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Home My WebLink AboutPermit Mechanical 2010-3-11 ~SP~I~G_~~O ..... "... ',' '\ '~.I " " OREGON City Of Springfield 225 Fifth 51 Springfield. OR 97477 Phone: 541-726-3753 Emai1: permitcenler@ci.springfie!d.or.us [;/U'301 . 'Residential Mechanical Authorization To Begin Work 69600-BMC-10-00046 Approval Code: 089110 3/11/2010 2:06 pm E-mailedTo:lindsey@marshallsinc.com - . TYPE'OFWORK'_ - . '" D New Construction [R] Addition/alteration/replacement . CATEGORY OF'CONSTRUCTION IKI 1 or 2 family dwelling 0 Multi-family o Commercial o Accessory JOB.SITE INFORMATION AND LOCATION Job Address: 1922 INLAND WAY City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bJdg./apt.no.: Project Name: while Cross Street/directions to job site: HARBOR DR Tax maplparcel no.: 1803023306900 .. ) '. .. '. DESCRIPTION OFWORK-'" " " . INSTALL AIR HANDLER ..... SIT~ CONTACT - : Name: MAYNARD WHITE Phone: 541-747-9201 Fax: Email: : CONTRACTOR - eeB lie. no.: 25790 Business Name: MARSHAllS INC Contact Address: 4110 OLYMPIC ST City/State/ZIP: SPRINGFIELD, OR 97478-5620 Phone: 5417477445 Fax: 5417410821 Email: Metro lie. no.: City lie. no.: ""---- .. "." " Upon review and approval by your local jurisdicllon, your permit will be e-malled or taud 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. The local building department may determIne that an Authorization To Begin Work i5 null Bnd void if it does not meet applicable land use laws and local ordinances. Cor1WI 0 - ro3ol1 3-ll-\() y\Y'Y\ - '. -- FEE SCHEDULE' I Qty. Ea. . Total DescrIption Minimum Fees First Appliance Fee Mech.anical Permit Fees' I $79.00 Subtotal State surcharge (12% of permit totan Technology fee (5% of permit total) TOTAL PERMIT FEE $79.00 $9.46 $3.95 192.43 ~~'O . ~\ _\.JJ~~" ~~~ Si~~ f[j "~~ ~~ \; Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00309 ISSUED: 03/1112010 APPLIED: 03/1112010 .EXPIRES: 09/1112010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1922 INLAND WAY ASSESSOR'S PARCEL NO.: 1803023306900 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air handler Owner: WHITE MAYNARD E Address: 1922 INLAND WAY SPRINGFIELD OR 97477 Phone Number: 541-747-9201 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BU'ILDING INFORMATION ~ Expiration Date 1212312011 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: . Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Streetlmpr~Il~ION: Oregon law requires you to . . Storm sew~PIlI~'${ir.1l!!~~ adopted by the Oregon UtiMiY,_.. " S . II 011 lca(lon Center. Those rules are set:fOnh" .. pecla ns 't5 I!f9S2-001-0010 through OAR 95~,'e'01- ., Notes: 0090. You may obtain copies of the rules by calling the center. (Note: the telephone n I nit. t'; ; Sidewalk Type: NOTICE: Downspouts/Drains: . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Center is 1-800-332-23 Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculllted Pllee 1 01'2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ';,l'.l":. -r" "". . ....',~ ~ '" . Total Value of Project Fees Paid _ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid $9.48 $3.95 $79.00 Total Amount Paid $92.43 I Plan Reviews ~ Date Paid 3/11/10 3/11/10 3/11/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00309 ISSUED: 03/1112010 APPLIED: 03/1112010 EXPIRES: 09/11/2010 VALUE: Receipt Number 2201000000000000234 2201000000000000234 2201000000000000234 To Request an inspection call the 24 hour res?rdi!lg.~~ 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. LReauired InsDect~ Rough Meehanical: Prior to Cover Final Mechanical: When all mechanical 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 furthereertify 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 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 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 ,:....0. .:.~ ~; ..r~ ")i':' Pa~e 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ii:~ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000234 2:54:52PM Date: 03/1112010 Job/Journal Number COM20 I 0-00309 COM20 1 0-00309 COM20 I 0-00309 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received B}' Batch Number Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid .nJm ONLINE marshalls inc Online Payment Total: $92.43 $92.43 .-':1'.' r \ Page I of I 3/1112010