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Home My WebLink AboutPermit Mechanical 2010-3-4 CIO -,;n~ City Of Springiield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00039 Approval Code: 00519D 3/4/2010 9:40 am E-mailedTo:lindsey@marshaJlsinc.com JOB SITE INFORMATION A"ND LOCATioN -"-i :, .. "~ . .: . " FEE"SClfEDULE. , . '.. Description Qty. I E,. I Total Minimujil Fee~ - ' . First Appliance Fee I I $79,00 MechanicafPei'niit Fees '," .....,..,. Subtotal $79.00 Slate surcharge (12% of permit $9.48 total) Technology fee (5% of permit total) $3.95 TOTAL PERMIT FEE $92.43 F TYP'E"OF WORK"~ o New Construction lKl Addition/alteration/replacement ,- CATEGORYOFi:6NSTRUCTION~ [R) 1 or 2 family dwelling 0 Multi-family 0 Commercial o Accessory Job Address: 1225 M ST City/State/ZIP: SPRINGFIELD, OR 97477 Suite/bldg.lapt.no.: Project Name: JACKSON (JD-2.15 ~ 3lLtllD Cross Street/directions to job site: n 12st sl Tax map/parcel no.: 1703264404300 . . DESCRIPTION oi':WClRl< install gas furnace '. "SITE CO~TACt I~-t , Name: ESTER JACKSON Phone: 541-337-4237 Fax: Email: <L <, "' '" CONTRACTOR,. ,.;~ cce lie. no,: 25790 Business Name: . I. . ~:.:;. Cont", HIS PIRE IF THE WORK Add"'" 4110 oA~fI<lOOIZED UNDER THIS PERMIT IS NOT Metro lie. no.: City lie, no.: ATTENTION: Oregon law requtres you to follow rules adopted by the Oregon UtIlity Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility NotlficatlOft Center is 1-800-332-2344). CityIStatelZIP:. S Email: Upon review and approval by your local jurisdiction, your pennl! will be _ e-malled or faxed within one business day, with Instructions on how to schedule your Inspection. NOTE: Thh; Authoriz~t1on To Begin Work expires within 180 days if a pennlt Is not obtained. The local building department may detennlne that an Author/zat/I)n To Begin Work Is IlUI! and void if it does not meet applicable land use laws and local ordinanc es. A . ti'1; ~~~ ~o/ .s 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: COM2010-00275 ISSUED: 03/04/2010 APPLIED: 03/04/2010 EXPIRES: 09/04/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1225 M ST ASSESSOR'S PARCEL NO.: 1703264404300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas furnace in residence Owner: JACKSON-MUNO ESTHER Address: 1225 M. ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12/23/2011 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 ~ REQUIRED PARKING Frontyard Setback: . Overlay Dist: Side I Sctback:NOTICE' # Street Trees Rqd: Side 2 Setback:Tl:iIS PER'MIT SHA Paved Drive Rqd: Rearyard Setb~<jIj' LL EXPIRE IF TJ>JEoWOOl{overage: Solar Setbacks: THORIZED UNDER THIS PERMIT IS NOT r. r: ANY 180 DAY PERIOD PUBLIC IMPROVEMENTS Total: ATTENTION: Orego~mw~ils you.to follow rules adopteJily'lAi'tlregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 ~ through OAR 952-001- caliing the center. (Note: the telepho~8 nUBl9~~ l/\lI,pregon Utility Notification CenteHi 1-800-332-2344). Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 '.,,:1'. Status Issued 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project L Fees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid $9.48 $3.95 $79.00 Total Amouut Paid $92.43 Plan Reviews 'I Date Paid 3/4/10 3/4/10 3/4/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM201O-00275 ISSUED: 03/04/2010 APPLIED: 03/04/2010 EXPIRES: 09/04/20 I O. VALUE: Receipt Number 2201000000000000193 2201000000000000193 2201000000000000193 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. I Reouired Insoections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 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 certi(y 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 ofrh'e'prop'erty, and the approved set of plans will remain on the site at all times during construction. - }!; ':., :,. , Owner or Contractors Signature Page 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 #: 2201000000000000193 9:49:22AM Date: 03/04/2010 Job/Journal Number COM20 I 0-00275 COM20 I 0-00275 COM20 I 0-00275 Payments: Type of Payment ONLINE CHGS cReceiotJ 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 KR ONLINE MARSHAL Online LSINC $92.43 Payment Total: $92.43 :....-. ..... : , )>:j Page 1 of I 3/4/20 I 0