HomeMy WebLinkAboutPermit Mechanical 2010-5-24
City Of Springfield
225 Fifth 5t.
Springfield, OR 97477
Phone: 541-726-3753
Emait permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-1 0-001 08
Approval Code: 08599D 5/24/2010 9:49 am
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lEJ 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory
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Job Address: 2874 6TH ST
First Appliance Fee $79.00
,n!tic~h$~n:fcai1F?ermit'il#ees"\.~-nt&tiit~~~&:ff~'m~Y,t~~k~~-ltfI,,:;::f~
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Subtotal $79.00
City/State/ZIP: SPRINGFIELD, OR 97477
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$9.48
Suite/bldg.lapt.no.:
$3.95
$92.43
Project Name: LEIGHTON
Cross Street/directions to job site: MANSFIELD ST
Tax map/parcel no.:
1703233411700
Name: LOREN LEIGHTON
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Phone: 541-741-0481
Fax:
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Emall:
cce lie. no.: 25790
Business Name: MARSHALLS INC
Phone: 5417477445
Fax: 5417410821
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Contact:
Address: 4110 OLYMPIC ST
CityfState/ZIP: SPRINGFIELD, OR 97478.5620
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your parmlt will be e-mailed or faxed
....lthin one business day, with instrul;;tions On how to schedule your Inspection.
NOTE: this Authorization To Begin Work expires within 180 days if a permit is not obtained.
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The local building department may determine that an Authorizallon To Begin. Work ,.S null and.
\laid if it does not meet applicable land use laws and loc;al ordinances. .L,.-:r.-._ ...'......,
Can '2-010 --- OOCo6S
5/;;>.'-1110 {)/Yl
Inspections Phone: 541-726-3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2874 6TH ST
ASSESSOR'S PARCEL NO.: 1703233411700
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00655
ISSUED: OS/21/2010
APPLIED: OS/21/2010
EXPIRES: 11/21/2010
VALUE:
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Springfield TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for heat pnmp & gas furnace change out
Owner: LEIGHTON LOREN R & IRENE C
Address: 2874 N 6TH ST
SPRINGFIELD OR 97477
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
. # of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Residential
I CONTRACTOR INFORMATION ,
License
178518
...' 25790
BUILDING INFORMATION I
Expiration Date
09/25/2011
12/2312011
Phone
541-895-4466
541-747-7445
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~ I to
ro' ,EIWI N: Oregon law requ res yoUU'1' .
follow rules ad~lly".aregon II ity
,. .,,~.: ,..~...., Notification Cenkl.l', Thoset ~H\es.ar~ set forth
':ITi).:';{r)~dn OAR 952-001-'O\)lB\R?80'gli'Cl}l.\!\'952-001-
.,"'''' , . 1'., 0090. You may obtain caples of the rules by
Ii calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
NOTICE: .
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
~(jMfv1ENCED OR IS ABANDONED FOR.
"/ ;!<n DAY PERIOD.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valu~~;on D~scriPtion ~
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Total Value of Project
~
"'1. '
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$7.32..
$3.05
$55.00
$6.00
$9.48
$3.95
$79.00
5/21110
5/21110
5/21110
5/21110
5/24/10
5/24/10
5/24/10
..,'
Total Amount Paid
$163.89.:;;;:;;:' ,,''::. ~:...
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'PI\in RH'iews ~
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00655
ISSUED: OS/21/2010
APPLIED: OS/21/2010
EXPIRES: 11/21/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000552
2201000000000000552
2201000000000000552
2201000000000000552
2201000000000000561
2201000000000000561
2201000000000000561
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 requested after 7:00 a.m. will be made the following
work day.
l....Reflll iredJ nsnec.tions I
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mecbanical: Prior to Cover
Final Mechanical: Wben all mechanical work is complete.
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Page 2 of 3
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00655
ISSUED: OS/2112010
APPLIED: 0512112010
EXPIRES: 11/21/2010
VALUE:
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 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 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 inspection~:~re. ~q!!es1ed'at, the proper time, that each address is readable from the
street, that the permit card is located at the front of th:e;property, and the approved set of plans will remain on the site at all
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times during construction. V';~ ..:i'
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Owner or Contractors Signature
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Page 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000561
Date: OS/24/2010
IO:18:10AM
Job/Journal Number
COM20 I 0-00655
COM2010-00655
COM20 1 0-00655
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% Stale Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
. ~. ,_', 'p' '0:"
Amount Due
79.00
9.48
3.95
$92.43
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Item Total:
Check Number Authorization
Received By Batch Number' Number How Received
Amount Paid
nJm
ONLINE marshalls In Person
Payment Total:
$92.43
$92.43
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Page 1 of 1
5/24/2010