HomeMy WebLinkAboutPermit Mechanical 2009-2-3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00161
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 08/03/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1621 RAMBLING DR
ASSESSOR'S PARCEL NO.: 1703252103100
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner: PERDUE ROBERT J & MARGARET N
Address: 1621 RAMBLING DR
SPRINGFIELD OR 97477
Phone Number: 541-746-1357
I CONTRACTOR I:,FORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:,
Rearyard Setback:
Solar Setbacks:
, Overlay Dist:
# Street Trees'Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
Storm Sewer Available:
SpeciM'Instnlction:
__ .....111i.,l::.
;L!/.) P'~ .
Notes:j'r cRMITSH
. I HOR :4LL
,.,. , . /lj:[)..., [)(o/{..~ ,
""'VII:NCE -"utH THI /~ ,(' IHE
i/IJy 180 DA~ OR IS ABA;DPERMIT iS~~~uation DescriDtion I
PERIOD ONED~' 'u I
. . '. OR $ Per Sq Ft Square Footage
Descl'lptlOn Type of ConstructIon I ' I' B'd A
or mu tip ler or I mount
-'-
I PUBLIC IMeR.O.Y-EMeN]'S I
; , '''' " '"on law requires you to
follow rules adopted byS,\"'S't~1!<91)".",:iility
Notifica, tion Center, Tho"",,, 0100 O'~t o/D-- f...+h
. -UOWllSPOU S 'rams.
In OAR 952,001,0010 througn GAR 952,001:
0090" You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
(;pntor it;,' 1_Qnn_"J'?"l tl0AA\
I
Street Improvements:
Value
Date Calcnlated
Paee 1 on
-~!,;.~iQ~~~~A",. ',.
~ ','." ' ,
!5 .. - " '~',:,,;,'
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% Siate Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43
I Plan Reviews I
Date Paid
2/3/09
,2/3/09
2/3/09
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00161
ISSUED: 02/03/2009
APPLIED: 02/03/2009
EXPIRES: 08/03/2009
VALUE:
Receipt Number
3200900000000000064
3200900000000000064
3200900000000000064
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.
Rellllired Inspections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 tbe
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
Paee 2 of2
Date
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
. [K] Addition/alteration/replacement
construction
[Xl I 'or 2 family dwelling'
o Multi-family
o Accessory Building
IJob no.: IJob ad~ress: 1621 RAMBLING DR
I City/StatefLIP: SPRINGFIELD, OR 97477-2412
I Suitelbldg.lapt.no.:
I Project name: PURDUE
Cross streeUdirections to job site:
I Subdivision:
ITax map/parcel no.: 1703252103100
ILot no.:"
I Name: MARGARET PURDUE
IPhone: (541) 746-1357
IEmaH:
I Fa"
I ceo lie. no.: 25790
I Business Name: MARS HALLS INC
I Contact: Lindsey Baeth
IAddress: 4110 OLYMPIC ST
I City/StatelZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 IFax: (~4])7410821
I Email: J:..indsey@marshallsinc.com
I Metro lic. no.: I City Iic. 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.
[Description
I Furnace- up to 100,000 BTU
r Furnace - above lOO,OOo'BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unitS/ in~wal1, in-
duct susoended. ete/
I Vent, flue, liner for above
f Air Conditioner
I Heat Pump
I Air Handler
I Water heater
I Gas.l1replace/insertlstove
I Gas log! log lighter
I,Gas clothes dryer
I Gas stovelfange
I Pool or spa heater, kiln
r Wood/pellet stove/insert
Wood fireplace
Chimncyllinerlflue/vent w/o.
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
I toilet compartments, utility
rooms)
II Attic/crawlspacefans
I
I
I upto first 4 outlets(enterQty=l)
I e::lch additional outlet
Receipt # ji:C546212
2/3/2009 12:38:15 PM
Qty.
Ea.
I
I
I
$17,00
$17,00
I
I
I
I
I
I
I
$17,001
,$]7.00
I Subtotal I
I Minimum fee used instead of Subtotal
! State Surcharge (J2% of penn it fee).
I City Of Springfield fces* I
I TOTAL PERMIT FEE
* City or Springfield fees: 5% Technology Fee .
~t'Y'\ 215tA - 00 I VJ (
NVV\ '
1-0:3 -,o'l
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
$3400 I
$79,00 I
$9.48 I
$3,95 I
$92.43 I
225. Fifth Street .
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
C0M2009.00 161
COM2009-00 161
COM2009.00 161
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 st Appliance
+ 5% Technology Fee,
+ 12% Stale Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
}>ublic Works Department
3200900000000000064
'Date: 02/03/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm
ONLINE marshalls Online
Payment Total:
Page I of I
1:00:21PM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
2/3/2009