I 01'2 CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2010-00085 ISSUED: 01/21/2010 APPLIED: 01/20/2010 EXPIRES: 07/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-7i6-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , " T~tal Value of Project Fees P,\irl I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid $11.52 S4,80 S79,OO $17,00 1/21/10 112\/10 '1/21/10 112\/10 Receipt Number 120]000000000000062 ]20]000000000000062 120]000000000000062 ]20]000000000000062 Tota] Amount Paid $112,32 Pilln Reyjews, ',0-1' ., ' 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. Reou; 'cd Insnee/ions I .... Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, J state and agree, that J have carefully examined the completed application and do hereby certify that all informalion hereon is true and correct, and] 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 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 'IUd employees who arc in compliance with ORS 701.005 will be used on this project, I further agree to ensure thatall required inspections are requested at the propel' 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. i~./< . ~. , p, ..i. ',i,.;. :,v" .' Owner or Contractors Signature Date Paee 2 of2 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-10-00014 Approval Code: 02202D 1/20/2010 3:57 pm E-mailedTo:1indsey@marshallsinc.com I 0 New Construction IRl Addition/alteration/replacement . ~.~1!;~?~~~~~~3t;lGAII;O:Qf{y#"6F,,:~9N~IRltcJfo~~:'f;i!l,:4Z'"~~ [&] 1 or 2 family d~elling D Multi.family 0 Commercial D Accessory If \,;.~':'~,;t~.J6BlsiTE;iiJf;bRMAtTo"FI\N[m:6cATjON~i'~~~ I Description I Qty. J Ea. I Total IHe<Jtil1g/~i~lirlgTA'PRH~~~i~~~i:t~-;~i- );i1~~-':}~~~~~;~;;,:: A I Heat Pump I 1 $17.00 "",' ~ '-:'1 Job Address: 1629 T 8T I First Applia(lce Fee $79,00 . ''''':'.!l $96.00 $11.52 City/StatelZIP: SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I Project Name: SKINNER I Cross s'r..Ud;re,tions '0 job 51'., 171. 51 I Tax map/parcel no.: 170325?40040B I Subtotal I State surcharge (12% of permit total) ) Technology fee (5% of permil tolal) I TOTAL PERMIT FEE $4.80 $112.32 CJ D -:'B~ 1Ck- Ij2Jf\/ iO Ins!,:,1I heat pump and air handler I Name: JEAN SKINNER I Phone: 541-741-9102 I Email: Fax: I CCB lie. no.: 25790 I Business Name: MARSHA.."L,i,INC NOThjL: I Conlaot' TUI~ oa::OMIT !::\.It.l' 1=)(PIRI; IF THE WORK I Addr.ss411oo~i1TFlriRIZED UNDER THIS PERMIT IS NOT I CityISla'elZIP,si@0MMliN:lilElikGSdS ABANDONED fUK I Phon., 5417477J\NY 1 tlU UAY t'tKI\'!H~5417410821 I Email; I Metro lie. no.: . City lie. no.: ATTENT10N: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set fortll In OAR 952-001-0010 through OAR 952-001. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is 1-800-332-2344). .~. ....,.~. t Upon review ana approval by your local Jurisdiction, your penrul wlJJ be" e.malJed . or faxed within one business day, with instruCtions on how to schedule youri nspectlon. NOTE: This AuthOrlza.tlon 10 Begin Wor1l. expires within 180 days If a permit Is not obtained. The local building department may determine that an Authorlzallon To Begin Wor1l. is null and vOid lfil does not meet applicable land use laws and local ordinances. Inspections Phone: 541'-726-3769 This Authorization To.Begin Work must be posted at the job site until replaced by a Permit 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00085 COM20 1 0-00085 COM20 1 0-00085 COM20 1 0-00085 Payments: Type of Payment ONLINE CHGS cReccintl RECEIPT #: Description 15t Appliance Heat Pump + 12% State Surcl)arge + 5% Technology Fee Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department, 1201000000000000062 Date: 01/21/2010 8:31:22AM Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 79,00 17,00 11.52 4,80 $112.32 Amount Paid KR ONLINE MARSHAL Online LSINC $112,32 :: , Payment Total: $11 2,32 Page I Of I 1/21/2010