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HomeMy WebLinkAboutPermit Mechanical 2010-8-5 SP1!~..~~L~ if""(~ ,"<~.:: "~EGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenter@ci.springfield.or.us C/O'lo/1 Residential Mechanical Authorization To Begin Work 69600-BMC-10-00214 Approval Code: 08331 D 8/5/2010 11 :49 am E.mailed To: lindsey@marshallsinc.com r,~ ; ;-. TIki' ....... :';", '::TYPE OF .wORK: . '. ,,,.. '.;;.....;c. Cc .',. . "T::0-~ 0 New Construction IXJ Additionlalteralionlreplacement . :'s. .... .....CA TEGORY OF CONSTRUCTION. ;-,.: .... ! IZI 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory I .. .. JOB SITE INFORMATION AND'lOCATION',,,,, .. Job Address: 422 S 49TH PL .. .. City/State/ZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: kelly Cross Street/directions to job site: daisy 51 .:<.[' .. ,. ., ,~ '.'. ';' " ,....,. ,.- Tax map/parcel no.: 1702324400400 "';;''''-';' . .~'. ~ ~, - ;. -< ~.~ ~:..,..-,,- ...:.....).;.. DESCRIPTION'OF'WORK": ,.. ..:t:4:;;': '.,.'~' .' h. ., . --- -';",-, . inslall ductless heal pump '. 'i\'~" "'\-:'5~. ..",,{{'.SITECONTACT',_-:' ......-f, .,'" , Name: darlene kellv Phone: 541-517-4469 Fax: Email: .. ....". .. . . '.;CONTRACTOR .. . '.'..~ .. .. , .. -~--'. . :,'..: !::.:':~.i... . .. CCB lie. no.: 25790 ... , Business Name: MARS HAllS INC Contact: Address: 4110 OLYMPIC ST City/State/ZIP: SPRINGFIELD, OR 974785620 Phone: 541-747-7445 Fax: 541-741-0821 : ')1 ....::.'.::, . .. Emall: '. . <~.. Metro lie. no.: City lie. no.: ~ . .'~3!' Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorization To Begin Wol1i expires within 180 days if a permit is not 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. . ..~, /:,J~L,.:. ~. ~::.', i' t':..':.:,;'. . <:,' , ,;~ FEE!jCHEDULE' ,. ;: 'r r '::,,,. : Description Qly. Ea. Total rJIi,!lmum Fe~s!;-' ' .: .; First Appliance Fee $79.00 jvIechanl.cal_Pe~mit Fees . , .. . Subtotal $79.00 Stale surcharge (12% of permil $9.48 lotal\ Technology fee (5% of permit tolal) $3.95 TOTAL PERMIT FEE $92.43 1. I,. Inspections Phone: 541.726.3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~rYl/20) 0 '6' /5/!. 0 010(( nm Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 422 S 49TH PL ASSESSOR'S PARCEL NO.: 1702324400400 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-01011 ISSUED: 07/29/2010 APPLIED: 07/29/2010 EXPIRES: 02105/2011 VALUE: Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Electrical for HV AC equipment Owner: KELLY DARLENE LOUISE Address: 38505 UPPER CAMP CREEK RD SPRINGFIELD OR 97478 ~'.'l' TYPE OF USE: New Residential I CONTRACTOR INFORMATION I License 178518 25790 BUILDING INFORMA nON I Contractor Type Electrical Mechanical Contractor RITE ELECTRIC MARS HALLS INC # 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: Range Type: Energy Path: Sprinkled Building: Expiration Date 09/251201 I 12123/2011 Phone 541-895-4466 541-747-7445 n/a Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ......~_, .' ......_.w , d~erlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: ATTENTION: Oregon law f11'PUBlilC;IMPROVEMENTS I I dopted by the ~,~,,- , Street Improvements: ru es a Those rules are set forth NQlificallDn Center. AR 952-001- - , Storm Sewer Avallahle:'52_001-0010 through 0 " ..