HomeMy WebLinkAboutPermit Mechanical 2010-4-6
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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lRJ Addition/alteration/replacement
D New Construction
:CA TEG"ORV:OF CONSTRUCTION,
[R] 1 or 2 family dwelling 0 Multi-family D Commercial
o Accessory
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, JOB SITE INFORMATION ANO'LO,CATION
Job Address: 1166 J ST
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.;
Project Name: dill ion
Cross Street/directions to job site: 12th st
Tax map/parcel no.: 1703264414600
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install heat pump and air handler
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'~SITE..CONT ACT. "..'
Name: lee dill ion
Phone; 541-746-3984
Fax:
Email:
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: CONTRACTOR
cee lie. no.: 25790
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Add,...,(11J~,9M~~Jtru OR IS ABANDONED FOR
City/Statefz)'~YSPR1~h&li.)5, 81f ~Ds.620
Phone: 5417477445
Fax: 5417410821
Email:
Metro lie. no.:
'City lie. no.:
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Upon review and approval by your local Jurisdiction, your pennlt w1IL:be..e-maHecf .or faxed
within one business day, with Instructions on howto schedule yourl nspectlon.
NOTE: This Authorization To Begin Work expires within 180 days if a pennl! Is nol obtained.
The local building department may determine that an Autholizatlon To Begin Work is null and
void If It does not meet applluble land use laws and local ordinances.
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'Residential Mechanical Authorization To Begin Work
69600-BMC-10-00063
Approval Code: 081620 4/6/2010 1:39 pm
E-mailedTo:lindsey@marshallsinc.com
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Description Qly. Ea, I Totat
Heā¬iJio'giCo'()llng,Appliimces' '". ". '";;',"-,,; , .' .,', ,
Heat Pump 1 $17.00 $17.00
MHllm=uJ"Tl"Fe_~s'" ~ '"c , .. . '.r.,',. .', "' , .
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First Appliance Fee $79.00
Mechifnical,p'ermI1Fees"<:,.., :,' " "r.'~ . ";; .~ .
Subtotal $96.00
State surcharge (12% of permit $11.52
lotal!
Technology fee'(5% of permit total) $4.80
TOTAL PERMIT FEE $112.32
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ATTENTION: Oregon law requires you to
follow rules adopted by the Ofegon Utility
Notification Center. Tllose 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 Notification
Center is 1-800-332-2344).
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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
CITY OF SPRINGFIELD
Building/Combination Permit
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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PERMIT NO: COM2010-00401
ISSUED: 04/01/2010
APPLIED: 04/01/2010
EXPIRES: 10/07/2010
VALUE:
Status
Issued
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SITE ADDRESS: 1166 J ST .' '
ASSESSOR'S PARCEL NO.: 1703264414600
,
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: I circuit for heat pump
Owner: DILLON L H & PHYLLIS J
Address: 1166 J ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
OWNER
MARS HALLS INC
License
Expiration Date
Phone
25790
BUILDING INFORMATION ~
12/23/2011
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
H~!ght of Structure
Type of Heat:
'WfterT.Ype:
"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
NOTICE: I DEVELOPMENT I~FORMATlON ~ '
THIS PERMIT SHALL EXnnc Ir I"" ..GI,l, , REQUIRED PARKING
flUTHORIZED UNDER THIS PE:I~IS ~OT ATTENTION: Oregon 1~f:~Ulres you to
Front yard Sethack. DO jl.'bL 1st: follow rules adopted b~ jljH'br,!l.9? unity
Side 1 Sethack: COMMENCED OR IS ABAN eW'!'rees Rqd: Notification Center. Tho 'ffiffi~"al'eeg,"; rth
,Side 2Setback: ANY 180 DAY PERIOD. Paved Drive Rqd: In OAR 952-001-0010 thr~~R 952.g01-
Rearyard Setback: % of Lot Coverage: 0090,. You may obtain copies of the rules by
Solar Setbacks: , ,,:, ,: I' calling the center. (Note:. the telephone
I PUBLIC IMPROVEMENTS ~ Center is 1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Do,,:nspouts/Drains:
Notes:
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Page I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Minimum/Adjustment Electrical'
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-0040]
ISSUED: 04/01/20]0
APPLIED: 04/01/20]0
EXPIRES: ]0/07/20]0
VALUE:
I v alu'aii~n D~scription ~
$ Per'Sq:Ft
or multi~Iier
Sq uare Footage
or. Bid Amoun"
Value
Date Calculated
Total Value of Project
Fees Paid .
Amount Paid D'ate Paid Receipt Number
$6.96 4/1/10 2201000000000000302
$2.90 4/1/10 2201000000000000302
$55;00 " , 4/1/10 2201000000000000302
$3.00 4/1/10 2201000000000000302
$11.52 4/7/10 1201000000000000310
$4.80 4/7/10 1201000000000000310
$79.00 4/7/10 1201000000000000310
$17.00 4/7/10 1201000000000000310
$180.18 "
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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.
ReQuired Insnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work'is'complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Paee 2 of 3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00401
ISSUED: 04/01/2010
APPLIED: 04/01/2010
EXPIRES: 10/07/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3 769 Inspection Line
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 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 Commuoity 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 lhe proper lime, lhat each address is readahle 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
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times during construction. '. "');" :,'''f ';;1'1;,'" "
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Owner or Contractors Signature
Date
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Page 3 of 3
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000310
Date: 04/07/2010
3:15:41PM
Job/Journal Number
COM20 I 0-0040 1
COM20 I 0-0040 I
COM20 I 0-0040 I
COM2010-00401
Payments:
Type of Payment
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
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
KR
ONLINE MARSHAL Online
LS INC
$112.32
cReceintl
Payment Total:
$112.32
Page 1 of 1
4/7/2010