HomeMy WebLinkAboutPermit Mechanical 2010-6-25
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Residential Mechanical Authorization To Begin Work
69600;BMC-10-00151
Approval Code: 026800 6/25/2010 10:31 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
D New Construction
rK1 Addition/alterstionlrepJacemenl.
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[XJ 1 or 2 family dwelling 0 Mu!ti~family 0 Commercial D Accessory
",' ...:"Y'-~':JOB.sITE 'INFORM" TION'.A:NOGOC'ArION:;-:
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Job Address: 3489 YOLANDA AVE
CityfStatelZIP: SPRINGFIELD, OR 97477
Suitefbldg./apt.no.:
Project Name: knights
Cross Street/directions to job site: 35th st
Tax map/parcel no.:
1702194202500
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install ductless heat pump
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Name: elain kniahls
Phone: 541-747-7892
Fax:
Email:
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CCB lic. no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4110 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 97478-5620
Phone: 5417477445
Fax: 5417410821
Email:
Metro lic. no.:
City Iic. no.:
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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 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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. Description
. MinimuiI1'F,~e~_:
First Appliance Fee
~9.cliaDJ~a)iPe_~hii!{~~es-~' .
Subtotal
State surcharge (12% of permit
total
Technology f~e (5% of permit total)
TOTAL PERMIT FEE
$79.00
$79.00
$9.48
$395
$92.43
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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
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00827
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 12/25/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 3489 YOLANDA AVE
ASSESSOR'S PARCEL NO.: 1702194202500
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: KNIGHTS ELGIN
Address: 3489 YOLANDA
SPRINGFIELD OR 97477
I CON'fRACTOR'INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA nON I
Expiration Date
12123120 II
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:
. tRange 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:
nla
I DEVELOPMENT INFORMA nON .
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot C?verage:
REQUIRED PARKING
Total:
Handicapped:
Compact: .
I PUBLIC IMPROVEMENTS ~
Street ImproveJ!.'f'll~TI0N: Oregon law requires you.t.o Sidewalk Type:
./ II " rilles adopted by the Oregon Utility
Storm Sewer A\la!l.aIJle: C t Those rules are set forth DownspoutslDrains:
S . I I M'lAUlcallon en er. 1
peCla nstru1ifOAR 952-001-0010 through OAR 952-00 .
0090. You may obtain copies of the rules by . '0
Notes: calling the center. (Note: the tel~pho~e .: TleE:
Utilit Notification THIS PERMIT c;H81 I i'YDIDC IC
Center is 1-800-332- ;,:.:: :::: .,'.. 'WTHORIZEO UNDER THIS PERMIT IS NOi-'
Valuation Descn tlOn OMMENCEO OR Ie; ABA
. ",'" , ,." ANY 1 R u NDONEO FOR
$ Per Sq Ft Square Footage 0 DAY PERIOD.
Description Type of Construction . Value Date Calculated
or multiplier or Bid Amount
Paee 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Total Amount Paid
~..,,-;Q..:"',
.':-+.(1.
Total Value of Project
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Amount pald.::f'3:rr' ,~; ;;~~h" ,
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$9.48'"
$3.95
$79.00
$92.43
Plan Reviews ~
Date Paid
6/25/10
6/25/10
6/25/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00827
ISSUED: 06/25/2010
APPLIED: 06/25/2010
EXPIRES: 12/25/2010
VALUE:
Receipt Number
3201000000000000336
3201000000000000336
3201000000000000336
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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 Inspections I
Rough Mechanical: Prior to Cover ''; ,: . .
Final Mechanical: When all mechanical wor-[~1ri~m';li;;"I~::'
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By signature, I state and agree, that I have carefully~~.xamined 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 Stale 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 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
225 Fifth Street
Springfield, Oregon 97477
541:726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000336
12:35:00PM
Date: 06/25/2010
Job/Journal Number
COM20 1 0-00827
COM2010-00827
COM2010-00827
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
1 st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
R~<:.e~ved By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
njm
ONLINE marshalls Online
Payment Total:
$92.43
$92.43
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