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Home My WebLink AboutPermit Mechanical 2010-5-14 Q. \0 -LeO"'\ i_~,l ,.)~. '~--~.- City Of Springfield 225 Fifth 5t. Springfield, OR 97477 Phone; 541-726-3753 Email: permitcenler@ci.springfieJd.or.us ;-.;7;';;1 -j-, ,';Residential Mechanical Authorization To Begin Work 69600-BMC-10-00099 Approval Code: 066360 5/14/2010 9:45 am E-mailedTo:lindsey@marshallsinc.com D New Construction lKl Addition/alteration/replacement Description Total l. ..-:~CATEGORY OF CONSTRUCTlOI'(. '::'~:! '+';.;',0 :",...,; Minlmum'Fee.s - ',', j" First Appliance Fee Mechani~al Perm'itFees~"\:~ Subtotal State surcharge (12% 01 permit total Technology fee (5% of permit tolal) TOTAL PERMIT FEE $79.00 001 or 2 famjJydwelling 0 MUlti-family 0 Commercial D.Accessory _-'JOB SITE INFORMATION ANDd:'OCATION . fi Job Address: 739 S 4TH 5T $79.00 $9.48 City/State/ZIP: SPRINGFIELD, OR 97477 Suitefbldg.lapt.no.: $3.95 $92.43 Project Name: baxter Cross Street/directions to Job site: perry st ~\D-A..QCA ~ IS lIL\\\O Tax map/parcel no.: 1703353404800 ",' , "~~::"DESC'Rip:T16NLOE,W,6RK ~:;.;~~~'" ~> -'.<,..' install ductless heat pump ~;:'i"1:;", ,,~ '~,t.'. '~"p:.' .'~::~ :.'.....J,: I , 'SITE CONT';c:::CC ,.::.~ -;. '''''jq.'' ,1 Name: iohn baxler Phone: 541-913-5713 Fax: . :.,~ . ~. 'j FOR Bus;"... Nam., MARSHA\f,\,\fNYR nAY PERIOD. Email: ATTENTION: Oregon law reqLiirwyoru 1m follow rules adopted by the Oregon 'UtilllJ Notification Center; Those rules are setilal1ftl In OAR 952-001-001 0 through OAR 952,"Q1D11- 0090. You may obtain copies of the rules illW calling the center. (Note: the telephor:lS number for the Oregon Utility Notificatillllll Center i8 1-800-332-2344). Contact: Address: 4110 OLYMPIC ST City/StatelZIP: SPRINGFIELD, OR 97478-5620 Phone: 5417477445 Fax: 5417410821 Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your permit will be"e-malled or faxed within one business day, with instructions on how to schedule yourl nspecllon. -:('f..' " ":." . ,- NOTE: This Authorization To Begin Work expires within 180 days If a permit is not ~b~iililed:'" : '. ~~ ' ,. The local building department may determine that an Authorization To :Ei;gln wOr!l...ii :null and void if it does not meetappllcable land use laws and local ordinance s. , Inspections Phone: 541-726-3769 This Authorization To Begin Work must be p'osted'at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00609 ISSUED: 05/14/2010 APPLIED: 05/1412010 EXPIRES: 1111412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 739 S 4TH ST ASSESSOR'S PARCEL NO.: 1703353404800 F)"" .' h ,",~?ringfield TYPE OF WORK: Heating System ..." PROJECT DESCRIPTION: Install ductless heat'iiu';;p in ~~~idence. TYPE OF USE: New Residential {, Owner: EBELING JOHN Address: 1301 LINCOLN ST EUGENE OR 97401 I CONTRACTOR INFORMATION . 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: . ~!,:rink!ed..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 INFORMATION I . . REQUIRED PARKING Frontyard SettNOtTICE: l EXPIRE If T~m~st: '. . Total: Side I Setback:THIS PERMIT SH"l IS PERM~wnees Rqd: Handicapped: Side 2 Setback:AUTHORIZED UNDER TH ONEd'fffl\ Drive Rqd:ATTENTION: Oregon law re\(Wl'ltllllJ'W.to Rearyard Setback:MMENCED OR IS ABAND. % of Lot Coveralfcllow rules adopted by the Oregon Utility Solar Setbacks:'~~IY 1 RO DAY PERIOD. Notification Center. Those rules are set forth . ?- 1- I PUBLIC IMPROVE~ r;u may obtain copies of the rules by . " the c;:enter.. frJote: the telephone number for'\m~~tiIity Notification CerfJN"ins~iAAgnJl1,?rri'~44) . Street Improvements: Storm Sewer Available: Special Instruction: '^' .'C" ;':':.',' !" ! "r ',' Notes: Description Type of Construction I Valuation Description ~ $ Per Sq:Ft Square Footage or mul~ip'~ier-,;t,:l\.:..! -or ~id Amount Value Date Calculated _;..~OF ,j.; i' '. '40~,'./i"i'\ ":~,,,c;1;_.- Paee 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00609 ISSUED: 05/14/2010 APPLIED: 05/14/2010 EXPIRES: 11/1412010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees Paid ~ Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid' ; . "'If,,:rp.' -._~ d..,:' . ' Pate Paid Receipt Number $9.48:':;; $3.95,:' ,} $79.00 -10- , f' ~, 5/14/10 5/14/1 0 5/14/10 1201000000000000451 1201000000000000451 1201000000000000451 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 ~~quested after 7:00 a.m. will be made the following work day. ' ' I Reauired InsDections ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. . }t.~t~~, . '_" 1...... ~ . r:;", By signature, I state and agree, that I have carefully_exaniined.the completed application and do hereby certify that all information hereon is true and correct, and I furth~(:certiiY~qat any and all work performed shall be done in accordance with the Ordinances oflhe 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 Pivision, 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 eusure 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. ~.5.. . Owner or Contractors Signature Pate 1'. ~v . . '~, Pa2e 2 of2 '\kr:, i! ""i 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone sJ~a~I.;..; Wfr~>, .. .-..--..<>..--'.--,..........,..,. .~, . City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: Date: 05/14/2010 1I:14:42AM 1201000000000000451 Job/Journal Number COM20 J 0-00609 COM20 I 0-00609 COM20 1 0-00609 Payments: Type of Payment ONLINE CHGS cReceintl Description I st 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 KR ONLINE MARSHAL Online LS INC $92.43 Payment Total: $92.43 ".;' "~l~~~ . ' ,{~~~.:~<. '",u;. '" .".".<~, ,In' , ,,' ~,j~~":~: ;ti' Page 1 of I 5/14/2010