HomeMy WebLinkAboutPermit Mechanical 2009-1-14
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00068
ISSUED: 01/1412009
APPLIED: 01/14/2009
EXPIRES: 07/14/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 7066 S E ST
ASSESSOR'S PARCEL NO.: 1802022107200
Springfield TYPE OF WORK: Mechanical Only
TYPE Of USE: New
Residential
PROJECT DESCRIPTION: Install gas piping
Owner: HEDLUND JAMES W & JESSICA L
Address: 7066 S E ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date.
12/23/2009
Phone
541-747-7445
# 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Sidewalk Type: .
IJI'I'C;;,~" ",tlliQym~n 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 me cemer. \1~UI", ",,, ''''''1-'' lUl'"
number for the Oregon Utility Notification
Center is 1-800,332-2344).
Storm Sewer A<<iY!'IIIlo.'E'
Special Instrucll\M~ III .
THIS PERMIT SHALL EXPIRE IF THE WORK
Notes: AUTHORIZED UNDER THIS PERMIT IS NOT
COM[V1~Nr.UJ OR 1$ ARANDON~D FOR
ANY 180 DAY PERIOD.. I I
Valuation Descriotion
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I 01'2
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount.Paid
$92.43
Total Value of Project
Fees Paid I
Date Paid
I Plan Reviews I
1/14/09
1/14/09
1114/09
CITY OF SPRINGFIELD
Building/CombInation Permit
PERMIT NO: COM2009-00068
ISSUED: '01/14/2009
APPLIED: 01/14/2009
EXPIRES: 07/14/2009
VALUE:
Receipt Number
2200900000000000058
2200900000000000058
2200900000000000058
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.
R,eo,uired Insnections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance,
Final Gas: When all gas work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that an
information hereon is true and correct, and I further certify that any and all work performed shan be done in accordance with
the Ordiuances ofthe City of Springfield and the Laws of the State of Oregon pertaining to the work descrihed 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 iu compliance with ORS 701.005 .will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, 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 constructi,on.
Owner or Contractors Signature
Paee 2 of2
Date
.
City of Springfield
Mechanical Anthorization To Begin Work
E.,.mailed To: Lindsey@marshallsinc.com
Receipt # EC545119
t114/2009 2:53:19 PM
Check on status of permit
By PhoDe: (541)726-3753 or Email: permitcellter@ci.springfield.o.r.us
o New construction
IKJ Addition/alteration/replacement
D Multi-family
o Accessory Building
I or 2 family dwelling
I Job no.: I Job address: 7066 S EST
ICity/State/ZIP: SPRINGFIELD, OR 9747.8-7461
I SuitcJbldgJapt.no.:
I Project name: HEDLUND
Cross street/directions to job site:
jSubdivision:
I Tax map/parcel no.: 1802022107200
!lot no.:
GAS PIPING
I Name: JAMES HEDLUND
I Phone: (541) 988-0972
I Email:
) Fax: 988-0972
I CCB lie. no.: 25790
I Bu,;nes, Name: ~k!JII\\i1lS:mc
IContac': Lind"ydMhS PERMIT SHALL EXPIRE IF THE WORK
IAdd"'" 4]]oo~OORIZED UNDER THIS PERMIT IS NOT
ICily/StateIZIP: s{RGfdlMEN6ltIMlR4S ABANDONED FOR
IPhnne: (541)7477ANY 180 DAY PERI(J)li!: (54])74]0821
i Email: Lindsey@marshaJlsinc.com
I Metro lie. no.: I City lie. no.: CCB 25790
Upon review and approval by your local Jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
I
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determi~e that an
. Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Description
I Furnace. up to 100,000 BTU
I Furnace - above] 00,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units! in-wall, in-
duct, suspended. cte!
I Vent, flue, liner f~r above
I Air Conditioner
I Heat Pump
I Air Handler
!Waterheater
J Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/mnge
I Poolor spa heater, kiln
I Wood/pelletstove/insert
I Wood fireplace
I Chimney/liner/flue/Vent wlo
"
':1"'-
I
I
I Range hood I I I
I Clothes dI)'Aft'~''I'IION: Oreaon law reaulres vou ta I
I sing]e'duMfl!Jwt'~so~O*ted by ttre brego , Utility I
tOIlet co a en tll '
mom,) 'MoWIC\ltYo~tyCent r. Those, rules are set forth
I Attic/"al!l:>/oJ~~MO<:'UU1'UfJl U mro~gn UHH yo:<-uul-I
I;..i~ucfip"ip.' Mu;?;~;j'tP:JJ';l"IHa .i~k^lall} };iY,~I;~Ei\J.l#u. I tt,iI...~It:::::.;:L!Y':
, ..di..""",-, x ;;n;.~",.,.". '..j~ J4;B>r.li';,,,:'" S\V'i'o~t,"i'if',fti *~".~t{!:..,."",~q:,;;.
I upto~rst 4~~ t 1 ~ili~y ~~~~j;";tl~
I each additional outlet r _ I
I
I
I
I
I
I
I'
I,.
I City OfSpringfleld fees + I
I TOTAL PERMIT FEE
... City Of Springfield fees: 5% Technology Fee
. Subtotal I '
Minimum fee used instead of Subtotal
State Surcharge (12% of permit fee) ,
$7.00
$79.00 I
$9.48 I
$3.95 I
$92.43 I
COM' 711X;';\- (0COL~ b
RCPT #: ~Dq -sD
DATE PR~SSEb:t'!\'\ 1.\ l\ \{ic\"
PROCESSED BY~ V ONder-
,
i
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
..I
225 Fifth Street
Springfield, Oregon 97477
541-7-26-3759 Phone.
Job/Journal Number
COM2009-00068
COM2009-00068
C0M2009-00068
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State SUrcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public WorksDepartment
2200900000000000058
Date: 01114/2009
2:59:05PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79,00
3.95
9.48
$92,43
Amount Paid
KR
ONLlNEMARSHAL Online
LS INC
$92.43
Payment Total:
$92.43
Page 1 of I
1114/2009