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HomeMy WebLinkAboutPermit Mechanical 2010-7-22 Sr.c.tN:~E~ ~.'ilit-... ..-. s.., ~ \.~ --. . OREGON City Of Springfield 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: pennitcenter@d.springfield.or.us o New Construction [Xl Addition/alteration/replacement 00 1 or 2 family dwelling 0 Multi-family 0 Commercial o Accessory I.'~. ."f~~.m1JOB SrreINFORMATION').NDLOCATION- :;;;;.~;. Job Address: 474 BROOKDALE AVE City/StateJZlP: SPRINGFiElD, OR 97477 SuitelbldgJaptno.: Project Name: EWING Cross Street/directions to job site: PHEASANT ST Tax map/parcel no.: 1703224204300 INSTALL HEAT PUMP AND AIR HANDLER Name: PATRICK EWING Phone: 541-515-2627 Fax: Email: ceB lie. no.: 25790 Business Name: MARSHALlS INC Contact: . . , I Address: 411 Q Ol...:t II CI1yIState1ZlPffi'j\VN\1't'ftBBJ fJ'R'~2ABANDONED FOR Phon., 54'-7;7t1~518D DAY PERIOD.F.., 541-741-0821 , ..",' Email: Metro lie. no.: City lie. no.: Upon review and approval by your local jurisdiction, your pennlt will be e-maned or f8X~d within one business day, with InstnJctions on how to schedule your inspection. NOTE: This Authorization To Begin Work expires within 180 days If a pennlt Is not obtained. The local building department may detennlne that an Authortzation To Begin Work Is null and void If It does not meet applicable land use laws and local ordinancelli. (]/O.tf71 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00197 Approval Code: 02369D 7/22/2010 9:17 am E-mailedTo:lindsey@marshallsinc.com .:.J .: ..~ ~ .: Description Qly. Ea. Total ~ :.:f" ::J:;. Heat Pump 1 $17.00 $17.00 ......::.. First Appliance Fee $79.00 ~ Subtotal $96.00 State surcharge (12% of permit $11.52 total) Technology fee (5% of permit total) $4.80 TOTAL PERMIT FEE $112.32 CJD-~\ \ ~ 112...2.. ,. .........,~....,~."ti ..~ ATTENTION: Oregon law 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- 0090. You may obtain copies of the rules by calling the center, (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). ~ rI.\~~ \ ~ "JS. ~~ ~ t\ ~f},.\O ~~ ~ Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Pennit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00971 ISSUED: 07/22/2010 APPLIED: 07/22/2010 EXPIRES: 01/22/2011 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 474 BROOKDALE AVE ASSESSOR'S PARCEL NO.: 1703224204300 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install heat pump aud air handler Owner: EWING PATIRCKA& KIMBERLY A Address: 474 BROOKDALE AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS 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 Constrnction 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 I REQUIRED PARKING Frontyard Setback: Overlay Dist: Side I Setback: NOTICE' .. \0:.: ",I!.~~r':',etTrees Rqd: Side 2 Setback:' Paveil I;!.';!YI Rqd: Rearyard Setbacu:IIS PERMIT SHALL EXPIRE IF 'F.1lIit\ilMl1:!'8verage: Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS NOT ANY 180 DAY PERIOD. Street Improvements: Storm Sewer Available: Special Instruction: PUBLIC IMPROVEMENTS Total: ATTENTION: Oregon~~_Il~:you to follow rules adopted 6f1l't~gon Utility Notification Center. Those rules are set forth In OAR 952-o01-0010thro~gh OAR 952-001- caliing the center. (Note: the telephone nu_JgI~I:\ft,QI.egon Utility Notification Center 18"-800-332-2344). Down,spoutslDrains: . U IVII ILl Notes: I Valu'ation Description I Description Tvpe of Construction SPerSq Ft'. or multiplier Square Footage or Bid Amount Value Date Calculated Pal!e I of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00971 ISSUED: 07/22/2010 . APPLIED: 07/22/20]0 EXPIRES: 0]/22/2011 VALUE: 225 Fiftb Street, Sprinl(field, OR 541-726-3753 Pbnne 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project ~ Fee Description + 12% State Surcbarge + 5% Tecbnology Fee Ist Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 7/22110 2201000000000000858 $4.80 7/22/10 2201000000000000858 $79.00 7/22/10 2201000000000000858 $17.00 7/22/10 2201000000000000858 Total Amount Paid $112.32 I Plan Reviews I 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 he made the following work day. l...P-eouire~nsnec~ Rougb Mecbanical: Prior to Cover Final Mecbanical: Wben all mechanical work is complete. By signature, I state and agree, tbat I bave carefully examined tbe completed application and do hereby certify tbat all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with tbe Ordinances oftbe City of Springfield< and tbe Laws oftbe State of Oregon pertaining to tbe work described berein, and tbat NO OCCUPANCY will be made of any structure witbout permission oftbe Community Services Division, Building Safety. I further certify that only contractors and employees wbo are in compliance witb ORS 701.005 will be used on tbis project. I further agree to ensure tbat all required inspections are requested at the proper time, that each address is readable from the street, tbat tbe permit card is located at tbe front of tbe property, and tbe approved set of plans will remain on tbe site at all times during construction. Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000~00000000858 Date: 07/22/2010 11:32:18AM Job/Journal Number COM20 I 0-00971 COM20 I 0-00971 COM20 10-00971 COM20 I 0-00971 Payments: Type of Payment ONLINE CHGS cReceintl Description 1 st Appliance Heat Pump + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By ,Batch Number Number Amount Due 79.00 17.00 11.52 4.80 $112.32 How Received Amount Paid KR ONLINE MARSHAL LS $112.32 Online ,~ .,~ " Payment Total: $112,32 c. r!o~.H- HiWVlil" ,'( ._;;k,.:,., ~ 'r 0 "....,"', "I-, " ...........""..,'....,,-....,..'..... (HHH '(;iff};;' '"...,"~..~.. ..' .'..,"" ," I;: ;., ", . . Page I of 1 7/22/20 I 0