HomeMy WebLinkAboutPermit Mechanical 2010-7-8
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00177
Approval Code: 059130 7/8/2010 9:08 am
E-mailedTo:lindsey@marshallsinc.com
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City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541~726^37S3
Email: permitcenter@ci.springfield.or.us
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~.JOB'SITE INFORMATION' AND aO.CATION ,;:t':::. ','
~inimunl'F'ees~
First Appliance Fee
Mechanical' PerJjlifFees.'y+f,~
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permit total)
D New Construction.
~~.:~.:';.ItATEG08-i;Q!;:CONSTRucfro!'f,*':'
[Z] 1 or 2 family dwelling D Multi-family 0 Commercial 0 Accessory
Job Address: 2211 DORNOCH ST
$79.00
$948
City/StatefZIP: SPRINGFIELD, OR 97477
Sulte/bldg./apt.no.:
TOTAL PERMIT FEE
$3.95
$92.43
Project Name: Brown
Cross Street/directions to Job site: Harlow Rd
Tax mapfparcel no.:
1703272207502
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.. .;~; f:cSITE COt;!TACT
Name: Butch Brown
Phone: 541-726.0913
Fax:
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Email:
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CCB lie, no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4110 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: 541-747-7445
Fax: 541-741-0821
Metro lie. no.:
City Iic. no.:
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Emall:
Com 20/ 0
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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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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
541-726-37691nspection Line
SITE ADDRESS: 2211 DORNOCH ST
ASSESSOR'S PARCEL NO.: 1703272207502
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,CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00908
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01108/2011
VALUE:
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install dnctless heat pump "
Owner:
Address:
BROWN HAROLD L & PATTI K
2211 DORNOCH ST
SPRINGFIELD OR 97477
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
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Phone Number: 541-726-0913
I CONTRACTOR INFORMATION ~
License
25790
BUILDING INFORMATION ~
Expiration Date
12/2312011
Phone
541-747-7445
#'01' Stories: "
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
nla
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport.
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
NOTICE:
.Tf:lIS PERfI4lT SH$I.LL EXPIR.E IF THEisVJ.Q.~~ Ft
Descn~to!\1 0 R IZt~~ ~ b 'El'fffl~t19~R M lToJ.SJllQ~lier
COMMENCED OR IS ABANDONED FOR
'.NY 180 DAY PERIOD.
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:.
Notes:
REQUIRED PARKING
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:'O~~~rlfiYriis'f:' .
-"1I;:Street T;ees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
,
" ,
Sidewalk Type:
.,.. DownspoutslDrains:
..ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-001 0 through OAR 952-001-
.Valuation Descri liing the center. (Note:t.he tele~hone
mber for the Oregon Utility Notllicatlon
Square Foota~enter is 1-800-332-2344).
B'd A t Value Date Calculated
or I moun
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:Paee 1 of 2
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00908
ISSUED: 07/08/2010
APPLIED: 07/08/2010
EXPIRES: 01/08/2011
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.' ,!I'otal Value of Project
LFees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
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7/8/10
7/8/10
7/8/10
3201000000000000401
3201000000000000401
3201000000000000401
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Total Amount Paid
$92.43'S' >-
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I Plan Reviews I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do herehy certify that all
information hereon is true and correct, and I further'~~.rtify that any an~ all work performed shall be done in accordance with
the Ordinances ofthe City of Springfield and the Laws'ol'1he State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structNre:':Vith6ut,permission of the Community Services Division, Building Safety.
I further certify that only contractors and employ~~swho are'in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspectio~;.\ire 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
Date
:)
"
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000401
9:14:15AM
Date: 07/08/2010
Job/Journal Number
COM20 1 0-00908
COM20 1 0-00908
COM20 I 0-00908
Payments:
Type of Payment
ONLINE CHGS
cReceintJ
Description
1 5t Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
'.
Amount Due
79.00
9.48
3.95
$92.43
Item Total:
Check Number Authorization
Rc"c,eived By Batch Number Number How Received
Amount Paid
NJM
ONLINE MARSHAL Online
LS
$92.43
Payment Total:
$92.43
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