HomeMy WebLinkAboutPermit Mechanical 2010-7-6
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phon.e: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00169
Approval Code: 058060 7/6/20tO 9:58 am
E-mailedTo:.lindsey@marshallsinc.com
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00 1 or 2 family dwelling 0 Multi-family 0 Commercial D Accessory
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Job Address: 353 72ND ST
City/State/ZIP: SPRINGFIELD, OR 97478
State surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERN!IT FEE
$9.46
$3.95
Sulte/bldg./apt.no.:
$92.43
Project Name: wing
Cro~s Street/directions to job site: C 51
Tax map/parcel no.:
1702353105000
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ceB lie. no.: 25790
Business Name: MARSHALLS INC
Metro lie. no.:
City lie. no.:
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Contact:
Address: 4110 OLYMPIC ST
CityfState/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-0821
Email:
Jpon review and approval by your local jurisdiction, your permit will be ,a-mailed or faxed
vithin one business day, with instructions on how to schedule your inspection.
~OTE: This Authorlution To Begin Work expires within 180 days if a permit Is not obtained.
l11e local building department may determine that an Authorization To Begin Work is null and
loid if it does not meet applicable land use laws and local ordinances.
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W//720/0
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003'90
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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
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00890
ISSUED: 07/06/2010
APPLIED: 07/0612010
EXPIRES: 01106/2011
VALUE:
. ~ .; . ~ ' I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 353 72ND ST
ASSESSOR'S PARCEL NO.: 1702353105000
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. Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump
Owner: WING NICHOLAS D & KIMBERLY J
Address: 353 72ND ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
.., License
25790
BUILDING INFORMATION I
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: ,
'Yate[.~Type: ~
"Range:l1YI,'e!' .
::Energy Nth:
,-. ",., "
'Slii-inkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Notes:
NOTICE:
TWIe: DCD~nrT e:u I I CYDrDC Ie
~... ...." '. . ZfiEN"1 1 N. ree' Illo,VI' ''-''-1'''''''~'~ 1--'
I PUBLlCIMPRoyEMEN 'VI rules ~dopted by the Oregon 'Utility
. ",,', .. . . ~~~, , The'se rules are set forth
NotrflcatrcSldewalkType:. I OAR 952-001-
in OAH 952.001-0010 throug 1
0090. Yor9Al"JjSIJ!!\l.!i1,Qr.a,his:; of the rules by
calling the center. (N01e: the telephone
number for the Oregon U~i1ity Notification
Center IS 1-800-3u2-23M).
Street Improvements:
Storm Sewer Available:
Special Instruction:
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'1/1'11['[V~ERIOD ..,;..'
, . ,'., ,". ,. I-' r, '. $ Per.Sq.Pt", Square Footage
DeSCrIptIOn Type of ConstructIOn 'It' I' '.
. or mu Ip ler or Bid Amount
Valne
Date Calculated
Paee I of2
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00890
ISSUED: 07/06/2010
APPLIED: 07/06/2010
EXPIRES: 01106/2011
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
,}"otal Value of Project
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Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Amount Paid.'
Date Paid
Receipt Number
$9.48
$3.95
$79.00
7/6/10
7/6/10
7/6/10
3201000000000000385
3201000000000000385
3201000000000000385
Total Amount Paid
$92.43
Plan Reviews r
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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.
Reauired InsDections I
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Rough Mechanical: Prior to Cover ',l_:;....~:.:~:i ::~:.l.\'{~,t, ~;;)~r
Final Mechanical: When all mechanical wo'i,1iifcon\WI~:t~', .
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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 [ 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 berein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Bnilding Safety,
I further certify that only contractors and employees who are in compliance witb 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. ' !
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Owner or Contractors Signature
Date
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:;i'1;CP~2e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000385
Date: 07/06/2010
IO:14:40AM
Job/Journal Number
COM20] 0-00890
COM20] 0-00890
COM20] 0-00890
Payments:
Type of Payment
ONLINE CHGS
cReccintl
Description
] st Appliance
+ ] 2% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
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::.:.::. :::'._CheckN umher
Received By,' '., Batch'Number
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Item Total:
Authorization
Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
$92.43
ONLINE MARSHAL Online
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Payment Total:
$92.43
7/6/2010