HomeMy WebLinkAboutPermit Mechanical 2010-3-25
SPRINGFIELD
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@cLspringfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00055
Approval Code: 069410 3/25/2010 10:36 am
E-mailedTo:lindsey@marshallsinc.com
" :"fyPE OF WO~K: -, " -
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0 New Construction lKl Addition/alteration/replacement
CATEGORY OF .CONSTRUCTION
IKl r or 2 family dwelling 0 Multi-family o Commercial D Accessory
JOB SITE INFORMATION AND LOCA liON . . "
Job Address: 183 35TH ST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: knox
Cross Street/dIrections to job site: main sl
Tax map/parcel no.: 1702313108600
, -DESCRIPTION'OF WO~K"'&: , '.. .
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install ductless heat pump
. ' . . ," SITE CONTACT .
. " ,
Name: rocky knox
Phone: 541.607.1580 Fax:
Ernail:
CONTRACTOR '. ,
eea lie. no.: 25790
Business Name: MARS HALLS INC
Contact:
Address: 4110 OLYMPIC ST
CitylStatelZIP: SPRINGFIELD, OR 97478-5620 --
Phone: 5417477445 Fax: 5417410821
Email:
Metro Iic. no.: City Iic. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one businen day, with Instructions on how to schedule your Inspel;tion.
.- . -c. -',: . ,FEE S.CHEDULE ,', , -
-
Description I aly. Ea. Total
Minimum Fees -- --
.. -' ..
First Appliance Fee I $79.00
Mechanical Permh-Fees . '," .
Subtotal $79.00
State surcharge (12% of permit $9.48
lolal)
Technology fee (5% of permit total) $3.95
TOTAL PERMIT FEE $92.43
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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 is null and ' . n. 0 '"
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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 Pending
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00361
1SSUED:
APPLIED: 03/25/2010
EXPIRES:
VALUE:
SITE ADDRESS: 183 35th St
ASSESSOR'S PARCEL NO.: 1702313108600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: KNOX ROCKY & STEPHANIE M
Address: 183 35TH ST
SPRINGFIELD OR 97478
I CON'fRAeTOR INFORMATION .
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12123/20 II
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION 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:
. _..- ~_..- --
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I PUBLlC1MPROVEMENTS ~
"
Sidewalk Type:
ATTENTION: Oreqo,D.'aw requires you to
foll.ow r~!l~!!'CHf'W?~ Oreoo., Utility
Notification Center. Those rules are %t forth
In OAR 952-001-0010 through OAR 952-G01-
0090. You may obtain copies of the rules !1V
call1n the center. N ". ""nh__.,
sr or t e Oregon Utility Notificallt.;n
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special I nstruction:
Notes:
THIS PERMIT SHALL EXPIRE IF T HY\ilIJli:tlon Descri
AUTHORIZED UNDER THIS PERMI
Descripli&h'V1MEN(fEI.HIPd&'.Wu,\::)j~IJNED *~frS.q ~t ." Square Footage
ANY 180 DAY PERIOD. or multIplier : or Bid Amount
Value
Date Calculated
Page I of 2
. "'''-''17, '5':" t'\;',
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Status Pending
225 Fifth Street, Springtield, OR
541-726-3753 Ph.one
541-726-3676 Fax
541-726-3769Inspecti.on Line
, ."
, 'T.otal Value.of Pr.oject
,
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Techn.ology Fee
1 st Appliance
Am.ount Paid
$9.48
$3.95
$79.00
T.otal Am.ount Paid
$92.43 ,,;;, ;i, q' .,:'
J':"'" "
I Plan Reviews I
Date Paid
3/25/10
3/25/10
3/25/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00361
ISSUED:
APPLIED: 03/25/2010
EXPIRES:
VALUE:
Receipt Number
3201000000000000098
3201000000000000098
3201000000000000098
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. ' '
Reouired Insoections .
R.ough Mechanical: Pri.or t.o C.over
Final Mechanical: When all mechanical w.ork is c.omplete.
By signatnre, I state and agree, that I have carefully examined the completed applicati.on and d.o hereby certify that all
inf.ormati.on here.on is true aud c.orrect, and I fnrther certify that any and all w.ork perf.ormed shall be d.one in accordance with
the Ordinances .of the City .of Springfield and the Laws of the State .of Oreg.on pertaining t.o the w.ork described herein, and
that NO OCCUPANCY will be made .of any structure with.out permission .of the C.ommunity Services Divisi.on, Building Safety.
I further certify that .only c.ontract.ors and empl.oyees-wh.o are-in c.ompliance with ORS 701.005 will be used .on this pr.oject.
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I further agree t.o ensure that all required inspections;,;re reqnested at the pr.oper time, that each address is readable fr.om the
street, that the permit card is l.ocated at the fr.ont .or1"e'pr.ope'rty, and the appr.oved set of plans will remain .on the site at all
times during construction. :j..
Owner or Contractors Signature
Paee 2 .of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000098
IO:52:00AM
Date: 03/25/2010
Job/Journal Number
COM2010-00361
COM20 I 0-00361
COM20 I 0-00361
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 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
9.48
3.95
$92.43
Amount Paid
nJm
ONLINE marshalls Online
Payment Total:
$92.43
$92.43
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