~" IJi "'hi. ~ fthe rules by'" .. Special InstructiDQ", You may obtain copies 0 '. , .: I ')j",' "(Jlfuu. (Note' the telephone ..., . N t . calling tfhe tChen~;~gon Utility Notification o es, number or e 2344) Center is 1-800-332- , \~.t(31 ~{itll,~-:-:/; ,,:~ ~'i' . . ",,~{'M, 'U;;;',;;'.yrPae:e 'l'of 3 "-~~"" ()' . Sidewalk Type: DownspoutslDrains: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK '\IJTHORIZED UNDER THIS PERMIT IS NOT 'I')r\/l~1ENCED OR IS ABANDONED FOR . t.;r~n'\VPERIOD. 'I'"~ ,..... ',,_., . ~~~.2i~ "~.r~l.';{~: '. , ,': o Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line " , : .'t I Valuation Description ~ Description $ Per Sq Ft or mnltiplier Tvpe of Construction Square Footage or Bid Amount Total Value of Project ~ ','" .....;>. ..J.;;' ~" -"';'--"~ ....-....... Fee Description + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid':' .tt" $7.32 $3.05 $55.00 $6.00 $9.48 $3.95 $79.00 Total Amount Paid $163.80 . ..~. ';:i':' 1 p'i~n R~~i~~~ q ~ Date Paid 7/29/10 7/29/10 7/29/10 7/29/10 8/5/10 8/5/10 8/5/10 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20IO-OIOII ISSUED: 07/29/2010 APPLIED: 07/29/2010 EXPIRES: 02/05/2011 VALUE: Value Date Calculated Receipt Number 3201000000000000484 3201000000000000484 3201000000000000484 3201000000000000484 3201000000000000519 3201000000000000519 3201000000000000519 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. '..~,- . p ~.- . , ,.."f.\"'~'''ii':' , L...P~~_~~~~e .~ ~~nections ~ ,rr Rougb Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Mecbanical: Prior to Cover Final Mecbanical: Wben all mechanical work is complete. . . .,.". , ,...... , .. . __t~,. !:~':F.tl ., . "If;' Paee 2 of 3 , ..~ ",:~:.'L~..'..' ." .1;" . < ~;;~.1:.'.'...;,'.'t..:,'.":':';:~': ,{~.'~~,~.4~ ' , I. 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: COM2010-01011 ISSUED: 07/29/2010 APPLIED: 07/29/2010 EXPIRES: 02/05/2011 VALUE: By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon 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, Buildiug Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will he used ou this project. I further agree to ensure that all required inspections are requ~~ie.d .at the proper time, that each address is readable from the street, that the permit card is located at the front!or'ihe propertY;' and the approved set of plans will remain on the site at all times during construction. . .. , . Owner or Contractors Signature , <;".~ " .:l-~ . -",~;.,.i ~;. .l~3e~t~~~:: 'i:I;.,\. .','.'.; , ; i'<':, , ,I 't- ! '. 'J'~ ~-<.>.\, ""'I l~" ' '1,..,'- Pae:e30f3 1_ 1. ,;./ Date 225 Fifth ~treet Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000519 Date: 08/05/2010 I :25:56PM Job/Journal Number COM2010-01011 COM2010-01011 COM2010-0101l Payments: Type of Payment. ONLINE CHGS cReceintl Description 15t Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS ~ :'...." ;i '. Check Number Received By Batch Number NJM Item Total: Authorization 'Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid ONLINE MARSHAL Online LS .. . "1,t, , .'hf.: 'i ri ,"r'f :;;~i ", ~ ,~~!,- . ?~'t~;~.: '..- -.' " .-.1 "",..:,c~';y !,(~' '," ~; ''''r' ;i ,J . , .;--; 'r:rf " r-{i"" " , " "','.I-I ':;" ".!,,,~;, 1'\_ Page I of I $92.43 Payment Total: $92.43 8/5/2010