HomeMy WebLinkAboutPermit Mechanical 2010-5-26
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-001 09
Approval Code: 08877D 512612010 9:20 am
E.mailed To: janice@marshallsinc.com
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City Of Springfield
225 Fifth SI
Springfield, OR 97477
Phone: 541-726-3753 ,
Email: permitcenter@ci.springfield.or.us ..
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0 New Construction IKI Addition/a Iteralionfreplacement
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IZI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory
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Job Address: 6079 MAIN ST
CityfStatefZIP: SPRINGFIELD. OR 97478
Suite/bldg.fapt.no.:
Project Name: Jada Prane
Cross Street/directions to jOb site: 60th aod Main
Tax mapfparcel no.: 1702343400100
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Replace gas furnace No Heat situation r~a~!_, (J': /....
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Name: Jade Prane
Phone: 541-354-9703 Fax:
Email:
IfY,"P;-,',;;(; :-:;"'~' -""'CONTRACTOR;c.;""-,....':... - :Y:>'.'f ~.-' >{
0" "., '_'...'" '. . . ....,. ..,-. >>. _ _.,.,'~ "~..... "*120__ _.._
CCB lie. no.: 25790
Business Name: MARSHAllS INC ... ""
Contact: '.'- ~--
Address: 41100LYMPIC ST
CityfStatefZIP: SPRINGFIELD. OR 97478.5620
Phone: 5417477445 Fax: 5417410821
Email:
Metro lie. no.: City lie. no.: ...
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Upon review and approval by your local jurisdiction, your permit will bi;'"'e.mailed or faxed
within one business day, with imitructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obta'l~ed.
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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Description
Minimj.l'mF'ees'.
First Appliance Fee
Mectlanicai P9rni!Q:e"esi~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79.00
$9.48
$3.95
$92.43
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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: COM2010-00677
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 6079 MAIN ST
ASSESSOR'S PARCEL NO.: 1702343400100
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Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace gas furnace
Owner: PRANE JADA Z
Address: 36292 GRA VES LN
SPRINGFIELD OR 97478
Phone Number: 541-354-9703
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:
R~i1ge'JYP~: ,
':Eiier-~Path:' ..
.".'. gy '. ,
. Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION .
Frontyard Setback:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverag'e:
" '~
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS ~ . t
rMonJaw requireS you 0
ATTENTION: ~~htiia'D Tf~&:Oregon Utility
follow rules ~~:l~/O;\!ilh~e set forth
Notification Cen"'''. hOAR 952-001-
In OAR 952.001'0~~~~h~~~i~S of the rules by
0090. You may 0 (Note' the telephone
calling the center. uiility Notification
the Oregon "
Center
Notes:
Storm Sewer Available:
Special Instruction:
NOTICE:
~~~SU~ER.,~IT SHALL EXPIRE IF THE WO
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.~OMMENCED OR IS ABAN
,'NY 180 DAY PERIOD.
Description
Tvpe of Construction
. .~-''::':.\:' -".:.~. \~.>.~. .. .
$ Per S<j'Ft:y'l :1\l,' Square Footage
or multiplier '.' or Bid Amount
Value
Date Calculated
Paee I of 2
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.:
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00677
ISSUED: OS/26/2010
APPLIED; OS/26/2010
EXPIRES: 11/26/2010
VALUE:
Status
Issued
'. r .,~:.c
Total Value of Project
LFees Paid .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
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'_'~'".'''' '-"_~t :,,"/...,
Amount Paid\f-':!; :,'<'; :r,; .
).r~5;~!i ':1
$9.4~::.: :
$3.95-
$79.00
"
, Date Paid
Receipt Number
5/26/10
5/26/10
5/26/10
2201000000000000576
2201000000000000576
2201000000000000576
Total Amount Paid
$92.43
I Plan Reviews ,
To Request an inspection call the 24 hour reco'rding 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 ~
Rough Mechanical: Prior to Cover
Final Mechanical: Wheu all mechanical work'is'complet'e.
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By signature, I state and agree, that I have carefully:'examined the completed application and do hereby certify tbat all
information hereon is true and correct, and I furth'~!.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 witbout permission of tbe Community Services Division, Building Safet)'.
I further certify that ouly contractors aud 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 tbe approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
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Date
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225 Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000576
Date: OS/26/2010
9:49:11AM
Job/Journal Number
COM2010-00677
COM2010-00677
COM20 I 0-00677
Payments:
Type of Payment
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
ONLINE CHGS .oNLINE PERMIT CHGS
Paid By
Check Number
Received By! I Batch Number
~' 'I" .
Item Total:
Authorization
Number
Amount Due
79.00
9.48
3.95
$92.43
How Received
Amount Paid
$92.43
$92.43
cReceintl
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ONLINE marshalls In Person
Payment Total:
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