HomeMy WebLinkAboutPermit Mechanical 2010-8-5
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City Of Springfield
225 Fifth 51
Springfield, OR 97477
Phone: 541-726-3753
Email: permilcenter@ci.springfield.or.us
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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
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0 New Construction IXJ Additionlalteralionlreplacement
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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
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Tax map/parcel no.: 1702324400400 "';;''''-';' . .~'. ~ ~, -
;. -< ~.~ ~:..,..-,,- ...:.....).;.. DESCRIPTION'OF'WORK": ,.. ..:t:4:;;': '.,.'~' .'
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inslall ductless heal pump
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Name: darlene kellv
Phone: 541-517-4469 Fax:
Email: .. ....".
.. . . '.;CONTRACTOR .. . '.'..~
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CCB lie. no.: 25790 ...
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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
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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.
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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
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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
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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
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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- ,
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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.
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Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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I Valuation Description ~
Description
$ Per Sq Ft
or mnltiplier
Tvpe of Construction
Square Footage
or Bid Amount
Total Value of Project
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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
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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.
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L...P~~_~~~~e .~ ~~nections ~
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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.
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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
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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
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'. 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
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$92.43
Payment Total:
$92.43
8/5/2010