HomeMy WebLinkAboutPermit Mechanical 2010-6-10
{!/O.753
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00130
Approval Code: 006880 6/10/2010 10:13 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
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0 New Construction IRI Add ition/alleration/repla~emenl
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IRI 1 or2 family dwelling 0 Multi-family 0 Commercial 0 Accessol)'
".: : .... JosfSI'(eINFORMATIONAND LocA'i'IQN . ,,>-. .'
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Job Address: 729 71 ST ST " "
City/State/ZIP: SPRINGFIELD, OR 97478
Suite/bldg./apt.no.:
Project Name: smith, dean andjudy
Cross Street/directions to job site: IhUfston road
Tax map/parcel 1702352405703 "
no.: .
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install heat pump and air handler <>., ....... ,~ "
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Name: dean smith
Phone: 541-746-5369 Fax:
Email:
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CCB lie. no.: 25790 ." "..'.. .~ '"
Busine$s Name: MARS HALLS INC .. ",,. ..
Contact:
Address: 4110 OLYMPIC ST .
CityfState/ZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445 Fax: 5417410821
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Email: -... ,.
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Upon review and approval by YOl.lr local jurisdiction, your permit will be o-mailed or faxed
within on& 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 Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
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$79.00
$96.00
$1152
$4.80
$112.32
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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
Description
HeaUnQ{Goollhg Appliii~c:~~.
Heat Pump
Mjninium>Fe~s
First Appliance Fee
lVIechanical Per'TIitl7e9s
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
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PERMIT NO: COM2010-00753
ISSUED: 12/10/2010
APPLIED: 06/10/2010
EXPIRES: 06/10/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 729 7IST ST
ASSESSOR'S PARCEL NO.: 1702352405703
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp and air handler
Owner: SMITH MARTIN D & JUDY K
Address: 729 N 7IST ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790 .
Expiration Date
12/23/2011
Phone
541-747-7445
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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:
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PARKING
'~-
Front yard Sethack:
Side I Setback:
Side 2 Sethack:
Rearyard Setback:
Solar Setbacks:
. ',. _. . Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage'
ATTENTION: Oregon law requires youtp
follow rules , hll tI c ,. ......~_ I aT~
PUBLIC IMPROVE . tion Center. Those rules a~e set f~rth .
952-0?1-0010 through OAR 952-001-
.0090.. You n1ii~<o\:II!IlnTiYP,!Hes of the rules by
'""t~~" ':i'.~.",,,,. ;.. callmg the,y,(lnte'[,oil'tl9wr tIiI~:telephone
.:-iYJi, . '\!) number for'ffle"e1regon lftnity Notification
',,","""'" '''"''', " Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
:WTlCE:
TU'C D D~AI C:I-IAII FXPIRE IF THE WORK
AUTHORIZED UNDER THW n
COMMENCED OR IS ABAr:rValuat
ANY 180 DAY PERIOD.
Type of Construction
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
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Pa2e I of 2
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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: COM2010-00753
ISSUED: 12/10/2010
APPLIED: 06/10/2010
EXPIRES: 06/10/2011
VALUE:
Status
Issued
Total Value of Project
Fees Paid .
Fee Description
+ 12 % State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$] 1.52
$4.80
$79.00
$17:00; .:
. 6/10/10
6/10/10
6/10/10
6/10/10
220]000000000000673
2201000000000000673
2201000000000000673
2201000000000000673
.<1
Total Amount Paid
$]]2.32
I Plan Reviews ~
To Request an inspection call the 24 hour r~c'O~rdiii'g,at 726-3769. All inspections requested before 7:00
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a.m. will be made the same working day, jjIspections'requested after 7:00 a.m. will be made the following
work day.- .
Reauired Insoections ~
Rough Mechanical: Prior to Cover
Final Electric: When all electrical work is complete.
By signature, I state and agree, that I have carefully exami~ed thecompieted 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"L~ws 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, Bnilding Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre that all reqnired 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
Pa2e 2 of 2
225 Fifth Street
, '
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000673
Date: 06/10/2010
12:39:57PM
Job/Journal Number
COM20 I 0-00753
COM20] 0-00753
COM20 I 0-00753
COM201O-00753
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Check Number
ReceJved,By,'. Batch Number
'hjm'
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
ONLINE marshalls Online
Payment Total:
$112.32
$112.32
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