HomeMy WebLinkAboutPermit Mechanical 2009-1-27
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00123
ISSUED: 01/27/2009
APPLIED: 0l/26/2009
EXPIRES: 07/27/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1976 INLAND WAY
ASSESSOR'S PARCEL NO.: 1803023306500
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner:
Address:
WOODARD JAMES
1863 PIONEER PKWY E #434
SPRINGFIELD OR 97477
Phone Number: 541-868-2000
I C()NTRACTOR INFORMATIO~ I
Contractor Type
. Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORM A TION I
Expiration Date
12123/2009
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 FtBasement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
',.'"
Frontyard Setback:
Side 1 Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: Compact:
% of Lot Coverage: . .
p, I I b~ liON: Oregon law requires you to
follovv rules adoDted hv thA n-ronnn IHiljfl'
I PUBLIC IMP~O~EMENTs~,'nter. Those ruies are set forih
., ..., 1-0010 through OAR 952-001-
0090., You may obLSldew~\lsiJ'~P~;e rules by
callmg the center JNote: \l1&,t.j!!i7Jsone
number for the Orl?gdWm~lt/Nolil,cation
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Inst'Wl!tY'l"E'
v v . .
r~~H6~~~~ 3~~~~ ~~~~R;c'~,~~E ::'~~K
vUIVIIVltNCED OR IS "'. ,~ :tr.T
ANY 180 DAY PERIO;SAN)DOFlVlafJlfiion Oescrintion I
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
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
Minimum/Adjustment 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 Plan Reviews I
Date Paid
1/27/09
1/27/09
1/27/09
1/27/09
1/27/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00123
ISSUEO: 01/27/2009
APPLIEO: 01/26/2009
EXPIRES: 07/27/2009
VALUE:
Receipt Number
3200900000000000040
3200900000000000040
3200900000000000040
3200900000000000040
3200900000000000040
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.
IRe,9~iredl~snections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 he done in ~ccordance 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 he made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who a~e in compliance with ORS 701.005 will he 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 ofthe property, aud tbe approved set of plans will remain on the site at .11
times during construction. - -
Owner or Contractors Signature
P.ee 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City'of Springfield Official Receipt
Development Services Oepartment
Public Works Department
Job/Journal Number
COM2009-00123
COM2009-00123
COM2009-00 123
COM2009_00123
COM2009-00 123
Payments:
Type of Payment
ONLINE CHGS
cReceiotl
RECEIPT #:. 3200900000000000040
Date: 0l/27/2009
Description
Heat Pump.
Air Handling Unit Up to 10,000
Minimum! Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE marshalls Online
Payment Total:
Page I of I
7:13:45AM
Amount Due
17.00
17.00
45,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/27/2009
. CitY of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # .EC545750
1/26120093:24:15 PM
Check on status of permit .
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
IX] Addition/alteration/replacement
I [iJ I or 2 family dwelling 0 Multi-family D Accessory Building
leJ~~~[~Q~r~J!~NF:O~~~"tI9~1~~'DfLr'~$cAfiq"Hli~~~1~1.~~~~il
IJob no.: - ]JOb address: 1976 INLAND WAY I
ICi~Y/StatC/ZIP: SPRINGFIELD, OR 97477w5358 I
I SUlte/bldg./apt.no.:
I Project name: WOODAND I
Cross streeUdirections to job site:
I Subdivision:
Tax map/parcel no.: 1803023306500
ILot no.:
I Name: JIM WOODAND
IPhnno: (541) S68.2000
I Email:
I Fax:
I CCB lie. 110.: 25790
I Business Name: MARS HALLS INC
I Contact: Lindsey Baeth
!Address: 4110 OLYMPIC ST
I City/State/ZlP: SPRINGFIELD, OR 974785620
IPhnno: (541)7477445 IFax: (541)7410821
I Email: Lindsey@marshallsinc.com
I Metro lie. no.: _! 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 detennine that an
Authorization To Begin Work Is null and void if it d'oes not
meet applic~ble land use laws and local ordinances.
I Furnace- up to 100,000 8TU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended. etc!
I Vent., flue, liner for above
I Air Condit{oner
I Heat Pump
Handler
I Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
f Wood/pellet stovefinsert
Wood fireplace
Chimneyllinerlf1ue/vent w/o
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Atticlcrawlspace,fans
I
I
I
I
I
I
$17.00 $17,001
$17,001
I
I
I
I
I
I
I
I
I
I
I
I
I upto first 4 outlets(enter Qty=l)
additional outlet
Subtotal I
Minimum'fee used instead ofSubtolal
State Surchaige (12% of penn it fee)
City Of Springfield fees *1
I TO'tAL PERMIT FEE 1
* City Of Springfield fees: 5% Technology Fee
~U)Dq - (XJ\'L~
1-2..(". - 0"1
I'll"^-
$34.00 I
$79.00 I
$94S I
$3,95 I
$9243 I
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.