HomeMy WebLinkAboutPermit Mechanical 2009-3-13
.
Cil): of Springfield
Receipt # EC54R217 . ~'?
3/13/200912:53:26 PM 'h
rA,1>
C
Mechanical Authorization To Begin Work
E.-mailed To: Janice@marshallsinc.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
IX] Addition/alteration/replacement
[X] 1 or 2 family dwelling
DMl.i1li-family
o Accessory Building
I Job no.: I Job address: 388 68TH ST
ICily/State/ZIP: SPRINGFIELD, OR 97478-7351
I Suitl'/bldg./apt.no,;
I Project name: Dixon
Cross street/directions to job site: Main to 68th, turn north on 68th
ILot no.:
1702344]05500
REplace Eh::ctric (llmace and H~al Pump
I Name: Harl~y Dixon
I Pholll': (541) 747-J 139 Ifax:
I Em.;I: ~";;;NID;rii;;i::: r;;:ll""'i:n;;'~~..-Mrii"'Ef\t"\Ht~".{0-?\\i+/;f,\<j':!il'" ",II
. ., '-"-'c""'-f1.~"("~'!\'r,":1""'I,,,.'I'l,,' ":-""'F::lTc,' ."c.,',,,,"""
ICC8 ';C, no,: 25U9bl~ t"_t:_ ~v) ~Nnr:R TH\S PERMII 1"_ ' I
180,lne" N"m, PM}'kS\4A~~~~5 ~R \<:: ARANDONE:U run . I
I CO",,,,,: J,,";,,6&\NIIVlt~'V~, EP'l-m I
Add",,: 4110of\1rltPld~/J [In\ r --' I
I
I
I
I
Cit)'/Statc/ZII): SPRINGFIELD, OR 974785620
Pholle: (541 )7477445 I Fax: {54! )741 0821 .
I Email: Janice@marshal1.sinc.com
jMctro lie. no::
I City lie. no.: CCB 2579Q
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 departmentmay determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
\~~
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~~
I Description
ItHcaiinglcoo'iing-
~ ""'-".-, - """ "" -.
I Furnace~ up to 100,000 BTU
I Fumace . above 100,000 BTU
I Electric Furnace
Duct alterations and additions
-Oasheaterunits/in-waIL in-
duct. susoended, Clef
I Vent, nue, liner for abow
I Air Conditioner
I Heat Pump
I Air Handler
$17.00
$17,00
".,-~"f~"';.
I
I
I
I
I
I
I
I
I
$17001
$17.00
~h'
Waterheuler
I Gas fireplaeelinsertlstove
I Gas ~og; log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pe]let stoVl:filt~en
I Wood rirep~ITI(")N' (")1 :::arynn I::!\^- fl::lnl lirA~ VOl r tn_
I Ch;ml1,y/y&"mW'mlf!'~O ado lted by I le Oregc,; Ulility
al?P)lanee IIU I _ __ " ~.,
I - '~-V-_~"'\lr'I'-'''-'''''nll:vl l.;:;''[lhl-lr ""-"t:J't:FI'1JI~\:I'ctIt:...t:l~IVI d II
;~!!_~_t~:P}I!,I_~,n!I:l,t~~~~s!~l'ljp;iye..{l~,~~o;n co-?~: .::.'~':i~~-~(;';;;:~"~"'~.k":':.'AA;'~'. .
I III Unll ,;)o,J~-vv I-UjV I U .1 'I "'. ~" '-',,,, 1-',:.....~"'
Ran eho iJ ..
I Clot~es d~~i~h~~ff;h:;_;~~i :~:::~f\~~ '~;h~~tS~'~~~nA -
I S;~gk,do" "IJ!l~'Jb'.!p{fom'e 'Jreg'on L tilily Noli lication
tOIlet comrJdMf1~r;l1hl)1 m .
mom,l Center i~ 1-800-3:12-2344).'
I ^ttic/er~wlspace fans I
I upto first 4 outlets(enter Q1Y"'].)
