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Home My WebLink AboutPermit Mechanical 2010-7-2 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us. ,.., C/{J ,g55 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00163 Approval Code: 092970 71212010 9:06 am o New Construction F'~;;~~"'~"f~;' i ',:Y:C',CATEGOFiY:OF;CONSTRlJe'rION" . .,', *,,' ~ - ..., ... .,."'......".....,., .,' 0, _.C,,'. ......'.... ..." ".,..........,... .0_....' , ... _._ 'e [Z] 1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory r~' """'0:~~!";"JOBrsrtEINF,ORMATJONAND;L.QCATION" '7",' 1;;': Job Address: 3931 ALCONA ST City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg./apt.no.: Project Name: shrum " " .:\" Cross Streetfdirections to job site: S 40th sl Tax map/parcel no.: 1702314401629 Name: dale shrum install gas furance and heat pump Phone: 541-741-8254 Fax: Emall: CCB Iic. no.: 25790 Business Name: MARS HALLS INC / Contact: Address: 4110 OLYMPIC ST : ~, City/State/ZIP: SPRINGFIELD, OR 974785620 ',~ Phone: 541-747-7445 Fax: 541-741-0821 Email: Metro lic. no.: City lie. 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 Authorlzat_ion To Begin Won.: expires within 160 days if a permit is n~1 ';lb~,~~~ed. ":~;0;';~ The local building department may determine that an Authorization To Be.gi,~~,.r'orli void If It does not meel applicable land use laws and local ordinances. ':),:,/;,,;,r :,:(UII and ,_r". &m20/0 7-;)-/0 gS3 /l~ ,- Description Heat!9gtCo~iiQg"Appi!ari.c_es~,~"-";: i5!" #~ Furnace - up to 100,000 BTU lVIinim'liiTI"Feest:f~_.>~ First Appliance Fee Me.ch~'mical Peririfr~ees"<t; "- i:l~~_' '1,._ Subtotal State surcharge (12% of permit 'iotal Technology fee (5% of permit total) TOTAL PERMIT FEE I i.' -~~\ ~1t\\hY ~ /Q' ~ \~'I(i. 'i,(-. ~. ""j '-,ii'.... $96.00 $11.52 $4.80 $112.32 ~ 'l-\.9.\O ~S~f'" ~ Inspections Rhon~:, 541, 72,6-3769 This Authorization To Begin Work must be pcist~d at the job site until rllplaced by a Permit ."-- ,1- ~.; ".':"' Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 393] ALCONA ST ASSESSOR'S PARCEL NO.:' ]702314401629 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00853 ISSUED: 06/30/2010 APPLIED: 06/29/2010 EXPIRES: 12/30/2010 VALUE: ~>, Spl'ingtield TYPE OF WORK: Heating System TYPE OF USE: New PROJECT DESCRIPTION: Electrical for heat pump, gfci &'gas furnace change out Residential ; i Owner: SHRUM KENNETH D & SANDRA K' " . Address: 3931 ALCONA ST : .. , ',. SPRINGFIELD OR 97478 Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARSHALLS INC # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I CONTRACTOR INFORMATION I ':;'~:;- ,J.' License 178518 25790 Expiration Date 09/2512011 ] 2/23/2011 Phone 541-895-4466 541-747-7445 BUILDING INFORMATION. i"yr.: " ,~.,1. . # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMA TION ~ REQUIRED PARKING Total: Handicapped: Compact: '.'; '.\ ':. Overlay Oist: #S'treet Tree's Rqd: Paved Drive Rqd: % of Lot Coverage: Street Improvements: MOTICE' Ie TUE WORK,,".' Stor!!\ ~~w~~A'iMVag'~i\LL EXPIRE , n~;::, Special!instru~tig~:UNDER THIS PERMIT IS NOT'.~i~\J;: AUTHORIZ IS ABANDONED FORi::,' Notei=OMMENCED OR .( " ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS ~ t I . n, n law requires you 0 ATTENTlSl!l\:'d"\&9f~'llY the Oregon Utility ;..L;,~"""... . follow rules a op Jes are set forth .' .... Notificati~~lI~~AAIi~1i OAR 952-001- , ': In OAR 952.001-0gt~~~ :~~i~S of the rules by 0090. You may 0 Note' the telephOne calling the center. ( uiility Notification number for the,OregooOn.332_2344). Center IS 1-8 '" ',1; , Faeed op '. ',)t Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line -"""", ,.,..... ,'-,' , .,;,;~-;",\, 'V. ~.. , k.' .: ,-' C" I Valu'1'~on Descriotion ~ Description $ Per Sq Ft or multiplier TVDe 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 Heat Pump Amount Paid. !-:' " $7.32 $3.05 $55.00 $6.00 $11.52 $4.80 $79.00 . $17.00,':'- '.~'....-,.-, v).,'~,.,.;;,i"..., Total Amount Paid $183.~~~=~ .~~',.~:i;,'~<':' 1~I~n Reviews ~ Date Paid 6/30/10 6/30/10 6/30/10 6/30/10 7/2/10 . 7/2/10 7/2/10 . 7/2/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00853 ISSUED: 06/30/2010 APPLIED: 06/29/2010 EXPIRES: 12/30/2010 VALUE: Value Date Calculated Receipt Number 2201000000000000766 2201000000000000766 2201000000000000766 2201000000000000766 3201000000000000372 3201000000000000372 3201000000000000372 3201000000000000372 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 reque~ted after 7:00 a.m. will be made the following work day. . . . ~eri,lli~edJn;s'hec'tions ~ 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. . " i',i.""-, '. ..."., ,,,- ,..~,. . ~~~r::., .,' Paee 2 of 3 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line , \. i~;, :, CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00853 ISSUED: 06/30/2010 APPLIED: 06/29/2010 EXPIRES: 12/30/2010 VALUE: By signature, I state and agree, that I have carefully examiued the completed application aud do hereby certify that all information hereon is true and correct, and I further certify that auy 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,ardn,compliance with ORS 701.005 will be used on this project. I further agree to eusure that all required inspections;iire~eqiiested at the proper time, that each address is readable from the street, that the permit card is located at the front oqhe'prope~ty, and the approved set of plans will remain on the site at all times during construction. :".:.:;.,-,,.; ,.. ., Owner or Contractors Signature I; , .'.~1':'i~",i"~ .~:;"I'~;,I, ,',' 1. " ,Oo ~\'. f,01.'~,,. '.: Paee 3 of 3 '.."J.r.;'....I..L 4l" , ,:!:'.t~.:i: Date 225 Fifth Street Spri';lgfield; Oregon 97477 541-726-3759 Phone ~:" .~:~.~~.'.!;LD .._.'.jJ.' ....... .... ..:....... flit. .,c E ~ ., .~, .,' ,......' "'''.',~.,.".. '.: -',' City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000372 .~.. - Date: 07/02/2010 IO:27:34AM Job/Journal Number COM20 I 0-00853 COM20 1 0-00853 COM20 I 0-00853 COM2010-00853 Payments: Type of Payment ONLINE CHGS cReceintl Description 1st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Amount Due 79,00 17.00 11.52 4.80 $112.32 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ., ,i-:} '. J ~-; '(j~:'" -~-"'~"'''}.''~''~ ",,".." ;'. ,i';! ,H' , ;:~-. h'tj~ :) ~\~ ",,"' .'"1 ":\~~:-\' -'jW;;~ ".; ~~'.-' ,.'y' ., . ' Page 1 of 1 Amount Paid ONLINE MARSHAL Online LS $112.32 Payment Total: $] 12.32 7/2/2010