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
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1/21/2010