HomeMy WebLinkAboutPermit Mechanical 2010-7-22
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--. . 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-
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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:
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Address: 411 Q Ol...:t
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CI1yIState1ZlPffi'j\VN\1't'ftBBJ fJ'R'~2ABANDONED FOR
Phon., 54'-7;7t1~518D DAY PERIOD.F.., 541-741-0821
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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
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Description Qly. Ea. Total
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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
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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).
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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 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
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Payment Total:
$112,32
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