The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2010-7-7 SPRINGFIELO.-- ~.Ll ..4>,. ..' "~'l"<.... . '.-'>a~.-~..< .~ ",-,,- . "...,-'-. . ..:- ,'. . OREGON City Of Springfield 225 Fifth 5t Springfield, OR 97477 Phone: 541.726.3753 Emai!: permilcenter@ci.springfield.or.us C/O, Lf{)0 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00176 Approval Code: 036450 7/7/2010 5:08 pm E.mailed To: lindsey@marshallsinc.com FEE SCHEDULE ~- , .:"'.. "Y .:;:' : . ;',';ryPEClF' WORK ";;;,:".:'-X,;::,.."" , : .. 1". 0 New Construction ~ Addition/alteration/replacement . L . .c:ATEGORY OF CON'STRUCTION ~h,!"r'-<"~- 1ZI 1 or 2 family dwelling 0 Multi-family 0 Commercial Q ~'A9cessory '.. ,. j , .JOBSITE INFORMATION AND LOC,<(TION '.,--, 1 , ., , .' Job Address: 255 35TH CT City/StatefZIP: SPRINGFIELD, OR 97478 Sulte/bldg.lapt.no.: Project Name: SANDOVAL Cross Streetfdirections to job site: 35th Street , .- Tax map/parcel no.: 1702313101303 ,. q , .. 1"- 'L:-~' :'" 7',o~.DESCl~i~l'ION~,QFWORK >>:j!.t'rt;:"':';-o ':;, "', -':,:,:,<., .,",; Install Mitsubishi Ductless Heat Pump ":::;'", " .. ; ,"SITE CONTAcT t.~::' . Name: MAX SANDOVAL ., .~,"'. .: ~) '",:, (Ji, Phone: 541.726-7798 Fax: _~",R ..,.... Email: ':.~f~~ ........ ,,~ ~ ,i~ . ','" .. . 4~CONTRACTOR .~ '~'i~~:t, ;'. ;.,,:1 I "', , <.~ ' cee lie. no.: 25790 Business Name: MARSHALLS INC Contact: Address: 4110 OLYMPIC 5T CityfSlatefZIP: SPRINGFIELD, OR 974785620 Phone: 541-747.7445 Fax: 541-741-0821 Email: , ,,',' , , .. Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your pennlt will bo a-mailed or fall;ed within one business day, with Instructions on how to schedule your Inspection. NOTE: This Authorization To Begin Work expires within 180 day. If a permit is nol 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, ,<:'1), ',-;"" .,.~:....~ ~m W I () 1~8...-10 000 0 c:,... n fY'- ,..... '~,',-:';::\l\~'. :. ~.~-~ ., '~b;' . Description Minimum Fees First Appliance Fee !\'Iechariical',Perniit'Fees -. Subtotal State surcharge (12% of permit total Technology fee (5% of permit total) TOTAL PERMIT FEE '# ./is \., \. ~~~. ~.\b 'f\'\~~ ~ Inspections Phone: 541-726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit Total $79.00 $79.00 $9.48 $3.95 $92.43 '.i' '~ '). 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: COM20IO-00906 ISSUED: 07/08/2010 APPLIED: 07/0812010 EXPIRES: 01108/2011 VALUE: Status Issued ", ,iiU>~:. ',",;r'i.:.l~'? '.... . SITE ADDRESS: 255 35TH CT ASSESSOR'S PARCEL NO,: 1702313101303 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install ductless heat pump Owner: SANDOVAL MAXIMINO Address: 5335 DAISY ST 49 SPRINGFIELD OR 97478 Phone Nnmber: 541-726-7798 ~ ,:: , '.',1'; "!' '., , .H .1."; I CONTRACTOR INFORMATION ~ Contractor Type Mechauical Contractor MARSHALLS INC 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: 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 I REQUIRED PARKING Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: #,Street Trees R!ld: , Paved Drive Rqd: . . ,)b?f Lot C';-~e~age:' ;, ,~~,.;,:~,[~"\, Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ Street Improvements: Sidewalk Type: ATTBNlTfOlllllQle\'JCllli6aw requIres you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth " . , . In OAR 952-001-0010 through OAR 952-001- ,.. ,.,. ,n;'Oit i, (/" '..' 0090. You may obtain copies of the rules by NOTICE: II EXPIRE IF '~dW'~~n D{~criPtion ~ number for the Or~gon uiility Notification THIS PERMIT SH'" THIS PER~ Center Is 1-80ll-332'2344). , ,~I 'THO~ED UNDER 'unONEIJ peR;q Ft. Square Footage - DeSCriptIOIt' ME merilfi&lmtABAwlJ It' I," B'd A Value Date Calculated COM ,IJl:U \In or mu Ip ler or I mount ANY 180 DAY PERIOD. ' ' Storm Sewer Available: Special Instruction: Notes: "',\', ,,'~~""" Paee 1 of 2 l.. .' ': ' . '.'. ~, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,. \ t!.U1l'; 'I'(i:.......; ,:;\'T?t;i 5~~1,~~ of Project ,,,..,1.', .'-, .. I)ees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9.48 $3.95 $79.00 7/8/10 7/8/10 7/8/10 I Total Amount Paid $92.43 ." ~, . !. . Rlan Reviews ~ ';:i CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00906 ISSUED: 07/08/2010 APPLIED: 07/08/2010 EXPIRES: 01/08/2011 VALUE: Receipt Number 3201000000000000399 3201000000000000399 3201000000000000399 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. Rough Mechanical: Prior to Cover ; ~:} i ;,' ,. LRediiired'Ins'uections I ...,::.n'}J':-, }:.!,fl . . -:~i'\,-0:" . f '.'t ' :~~~:'~': . 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 I further certify that any and all work performed shall be done in accordance with the Ordinances of the Cily 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. 1 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 inspections are request.ed at the proper time, that each address is readable from the street, that the permit card is located at the front oUh'e'property;.irid the approved set of plans will remain on the site at all times during construction. (. .k. ", . '- ..'\ .-", Owner or Contractors Signature Date ._....,;1 " '.' Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000399 Date: 07/08/2010 8:14:39AM Job/Journal Number COM20 1 0-00906 COM20 1 0-00906 COM20 I 0-00906 Payments: Type of Payment ONLINE CHGS cReceinll Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS t \ ~ . ,. Amount Due 79.00 9.48 3.95 $92.43 'J.,! Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Paid NJM ONLINE MARSHAL Online LS $92.43 Payment Total: $92.43 ;., ,:f;f' .~~ ,;- :'.: ",I, ...._r, I, '\"', \",:;f',', . ,'j '-.1-,' ,.,,,,.. . "'''. Pa.ge I of I 7/8/2010