HomeMy WebLinkAboutPermit Mechanical 2010-6-10
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;~Residential Mechanical Authorization To Begin Work
,\ 69600-BMC-10-00129
Approval Code: 045190 6/10/2010 9:01 am
E.mailed To: lindsey@marshallsinc.com
City Of Springfield
225 Fifth 51.
Springfield, OR 97477
Phone: 541.726-3753
Email: permilcenler@ci.springfield.or.us
D 'New Construction (KI Addition/alteration/replacement
CATEGORY OFCQNSTRUCTION ,r~.r;E;7
[X] 1 or 2 family dwelling
D Multi-family D Commercial
D Accessory
:. .. .JOB'SITE INFORMA TIONAND;t:oCA TION
Job Address: 1697 LA'NNRIDGE AVE
CityfStatelZ1P: SPRINGFIELD, OR 97477
Suitefbldg.lapt.no. :
Project Name: FRYBACK
Cross Street/directions to job site: RAMBLING DR
Tax map/parcel no.:
1703252104800
INSTALL DUCTLESS HEAT PUMP
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Fax:
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cee lie. no.: 25790
Business Name: MARS HALLS INC
Contact:
Address: 4110 OLYMPIC ST
City/St~te/Z1P: SPRINGFIELD, OR 97478-5620
Phone: 5417477445
Fax: 5417410821
Emall:
Metro lic. no.:
City Iic. no.:
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Upon review and approval by your local jurisdiction, your permit will ~e'~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 thai an Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances,
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Description
Mfnirrllim~Fges:_
First Appliance Fee
,1\ol~~tl~riic_aIJ:)errrijt,Fees'
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
Total
$79.00
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$79.00
$9.48
$3.95
$92.43
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
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Status
Iss u ed
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00729
ISSUED: 06/08/2010
APPLIED: 06/07/2010
EXPIRES: 12/10/2010
VALUE:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 1697 LA WNRIDGE AVE
ASSESSOR'S PARCEL NO,: 1703252104800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Electrical for ductless heat system and GFCI
Residential
Owner: FRYBACK JAMES H & JANET L
Address: 1697 LA WNRIDGE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARS HALLS INC
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License
178518
25790
Expiration Date
09/25120 II
1212312011
Phone
541.895-4466
541-747-7445
I BUILDING INFORMATION ,
# 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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA TlON .
REQUIRED PARKING
Front yard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: Handicapped:
Side 2 Setback: Paved Drive Rqd: Compact:
Rearyard Setback: % of Lot CO~~TfhoN: Oregon law requires youto
Solar Setbacks: f~1I0W rules adopte.:J, by the,?~:~on Utility
NOTICE' ' I PUBLIC IMPR 'i1\jlJiID~tO(;1 0 'th~ugh OAR 952-001-
. ''''', ,4~"" Y Y obmin co~~ of the rules by
Street lin(lrovement~: ,',;: ',0090, au ma ~1'(J~.wa, "'0"'-1 h e
' " v t"CKIVI/ I SHALL E ":'f"i '-"', ailing the center, \IW ' "eT" e~ on
Storm:S'e'wHf)~'Y~~tb\5iVD XP/RE IF THE WORK;:' , 'n~mber for the CIilv!}'mp.\u~bt1llmt!yatlon
Specialllns~r!!YJe'1::D ER THIS PERMIT IS NrJt,IJ, ' Center is 1-800-332-2344),
~NY 180 DAY ~E~/'OSDABANDONED FOR
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Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I V alu~tion Description ~
Descriotion
$ Per Sq Ft
or multiplier
Tvpe of Construction
Square Footage.
or Bid Amount
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
1st Appliance
Amount I'aid
Total Amount Paid
$7.32
$3.05
$55.00
$6.00
$9.48
$3.95
$79.00,. :>:;:
$ I 63.86::~:
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I . Pi~n Reviews I
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Date Paid
6/8/1 0
6/8/10
6/8/10
6/8/10
6/10/10
6/10/10
6/10/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00729
ISSUED: 06/08/2010
APPLIED: 06/07/2010
EXPIRES: 12/10/2010
VALUE:
Value
Date Calculated
Receipt Number
2201000000000000654
2201000000000000654
2201000000000000654
2201000000000000654
3201000000000000287
320]000000000000287
3201000000000000287
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.
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l....Re~I~.~redJnsnections ~
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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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Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00729
ISSUED: 06/08/2010
APPLIED: 06/07/2010
EXPIRES: 12/10/20'10
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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
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that NO OCCUPANCY will be made of any structure.",ith'ouipermission of the Community Services Division, Building Safety.
1 further certify that only contractors and employee~::who'arein compliance with ORS 701.005 will be used on this project.
1 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 Signatnre
Date
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225 Fifth Street
Springfield, Ol,"egon 97477
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541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000287
9:08:14AM
Date: 06/10/2010
Job/Journal Number
COM20 I 0-00729
COM201O-00729
COM20 I 0-00729
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
+ 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
9.48
3.95
$92.43
Amount Paid
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ONLINE marshalls Online
Payment Total:
$92.43
$92.43
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611012010