HomeMy WebLinkAboutPermit Mechanical 2009-3-17
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC54R369.
3/17/200910:1O:54AM
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City of Springlield
Check on status of permit .
'By Phone: (541)726-3753 or Email: permitceuter@ci.springfie/d.or.us
I D New construction
[K] Addilion/al1cr~tionJreplacement
I Description
Total
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I
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$1700 $1700
$17.00 1I7 00
I w ] or2 family dwdling .
o Multi-family
'0 ~ccessory Building
I Furnace~ up to 100,000 BTU
I Fuinllce - above 100,000 BTU
I Electric Furnace
I Duel alterations and additions
I Gas heater unitsl in-wall, in-
duel. suspended. elef
I Vent, nue, liner for above
! Air Conditioner
I Heal Pump
I Air Handler
IJOb no.: IJob address: 2]47 CENTENNIAL BLVD
City/State/ZIP: SP.RINGFIELD, OR 97477-4355
I Suitc/bhJg./apt.no.:
1 Project name: BURGESS
Cross street/directions to job site:
I Water heater
I.Oas.fireplacelinsertlslove
I Gas log! log lighter
1 Gas clothes dryer
I Gas stove/range
I' Pool or spa heater, kilri
1 Wood/pellct stove/insert
1 Wood fireplace
Chimricy/linerlllue/vent w/o
ISubdivision: ILot no.:
ITax nuip/parcel no.: 1703254304700
I Name: HELEN BURGESS
Irion.,: (541)744-1452
IEmail:
I".,:
INSTALL HEAT PUMP AND AIR IIANDLER
ICiry fie. no.:CCB 25790
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I
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I I Subtotal
II City Of Springfield First Appliance fee
Slate Surcharge (12% of permit lee)
I City'OfSpringfieldfees..
L TOTAVPEI{I\IIT FEf.
. City or Springfield fees: 5% Technology Fee
51111cJi
1 Range hood
1 CI9thes dryer exhaust
I S(ngle-duct exhaust (bathrooms,
toilet compartments, utihty .
rooms)
Attic/crawlspace fans
ICCD lie. no.: '25790
1 Business N"me: MARSIIALL$ INC
1 Contact: Lindsey Baeth
jAddrcss: 4110 OLYMI~IC ST
ICity/State(ZIP: SPRINGFIELD, OR 9~4785620
IPhone: (541)7477445 I Fax: (541)7410821
I Email: Lindsey@marshallsinc.com
I . ,
Metro he. no.:
1 upto first 4 outlets(entcr Qty=l)
leach additional outlet
Upon review and approval by your local jurisdictie:n, your
permit will be e-mailed or faxed within one business day,
with instructit:fOftCoE:to schedule your inspection.
~~~~; :~:r~~t1~~1fjt~~xte EWFl'1~ilt"r~~ WORK
The local bu~VnI~.a~/;l.lJ1'Jg.lia,J;Iif,Js,.R~M'T. IS NOT
Authoriza'ioli;-tolll~li\iM@fE[i); lj)jlj 4fYlA~Ii\~iOON€f9tFOR
meet aPPlicaJl.~\""f$'Oe[j')tn'J~l4'fijb'~di.anCeS. .
$34.00
$79.00
$JJ.56
$5.65 I
$]32.21 I
QCj-35LP
lLA2-
ATTENTION: Oregon law requl[es you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone .
number for the Oregon Utility Notification
Center is 1-800-332-2344).
This Authorization To Begin Work must be posted at the job site until replaced by a ~ermit
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009~00356
ISSUED: 03/17/2009,
APPLIED: 03/17/2009
EXPIRES: 09/17/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2147 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254304700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: .Installing heat pump and air handler
Owner:
. Address:
BURGESS HELEN C
2147 CENTENNIAL BLVD
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION 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 Strnctnre
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:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact: .
I PUBLIC IMPROVEMENTS'
NOTICE: . ATIE!'lTION: Oregon law requires you to
Street Impr~m3e,nt~:IMIT SHALL EXPIRE IF THE WORK foll.o~\(L<m:!I!iC!()jP.led by the Oregon Utility
Storm Sewe;,'Availa'ill?::D UNDER THIS PERMIT IS NOT ~otlfIW~g~_m\ln_WfD;rJJfi'~e rules ~re set forth
Special Instf\fctioli:~NCED OR IS ABANDONED FOR In OA 01 01 ~ throughOI\R 952-001-
-~,..,~'~ 0090. You may obtain copies of the rules by
ANY 180 DAY PERIOD. calling the center. (Note: the telephone
number for the Oregon Utility N'otification
,-..,......+....... i.... -1 on" 0..,f') ':"?" ~p.
Notes:
I Valuation Descriotion I
DescriPtion
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valne
'.
Date Calculated
Page 1 of 2.
Status
Issued
CITY OF SPRINtJl' mLD
Building/Combination Permit
PERMIT NO: COM2009"00356
ISSUED: 03/17/2009
APPLIED: 03/17/2009
EXPIRES: 09/17/2009
VALUE:
225.Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
$13.56
$5.65
$79.00
$17.00
$17.00
DJlte Paid
3/17/09
3/17/09
3/17/09
3/17109
3/17/09
Receipt Number'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000 .
Heat Pump
Amount Paid
3200900000000000166
3200900000000000166
3200900000000000166
3200900000000000166
3200900000000000166
Total Amount Paid
$132.21
I Plan Reviews I
To Request an inspection cail 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.
Rr-9,~ir.ed ~~~pection~ .
Rough Mechanical: Prior to Cover
FinalMechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certil'y 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 Qregon pertaining to thework described 'herein, and
that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety.
I fnrther certify that ouly 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 C~ntractors Signature
Date
Pa2e 2 of 2
225 Fifth Street
Spri,n'gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00356
COM2009-00356
COM2009-00356
COM2009-00356
COM2009-00356
Payments:
Type of-Payment
ONLINE CHGS
cRe-ceintl'
. RECEIPT #:
3200900000000000166
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By .
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
'KR
Page I of I
ONLINE Marshalls Online
Inc
Payment Total:
10:59:28AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Amount Paid
$132.21
$132.21
3/17/2009