HomeMy WebLinkAboutPermit Mechanical 2010-2-4
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'm' ,'4;:' OREGON
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o New Construction
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[Z] 1 or 2 family dwelling
, City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
010-1+1
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00022
Approval Code: 073970 2/4/2010 8:39 am
E-mailedTo:lindsey@marshallsinc.com
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Total I
[R] Addition/alleration/replacen:ent
I Description J
IMinimlJm',F:ees:€?f~':::""!4:" ~'.f;;'fr~'
..m.mm'.'mmm,~,_"m"mJ::;;;;;;';"-,,- 7~:__ " ;.>r.;> 0'
j First Appliance Fee
o Multi-family 0 Com.mercia!
o Accessory
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I CityfStatelZlP: SPRINGFIELD, OR 97477
I Sulte/bldg./apt.no.:
I Project Name: CUMM!NGS
I Cro,s SlreeUdireclions 10 job site: T ST
I Tax map/parcel no.: 1703261301210
,
DUCTLESS HEAT PUMP
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Name; KEITH CUMMINGS
Phone: 541-726-3140
Emai1:
Business Name: MARSHAllS INC
Contact:
Address: 4110 OLYMPIC 8T
':SITE:c6Ni'A.cJl~ftir!:,~-
Fax:
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cca Iic. n.o.: 25790
City'-State/ZIP: SPRINGFIELD, OR 97478-5620
Fax: 5417410821
Phone: 5417477445
I Email:
J Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will
within one business day, with instructions on how to schedule your inspection,
, ;
I Subtotal
State surcharge (12% of permit
totali
Technology fee (5% of permit total)
I TOTAL PERMIT FEE
be e-mailed or faxed
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained.
The local building dapartment may determine that an Authorization To Begin Work
void if it does not meet applicable land use laws and local ordinances.
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Inspections Phone: 541-726-3769
This Authorization To Begin Work ~.~st ~e 'posted at the job site until replaced by a Permit
$7::0 II
;11
$7900 I
$9.481
$39S I
$92.43 I
CITY VI' ~rKINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00147
ISSUED: 02/04/2010
APPLIED: 02/04/2010
EXPIRES: 08/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2114 7TH ST
ASSESSOR'S PARCEL NO,: 1703261301210
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: CUMMINGS KEITHM SR & GLENDA J
Address: 2114 7TH ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor
MARS HALLS INC
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Expiration Date
12/23/2011
Phone
541-747-7445
Contractor, Type
Mechanical
License
25790
BUILDING INFORMATION I
# 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
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:."
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Notes:
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I PUBLIC IMPIfP opted by the Oregon utility
.' Noillcatlon enter. tl;WAA.rWE\lU\wset forth
In OAR 952-001.0010'!nrougn 0'A'A'952-001.
0090. You may obtaiUl1>IJlIlipol(l!;lQelllMls by
calling the center.. (Note: the telephone
nLlmber for the Oregon Utility Notification
Center is 1-800-332-2344).
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Street Improvements:
Storm Sewer Available:
Special Instruction:
~~~r~E!:~MIT SHAll EXPIRE IF THE Vr'Vi II',. .. I
ilUTHORIZED UNDER THIS PERMIT IS! ~VllluatlOn DescrmtlOn
';OM.iVlENCED OR IS ABANDONED FOI\ Per Sq Ft Square Footage
DescnptlOnn n ,\,l;vp"'IIf,ConstructlOn 'It' I' or B,'d Amount
.,"{ -1<:-:, . ,U,1 f.t\'\\Ud. armu 'pler
Value
Date Calculated
Paee 1 01'2
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00147
ISSUED: 02/04/2010
APPLIED: 02/04/2010
EXPIRES: 08/04/2010
VALUE:
Status
Issued
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Pllid
Date Pllid
Receipt Number
$9.48 '
$3,95
$79.00
2/4/10
2/4/10
2/4/10
3201000000000000040
3201000000000000040
3201000000000000040
Totlll Amount Paid
$92.43
Plan Reviews I
J..;~
To Request an inspection call the 24 hour r,ecording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I Reonired Insneetions I
Rough Mechaniclll: Prior to Cover
Final Mechllnical: When llll mechllnical work is complete.
By signllture, I stllte and llgree, thllt I hllve cllfefully examined the completed llppliclltion llnd do herehy certify thllt llll
information hereon is true and correct, and [ further. certify that any and all work performed shall be done in accordance "t'ith
the Ordinllnces of the City of Springlield llnd the Laws of the State of Oregon pertllining to the work described herein, and
thllt NO OCCUPANCY will be made of llny structure without permission of the Community Services Division, Building Safety.
I further certify thllt only contrllctors and employees who lire in complillnce with ORS 701.005 will be used on this project.
I further llgree to ensure thllt all required inspections lire requested at the proper time, that ellch llddress is rClldable from the
street, that the permit card is locllted at the front of the property, llnd the approved set of plllns will remllin on the site lit all
times during construction.
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Owner or Contractors Signature
Date
Pllee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00147
COM20 I 0-00 147
COM2010-00l47
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services'Department
Public Works Department
3201000000000000040
Date: 02/04/2010
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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ONLINE marshalls Online
Payment Total:
',;:.'$..1 '.,:.',
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1':
Page I of I
8:S0:39AM
Amount Due
79.00
9.48
3,95
$92.43
Amount Paid
$92.43
$92.43
2/4/20 I 0