HomeMy WebLinkAboutPermit Mechanical 2010-7-29
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfield.or.us
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': c'.Residential Mechanical Authorization To Begin Work
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o Multi-family 0 Commercial
Approval Code: 02614D 7/29/2010 8:37 am
E.mailed To: lindsey@marshallsinc.com
o New Construction
1 or 2 family dwelling
. . . ~. JOB srrE:INF.ORMA TIOi.lAND;LOC:A.'tION' n;: '<
Job Address: 373 WOODlANE DR
City/StatelZIP: SPRINGFIELD, OR 97477
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MechiiljicClI 'Permii;'F:"ee~
Subtotal
Slate surcharge (12% of permit
total
Technology fee (5% of permit total)
TOTAL PERMIT FEE
$96,00
$11.52
Suite/bldg.fapt.no.:
Project Name: surmeir
$4.80
Cross Street/directions to job site: 5th sl
$112.32
Tax mapfparcel no.:
1703262103602
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install heat pump and air handler
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Name: henrv surmeir
Phone: 541-915-7546
Fax:
Email:
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CCB lie. no.: 25790
Business Name: MAR$HALLS INC
City/State/ZIP: SPRINGFIELD, OR 974785620
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Contact:
Address: 4110 OLYMPIC ST
Phon~: 541~747-7445 Fax: 541-741-0821
Email:
Metro lie. no.: City lie. no.:
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Upon review and approval by your local jurisdiction, your perm1t will'~be :'e-mailed for 'faxed"
within one business day, with im.tructions on how to schedule your inspection. . :;~.t~.:~'~ ,"'
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NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol ~~~ained. .
The local building department may determine Ihat an Authorization To Begin Work is null and
void if il 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
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01008
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/2011
VALUE:
SITE ADDRESS: 373 WOODLANE DR: ';:"t ' 'l, iSpringfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703262103602
PROJECT DESCRIPTION: Electrical for HV AC.equipment
Owner: SURMEIER HENRY W & SA
Address: 373 WOODLANE DR
SPRINGFIELD OR 97477
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION ~
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
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License
178518
25790
Expiration Date
09/25/2011
12123120 II
Phone
54 I -895-4466
541-747-7445
BUILDING INFORMATION ,
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rii',ige Type:, '
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"n~rgyPiilh:" .;' "
Sprinkled Building:
nla
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS ~
Storm ~ewerNAy,ail1b~r ,.
Speci~J.6~fru~ti'dn:: regon law requires you to
, ",UW rUles adopted by the Oregon Utility
Note ~otlflcatlon Center. Those rules are set forth
~n OAR 952-001-0010 through OAR 952-001-
0090" You may obtain copies of the ruies by
calling the center, (Note: the telephone
number for the Oregon UliJity Nofification
Center is 1-800-332-2344),
Sidewalk Type:
DownspoutslDrains:
NOTICE: PIRE IF THE WORK
THIS PERMIT SHA~~ ~H'S PERM\1 \S NOT
AUTHORIZED UNO,S ABANDONED FOR
COMMENCED OR '
ANY 1 SO DAY PERIOD
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-0I008
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 0l/29/2011
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Description
Tvpe of Construction
I V alu~~~on D~sc~iption I.
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$ Per ~q. ft ..' .Square Footage
or mulJ.ipHer or Bid Amount
Value
Date Calculated
,;':':.
Total Value of Project
~
Fee Description
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
Heat Pump .
Amount Paid
Date Paid
Receipt Numher
$7.32
$11.52 .
$3.05."."
$4.80, .
$79.00
$55.00
$6.00
$17.00
7/29/10
7/29/10
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7/29/10
7/29/10
7/29/10
7/29/10
7/29/10
3201000000000000481
2201000000000000898
3201000000000000481
2201000000000000898
2201000000000000898
3201000000000000481
3201000000000000481
2201000000000000898
Total Amount Paid
$183.69
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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.
. ~eotlirecUnsnections I
Rough Electric: Prior to Cover
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Final Electric: When all electrical work is complete. . .... . '.'.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-01008
ISSUED: 07/29/2010
APPLIED: 07/29/2010
EXPIRES: 01/29/201\
VALUE:
By signatnre, I state and agree, that I have carefully examined the completed applicatioo 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 City 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.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the properJime, 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. . jr~.~i~. ,,<~, ~~'i"F1'I'
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Owner or Contractors Signature
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Paee 3 of 3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759'P'hone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000898
Date: 07/29/2010
9:08:45AM
Job/Journal Number
COM20 I 0-0 1 008
COM2010-01008
COM2010-01008
COM20 I 0-0 I 008
Payments:
Type of Payment
ONLINE CHGS
cReccintl
Description
1 st Appliance
Heat Pump
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
'. Chec.k Number
Received By Batch Number
Item Total:
Authorization
Number How Received
Amount Due
79.00
17.00
11.52
4.80
$112.32
Amount Paid
$112.32
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ONLINE MARSHAL Online
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Payment Total:
$112.32
7/29/20 I 0