HomeMy WebLinkAboutPermit Building 2010-4-9
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00442
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3835 MARCOLA RD
ASSESSOR'S PARCEL NO.: 1702300000101
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install Gas Furnace
Owner:
Address:
ONEAL MICHAEL R
3835 MARCOLA RD
SPRINGFIELD OR 97477
Phone Number: 541-736-0812
I CONTRACTOR INFORMATION .
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INF()RMA nON ~
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 INFORMA nON .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
<I,.
Notes:
I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier. ,.. .
Square Footage
or Bid Amount
Value
Date Calculated
"
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010c00442
ISSUED: 04/09/2010
APPLIED: 04/09/2010
EXPIRES: 10/09/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
:'i,:!l .
$9.48 ,;,
$3,95 ;
$79.00'
4/9/10
4/9/10
4/9110
3201000000000000133
3201000000000000133
3201000000000000133
Total Amount Paid
$92.43
I Plan Reviews ~
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.lnsoections ~
Rough Mechanical: Prior to Cover
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
, .".,
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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
"
Pa2e 2 of 2
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00066
Approval Code: 04272D 4/9/2010 8:41 am
E-mailedTo:lindsey@marshallsinc.com
FEE;scHE'D[jliE,
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
'.R',;" ..........'..:,,:::,..,. '" it: ~f:.'. ..",,,'.. ....p,..)f.
0 New Construction IRI Addition/a Ite rati on/rep laceme nt
': ., .... . . CATEGORVOI='CONSl'RUC'l'ION"" ; ','" .....".-; .
IRI 1 or 2 family dwelling 0 Multi-family 0 Commercial o 'ACcessory
,rr" ...:...,,' . ;.~OBSITE.INfORMATION AND LOCATIONJ.; . .' ....,;;!.. ,
,
Job Address: 3835 MARCO LA RD
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: o'neal
Cross Street/directions to job site: marcola road
Tax mapfparcel no.: 1702300000101
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install gas furnace
~;,.i..' ,.' #+", )SiTE:'CONl'.M;T' ^ ^.~',^ ",< ,.y,""'[,j"'-':' ,
i , .
Name: thomas o'neal
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Phone: 541-736-0812 Fax: ,:."~ ...
Email: .. " ..
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CCB lie. no.: 25790
Business Name: MARS HALLS INC
Contact
Address: 4110 OLYMPIC ST
CitylStatelZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445 Fax: 5417410821
Email:
Metro lie. no.: City lie. no.:
Upon review and approval 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 Authorl~atlon To Begin Work expires within 180 days if a permit is not obtained.
The local building department may determine that an Authori~ation To Begin Work Is null and
void If it does not meet applicable land use laws and local ordinances.
Can1DIO
L-f'CJ -It)
:~ i ," t,.
lXY-T-Lf L
0(Y\
Description
Min'im~m Fe'e~{':~.""'-7.{ e
First Appliance Fee
Mechahic.i:tIPern"lifF,ees' . ...$_ _ -} -
Subtotal $79.00
State surcharge {12% of permit
total
'Technology fee (5% of permit total)
$9.48
$3.95
$92.43
TOTAL PERMIT FEE
Inspections Phone: 541-726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
. .
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000133
8:S9:0SAM
Date: 04/09/2010
Job/Journal Number
COM20 1 0-00442
COM20 1 0-00442
COM20 1 0-00442
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
.'.." :;-
Amount Due
79.00
9.48
3.95
$92.43
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
NJM
ONLINE MARSHAL Online
LS
$92.43
Payment Total:
$92.43
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4/9/2010