HomeMy WebLinkAboutPermit Mechanical 2010-3-29
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Emai!: permJlcenler@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00058
Approval Code: 06350D 3/29/2010 10:25 am
E.mailed To: lindsey@marshallsinc.com
Description
"'- " H-eat~ng/Coolir.g:Appliances
Heal Pump
MiI}Jmum"~ee~ -;
First Appliance Fee
_l\IIe-ch~!1i(;al Permi_tl:ees
Subtotal
State surcharge (12% of permit
lolal
Technology fee (5% of permit total)
o New Construction
IX] Addition/alteration/replacement
. CATEGORY occ::oNsnwcfION'
[Z] 1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
., 4. L' .,. ~. . JOB SITE IN~ORMA liON ANOl;OCATIQW ~
Job Address: 6513 EST
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: Jebeau
Cross Street/directions to job site: 66th sl
Tax maplparcel no.:
1702341300319
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install heal pump and air handler
'SITE CONTAG'C ..
Name: david lebeau
Phone: 541-520-8068
Fax:
Email:
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eee Iic. no.: 25790
Business Name: MAR5HALL5 INC
Contact:
Address: 411 0 OLYMPIC 5T
City/StatelZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445
Fax: 5417410821
Email:
Metro lic. no.:
City lic. no.:
Upon review and ilpproval 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 permil is not obtained.
The 10cilI building department may determine that an Authorizillion To Begin Work is null and
void if il does not meet applicable land use laws and local ordinances.
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$17,00
$79.00
$96.00
$11.52
$4.80
TOTAL PERMIT FEE
$112.32
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Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00373
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/2912010
VALUE:
SITE ADDRESS: 6513 E ST
ASSESSOR'S PARCEL NO.: 1702341300319 ' "C
Springfield TYPE OF WORK: Electrical Work Only
,. , "0 TYPE OF USE: New
PROJECT DESCRIPTION: Electric furnace cha~ge out, heat pump exchange and gfci.
Residential
Owner: LEBEAU DAVID L
Address: 6513 E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
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License
178518
25790
Expiration Date
09/25/2011
12/23/2011
Phone
541-895-4466
541-747-7445
BUILDING INFORMATION ~
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary' Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Spxinkled, Building:
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVEEOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
'i. ,.>
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;. ~ .
Notes:
NOTICE:
THIS PERMIT SHAll EXPIR&IFTHE WORK
I\UTHORIZEO UNDER THI$PERMIT IS NOT
:OMMENCED OR IS ABANDONED FOR
"V i RO DAY PERIOD. ,'dO
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,0,
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l,":~
" ipa2e I of 3
REQUIRED PARKING
Total:
Handicapped:
ATTENTION: OregQ5r1fJw.requires you to
follow rules adopted by the Oregon Utility
~olification Center. Those rules are set forth
In OAR 952-
090. You may obtain copies of the rules br
calling the Center. (Note: tf1e telephone
nllDlb1lPflll~Oregon Utility NotIfIcatioft
riownij,l(,?\~M'a1~~-332-2344).
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion ~
Description
TVRe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
~
Total Value of Project
',.,., '., I
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump
Amount Paid
$8.04
$11.52
$3.35
$4.80
$79.00
$55.00
$12.00
$17.00
Total Amount Paid
$190.71 .
I Plan Reviews i
Date Paid
3/29/1 0
3/29/10
3/29/10
3/29/10
3/29/10
3/29/10
3/29/10
3/29/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00373
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/29/2010
VALUE:
Value
Date Calculated
Receipt Number
3201000000000000103
3201000000000000104
3201000000000000103
3201000000000000104
3201000000000000104
3201000000000000103
3201000000000000103
3201000000000000104
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.': ri "C',:'
,,,,..."'..., ..}......
l..Jleo-llireCUnsnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete,
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Paee 2 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
,.1"
PERMIT NO: COM2010-00373
ISSUED: 03/29/2010
APPLIED: 03/29/2010
EXPIRES: 09/29/2010
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signatnre, 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 Springlield 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 employee" who are in 'compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all reqnired inspections are reqnested 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
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Pa2d of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000104
Date: 03/29/2010
IO:59:42AM
Job/Journal Number
COM2010-00373
COM2010-00373
COM2010-00373
COM2010-00373
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
Description
151 Appliance
Heat Pump
+ 12% Slate 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
njm
ONLINE marsh a lis Online
Payment Total:
$112.32
$112.32
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Page I of I
3/29/2010