HomeMy WebLinkAboutPermit Mechanical 2010-6-9
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00126
Approval Code: 04760D 6/9/2010 1:45 pm
E-mailed To: lindsey@marshallsinc_com
D New Construction
lXl Addition/alteralionireplacement ;
Description
.-;, J;A TEGciRi~o.F'C.ONSIRUCTION _:~;;;_;_"
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D 1 or 2 family dwelling
D Multi-family IZl Commercial
o Accessory
First Appliance Fee
Me~t1anicai: Per~ifF.ees
Subtotal
Stale surcharge (12% of permit
total
Technology fee (5% of permit total)
$79.00
$9.48
. -JOB SITE-INFORMATION AND LOCATION
Job Address: 1701 CENTENNIAL BLVD
CityfState/ZIP: SPRINGFIELD, OR 97477
$395
Suite/bldg.fapt.no.:
TOTAL PERMIT FEE
$92.43
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Project Name: elks lodge
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Cross Street/directions to job site: 18th st
Tax map/parcel no.:
1703253404502
bESCRII~:r[9.N: OFW:ORK ~-',l_:'.l~;;;i.?'_"
install heat pump
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;-~"SITECONTACTl
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Name: jack barbie
Phone: 541-747-2145
Fax:
Email:
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CCB lie. no.: 25790
Business Name: MARSHAllS INC
Contact:
Address: 4110 OLYMPIC ST
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CityfStatelZIP: SPRINGFIElD, OR 97478-5620
Phone: 5417477445 fax: 5417410821
Email:
Metro Iic. no.: City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be e-mailed or falled
within one business day, with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Wor1l: expires within 180 days if a permit is not obtained.
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The local building department may determine that an Authorization To Begin Wor1l: is null and
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Inspections Phone: 54.1-726-3769
This Authorization To Begin Work_m~st 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: COM2010-00745
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/0912010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1701 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703253404502
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Commercial
PROJECT DESCRIPTION: Install heat pump
Owner: ORDER OF ELKS LODGE #2145
Address: 1701 CENTENNIAL BLVD
SPRINGFIELD OR 97477
Phone Number: 541-747-2145
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATlON~
Expiration Date
12/23/20 I I
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:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
O~~rlay .oisl:
#,street Trees Rqd:
Ph'ed Drive Rqd:
'", % of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I
NOTICE: ~~t"rt'r\lllP4F THE WORK
THIS PERMIT S~sJlt\lli;~Mn IS NOT
IWTHOR\ZED U S Jl,BJI,NDONED FOR
COMMENCED OR \
tINY 180 DJI,Y PERIOD,
Storm Sewer Available:
Special Instruction:
ATTENTION: Oregon law requires you to
Notes: foll.ow rules adopted by the Oregon Utility
No ,In rt:mtol' T ..........,.,. ,.,
in OAR 952-001-0010 through 'OAR 5 -00 _ . , .
0090" You may obtain copies of the II tlOn Descrt
calling the center. (Note: the telepb'lJ]e "
DescrinRI//['ber fOfJBf M'e1i'M1rlJf!lilUtNotifida'tMnS.q ~t Squa,re Footage
Cenier is 1-600.332.2344). or multIplier or BId Amount
Value
Date Calculated
Page I of2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00745
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
", .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
T~tal Val~eof Project
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I Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Amount Paid
Date Paid
Receipt Number
Total Amount Paid
$9.48
$3.95
$79.00
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$92.43 :',).':' ''', I', '
6/9/10
6/9110
6/9/10
3201000000000000284
3201000000000000284
3201000000000009284
Ipi~n Reviews I
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.
Reouired InsD~~~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Spriugfield 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 employee~'~ho'iire'.jncomplianee with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspeetiohs'.a~e'rcqhested at the proper time, that each address is readable from the
street, that the permit card is located at the front or:llili'p'ro'pet.ty; and the approved set of plans will remain on the site at all
,.,~c _
times during construction. l ,;
Owner or Contractors Signature
Date
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Page 2 on
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 #:
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3201000000000000284
Date: 06/09/2010
2:14:4IPM
Job/Journal Number
COM2010-00745
COM2010-00745
COM20 I 0-00745
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT C;HGS
(
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
ONLINE MARSHAL Online.
LS
$92.43
Payment Total:
$92.43
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Page 1 of I
6/9/2010