I each <ldditional outlet
,l..~~1
I Subtotal I
I City Of Springfield First Appliance fee I
I State Surcharge (12% of permit fee) I
I City Of Springfield fees *
I TOTAL PIW,MIT FE":
.. City or Springfield fees: 5% Technology Fee
C-C4 - 3Y3
fC\2
This Authorization To Begin Work must be posted at the 'job ~ite until replaced by a Permit.
$34.00
$79.00
$]3.56
$5.65 I
$132.211
31131cn
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00343
ISSUED: 03/13/2009
APPLIED: 03/13/2009
EXPIRES: 09/1312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769, Inspection Line
SITE ADDRESS: . 388 68TH ST
ASSESSOR'S PARCEL NO.: 1702344105500
Springfield TYPE'OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replace electric fnrnace and heat pump
Owner: . HARLEY T DIXON LIVING TRUST
Address: 388 N 68TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I ,
Expiration Date
1212312009
Phone '
541-747-7445
# of Units: '
Primary Occnpancy Gronp:
Secondary Occnpancy Group:'
Primary Constrnction Type
Sec'ondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat'
Water Type: ,
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
nla
REQUIRED PARKING
Front yard Setback: Overlay Dist: ATTENTION: Oregonl'ft~i'\':equires you'to
Side I Setbac)<;. CE' .JI.;;;'~I~Trees Rqd: follow rules adopted !l,amlJC!!pp.8<!;1 Utility
Side 2 Setb"W,JTI . MIT SHALL EXPIRE IF THt:p'l.~ rive. Rqd: Notification Center. Th!,iJ.9!1\\!~st:are set forth
Rearyard SeI611'[k:PER UNDER THIS PERMIT.J.l? t Coverage: in OAR 952-001-0010 through OAR 952-001-
Solar Setba('l'$~~~~~.\.Z~~n nR IS ABANDONED FOR OO;~ji"~~h~~~~.~~ai~.T~E.iH.:~f.~~:~~IHSbY
~NY"1'B6' DAY PERIOD. I PUBLIC IMPROVEMENTS ,"Umber for the Oreg'on Utility N~tii;c;ti;n
, Center is 1-800-332-2344)
Street Improvements:. Sidewalk Type: .
I DEVELOPMENT INFORMATION I
Storm Sewer Available:
Speciallnstrnction:
DownspontslDr~ins:
Notes:
I Valuation Descriotion I
Description.
Type of Construction '
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
Date Calcnlated
Page l,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 Snrcharge
+ 5% Technology Fee,
1st Appliance
Air Handling Unit Up to 10,000
,Heat Pnmp
Amonnt Paid
$13.56
$5.65
$79.00
$17.00
, $17.00
Total Amonnt Paid
$132.21
Total Value of Project
Fees Paid 1
I Plan Reviews I
Date Paid
3/13/09
3/13/09
3/13(09
3113/09
3113/09
CITY OF SPRINGFIELD
Buildirig/Combination Permit
PERMIT NO: COM2009-00343
ISSUED: 03/13/2009
APPLIED: 03/13/2009
EXPIRES: 09/13/2009
VALUE:
. Receipt Nnmber
1200900000000000189
1200900000000000189
1200900000000000189
1200900000000000189
1200900000000000189
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.
Reolliredlnsnectinns I.
Rongh Mechanical: Prior to Cover
Final Mec~anical: When all mechanical work is complete.
By signatnre, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne and correct, and I fnrther certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Sprjngtield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure withont permission of the Commnnity Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed 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 Signatnre
Page 2 of 2
Date
225 Fifth .Street
Springfield, Oregon 97477
541-72,6-3759 Phone
Job/Journal Number
COM2009-00343
COM2009-00343
COM2009-00343
COM2009-00343
COM2009-00343
Payments:
Type of Payment
ONLINE CHGS
cReceintl .
RECEIPT #:
1200900000000000189
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
I
Received By
KR
Check Number
Batch Number
ONLINE
Page I of 1
City of Springfield Official Receipt
Development Services Department
. Public Works Department
Date: 03/13/2009
Item Total:
Authorization
Number How Received
Marshalls Online
Inc
Payment Total:
1:13:26PM
Amount Due
79.00
17,00
17,00
5,65
13,56
$132.21
Amount Paid
$132.21
$132.21
311312009