HomeMy WebLinkAboutPermit Mechanical 2010-7-7
City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenler@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-0017 4
Approval Code: 038110 7/7/2010 2:04 pm
E-mailedTo:lindsey@marshallsinc.com
o New Construction IKI Addition/alteration/replacement
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,,4, :_,c'-C?:tCa::'4'T,?'7CATEGORY,O.~S:;pNSTRUC'I'ION _- "",11; .."',: ",:,,,,,7'"
00 1 or 2 family dwelling 0 Multi-family 0 Commercial D~. A~ces;O~;:, ' ,
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:'+:f-', :i";:31:~::40B SITEINFORMATION'ANO.LOCA TION.tf~' '
Job Address; 380 25TH 5T
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: LEVVELLEN
Cross Street/directions to job site: 0 STREET
Tax map/parcel no.:
1703361416300
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Fax:
CCB Iic. no.: 25790
Business Name: MARS HAllS INC
Contact:
Address: 4110 OLYMPIC ST
CitylState/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-0821
Email:
Metro Iic. no.:
City lic. no.:
Upon review and approval by your local jurisdiction, your pennit will be" !;t-l11aU!;td or faxed
within one busineS5 day, with instructions on how 10 schedule your inspection.
NOTE: This Authorization To Begin Work expire5 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 meel applicable land use laws and local ordinance5.
Corr-'2...0\ b- oo~o3
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Description
tt~a{ing~gooli'r1gt.4:pi>liai1ces\~~-'; ''<."
Heal Pump
N1J~i.f!!'u"fF:ee~T4;"~;, ;:>/
First Appliance Fee
~~~_~.ar~c~IJ)ermiFFee~-~' <!~-:
Subtotal
Slale surcharge {12% of permit
total
Technology fee (5% of permit total)
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$96.00
$11.52
:,,~
$4.80
TOTAL PERMIT FEE
$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
S ta tu.s
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00903
ISSUED: 07/07/2010
APPLIED: 07/0712010
EXPIRES: 01107/2011
VALUE:
225 Fifth Street, Springtietd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 380 25TH ST
ASSESSOR'S PARCEL NO.: 1703361416300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pnmp ilDd air handler
Owner: LEWELLEN HARVEY E & MAMIE B.:...
Address: 380 N 25TH ST':"'i'!',
SPRINGFIELD OR 97477 , .
':
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION ~
Expiration Date
12/23/2011
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:
Range 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:
n/a
I DEVELOPMENT INFORMATION ~
REQUIRED PA~KING
Total: ---...
Handicapped:
ATTE Compact:
NTION' 0
fol/o . regon law r .
Notifi:artU/es adopted by theegUlres you to
. Ion n "" I en Ilq;~
520 .vo" ru es
I PUBLIC IMPROVEMENTS ~0090 v - 01-0010 through OAaRre set forth
. TaU may obt . , 952 00
. ca/"-""'-'-"~T !'Iln copies of th - 1-
""uJ"'nU"'e,yp~~. (N e rules by
nUmber for thA . ate: the tele h
Do~nsooU'\SYDr~iils: Utility Not fP one
"mer IS 1-800 332 I Icatlon
- -2344).
Overlay Dist:
#,Street ifre,es Rqd:
.P~';ed Drive Rqd:
'iyd of Lot Coverage:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvement~l'
IVUI Ct-
Storm Sewer A vailabl~.: .
'''0 J-'t
Special Instru~18'rH RMIT SHAL
Co ORIZED UN L EXPIRE IF
Notes: !VV;'MENCED ORDER THIS PER THE WORK
, 180 f)^" IS ARJ^,,, _ MITIS I
, 'iii D.
Description
Type of Construction
..
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page I of2
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Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
Total Value?f Project
'. ",~Fees Paidi~
n. ..... .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
]st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$]7.00
7/7/]0
7/7/]0
7/7/]0
7/7/]0
Total Amount Paid
$112.32, ',:'I..:,.,;,~\ '<'I'~ \ i
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I ::J~hj~ R~~iews ~
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM20IO-00903
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 01/07/2011
VALUE:
Receipt Numher
]20]000000000000803
]20]000000000000803
]201000000000000803
120]000000000000803
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. '
LReauired Insoections ~
Rough Mechanical: Prior to Cover
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.... ..,
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Final Mechanical: When all mechanical work 'is complete.
By signature, 1 state and agree, that 1 have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and 1 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 he made of any structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employe,es who ,are in compliance with ORS 701.005 will he used on this project.
1 further agree to ensure that all required inspectio,;,,:'''re reqilestedat the proper time, that each address is readahle from the
street, that the permit card is located at the front oLtlie:property; and the approved set of plans will remain on the site at all
... ...'Uj"ll ,.,........",
times dUring construction. .-,;".~.~.~" '_ ". '
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Owner or Contractors Signature Date
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Pa2e 2 of2
225 Fifth Street
Springfield, On,gon 97477
541-726-31'59 Phone
~-
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000803
Date: 07/07/2010
3:24:48PM
Job/Journal Number
COM201O-00903
COM20 I 0-00903
COM20 1 0-00903
COM20 1 0-00903
Payments:
Type of Payment
ONLINE CHGS
cReceintl,
Description
1st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
nJm
ONLINE marshalls inc Online
Payment Total:
$112.32
$112.32
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7/7/2010