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Home My WebLink AboutPermit Mechanical 2010-1-28 City Of Springfield 225 Fifth St Springfield. OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00018 Approval Code: 044570 1/28/2010 11:41 am E-mailedTo:Jindsey@marshallsinc.com e'f 0, 1.2.0 I 0 New Construction IKI Addition/alteration/replacement I Description 1~'t~~;l;'J\~~<<ATEGO~Y:Qiflc::QN~IB.\J9;Ti6NI.K~~~i;f<'~~ I"" 0 0 0 I First Appliance Fee 1.6.1 1 or 2 family dwelling Mu!ti-family Commercial Accessory Job Address: 908 15T PL I City/State/ZIP; SPRINGFIELD, OR 97477 I Suite/bldg.lapt.no.: I Project Name: HUBER I Cm.. St...Vdi,.,t;on. to job .i'.: H ST I Tax mapfparcel rio.: 1703352213300 ." '. INSTALL GAS FURNACE I Name: DAVID HUBER I Phone: 541-741-8538 Fax: Email: j:;His 'PERMIT SHAl<k:ap.mE~\ioTH: r I "'-"""L7C'8 UNDtH IHI" n:IU11. Iv Business Name:~AR.S.HffiL.:\...;::LlbI -"1 l\" lE-I] roR. I 'WVltN\.,tU un Iv ~r\.lE8t Contact: 1_ ". ,...~ ..... A\, rrnlnn I Address:41100LYMPIC~SV Un.I.. .:..11.:.__ I CitylStatelZIP: SPRINGFIELD, C:R 97478-5620 I Phone: 5417477445 Fax: 5417~10821 I Email: I Metro lie. no.: City Jie, no.: Upon review and approval by your local jurisdiction, your permit will be - e-malled or faxed wilhln one busincss day, wilh instructions on howto scheduleyouri nspectlon. NOTE: This Authorization To Begin Work expIres within 180 daY$lf a permit is not obtained. The local building department may determIne that an Authorization To Begin Work Is null and void if it docs not meet applicable land use laws and localordlni'lnces. \5)V ~.~ ~& (JJP ~ J>P~.\. \ \~~ Subtotal I State surcharge (12% of permit total) I Technology fee (5% of permit tatal) I TOTAL PERMIT FEE $79.00 $9.48 $3.95 $92.43 CDm\o-\~ 't~ ItQB\O ATTENTION: Oregon laWh~~~:X~i~ follow rules adopted by ~ rules are set forth NotificatIOn cent~~; 6~~:oU9h OAR 952-001- in OAR 952-00; - , les ofthe rules by 0090. You may o~taH(~~ie, the telephone calling the cen er. Utility Notification number for the Oregon ) Center is 1-800-332.2344. 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: COM2010-00120 ISSUED: 01/28/2010 APPLIED: 01/28/2010 EXPIRES: 07/28/2010 VALUE: , I / 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54] -726-3769'lnspection Line SITE ADDRESS: 908 1ST PL ASSESSOR'S PARCEL NO.: 1703352213300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: :1t-lS~gas furnace in residence. Owner: HUBER DAVID E & MELISSA ANN Address: 908 N 1ST PL . SPRINGFIELD OR 97477 Phone Number: 541-747-8538 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License Expiration Date Phone 2'5790W'lITOIN': OregQ\12!l;rWllIQuires ,ou. t07 -7445 1 - - . . '. "~~,,,-.m .........;0 uuvtJ~"'u uy lllt:VI"~UII UUIILY BUILDI~G INFORMA1I10N'laUon,Center. Those rules Bresel forth Itrn OAR 952-001-0010 through OAR 952-001- 0000'- You may olitQirt>Ulvpies of the rules bV ICaiITng,the centSq l{Nbliel'tmrtelephone mtamber for the ~!lOIMdl~1lic8IIon Center isSlr8GCB3~). Sq Ft Garage/Carport Sq F/. Other: Occupant Load: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: I DEVELOPMENT INFORMATION I REQUIRED PARKING Froutyard Setback: Overlay Dist: Side I Setback: # Street Trees'Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setbac~OTICE: ol,o,of L~tCoverage: Solar Setbacks: THI!'i PFRMIT !'iHAL I fXPIRF Jf THE WORK AUTHORIZED UNDER TH~p~~EMENTSI S . t I 1'0 i,Ot MMENCED OR IS ABA,wu"cu run ' t. ee mp veme~~ly 180 DAY PERIOD. Storm Sewer Available: Special Instruction: Total: Handicapped: Compact: //"'" Sidewalk Type: Downspouts/Draius: Notes: I V ~Iuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page I of2 "~, Status Issued , 225 F'ifthStreet, Springtiehl, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ",' Total Value of Project Fee, Paid I Fee Description + 12% State'Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9.48 $3.95 $79.00 Total Amount Paid $92 .43 Plan Reviews " " ".r!' 1/28/10 1/28/1 0 1/28/10 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2010-00120 ISSUED: 01128/2010 APPLIED: 01128/2010 EXPIRES: 07/28/2010 VALUE: Receipt Number 2201000000000000081 2201000000000000081 2201000000000000081 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. Rellll"i.re1 In,nectilln, . Rough Gas: After line is installed aud required testing lllld capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is compl~te. 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 shaH be done in accordance with the Ordinances of the City, of Spriugfield and the Laws of the State of Oregon pertaining to the work descrihed 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 that all required inspections are requ'ested at the proper time, that each address is readable from the street, that the permit card is located at the front of the proper'ty, and the approved set of plaus will remain on the site at all times during construction. ' "/' , .. Owner or Contractors Signature , Pa2e 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/JournaJ Num~er. COM20 I 0-00 120 COM20 I 0-00 120 COM20 10-00 120 Payments: Type of Payment ONLINE CI-IGS cReceintl RECEIPT #: , Descripqon I sl Appliance + 12% 'State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CI-IGS City of Spriogfield Official Receipt Development Services Department Public Works Department 2201000000000000081 1:18:4IPM Date: 01/28/2010 Item Total: Check Number Authorization Received Br Batch Number Number How Received Amount Due 79,00 9.48 3,95 $92.43 Amount Paid KR ONLlNEMARSI-IAL Online LSINC - $92.43 Payment Total: $92.43 Page I of I 1/28/2010