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Home My WebLink AboutPermit Mechanical 2010-3-8 SP:"IN, G, FI,E~~ ~i"'__ -'::.,-'" ;.<!:f; ,i', "",,' OIUGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541.72ij..3753 .Email: permilcenter@ci.springfieJd.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00041 Approval Code: 065870 3/8/2010 2:16 pm E-mailedTo:lindsey@marshallsinc.com ,-- - , ,!, '"70 'TYPE' OF WORK _W",_ - ,"- , 0 D New Construction IR] Addition/alteration/replacement f' -, , CATEGORY OF CONSTRUCTION " , [K] 1 or 2 family dwelling D Multi-family D Commercial o Accessory L JOB SITE INFORMATION AND LOCATION " , , h Job Address: 465 72ND $T City/StatefZlP: SPRINGFIELD, OR 97478 Suite/bldg./aptno.: Project Name: HUSTRULlD Cross Street/directions to job site: C 5T Tax map/parcol no.: 1702353105500 DESCRIPTION Of WORK " .. -, , " " o , .. -' . ,- INSTALL HEAT PUMP AND AIR HANDLER I'. ' . '..;' : SITE CONTACT - - Name: GLEN HUSTRULlD Phone: 541-726-0791 Fax: Email: ,." I " CONTRACTOR " CCB lic. no.: 25790 Business Name: MARS HALLS INC .::.-:, , .... Contact: ..' Address: 4110 OLYMPIC ST - City/st/r4MJ~FIELD, OR 97478.5620 Phone ~-HfSrRffiMIT SHAll EXPJRf: 1F'.J"fff'WOBK. Em,;J~:;.:~:'.L.~Li UNDER THIS PERMIT IS NOT ~''''''~''lJCU un I;) ;., ',fOR Metro ~I~j-\~~': 1 Qn 1""1 A" .uu, Upon review and approval by your local Jurbdictlon, your permit will be e-malled or faxed within one buslnell day, with 1000;tructJons on how fo schedule your inspection. NOTE: This Authortzatlon To Begin Wor1l. elpires within 180 days If a permit Is _nl?t obtained. The local building department may determine thai an Authorization To Begin Wor1l. Is null and void If It does not meet applicable land use laWlJ and local ordinances. G /O~ .:91/ FEE SCHEDULE ,,,.. " Description Qty. E., I Total Heating/Cooling App~iances . Heat Pump 1 $17.00 I $17.00 Minimum Fees . " ":- , ' . " 0 First Appliance Fee I I $79.00 Mechanical Permit Fees " ,: . " ~ Subtotal $96.00 State surcharge (12% of permit $11.52 total) Technology fee (5% of permit total) $4.80 TOTAL PERMIT FEE $112.32 CDw..~D\O - 002>'1 f /L(L 3/'1/10 1tm-~001l-l 81 JSIUeO UOR1/OgpoN -<limn U069JO 94. JOj JeqWnu IUOIjdBI8. Sill :eloN) 'Jell/eo Bill 6ulI/UO Aq 88/IU BillIG S91do:) Uf8.qo ABW nOA "0800 ..ao-ass WO 4BnOJ41 OlOO-lOo-~S611VO ul 1IfOI188 8.I1l 89Jru 9S04J. "J9IU90 uOlleofp.loN AlIIll/l uoOeJO 941 Aq P91dope SelnJ M(lIlOl ell na,( 88.qnbsJ Mel UoBSJO :NOllN311V ..~~ \Y'"' \~ra: V IS> ",:-..,0 lL~ "J~~ ~~ ~ 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: COM20IO-0029I ISSUED: 03/09/2010 APPLIED: 03/08/2010 EXPIRES: 09/09/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 465 72ND ST ASSESSOR'S PARCEL NO.: 1702353105500 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Install heat pump and air handler in residence. Residential Owner: HUSTRULID GLENN N & ANN L Address: 465 N 72ND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION , Contractor Type Mechanical Contractor MARS HALLS INC License 25790 BUILDING INFORMATION ~ Expiration Date 12/23/2011 Phone 541-747-7445 # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport E,'ergy Path: Sq Ft Other: Sprinkled:-Building: n/a Occupant Load: Q . C!'~ l~lU~ .(~Z-lJ~ti-v5u r JOllaqw1Wl I DEVELOPMENT INFORMATION ~ N "l!I'lO uo5aJO aliI . 5UI\\f u8U04~~~9\ 941' :9Iij~~I~~~W'Q~ Front yard Setback: " ...,. Overlay Dist: Aq S91nl 94\ 10 Sa!liU~!i ,00- ,00-1:96 ~V?o . Side I Sethac!\~ . ~ StreetTrees R11d: .~Oo-(;96 'tI'lfO 46 OOCljllP.eltD UO\lU~!lh N Side ~1S}r~:Ct> All EXPIRE ,~THE WOR aved Drive Rqd: II\lOI \9S eJ'8 se\~ R/fIl@\'lInP1l .salDl ~OIlOI Reary~~!tSi'{!m.Id:T SH R THIS PERM\l \S NO Y. of Lot Coverage: AIlnlO uo6eJ~aJI.\M1l1 uo5aJO ':NO\lN311V Solar S5t~i',~\ZEO UNOE OONEO FOR 0\ noA selin JWIIVICI 0 I ~ IY i 80 DAY PERlO . PUBLIC IMPROVEMENTS I Street Improvements: # of Units: Primary Occupancy Group: Secondary Occupancy Group: Pl'imary Construction Type Secondary Construction Type: # of Bedrooms: Sidewalk Type: Storm Sewer Available: Spechlllnstruction: Downspouts/Drains: Notes: Description Tvpe of Construction I Valuation Description I $ Per Sq:Ft . ;:.l Square Footage or multiplier- .' ",' or Bid Amount Value Date Calculated Paee I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00291 ISSUED: 03/09/2010 APPLIED: 03/08/2010 EXPIRES: 09/0912010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspe~tion Line Total Value of Project Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid .il!, \'1. Date Paid Receipt Number . ,~) J" . $11.52 $4.80 $79.00 $17.00 3/9/10 3/9/10 3/9/10 3/9/10 3201000000000000081 3201000000000000081 3201000000000000081 3201000000000000081 Total Amount Paid $112.32 I Plan Reviews ~ 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, j'nspections requested after 7:00 a.m. will be made the following work day. LReouired Insnections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. .\"t', 'i. 1'..:. By ~ignaturc, I state and agree, that I have carefully'exllmined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that nny and ,III work performed shall be done in ;Iccordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work deseribed herein, and that NO OCCUPANCY will bc made ofany 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 projeet. I further agree to ensure that all required inspections arc 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 Date f; ;~.~. :i P'" Pa2e 2 of 2 'It. .225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone aj:QF~D " Wk.. } City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000081 Date: 03/09/2010 8:49:56AM Job/Journal Number COM20 I 0-00291 COM20 I 0-00291 COM20 I 0-00291 COM20 I 0-00291 Payments: Type of Payment ONLINE CHGS cRcceintl Description I st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 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: $112.32 Page I of 1 3/9/20 I 0