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HomeMy WebLinkAboutPermit Mechanical 2010-5-26 (jO. r;, 77 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 ,l;i:FEESCHEbuLe City Of Springfield 225 Fifth SI Springfield, OR 97477 Phone: 541-726-3753 , Email: permitcenter@ci.springfield.or.us .. " '.l-,'.:",' ..,q,:./ .:".,.",}",,::.,' -" ,F.,..., '''H'''' 0 New Construction IKI Addition/a Iteralionfreplacement 1/...,.:.: ....sf".:'"...:... .: CAJEGORYOf;:CONSTRUCTION ,-0;;::::.. ..:." '.,-,...- ,....,_ om om ...........,.....,...... _. ,_, ... ,'.._ .,....... ~;_.__...__. ... ," '""'4;.- " '" IZI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory 1'" ":":-" ';..,30B:SITEINf;ORMATlON:ANDLoCATION"',- ;',,'::, _ ,:. '; -...... .. .. .. ..---........,',.-,........ .... - 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 ,++., ..~. ~c, Cj':j"j'c,;c:.~J Replace gas furnace No Heat situation r~a~!_, (J': /.... ... ,:', >"'s;. . ,'cc":c,,"rT-'l';f{$ITE:CONTA<::t, "i;F" '.. ":. .,,'~;, '- '.'+ ,>'; 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.: ... 1-"0, ,.!' 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. LomlDlo - (a/I [1M $-;),&--1 b 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 .~ ~~ 1lJ"b IV \ ~.\'iJ 6.'b~~ ~tJ{ ~ 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 , ','1" j~ " SITE ADDRESS: 6079 MAIN ST ASSESSOR'S PARCEL NO.: 1702343400100 ", 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 -."'......... v t I .~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 ::r.'~; ~";~I".lJ, '_'~'".'''' '-"_~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. .1.-"",.,.,.., '{". '.!~~}~~" )N', ,:,..... 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 . :~.( I" "'0 ...: ~ ': ,..' Date ~,_.1"!~ . ,''on ", "J ''':'P32e'2 or'2 '~_:hi'r' ':':r~{; ~'~.... .,,'t,.,. .i\~I{1:'1!k ., ~ ~tl .. 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 njm, '~-, ONLINE marshalls In Person Payment Total: " . ~ .: i~ ; i , . ,. . ~l..:l';\' oj H.t, . .' ~.' ..r '" '-. i:-~r~') -......,,-... , .r'i .!(''fI,Y ,(i", ....'L:.:,.. . :,': ~~'t-! "~... Page 1 of 1 5/26/2010