HomeMy WebLinkAboutPermit Mechanical 2010-2-8
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenler@cLspringfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00026
Approval Code: 00200D 2/8/2010 10:20 am
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CATEGORYb~1CONSTRU9TioN;:C:
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E-mailedTo:lindsey@marshallsinc.com
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I Description I Qty. Ea. Total I
IGas.FueLpipirig' ',. 'i ,,'~ '.. 'I
I Gas Piping - first four $7.00 J $7.00 I
IHeaifnglC60ling Appliance.;' .\
I F;U~~_~~ - upto 100.'~OO,~TU $17.00 $17.00
Mm~rnum Fees "-..:" ".:..-. -,le_
I First Appliance Fee
MEu~tjanical 'PermttFees ',!
$79.00
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'-~~~fYPE-:OF..WORK;.:j~~;;:7:~"~:~~;Y~ \~~L ,;_~~f4'
1KJ Addition/alteration/replacement
o New Construction
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1 or 2 family dwelling
o Multi-family
o Commercial
o Accessory
'. JOB,SITE INF.ORMA'TlON'ANO:l.OCA TION
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Job Address: 2415 17TH ST
CityfState/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: SAUER
Sublotal
Slate surcharge (12% of permit
total)
Technology fee (5% of permitl.otal)
$103.00
$12.36
Cross Street/directions to job site: HAYDEN BRIDGE
Tax map/parcel no.:
1703243400328
TOTAL PERMIT FEE
$5.15
$120.51
. _; O~S.CRIP.l:;ON OF;WORK:' ,.f<
INSTALL GAS FURNACE AND IVC UNIT, GAS PIPING TO FURNACE, FP AND
DRYER
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o{ZSITE CONT":CT."#~:
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Name: SUE SAUER
Phone: 541-988-5489
Fax:
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I Email:
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ceB lie. no.: 25790
Business Name: MARSHAllS INC
Contact:
Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445
Fax: 5417410821
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EmaH:
I Metro lie. no.:
City lie. no.:
Upon rovlew and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is not obtained. 1_ t\ 9
Tho local building department may determine t~at an Authorization To BegIn Work is null and ~_
'oid if i' do.. no' m... .ppII"bl,'ood"" '.w..nd 'm' o,dln.nm. , ',,:': ;~ ro ,\.
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00160
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/20 I 0
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 I nspection Line
SITE ADDRESS: 2415 17TH ST
ASSESSOR'S PARCEL NO.: 1703243400328
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: install gas furnace and a/c unit, gas piping to furnace, fp and dryer.
Residential
Owner: THOMAS H & HELEN I SAUER TRUST
Address: 2415 17TH ST
SPRINGFIELD OR 97477
Phone Number: 541-988-5489
I CONTRACTOR INFORMA nON I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2011
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of ~tructure
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 DEVELOPMENTlNFORMATlON I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I .
ATTEt~"$.i~ewlilk,Type:aW requires youto
. ,1'0 HG..",ten bV the Oregon Utility
foliow IIDow.nspoutslDl I'ainsules are set forth
Notification t..,el,lel. IIWv' " 1
. OAR 952-001-001 0 through OAR 952-00 -
~090 You may obtain copies of the rules by
..,," . t (Note' the telephone
THIS PERMIT SHALL EXPIRE IF THE WORK_ca~i~~. t~: ;:~ ~;~,-oon Utilit Notification
I.IV I HUrilLtU UI~Utri I HI~ t-'ttill'lIl l~ :"'-': 1..-.... Center is 1-800'33,J~'f'fI'
COMMENCED OR IS ABANDON~Millihtion Descrintion
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ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
l~onCE:
Storm Sewer Available:
Special Instruction:
Notes:
Description
. Type of Constrnction
Value
, ~ Date Calculated
....--.~. '
Page I of2
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CITY OF SPRINGFIELD
Building/Combination Permit.
PERMIT NO: COM2010-00160
ISSUED: 02/08/2010
APPLIED: 02/08/2010
EXPIRES: 08/08/201 0
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~el~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4
Amount Paid
Date Paid
Receipt Number
$12.36
$5.15
$79.00
$17.00
$7.00
218/10
218/10
.2/8/10
2/8/10
2/8/10
2201000000000000114
2201000000000000114
2201000000000000114
2201000000000000114
2201000000000000114
Total Amount Paid
$120.51
Plan Reyiews 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, inslj~ctions requested after 7:00 a.m. will be made the following
work day.
Reopirfd Insnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
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 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, Bnilding Safcty.
I further certify that only contractors and employees who are in compliance with OI{S 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper 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.
Owner or Contractors Signature
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Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 I 0-00 160
COM20 I 0-00 160
COM20 I 0.00 160
COM20 I 0-00 160
COM20 I 0-00 160
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
I st Appliance
Fnmace - np to ] 00,000 btn
Gas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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220IOOQ000000000114
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02/08/2010
10:58:IOAM
Amount Due
79.00
17.00
7.00
12.36
5.15
$120.51
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
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Page I of I
Amount Paid
ONLINE marshalls Online
Payment Total:
$120.51
$12U.51
2/8/20 I 0