HomeMy WebLinkAboutPermit Mechanical 2010-3-10
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.1':>' ' '", OREGON
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: PEilrmitcenter@ci.springfield.or.us
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,;:";r'j~E OF WORK ,. .
1Kl Addition/alteration/replacement
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00044
Approval Code: 03488D 3/10/2010 10:51 am
E.mailed To: lindsey@marshallsinc.com
'C'ATEGORY OF,CO!'4STRUCTION',' '-
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'i;'A;~<: , ". ;'FEE~CHEDUCE " ":':C'
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Description Qty, Ea, Total
Heatirig/Cooli,ngAppni,'ll1c;s'~? ~''': _~_ . . .,'; ,
-
HeatPump 1 $17.00 $17,00
Minimum Fees ~ '0' 0 '. '. , "
First Appliance Fee I I $79.00
Mec~'(JTli(;aJ Pel1l1!tFees'v: -,'.- .:;; " " .
Subtotal $96.00
Slate surcharge (12% of permit $11.52
total
Technology fee (5% of permit total) $4.80
TOTAL PERMIT FEE $112.32
o New Construction
[K) 1 or 2 f~mily dwelling D Multi-family D Commercial
D Accessory
I
, JOB,SITEINF,ORMATloN AND LOCA'TION
Job Address: 6764 D 8T
City/State/ZIP: SPRINGFIELD, OR 97478
Suitelbldg./apt.no.:
Project Name: bulan
Cross Street/directions to job site: 67th pi
Tax maplparcel no.:
1702341402200
, 'DESCRIRTiorii OF WORK;~;,t '{'~,,'~
t\D-3DS ~ 3(10(10
install heat pump and air handler
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"SITE CON,TilCii";,, ..,
Name: tony bulan
Phone: 541-747-7959
Fax:
Email:
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CONTRACTOR
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CCB lie. no.: 25790 .
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Business Nam .
or
ATTENTION: Oregon law requlres yau to
follow rules adopted by the Oregon UtIlity
Notification Center. Those Nlel are set forth
In OAR 952-001-0010 through OAR 95.2.001-
0090. You may obtain copies of the rules bf
calling the center. (Note: the telephont
........ for the Oregon UtIlity Nc-'"'-
Center .. HOll '32-2344).
Contact:
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Add,...; 4".9RHi' , ANDONED FOR
c;tyJstat.JZr",~~fRi'l9llr!{!)I'\.'P.p~o
Phone: 5417477445
Fax: 5417410821
Email:
Metro lie. no.:
City lie. no.:
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Upon review c1nd apf1f'Oval by your local jurisdictIon, your pennlt wilt, ,be e-malled or fa lied
within one business day, with Instructlons on how to sc;hedule yourlnspec;tlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
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The IQeal building department may determine that an Authorization To Begin Work
yold if It does not meet applicable land use laws and local ordinances.
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: COM2010-00305
ISSUED: 03/10/2010
APPLIED: 03/10/2010
EXPIRES: 09/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6764 D ST
ASSESSOR'S PARCEL NO.: 1702341402200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install heat pump and air handler in residence.
Residential
Owner: ASHTON MARY E
Address: 6764 D ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ,
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA nON ~
Expiration Date
12/23/2011
Phone
541-747-7445
# of Units:
Primary Occnpancy 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occu'p~nt L~ad:
n/a
I DEVELOPMENT INFORMATION I .
. . . ""c'.,;,4.:;:',',:~; ATTENTION: Oregon ~1~~lndNG
FrontyN.PJJ&~: EXPIRE IF THE W091.{.,rlay Di,t: follow rules adopted I':llbt~1! Oregon UtIlity
Side I ~HlH:ERMlT SMAll THIS PERMIT IS N0itreet Trees Rqd: Notification Center. ThMf!t,'!l~~fll~~~'t
Side 2 SA\.l>1i~RIZEO UNDER FOR Paved Drive Rqd: In OAR 952-OO1-oo10t~e=R!" rut
Rearya~NCED OR IS ABANDONED % of Lot Coverage: 0090. You may obtain COP', e Of the ee ~
Solar Sethao""BO D W PERIOD.' calling the center. (Note.. '.he tele:~~~
AnT T " r the Ore on Utility Not
Center
I PUBLIC IMPROVEMENTS ,
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
~ ',~~
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Downspouts/Drains:
.,
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Notes:
I Valuation Description ~
Desc,.;ption
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Dnte Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-0030S
ISSUED: 03/10/2010
APPLIED: 03/10/2010
EXPIRES: 09/10/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paitl
Fee DescriPtion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
3/10/10
3/10/10
3/10/10
3/10/10
1201000000000000218
1201000000000000218
1201000000000000218
1201000000000000218
Total Amount Paid
$112.32
I Plan Reviews ~
To Request an inspection call the 24 hour recl!rding.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. ....
LRenuired Insnect~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 state and agree, that 1 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, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requested at the proper lime, 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
Pa2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
iif.
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000218
II :24:06AM
Date: 03/10/2010
Job/Journal Number
COM20 I 0-00305
COM20 I 0-00305
COM20 I 0-00305
COM20 I 0-00305
Description
151 Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
. ~;",;:.
Amount Due
79.00
17.00
11.52
4.80
$112.32
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Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
$112.32
ONLINE MARSHAL Online
LS INC
Payment Total:
$112.32
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