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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 . {!./{). ICJ{)g ': c'.Residential Mechanical Authorization To Begin Work ,','\',I'f'.,' ,', .. ',' 69600-BMC-10-00202 ,:;;{.. .;.:,'g, IRI 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 '. 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 $112.32 Tax mapfparcel no.: 1703262103602 - L~ ~c :,-' 'I; . ': (: '. !.' r: ,.. install heat pump and air handler '-"'.;:" , ~,,.>; '. . "' SITE'CON1:A'CT'.,,;, '". '.;r, "'." " ...." r, Name: henrv surmeir Phone: 541-915-7546 Fax: Email: [. CCB lie. no.: 25790 Business Name: MAR$HALLS INC City/State/ZIP: SPRINGFIELD, OR 974785620 h ~ 1)" ~ Contact: Address: 4110 OLYMPIC ST Phon~: 541~747-7445 Fax: 541-741-0821 Email: Metro lie. no.: City lie. no.: . .;~,~~, '-''C'. '~'~;'. 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~.:~'~ ,"' I- ~ . . 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. f!&-nQJ/O ~ OIUO! 790//0 /7h--\ 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 ; J1 '\~;; ..:..1'<," l '.,". 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:, ' c;.:'"'''' ~ ,- '," 1 P .. , , "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 h~ ~,f,;t ,.1:"" : i:;~";U,;' ":";i. \L: i..\" !.. li~' ,,"',-/, ,;!L. ',,'" ,-.',-,,( , Spri. ,1:..;.d.i ~' 'L ,~-:;.., .. , .,~ Pa~e I of 3 ir 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 ,.' -~ -.'" 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. ',. \;;: ':" ~ !~',;I' $ 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 . ' .,." ".':, "7/29/10 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 I'.. C!l!'n;Reyi_e~s:. ,I \:;l.)~ . J: ~:tjpi.:, . 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 , ~. ':J- Final Electric: When all electrical work is complete. . .... . '.'. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. '. ft' .,..l,' ,. -... . .' JV~~.~ i'.'1~.l'1l.;;::,ol ','.) " r~. ~~~'f')' '.-,~ r \:~i:j)"~ \~. i.v:i' ..., ;. . , Paee 2 00 ~.:-=~i~(' 7';;;''';',~'llk ':...f '" ':. ';'.'" , , 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: 01/29/201\ 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' ::,',Jo. ''lf~~; :'~r ~,' . ~,.' Owner or Contractors Signature " 1',>1,.' '''''''''';0'''1 I. ;:i!;:t~ 't'c i;' '; . ~",'~;..': '~, i> . ., .... . . . > ': ,.~ Paee 3 of 3 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759'P'hone GPiMGFlBLO i\t.............'..... ....'.. . . " .' . ':~ <.. ." . . '," 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 '.NJM ONLINE MARSHAL Online LS :\." ", ~"., ~:~~ w~~W~l~}';"" :,. . ''<!''"u,l ,'~!.;-~" "-'I . . )~~:.;~h A}:;. .:lW J;j ,-", 'p......' :,;/:'., . . :_ ~\';\ l, . ::ji ';':1'2-1 :r}f:~"\i~~r!~;:.' . ....i:;l, ~.. . .'. Page I of 1 Payment Total: $112.32 7/29/20 I 0