HomeMy WebLinkAboutPermit Mechanical 2010-6-9
001 or 2 family dwelling
o Multi-family 0 Commercial
(!)(). 733
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00125
Approval Code: 04865D 6/9/2010 10:02 am.
E-mailedTo:lindsey@marshallsinc.com
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City Of Springfield
225 Fifth St.
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
o Accessory
. Description
iVUnin1lJrn F.e~s
First Appliance Fee
Medianlca'l'Permii Fees'
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
o New Construction
~':, ',,',' ,,"',~ ,JOB SIl:E:II;I~O~ilnATibN'AN[)'c~OCATIOr\I';:"~ '
Job Address: 1440 B ST
$79,00
$9.48
City/StatefZIP: SPRINGFIELD, OR 97477
Suite/bldg./apt.no.:
.-'-t.
TOTAL PERMIT FEE
$3.95
$92.43
Project Name: fountain
.i.
Cross Streetfdirections to job site: n 14th st
Tax map/parcel no.:
1703362311900
install ductless heat pump
"; sffE'CON'rACT""+'it~",,~
Name: donna fountain
Phone: 541-345-1569
Fax:
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Email:
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ceB lic. no.: 25790
Business Name: MARSHAlL5 INC
Contact:
Address: 411 0 OLYMPIC 5T
City/State/ZIP: SPRINGFIELD, OR 97478-5620
Metro Iic. no.:
City Iic. no.:
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Phone: 5417477445
Fax: 5417410821
Email:
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 depilrtment may determine that an Authorization To Begin Work is null. and
void if it does not meet applicable land use laws and local ordinances.
..:"
Inspections Phone: 541.726-3769
This Authorization To Begin Work ,,:,ust bepGsted at the job site until replaced by a Permit'
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CITY OF SPRINGFIELD
Building/Combination' Permit
PERMIT NO: COM2010-00738
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Status
Issued
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1440 B ST
ASSESSOR'S PARCEL NO.: 1703362311900
Springtield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owuer: DINSMORE-FOUNTAIN DONNA L
Address: 1440 B ST
SPRINGFIELD OR 97477
Phone Number: 541-345-1569
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I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION.
Expiration Date
12/23/2011
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: ..
Spriukled"Bu'i1ding:
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 .
REQUIRED PARKING
Total:
Handicapped:
Compact:
F~ontyard Set\J-r~h\ON: Oregor '.?'N requires yoi!Jll:rrlay Dist:
SIde 1 Setbatv: I' adonted [Y' the Oregon UIAIS,,"eet Trees Rqd:
. ~ow tU es " t......'" .'
SIde 2 Setb' in ation Genter. Those rules are se 1fIl....U Dnve Rqd:
Rearyard I flaJA~:952-001-001 0 through OAR 952~Qk-Lot Coverage: ,
Solar Setba6~~'o. You may obtain COpl~S of the rules,by :.::~:'..,', ..
ca . . '," ........
number for the Oregon Utility ~~Ik"fe'lMPROVEMENTS ~
r.enter is 1-800-332-23 .
Street ImprovementS":"
Sidewalk Type:
Storm Sewer Available:
Special Instruction:
DownspoutslDrains:
f\tQTICE: IRE IF 1HE WORK
.. THIS PH1M\1 SHI\L~ ~~S PERM\1 IS N01
1-\Ul'HO~IZt.D UNDE I\NDONED FOR
. "."''''''-'\IV
I Valuation Descr,i~,tion')i' DI\Y PERIOD.
Notes:
Description
Tvpe of Construction
$ Per SqFt
or multiplier
Square Footage
t or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
225 Fifth St..eet, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fees Paid ~ .
Fee Description
+ 12% State Su..charge
+ 5% Technology Fee
I st Appliance
Amount Paid
)',0';1'
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
Plan Reviews ~
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Date Paid
6/9/10
6/9/10
6/9/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00738
ISSUED: 06/09/2010
APPLIED: 06/09/2010
EXPIRES: 12/09/2010
VALUE:
Receipt Numbe..
2201000000000000662
2201000000000000662
2201000000000000662
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.
I ReQuired Insnect~
. Rough Mecbanical: P..io.. to Cove..
Final Mechanical: When all mechanical work is complete:'
By signatu..e, I state and ag..ee, that I have ca..eftiiiy:examined th'~ completed application and do hereby ce..tify that all
info..mation he..eon is true and co....ect, and I fn..the.. ce..tify that any and all wo..k perfo..med shall be.done in accordance with
the O..dinances o/'the City of Sp..ingfield and the Laws of the State of Oregon pe..taining to. the wo..k described herein, and
that NO OCCUPANCY will be made of any structure without pe..mission of the Community Services Division, Building Safety.
I fu..the.. certify that only cont..acto..s and employees who a..e in compliance with ORS 701.005 will be used on this project.
I fu..the.. ag..ee to ensure that all ..equired inspections a..e ..equested at the p..ope.. time, that each address is readable f..om the
st..eet, that the pe..mit ca..d is located at the f..ont of the p..ope..ty, and the app..oved set of plans will ..emain on the site at all
times during construction.
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Owner or Contractors Signature
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t",' -
" 'I.
. Paee 2 of 2
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Date
225 Fifth Street
Springfield, 'Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000662
10:09:53AM
Date: 06/09/2010
Job/Journal Number
COM2010-00738
COM2010-00738
COM20 1 0-00738
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
Re~f~\ye~ ~~.; vBat~h Number Number How Received
NiM 'n). .'C,.,' .. ONLINE MARSHAL Online
LS
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
Payment Total:
$92.43
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