HomeMy WebLinkAboutPermit Mechanical 2010-5-11
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00094
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City Of Springfield
225 Fifth 81.
Springfield, OR 97477
Phone; 541-726-3753
Email: permitcenter@Ci.springfield.Or.US..;>..t.;-
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o New Construction
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(g] Addition/alteration/replacement
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';~ <"". . CATEGORY PF,'CONSTRlJCJJoff?' \. '. . .'.
[R] 1 or 2 family dwelling D Multi-family D Commercial
D Accessory
~'-'. .c.:,:S*C ...JOB SITE:flii"ORMATION ANO'COCATION . ,.
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Job Address: 6065 PEBBLE'CT
CitylStatelZIP: SPRINGFIELD, OR 97478
Suite/bldg.lapt.no.:
Project Name: mclean
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Cross Street/directJons to job site: s 59th
Tax map/parcel no.:
1802033400176
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install ale unit
SITE'C,ONT ACT
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Name: iim haines
Phone: 541-747-8084
Fax:
Email:
,.,' '::1.',':: ;'>~~""CONTRAcTORC,''';<,,:,
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eCB lie. no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4110 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445
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T I R
AUTHORIZEl}tUW0iH THIS PERMIT IS NO
Up'" ,,,,'w '"' .ppro,,' bylyb1M~,'.EiJCIiJ;l..oB,J.SpAMAlDDNW,
within one business day, with Inst~~I~,s or 8lf trtA~PFRJt>!r.ctlon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtained.
Email:
Metro lie. no.:
faKed
The local building department may determine that an Authorization To Beg~"-: Work I~ null an~
void if it does not meet applicable land use laws and local ordinances. <:~;:;~'.,.. ,.-~;;,::!-~:'
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Approval Code: 01451D 5/11/2010 4:54 pm
E-mailedTo:lindsey@marshallsinc.com
Description
Minimum'Fees -:"'..
First Appliance Fee
Me,chanica! Permii'i=E!e~ "r
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
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$79,00
$79,00
$9.48
$3.95
$92.43
TOTAL PERMIT FEE
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ATTENTION: Oregon law requires 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 fDr 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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20I0-00599
ISSUED: 05/12/2010
APPLIED: 05/12/2010
EXPIRES: 11112/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6065 PEBBLE CT
ASSESSOR'S PARCEL NO.: 1802033400176
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air conditioning nnit in residence.
Owner: MCLEAN BRYCE N
Address: 6065 PEBBLE CRT
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFOIiMA TION ~
Expiration Date
12/23/2011
Phone
541-747-7445
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT IN-FO~~'J:lg~: Oregon law requires you to
. NOTICE: vv " adopted by theM~ff1ijtRbliAARKING
T\-1IS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth
Frontyard SetbadU{THORIZED UNDER THIS PERMtf~NPl't:' In OAR 952-001-001 0 througffQJ!1.11l952-001-
Side 1 Setback: \ ONEjI,~t Trees RqoOO90. You may obtain copie~iQalWlldby
Side 2 Setback: ,;OMMENCED OR IS ABAND P'a~e'd Drive Rqd: calling the center. (Note: ttlertljjepl:lOne
Rearyard Setback':IY 180 DAY PERIOD. % of Lot Coverage number for the Oregon Utility Notification
Solar Setbacks: Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer Available:
Spedallnstruction:
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.1,>;:tl;ilU ~i~1.:"l.'
Sidewalk Type:
Downspouts/Drains:
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Notes:
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I Valuation Description ~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00599
ISSUED: 05/12/2010
APPLIED; 05/12/2010
EXPIRES; 11/12/2010
VALUE;
Status
Issued
1'1
"'!
Total Value of Project
Fees Paid .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3.95
$79.00
5/12/10 '
5/12/10
5/12/10
Receipt Number
1201000000000000437
1201000000000000437
1201000000000000437
Total Amount Paid
$92.43
I Plan Reviews I
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, in,~p_~cti~"n~ requested after 7;00 a.m. will be made the following
work day. . "".' " ".
Renuired 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 trne 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 Qregon 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 insp~ctions. 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
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000437
Date: 05/12/2010
3:04:40f'M
Job/Journal Number
COM20 1 0-00599
COM2010-00599
COM20 I 0-00599
Description .
151 Appliance
+ 12% State Surcharge
+ 5% Technology Fee
/.
Amount Due
79.00
9.48
3.95
$92.43
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Item Total:
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Paid By
ONLINE PERMIT CHGS
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$92.43
Payment Total:
$92.43
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5/12/2010