HomeMy WebLinkAboutPermit Mechanical 2010-4-30
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-000BO
Approval Code: 61049B 4/30/201.0 8:46 am
E-mailedTo:lindsey@marshallsinc.com
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Gas Piping - first four $7.00
H'e~,!f;rgJ:C:()OI_i.t1W~p'pijanc~Sj:~~~~itil\:14~~~;.tJ#i:~~~~~~~~;{!1itj
Furnace - up to 100,000 BTU
=:J New Construction IX] Addition/alteration/replacement
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!Xl 1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory
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Job Address: 7276 B 5T
Description
Total
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg.fapt.no.:
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1702353110400
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$103.00
$12.36
Project Name: cutter
Cross Street/directions to job s~te: 73rd
$5.15
Tax map/parcel no.:
$120.51
install gas piping, gas furnace ale
Name: kathv cutter
r""i
Phone: 541-747-7445
Fax:
Emall:
CCB Iic. no.: 25790
Business Name: MARSHAllS INC
Contact:
Address: 4110 OLYMPIC ST
,.
CityfState/ZIP: SPRINGFIELD, OR .97478-5620
Phone:S417477445
Fax: 5417410821
Emall:
Metro Iic; no.:
City nc. no.:
Co/Y7UJ/O - 0054-:5
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Jpon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
Nlthin one business day, with instructions on how to schedule your Inspection.
~OTE: this Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that - an Authorization To Begi~-,-_.Wor,~,"/5: null and
~old 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
CITY OF SPRINGFIELD
Building/Combination Permit
I
Status Issued
2251Fifth Street, Springfield, OR
541f 726-3753 Phone
541-726-3676 Fax
541b26-3769 Inspection Line
I
PERMIT NO: COM2010-00543
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
SITE ADDRESS: 7276 B ST .
ASSESSOR'S PARCEL NO.: 1702353110400
Springfield TYPE OF WORK: Mechanical Only
I
PROJECT DESCRIPTION: Install gas piping for g~s fu~nac.~ - ale
TYPE OF USE: New
Residential
Owner:
Address:
STINSON FAMILY TRUST
. 658 S 57TH ST SPACE 092
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA TION ~
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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ~
<;">, -<
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
. OVerlay'Dist:
. # Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
'IOTH~~'
Storm SewerhAv,;;{, .
Speciallnst'rub'tifn~ ~IT SHALL EXPIRE IF THE WORK
AU' HORIZED UNOER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR'
ANY 180 DAY .
I PUBLIC IMPROVEMENTi:IrENTION: Oregon law requires you to
follow I1!!U,M~obY the Oregon UtIlity
Notification Center. 'l'hose rules are set fol1ll
" In OAR 9!J2lmlOG'fD'ltfrti/lflh OAR 952-oot.
" ',0090. You may obtain copies oftl1e rules br
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344
I Valuation Description ~
,
Description
,
,
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Page 1 of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
J'
Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Techuology Fee
Ist Appliance
Furnace. up to 100,000 btu
Gas Outlets 1-4
Amount Paid
$12.36.
$5.15"':""
$79.00 .
. >-
$17.0Q;;~:'
$7.00 .
. "". 'l~', '.
Total Amount Paid
$120.51
I Plan Reviews I
Date Paid
4/3011 0
4/30/10
4/30/10
4/3011 0
4/30/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00543
ISSUED: 04/30/2010
APPLIED: 04/30/2010
EXPIRES: 10/30/2010
VALUE:
Receipt Number
3201000000000000176
3201000000000000176
3201000000000000176
3201000000000000176
3201000000000000176
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 Inspections ~
Final Gas: When all gas work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical worKi~. co'!.'plete.
By signature, 1 state and agree, that 1 have carefully:_~x.ami~e<! the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 iu 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 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
times during construction.
Owner or Contractors Signature
...,J
Pa2e 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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€ity of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000176
Date: 04/30/2010
]0:11:29AM
Job/Journal Number
COM20 I 0-00543
COM20 I 0-00543
COM20 I 0-00543
COM20 1 0-00543
COM20 1 0-00543
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
I st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE marshalls Online
Payment Total:
Amount Due
79.00
17.00
7.00
12.36
5.15
$]20.5]
Amount Paid
$120.51
$]20.51
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4/30/20 I 0
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