HomeMy WebLinkAboutPermit Mechanical 2010-5-27
D New Construction
City Of Springfield
225 Fifth St.
Springfield, OR 97477 rt~]+
Phone: 541-726-3753
Email: permitcenter@ci,springfield,or,us~, i',~
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00112
Approval Code: 027240 5/27/2010 9:21 am
E-mailedTo:lindsey@marshallsinc.com
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IR] Addition/alteration/replacement
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1 or 2 family dwelling
---'CATEGORYOF'CONSTRUCTION
D Multi-family D Commercial
'JOBlsn'E fNi=ORMA TlON ANO'lOCA 't16N!i:f,~'
Job Address: 5855 THURSTON RD
Suite/bldg.laptno, :
CitylStatelZIP: SPRINGFIELD, OR 97478
Project Name: smith
Cross Street/directions to job site: 58th st
Tax map/parcel no.:
install ductless heat pump
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Name: kevin smith
Phone: 541~741-3910
Email:
Business Name: MARS HAllS INC
Contact:
Address: 4110 OLYMPIC 8T
1702342200211
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Fax:
C'ONTR5CTOR' ~.-. "
CCB lie. no.: 25790
CityfState/ZIP: SPRINGFIELD, OR 97478-5620
Fax: 5417410821
Phone: 5417477445
Email:
Metro lie. no.:
City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed
within one business day, with instructions on how to schedule your inspection. ;~n ':
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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 Authorization Te) B~9Jp.. Y"ork is null
void if it does not meet applicable land use laws and local ordinances.
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Des.!?ription
Miriim'uilfFees->
First, Appliance Fee
Mec6a'nical 'Permitf:ees~~
Subtotal
State surcharge (12% of permit
total
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$79.00
$9.48
$3.95
$92.43
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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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
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5855 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702342200211
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00682
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/27/2010
VALUE:
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Springfield TYPE OF WORK, Electrical Work Only
"""" ,,', TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for dnctless'lheat system and switch for fan.
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Residential
Owner: SMITH GARY A & JOYCE M
Address: 90532 HILL RD
SPRINGFIELD OR 97478
Phone Number: 541-741-3910
I CONTRACTOR INFORMATION I
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:
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License
178518
25790
Expiration Date
09/25/2011
12123/2011
Phone
541-895-4466
541-747-7445
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Si>rinkle~ Building:
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BUILDING INFORMATION I
Overlay Dist:
# Street Trees Rqd,
Paved Drive Rqd:
% of Lot Coverage:
Special I1~\'j'ff~~:
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
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Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact: .
I PUBLIC IMPROVEMENTS'" I I t'
; IP'i[lIT\1)N: Oregon aw requ res you 0
follow rules ad~Ily1b1>.aregon Utility
, " Notification Cenwr. Those rWoes.are set forth
." - . "In OAR 952-001-'6B'1'8lfWl!>f'ClJ:\'l\'952-001-
0090. You may oblain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
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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: COM2010-00682
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 1112712010
VALUE:
Status
Issued
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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:: Total Value of Project
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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
Receipt Number
$7.32
$3.05
$55.00
$6.00
$9.48
$3.95',
$79.00
5/26/10
5/26/10
5/26/10
5/26/10
.5127/10
5127110
5/27/10
2201000000000000581
2201000000000000581
2201000000000000581
2201000000000000581
1201000000000000568
1201000000000000568
1201000000000000568
Total Amount Paid
$163:~O,,'
I Plan Reviews I
To Request an inspe~tion call the 24 hour re~ording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, in~ll,~cti?~,~,T.~quested after 7:00 a.m. will be made the following
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l...j~o"]ire<Unsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00682
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/27/2010
VALUE:
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Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectio,n Line
By signatnre, I state and agree, that I have carefully examined .the cO"1pleted 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 witbout permission of the Community Services Division, Building Safety.
I further certify that only contractors and employee~, 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.
Owner or Contractors Signature
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Date
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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 #:
1201000000000000568
Date: OS/27/2010
9:51:23AM
Job/Journal Number
COM20 I 0~00682
COM20 1 0-00682
COM20 I 0-00682
Payments:
Type of Payment
ONLINE CHGS
cReceiot!
Description
151 Appliance
+ 12% Stale Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
NJM
$92.43
ONLINE MARSHAL Online
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Payment Total:
$92.43
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'Page 1 of I
5/27/2010
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