HomeMy WebLinkAboutPermit Mechanical 2010-5-27
D New Construction
City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us .
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1 or 2 family dwelling
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D Multi-family D Commercial
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D Accessory
:JOBSITE INF0RMA hbN~AND LOCA TI0N!F
Job Address: 2394 MAlA lOOP
Suite/bldg.lapt.no.:
City/State/ZIP: SPRINGFIELD, OR 97477
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Project Name: davidson
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Cross Stre~t1directions to job site: 22nd st
Tax map/parcel no.:
install heat pump and air handler'
Name: ianice davidson
Phone: 541-747-8294
Email:
Business Name: MARS HAllS INC
Contact:
Address: 4110 OLYMPIC ST
1703251403600
Fax:
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CCB lie. no.: 25790
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Phone: 5417477445
City/State/ZIP: SPRINGFIELD, OR 97478-5620
Fax: 5417410821
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Email:
Metro lie. no.:
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City lie. no.:
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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.
NOTE; This Authorization To Begin Work expires within 180 days if a permit Is not obtained.
The local building department may determine" that an Authorization To Begi,r Work is ~u.t1...~n~
void if it does not meet applicable land use laws and tocal ordinances.
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00111
Approval Code: 05914D 5/27/2010 9:09 am
E-mailedTo:lindsey@marshallsinc.com
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Des,crlptlon
fiea~~ln~g'icooiing'Appliances;,
Heat Pump
Miriihlum'F~e"~;il'~~"
Firs~ Applianc~ Fee
M~~~arii"caIP~rm(t1Fees"->~'
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96.00
$11.52
$4.60
$112.32
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Inspections Phone:.541-726~3769
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This Authorization To Begin Work-must be' posted at the job site until replaced by a Permit
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00683
ISSUED: OS/26/2010
APPLIED: OS/26/2010
EXPIRES: 11/27/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2394 Maia Lp
ASSESSOR'S PARCEL NO.: 1703251403600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electric for furnace and heat pump exchanges
Residential
Owner:
Address:
DA VISON JANICE MARIE
2394 MAlA LOOP
SPRINGFIELD OR 97477
Phone Number: 541-747-8294 J
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I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
RITE WAY ELECTRIC INC
MARSHALLS INC
License
40077
25790
BUILDING INFORMATION I
Expiration Date
10/13/2010
12/23/2011
Phone
(541) 926-0504
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:-
". 'Range Type:
Energy,Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
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I,DEVEI.:OPMENT INFORMATION .
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist: Total:
#Street Trees Rqd: Handicapped:
P~ved'Drr;;e Rqd: Compact:
,')~i"of Loi"Cove.rJU:l:,;
":if, -f, Arr~NTI0N: Oregon law requires you to
,; follow rules ado ed b the Ore on Utll
en er. ose ru es are se 0
PUBLIC IMPRO 001-0010 through OAR 952-001.
0090. You may QblliilihD~~~(llOf the rules by
calling the cenier. (Note: (he til1ephone
number for the 'fflW~fflP!!JVI(iWNB!ffication
Center is 1-800-332-2344).
Street Improvements:
Stor~ ~fl\V A vapable:
Specl3lrtnsf.rLGmin:
THIS PERMITSHALL EXPIRE IF THE WORK
Notes::~UTHOR/ZED UNDER THIS PERMIT IS NOT
~,MMENCED OR IS ABANDONED FOR
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Paee 1 of 3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00683
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 Inspection Line
I Valuation Description r
Descriotion
Tvpe of Construction
$ Per Sq Ft
or mult.!plier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Heat Pump
Amount Paid
$7.32!;}F
$3.05 i;[~iF>
$55.00..tt~i
$6.00'~'.1 .
$11.52
$4.80
$79.00
$17.00
Date Paid
'.~, "; 1,'1 '. , 5/26/10
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5/26/10
5/27/10
5/27/10
5/27/10
5/27/10
Receipt Number
2201000000000000583
2201000000000000583
2201000000000000583
2201000000000000583
3201000000000000247
3201000000000000247
3201000000000000247
3201000000000000247
Total Amount Paid
$183.69
I PIim Reviews. ~."
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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 after7:00 a.m. will be made the following
work day.
l....RenniredJnsnections'
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Rough Electric: Prior to Cover '; }~.j~:\" .~' " j: :
Final Electric: When all electrical work is c~fti'~lete.:.""
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Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Paee 2 of 3
It
Status
Issued
225 Fifth Street, Springtield, 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: COM2010-00683
ISSUED: OS/26/2010
. APPLIED: OS/26/2010
EXPIRES: 11/27/2010
VALUE:
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon iltrue and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springtield 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 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.
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Owner or Contractors Signature
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Paee 3 of 3
Date
I.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000247
9:38:04AM
Date: OS/27/2010
Job/Journal Number
COM20 1 0-00683
COM20 I 0-00683
COM20 I 0-00683
COM20 I 0-00683
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 12% State 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
17.00
11.52
4.80
$112.32
Amount Paid
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ONLINE marshalls Online
Payment Total:
$112.32
$112.32
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5/27/2010