HomeMy WebLinkAboutPermit Mechanical 2010-7-1
O/f). '372
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00161
Approval Code: 06535D 7/1/2010 3:09 pm
E.mailed To: lindsey@marshallsinc.com
f;~ ""~~;<'.~ii7,+;:\i~,E"E''$CHE6u~,=--~~1';,c:0ft;YF~:~'
~sr.~~~G_' FIELD:
.. -.-.-.' ..
_. ..
t't~ u !1hil
,_... ..,;..;.;.'~
. .... c\. OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541~726-3753
Ernail: permitcenter@ci.springfieJd.or.us
i.
New Construction
IRl Addition/alteration/replacement
o
'\.<' C' :. ......... -'... ....... .... ,-" ..:....;..".. -.:.._-,,- -.. -. ...~._:....,.~.......". _.. ....
:. ., .pATEGORY,QF CONS]:RUC;:TION
[Zl1 or 2 family dwelling
o Multi-family 0 Commercial
o Accessory
. :~,;'JOBSITEINr:.ORMATfoN;AND'il6'CATI6N];.)l;;:' '~!Ui;;'"",
:, ~,
Job Address: 5669 D ST
('"
CitylStatefZIP: SPRINGFIELD, OR 97478
SuiteJbldgJapt.no.:
Project Name: kuddlemyer
Cross Street/directions to job site: 58th st
Tax map/parcel no.:
1702331405614
install heat pump and air handler
Name: QUV kuddlemver
Phone: 541-741-3670
Fax:
Email:
.",i"ii;;~l'{0'~' ;,~t>NiRACTOR;':::r';':_'
'!:~~.
CCB Iic. no.: 25790
Business Name: MARS HALLS INC
t:'..,.:..-:
Contact
Address: 4110 OLYMPIC ST
Clty/StatefZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-0821
Email:
Metro lie. no.:
City lic. no.:
. r:-
Upon review and approval by your local jurisdiction, your permit will be e-mai!ed 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 all Authorization To Begin Work is null and
void if it does not meet applicable land use laws and local ordinances.
wm?zJlO
l-d~l'O
00 ~7L
l\YY'\,
'1"--~ ~ .
Description
Heatin9lCoojing'eApR!tahce,s~'; ~~~~:'fe-~;"
Heat Pump
MinirTHimFees ~:;1i,i:"..
First Appliance Fee
Mectj~fiic~I,~el~ii Fee~';-
Sublotal
State surcharge {12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$79.00
-,~,.,~
;
$96.00
$11.52
$4,80
$112.32
-.J
,
.~
~ ~~~"
\Y \f&-1J
~
r'\.') .lD
~~Q-
~
Inspections Phone: 541.726.3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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: COM2010-00872
ISSUED: 07/01/2010
APPLIED: 07101/2010
EXPIRES: 01/02/2011
VALUE:
SITE ADDRESS: 5669 D ST
ASSESSOR'S PARCEL NO.: 1702331405614
Springfield TYPE OF WORK: Heating System
TYPE OF VSE: New
PROJECT DESCRIPTION: Electrical for furnace change-out & heat pump exchange
Owner: KIME KRISTY E
Address: 5669 D ST
SPRINGFIELD OR 97478
Residential
I CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
, ,~,
.~~t>,,'l:;i:l
I_}!".,
",
BuiiDlNG INFORMATION ~
# ofVnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:
Sprinkled Building:
License
178518
25790
Expiration Date
09/25/2011
1212312011
Phone
541-895-4466
541-747-7445
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENTINFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
on laW reguirEI'PUIlL1<;; IMPROVEMENTS ~
r- r,I(JN' Oreg the Oreg~, tll '. '
Street Impnfvenients:o ~dop\ed by 1 \es ale set \or"" 'i
lo\'io'N ~u\e':"~'~r 1\10Se rU ^C, 952~O()t
Storm SewerAvaIlable:,en,c. tllrQUgl, 0,," rr-'s:ti"r" "'-"
Special InUi~~aj;~:52-00\'ObO\laO\f\ co\)ies oltll\e ~~1~e" '
In \..,.t" , .- a 0 e te et"l ".:...l1
N . 0090.YO~:e ;ente[. \NO\~~i;~Y No\ilication
otes. calling \\'\8 Oregon 2344).
number \or ' , 1,800-332-
center \S
,.,:.,"
..1. ;\:\'.'~:
_a.;;,~ . .
p:iii~-l of3
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
DescriPtion
Tvpe of Construction
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
Total Amount Paid
. '"i;:o:,'
"
'.. ,
~:,:;,(j~
.::'.<;......
',:ro..
'I, ;"
I VaJuation Description ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00872
ISSUED: 07/01/2010
APPLIED: 07/01/2010
EXPIRES: 01/02/2011
VALUE:
Value
Date Calculated
,'i ';,~:'!:...,
.~,:",.:-";.,,.
'", .
n.
0"
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount.
Total Valu~ of Project
,~.
Amount Paid
$7.32
$3,05
$55.00
$6.00
$11.52 '."
$4 80)':~"'::;' '.,'..; '~;,.
. . t', 'i' ',:
$79.00""..'
$17.00,,~.::,
,;.t"
,,',
$183.69
I Plan Reviews ~
Date Paid
.f,
7/1/10
7/1/10
7/1/10
7/1/10
7/2/10
7/2110
7/2/10
7/2/10
Receipt Number
3201000000000000360
3201000000000000360
3201000000000000360
3201000000000000360
3201000000000000365
3201000000000000365
3201000000000000365
3201000000000000365
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, inspec,tions'.re.quested after 7:00 a.m. will be made the following
workday.",':"'"
"fo:!,;1 "
L..f.eouiredJnsnections ~
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical worl(is' C<i~p!~te: '
,..r(;.",,;,. .,. ,.1>'
,'\';1""
Paee 2 of 3
~~~~'~l:!I!FI~~'
11 "',
!!
. .... ....." m
CITY OF SPRINGFIELD
Building/Combination Permit
Status
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'. "
. .
J -
PERMIT NO: COM2010-00872
ISSUED: 07/0112010
APPLIED: 07/0112010
EXPIRES: 01102/2011
VALUE:
Issued'
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 structufe}\\;ittloGl.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.
1 further agree to ensure that all required inspectiOl!s:~re requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of:ihe property, and the approved set of plans will remain on the site at all
times during construction.
Owner, or Contractors Signature
Date
. .
'1'\:.'
~.', ;
!.', ~W.~,it.: l:;ill :';;~~ '{.f,;~..,_' ~
;:::'~"wl' . ':!,'~- ";wi'
, ~ ItS . '.! i: . /: (~' ~ l.
:~.n' ;'
',. ~: .).
;l~_ .'
i'~7,'.,>3' ;
:ri".";'; ,
" ".'fa!!" 3,'of 3
. !,r '.'~:. ,;'
"J'_"
'\".",
225 Fifth Str~et
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000365
Date: 07/02/2010
8:04:0SAM
Job/Journal Number
COM20 I 0-00872
COM20 I 0-00872
COM20 I 0-00872
COM20 I 0-00872
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Heat Pump
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Received By
Checl, N u m her
Batch Number
NJM
Item Total:
Authorization
Number How Received
Amount Due
]7.00
79.00
11.52
4.80
$112.32
Amount Paid
$] ]2.32
ONLINE MARSHAL Online
LS
$112.32
,
'.
;~';<;'t,~
.' .~
t'
"."l'r'
c ~ .
J:~f :'.
Page] of ]
Payment Total:
7/2120]0