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Home My WebLink AboutPermit Mechanical 2010-6-29 City Of Springfield 225 Fifth St. Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us (j/() .gtf5 . Residential Mechanical Authorization To Begin Work 69600-BMC-10-00156 Approval Code: 040680 6/29/2010 1 :25 pm o ~ AdditjOn/allerati6'~t~~plac'efnerit':' ,4. . ",;'':,' -..t.,or' .,-. . ~~~..: 0:ZCA'rEGciR'r'.0}':C9NSTR:U.GJIOthl~.~';'" New Construction o Multi-family 0 Commercial O:J,Accessory IKl I 1 or 2 family dwelling ~LJ.OB;SIJE'INFORMkTl6i\F'.A.NDT.cjCA TIGNk,' ~,;:j~,;;cJ Job Address: 1097 S 69TH Pl City/State/ZIP: SPRINGFIELD, OR 97478 Suitefbldg.fapt.no.: Project Name: BARKER Cross Street/directions to job sIte: JESSICA ST Tax map/parcel no.: 1802022308600 'If],_ INSTALL DUCTLESS HEAT PUMP Name: STAN BARKER '~._'.'.'-""..~'" . .. , . ~..', Phone: 541-579-1760 Fax: 'l:jq/,,::~ ,c.,~'.!'.( ;.,~L.. ' ;~,:, u"-- Email: {.:..~l"-;"* ,.,~~. ..,: CCB lic, no.: 25790 Business Name: MAR5HALL5 INC Contact: Address: 411 0 OLYMPIC 5T City/State/ZIP: SPRINGFIELD, OR 97478-5620 Phone: 5417477445 Fax: 5417410821 Email: " ~. I" . \~ Metro lic. no.: City Iic, no.: 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 ellplras within 180 days if a permit is not obtained. The local building department may determine that an Authorization To Begi~ Work is null and void If it does not meet applicable land use laws and local ordinances. Co ,7~' ~-'I?:;:;:j,;. 201 00 6"" U :..i..cc.;'{ .:":.:.;....:d lJ..vJ 0 - . .-.., ..~. f;/;:;//o. /7,r7V,:~:g:';~ . ..,~.\' E.mailed To: lindsey@marshallsinc.com , ~:;:Y,:,~;FE'E;SCHEOULE Qty. ,1 Description MJi1hiuJi1j,Fees:~ ~- 41 / ,0 ~~O' \o;? ~~ ~L6 ..:P Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at !.he job site until replaced by a Permit First Appliance Fee jv1'echanjcal'PermifFeeS' ~-; Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE l ~ ,..~#- " ~\Y ^ 11 ~.r $79.00 $79.00 $9.48 $3.95 $92.43 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-00845 ISSUED: 06/29/2010 APPLIED: 06/29/2010 EXPIRES: 12/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1097 S 69TH PL ASSESSOR'S PARCEL NO.: 1802022308600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Electrical for two zone ductless heat system & gfci Residential Owner: BARKER STANLEY M & M S Address: 1097 S 69TH PL SPRINGFIELD OR 97478 t,",::, .'\ I CONTRACTOR INFORMATION ~ Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARSHALLS INC License 178518 25790 BUILDING INFORMATION ~ Expiration Date 09/25/2011 12/23/2011 Phone 541-895-4466 541-747-7445 /I of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: /I of Bedrooms: /I 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 DEVELOPMENTINFORMATlON ~ REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: j" ',' :: Overlay Dist: Total: /I Street Trees Rqd: Handicapped: Paved Drive Rqd: ,Compact: 0/0 of Il'ot{fJ'~IF;i'~: Oregon law requ!res you.t.o follow rules adopted by the Oregon Utility if, inn Center. Those rules are set forth mPI''Wifi\:fM"",liil,10throug - -, I PUBLIC 1.,~:jo~u,~:..E~f";lain copies of the rules by calling the center, (NSld.M\fljEJl~one number for ttie Oregon Utility Notiticat,lon ,-:;'C'enter is 1_80cP-s:1l'_~!DralDs: .1_' ,'i ..,'- .' ~.'. \_ . .: ~ ,.. f.",'.j" '. Street Improvements: Storm Sewer Available: Special Instruction: Notes: . ~. NOTICE: F THE WORK TH\S PERMIT SHf\L~ ~X~~~~RMIT IS NOT 'ITHnRIZED UNDE FOR ,,'\~q'\CED OR IS ABf\NDONED ,> "\" ?~RI()O. '.' '~i:i:'3~f";;n~:!Tt':<' ,::,;,.1' '. . '.'.;.~16.::I,~. '.J::lk;.~Pae:e .bof 3 0.,-, ,,. (fir' <l)~;-';"('j /' f.!'~r.)l;~. <Si,,1.,~,11I) dl C":'. ., 'i Status Issued 225 Fifth Street, Springfield, OR 541.726.3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line " . ,~ ' I Valuation DescriDtion I Description TVDe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Total Value of Project ~ A"'.."'-'" '.".....-.. Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fee + 5% Technology Fee 1st Appliance Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add '.' Amount p:ridT'~' '. $7.32 $9.48 $3.05 $3.95 $79.00 $55.00 $6.00 Total Amount Paid $163.80 .. "'1:';'-1 , -......~. .... '1 : Plan Reviews ~ ," . ." Date Paid 6/29/10 6/29/1 0 6/29/10 6/29/10 6/29/10 6/29/10 6/29/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00845 ISSUED: 06/29/2010 APPLIED: 06/29/2010 EXPIRES: 12/29/2010 VALUE: Value Date Calculated Receipt Number 2201000000000000756 3201000000000000344 2201000000000000756 3201000000000000344 3201000000000000344 2201000000000000756 2201000000000000756 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. .:._. _. __ __ < r~r~?-' );';;_~lrJrj , 1.' LJe.o~!~~~~~~ections ~ ''1';'''' ..-..... 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. ) :.:,~~. "f:-;;'Pi:~: ";1 Pa2e 2 01'3 "I'. 'i' . . , ..~."....I, "...,.,.i:." ~,~~~rzl ". ' :-IJi}~ ,'?~1~:'~, ~"-""'f ':I,' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00845 ISSUED: 06/29/2010 APPLIED: 06/29/2010 EXPIRES: 12/29/2010 VALUE: 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 Springfield 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 inspectio~s}re reque~,ied at the proper time, that each address is readable from the street, that the permit card is located at the frontiof-the, property; and the approved set of plans will remain on the site at all times during construction. ., Owner or Contractors Signature M 'tj~,lL~ ;n,1X .;.:.'::'''.~; ,"t..," /,;,;' , ,I'Y:~ , ',' '~,li,( .' ....;:,,~;, -~,i~ 'i' ':',:l"~i" ' '",.i'~'t't~I' , ;Z!.,!~:~~:.~+. i ' ',;i'f\'; ". I~"": :~~~'i , , h.lt , ,.~,.- . ;1~\ \ ;~~:.~, I . '!:'~~'. . Pa.!!." 3 of,3 ,. . i'.<' .... Date 225 Fifth Street Springfield, 0regon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department. Public Works Department RECEIPT #: 3201000000000000344 Date: 06/29/2010 2: 17:46PM Job/Journal Number COM20 I 0-00845 . COM20 I 0-00845 COM20 I 0-00845 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 4' . ~ Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE MARSHAL Online LS $92.43 Payment Total: $92.43 .t ~ ' ,e.,,: h'; Page I of ( ,,'., ',' ,. 6/29/20 I 0