HomeMy WebLinkAboutPermit Mechanical 2010-5-11
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726~3753
Email: permitcenler@ci.springfield.or.us
rYRE'OF:WORK ~'
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o New Construction
~ Addition/alteration/replacement
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'~'':CATEtGQRY0F CONST~Uc'h9~:.:.'
[g] 1 or 2 family dwelling 0 Multi-family 0 Commercial
o Accessory
JOS'SITE,INFORMATION ANO:~OCATION,,:' ;"'h;
Job Address: 6072 QUARTZ AVE
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./aptno.:
Project Name: mclean
Cross Street/directions to job site: S 59th
Tax map/parcel no.:
1802033400189
install afcunit
1-
J"-
"'~:, SITE'CONTACl',. :,.;;;,.:
Name: brvce mclean
Phone: 541-'556-3350
Fax:
Email:
jCONTRACJ0R::.
eea lie. no.: 25790
Business Name: MARS HALLS INC
Contact:
Address: 4110 OLYMPIC 5T
Ml'l''lS'NOT
Emall':nMMF~ OR IS ABANDONED FOR
Metm 1',:.6,,180 DAY PERIOD. City II,. no.'
Upon review and approval by your local Jurisdiction, your permit. w111_ be._e-mailcd_.or" faxed
wilhln one business day, with inst/'lJctJons on howto schedule your I nspectlon. .
NOTE: This Authorization To Begin Work expires within 180 days if a permit Is nol obtained.
The local buildIng department may determine' that an Authorization To Begin Work Is null and
void If it does not meet applicable land use laws and local ordinances.
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DIO.CAO
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00093
Approval Code: 017720 5/11/2010 3:31 pm
E.mailed To: Iindsey@marshallsinc.com
" 4FEE'SC}iEOU~E
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DeSCription
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First Appliance'Fee
Subtotal
State surcharge (12% of permit
tolal
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79.00
$9.48
$3.95
$92.43
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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 for the Oregon Utility Notification
. Center is 1-800-332-2344).
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Inspections Phone: 541-726-3769
This Authorization To Begin W~rk' must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00590
ISSUED: 05/12/2010
APPLIED: 05/11/2010
EXPIRES: 11/12/2010
VALUE: .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6072 QUARTZ AVE
ASSESSOR'S PARCEL NO.: 1802033400189
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install air cOllditioni,ig IIl1it ill residellce
Owner: MCLEAN BRYCE N
Address: 6072 QUARTZ AVE
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor
MARSHALLS INC
. '~' 1
Expiration Date
12/23/2011
Phone
541-747-7445
Contractor Type
Mechanical
License
25790
BUiLl)INGINFORMA nON I
# of Units:
Primary Occnpancy 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 Build'ing:
Lot Size:
Sq Ft Ist Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
... ., .:....S"q..Ft Other:
n/a Occupant Load:
I DEVELOPMENT INFO~ ,
, '. ~J'regonlawre~~ARKING
NOlffj' oPtedbythe~,.Qp 'Utii
Overlay Dist: 'O~allon Cenler. Those rur lIIi' n ','
# Street Trees R!'dgO 952-OO1-OO10lhrough '9~'lM ' .
Paved Drive Rq!:Ocali' You may oblaln COpies 6ffllBtti~..!:
% of Lot Coveralffiim~g ~he center. (Nole: the leleph esYJ'
. . e~~rtthe. Oregon Utilily Notlfi~neion
n er _
"
'~UTHORIZED UNDERIHIS~Oq>VEMENTS ~
Street Improveriie)it~AENCED OR IS ABANr5'D"N'EiYFOR' ,
Storm Sewer Av'.lil';;'hl~O DAY PERIOD. ''''','''' '....,.
Speciallnstrllction: ',Ci: .
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:NOTICE:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Description ~
Description
Tvpe of COllstruction
$ Per Sq Ft
or multi"plier
Square Footage
. or Bid Amount
Value
Date Calculated
'.,1
.,
,i
Pa2e I 00
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: COM2010-00590
ISSUED: 05/12/2010
APPLIED: 05/11/2010
EXPIRES: 11/12/2010
VALUE:
Status
Issued
. J.:~~""" .."J.
Total Value of Project
Fees Paid .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Numher
$9,,4~', '
$3.95
$79.00
,',
5/12/10
5/12110
5/12/10
1201000000000000438
1201000000000000438
1201000000000000438
Total Amount Paid
$92.43
Plan Reviews ~
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To Request an inspection call the 24 hour rel;ording 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.
I Reauired Insnections ~
Rough Mechanical: Prior to Cover
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 furt,he} certify that~ny and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the taws 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.
. k~~..-i.~ i ,i::, -~.;J. '"'10.
Owner or Contractors Signature
i:(~f' d. ,.l~ ,1, "
Date
'-it
Page 2 of2
; . II ~ r .: I
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
ir......._.rtf.~~.!lL...ii . . .......
.f m^ ........ . .. ....:
. ,
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000438
3:05:IIPM
Date: 05/12/2010
Job/Journal Number
COM20 I 0-00590
COM20 I 0-00590
COM20 I 0-00590
Payments:
Type of Payment
Description
1st Appliance
+ 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
9.48
3.95
$92.43
Amount Paid
ONLINEMARSI-lAL Online
LS INC
cReceintl
KR
$92.43
Payment Total:
$92.43
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5/12/2010