HomeMy WebLinkAboutPermit Mechanical 2009-1-23
Status
Issued
CITY OF SPkll"l\J1<u,LD'
Building/Combination Permit
PERMIT NO: COM2009-00109
ISSUED: 01/23/2009
APPLIED: 01/2312009
EXPIRES: 07/23/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line,
SITE ADDRESS: 658 S 57TH ST SPACE 37
ASSESSOR'S PARCEL NO.: 1802040000200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
DAVIDSON RUPERT L & RUBY C
658 S 57TH ST SPACE 037
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATI?N I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
~U1LDIl":G INFORMATION'
Expiration Date
12/2312009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy, Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt 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: ,
Occupaot Load:
nla
REQUIRED PARKING
Frontyard Setback: Overlay Dist: Total:
Side 1 Setback: # Street Trees Rqd: ATTENTION: Oregon 1!W.,g1fdIll!~'You to
Side 2 Setba'WOTICE: Paved DriveRqd: follow rules adopted bfl1mR'lfligon Utility
Rearyard Se~ffl':PERMIT SHAll % of Lot Coverage: Notification Center. Those rules are set forth
Solar Setbac~TITHORI7Fn IIMn~R ~J:~R~r:I!.~~E,~8~~ ~g?:'R)~~2,:,O~,1-~~:~o.t~r:~u~~ ~~:R:9~~~~0;:
COMMENCED OR IS ABANDWlJ;fmlMPROVEMENTS Icalling the center. (Note: the telephone
St I ANY 1 RQ DAY PERIOD P!umb.eJJw th~regon Utility Notification
reet mp.rovemenrs. . . SiCie'/Wlh i'sYf!\iOO:332-2344). '
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
I DEVELOPMENT INFORMATION'
Notes:
I Valuation Descriotion I,
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 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
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
$9.48
$3.95
$17.00
$17.00
$45.00
Total AmounlPaid
$92.43
Total Value of Project
Fee,S Paid I
I Plan Reviews I
Date Paid
1/23/09
1/23/09
1/23/09
1/23/09
,1/23/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00109
ISSUED: 01/23/2009
APPLIED: 01/23/2009
EXPIRES: 07/23/2009
VALUE:
Receipt Number
1200900000000000043
1200900000000000043
1200900000000000043
1200900000000000043
1200900000000000043
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 7:00a.m. will be made the following
work day.
R~l'l1'~q;~l11 nsoections I
II.... LI ..1
Rough Electric: Prior to Cover
FinalElectric:' When all electrical work is complete.
By signature, I state and agree, that I have carefully examined the completed application 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 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 construction.
Owner or Contractors Signature
Pa2e 2 of2
Date
City of Springfietd
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # RC545631
1/2312009 10:35:43 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Description
ID New construction
[i] Addition/alteration/replacement
Total
I
I
I
I
I. I I
I I I
'i $17001 $17,001
'i $17001 117,001
I [K] I or 2 family dwelling
D Multi.family
o Accessory Building
I FUrnace- up to 100,000 B.TU
I Furnace ~ above 100,000 BTU
I Electric Furnace
I Duct ulterations and additions
I Gas heater unltSl in~wal1, in-
duct. susoended. ele!
I Vent, tiue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
)Job no.: IJob address: 658 S 57THSr
I City/StatelZlP: SPRINGFIELD, OR 97478-5441
I SuiteJbldg./apt.no.: SPC 37
I Project name: DAVIDSON
Cross street/directions to job site:
I Subdivision:
!Tax map/parcel no,: 1802040000200
ILot no.:
I Water heater
I Gas fireplace/insert/stove
Gas log! log lighter
I Gas-c1oth~s dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stovelinsert
I Wood fireplace
I I Chimney/liner/tlue/vent w/o
I
I
I
I
I Smgle'~'fT'l!!f~'frl3li>l!><l!)>pe( on law rl 'quires y IU 10 I
I ;~~~~f3'flg'~efBllI'~"adopt),9 by the .oregon Jt!lity
I I Anlcl~~~1J~\1t~fl Lremer. ~ l}l,U~t: Illt:~ ctl 0' ....>:1; ~ ~I ~il I
""l"'rg:"'''' - ,",""v~'" Ul':1,"v,"%,l_0"A~
"Fuel I' l'''' .~ _..,~.~~ :: ~ ~~':>;~"Jj. '''': '~T~'1;,,;'-~'"' li!itl':N"'",I';'
. '" "no~ :"W::;4mkr ~~~^:-A'G~~'~" ':'f"'''5!Y"~''" o,Iii\'~
upto flrst!.....OfH1.\We;Re,& l.Jt);,=ri~o.~ 1.N.ole.:JhA tAIAn nnA
each ad'll~WRI:fflr't0; t)'1<1 orh~nn Ulil~tv Noti!I, ation
'.~;~"',li~!iii;;nij''',"'''''i'CDii''I/J' 'i":"~.r""','!t)",;ijJ&1i"l!L"'illlf.f,,i
..'Cni ',,!J'J;.).Q'fn.~~IQt;',~VliJ:' _U~;:_~,','~:;Y~_1b~:!to;"
I Subtotal $34.00.
I Minimum fee used instead of Subtotal $79.00 I
I State Surcharge (12% of penn it fee) $9.48 I
I City Of Springfield fees. $3.95 I
I TOTAL PERMIT FEE I $92.43 I
. City Of Springfield fees: 5% Te~hnology Fee
I Range hood
I Clothes dryer exhaust
HEAT PUMP AND AIR HANDLER
IName: RUBY DAVIDSON
I Phone: (54 I) 744.2940
IEma;l:
IFax:
ICCB lie, no,: 2WIIlTICE: . _
IBu';nc"NamC:TMI!iiWJllM~SHAll EXPIRE I~ Il1t ~
[Con'",': Lind"~DfMnRI7EO UNDER THIS PI:HMII 1:lI~GI
IAdd..."" 41100t~lI#PMr.l=n OR IS ABANDONI:U ~UI1
ICUylS'a'e/ZIP: ~I!ItIGflfALJ;Y1NW~l0D.
IPlionc: (541)7477445' IFax: (541)7410821
I Email: Lindsey@marshallsinc.com
I Metro lie. ~o.: I City lie. no.: CCB 25790
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 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.
,'l
COM.)))oq -00\ CA
RCPT#' i trDq - q~
DATE PROCESSED:Jl,;.:J,~ I Og
PROCESSED BY:..\(' - 00 ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth- Street
Springfield, Oregon 97477
541-72.6-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal,Number
COM2009-00109
COM2009-00109
COM2009-00109
COM2009-00109
COM2009-00 I 09
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200900000000000043
Date: 0l/23/2009
Description
Heat Pump
, Air Handling Unit Up to,lO,OOO
Minimum/Adjustment Mechanical
+ 5% Tecltnology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total;
<;heck Number Authorization
Received By Batch Number Number How Received
kr ONLINE marshalls inc Online
,Payinent Total:
o
Page 1 of 1
11:14:44AM
Amount Due
]7,00,
17,00
45,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/23/2009