HomeMy WebLinkAboutPermit Mechanical 2009-1-21
Status
Issued
un OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00090
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax ' _'
541-726-3769 Iuspection Line.:
SITE ADDRESS: 3206 RALEIGHWOOD AVE
ASSESSOR'S PARCEL NO.: 1703221318200
Spriugfield TYPE OF WORK: Heating System
.Ii
TYPE OF USE:' New
Residential
PROJECT DESCRIPTION: Iustall heat pump and air haudler
Owner:
Address:
. DRAGOO DANIEL LEE
3206 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORM A T10~.1
Expiration Date
12/23/2009
Phone
541-747-7445
I .
# 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:
# of Units:
Primary Occupancy Group:
Secoudary Occupancy Group:
Primary Coustruction Type
Secondary Construction Type:
# of Bedrooms:
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:
NOTICE' I PUBLIC IMPROVEMENTS' .
. .' c.. ATTENTION: Oregon law requires you to
Street Improv~lI&dt[:RMIT SHALL EXPIRE IF THE WORK follo~rJf1"'jl~lb:l!~Bd by the Oregon Utility
Storm SeweAW;M!;\figED UNDER THIS PERMIT IS NOT . ~otifiD'6tlQ,'l~fim9'nrr/,\~:>e rules are set forth
SpeciallnstrG~MmNCED OR IS ABANDONED FOR In OAH ~!):!-o~l~uul ~mrough OAR 952-001-
ANY 180 DAY PERIOD 0090,. You may obtain copies of the rules by
. calling the center. (Note: the telephone
number for the Oregon Utility Notification
("enter ie LQ()(,-~~I).I)~.1.1\
Notes:
I Valuation Descrintionl
Description
Type of Coustructiou
$ Per SqFt
or multiplier
Square Footage
or Bid Amouut
Value
. Date Calculated
Paee 1 of2
Statns
Issued
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
Air Handling Unit Up to 10,000
Heat Pump
MinimumlAdjustment Mechanical
Amount Paid
$9.48
$3.95
$17.00
$17.00
$45.00
Total Amount Paid
$92.43
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
1/21/09
1/21/09
1/21/09
1/21/09
1121/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00090
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07/21/2009
VALUE:
Receipt Number
2200900000000000074
2200900000000000074
2200900000000000074
2200900000000000074
2200900000000000074
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.
I Reo~!ired hl.~'1~ction~ I
Rough Mechauical: Prior to Cover
Fina] Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application aud do hereby certify that all
informatiou 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 Divisiou, Building Safety.
] further certify that only coutractors aud employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to eusure that all required iuspectious 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~n.
Owuer or Contractors Signature
Paee 2 of.2
- Date
City of Springfield
Mechanical Authorization To Begin Work
E-mailed.To:Lindsey@marshallsinc.com
Receipt # EC545454
1/21/20099:12:03 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
IKJ Addition/alteration/replacement
I Description
Total
I [K] I or 2 fainiJydwelJing
D Multi.family
D Accessory Building
I Fumace-.upto IOO,OOOBTU
I Furnace - above 100,000 BTU
I Electric Furnace
I I Duct alterations and additions
I I Gas heater units! in-wall, in-
duct. suspended. elcl
1 I Vent, flue, liner for above
.1 I Air Condi!ioner
I Heat Pump
I Air Handler
I
I
I
$17.001
$17.001
$17.00
$17.00
IJob no.: IJob address: 3206. RA:!...EIGHWOODAVE
I City/State/ZIP: SPRINGFIELD,.OR ,97477-7544
I Suitelbldg./apt.no;:
I Project name: DRAGOO'
Cross street/directions to job site:
Water healer
Gas fireplace!insertlslove
I Gas log! log lighter
I Gas clothesdl)'cr
I Gas stove/range
I, Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimneylli,nerlflu'e/vent w/o
I Suhdi\'ision: I Lot no.:
ITux map/parcel no.: 1703221318200
BdI!r~~_.ji_~~E,~"Th!!O~i9H\'V.Q~iiflfl'i~~~#t~ff~1'~
INSTALL HEAT PUMP AND AIR HANDLER
I Name: DAN DRAGOO & JOYCE ANDERSON
jPhone: (54-1)726-7334, IFax:
I Email:
ICCBHc, no,: .. DTIl'1'" IF TUt: WnRK
I Bn,;nc" Name: MAJt!;\v;I:HsIi\M1I ~KM~~ -:-t'ns l~nIT-IC:NnT
IConlact: LindseyB~1rJ I MUt\IL.Cl) u!~" DCNE~ cm'!
IAdd<e": 4"00Lyl.ikldYslllltl~vtU un '.3 ABAN . .
ICitylSlatelZlP: spRMJ;YlliW:>R'1M4is~6[i.
IPhone: (541)7477445 IFa" (541)7410821
I Email: Lindsey@marshallsinc.com
I Metro lie. no.: I City lie. no.: CCB 25790
RoogeI=MTII"lM' I"lrp~n la'" r~l,.:..~:; ..
Clothf!1lmw:m~.s_ ~(i'1nt dJ:>\1 'ihp- ;;~;nn I Ilillt'y
I ~,,;g~&tflieilll'6\l"e,(!I'ft'llT. Those rul3S are se forth
r~~~l1oemlf9~2~8b1-001$throuqh OAR 95: -001-
I Atti~aX~!l1ay obtain copies of the rul~s by
~~~pjP:(iJt~.'. u~e4:1!ll~"\r.:J~lA1,~1.~.l~~.!l.~Q~1
. t t(l..Jtu~'lfvl' h'~""C u", J"j"IY IWlIIIU1110n
up 0 Irs,"+ ot! lei;.(~n e ~J, J) " ,.,,.,,, .+.".....
I I - ~..." 'i~-f4). I
each additional outlet ..
11<-MECH)(NTcAL!fPERMiTT"EE~'~IIIli\~1'1
I I--"'~:'''' '"'''i~~~;;j''' j[~34~;'1
I I Minimum fee Lised instead rifSubtotlll $79.00 I
I State Surcharge (12% of permit fee) $9.48 I
I City Of Springfield fees. $3,95 I
L-- . TO""L PERMIT FEE $92.43 I
.. City Of Springfield fees: 5% Ter.:hnoliJgy Fee
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one bu~siness day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work 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
I
-i
COM: f(11)Oq - OOOQ 0
RCPT jl' '(J()CCC\.. '1 Lf
DATE PROCESSED: I \ ~ 1 Oq
PROCESSED BY' k. QQ.t.O/
v
. This Authorization To ,Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009_00090
COM2009,00090
COM2009-00090
COM2009-00090
COM2009-00090
Payments:
Type of Payment
ONLINE CHGS
cReceint 1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
RECEIPT #:
2200900000000000074
Description
Air HandlingUnit Up to 10,000
Heat Pump .
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
. '.
kr
,.
Page I Of I
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 01/21/2009
9:25:42AM
Amount Due
17.00
17,00'
45.00
3.95
9.48
$92.43
Amount Paid
ONLINE Marshalls Online
Inc
Payment Total:
$92.43
$92.43
1/21/2009