HomeMy WebLinkAboutPermit Mechanical 2010-5-5
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00085
Approval Code: 09458D 5/5/2010 3:56 pm
E-mailedTo:lindsey@marshallsinc.com
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Qty.
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City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
D New Construction
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CA fEGORYOF,~6NSTRU.cTlON ~ '
o Multi-family 0 Commercial
1 or 2 family dwelling
jQS'SITE.It;iFORMATION ANDI.OCA1:ION'
Job Address: 2243 .11TH ST
City/State/ZIP: SPRINGFIELD. OR 97477
Suite/bldg.lapt.no.:
Project Name: costley
Cross Street/directions to job site: lawnridge ave
Tax map/parcel no.:
1703261105700
. .~~ ~L!,.; ~""t'''DESCRipTIQ~f6F:vv.O'RI<'':'''7~''''
install ductless heat pump
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;.'SITEiC0NTACT
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Name: bud costley
Phone: 541-746-0795
Fax:
Email:
CONtRAC:rOR~ .
ceB lie. no.: 25790
Business Name: MARS HALLS INC
Contact:
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Address: 4110 OLYMPIC ST
City/State/ZIP: 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 Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine that an Authorization To Begin Work is null and
void if it does nol meet applicable land use laws and local ordinances.
Com 20/ 0 ~ C'f5572
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Description
.IVIih!!'lUlT(~.ees ;,;;~c
First Appfiance Fee
Me'ch~dicai'PermltfEHis+C,;;' .
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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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
$7900
$7900
$9.48
$395
$92.43
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20tO-00572
ISSUED: 05/06/2010
APPLIED: 05/06/2010
EXPIRES: 11/06/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2243 11TH ST
ASSESSOR'S PARCEL NO.: 1703261105700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
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Owner: COSTLEY DOLPHORD V III & M A
Address: 2243 11 TH ST '., .
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION ~
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 Heal:
. Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Reaqfll;l\ ~etback:
Solarr8JtHa~s:
TUIe' r-
AUT~YORIZED UNDER THIS p HE ~~~LlC IMPROVEMENTS ~
r.nWnnl/'i::n. ERMIT IS
Str.eel'lmpro""",,,Q)~ IS ABANDONED FOR .
Stol:;:YSl~QrDAt'!;iPJffl\i0D. ". '.
Special Instruction:
Oy1,rHWDlst:
. - # Street Trees Rqd:
I'aved Drfve Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
"-'..
ATTENTION: Or on law re
. . a op e y the Oregon Utility
Notification Center. Those rules are set forth
In Q,t.@..AAll-i9~~01 0 through OAR 952-001-
0000: You mal( ob~ain copies of the rules by
dAlI!rIg~\'jll?ifllt!lSINote: the telephone
number for the Oregon Utility Notification
Center Is 1-800-332-2344).
Notes:
I Valuation Description I
Description.
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
. Pa2e I on
-_....,,---..
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00572
ISSUED: 05/06/2010
APPLIED: 05/06/2010
EXPIRES: 11/06/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid-l
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid' "
!',
Date Paid
Receipt Numher
\"!-'17t"
$9.48""''"
:i' -~~i
$3.95,,,
$79.00' .
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5/6/1 0
5/6/10
5/6/10
3201000000000000186
3201000000000000186
3201000000000000186
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 Insoections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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By siguature, I state and agree, that I have carefully;{k~lTIin~<J the completed application and do hereby certify that all
iuformation hereon is true and correct, and I furth~f:,certify'that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the i:~ws 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
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Paee 2 of 2
,';~):;-:a. )Ii~! 11\:i., J
225 Fifth Street
SpringfieM; Oregon 97477
541-126-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000186
Date: 05/06/2010
8:06:55AM
Job/Journal Number
COM20 I 0-00572
COM20 I 0-00572
COM20 I 0-00572
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
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Amount Due
79.00
9.48
3.95
$92.43
Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
".'
R~c~i~ed By
Check Number Authorization
Batch Number Number How Received
Amount Paid
nJITI
ONLINE marsh a lis Online
Payment Total:
$92.43
$92.43
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