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HomeMy WebLinkAboutPermit Mechanical 2009-3-17 Mechanical Authorization To Begin Work E-mailedTo:Lindsey@marshallsinc.com Receipt # EC54R369. 3/17/200910:1O:54AM ?}p 'I; (;" (\/ 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 I I I I I $1700 $1700 $17.00 1I7 00 I w ] or2 family dwdling . o Multi-family '0 ~ccessory Building I Furnace~ up to 100,000 BTU I Fuinllce - above 100,000 BTU I Electric Furnace I Duel alterations and additions I Gas heater unitsl in-wall, in- duel. suspended. elef I Vent, nue, liner for above ! Air Conditioner I Heal Pump I Air Handler IJOb no.: IJob address: 2]47 CENTENNIAL BLVD City/State/ZIP: SP.RINGFIELD, OR 97477-4355 I Suitc/bhJg./apt.no.: 1 Project name: BURGESS Cross street/directions to job site: I Water heater I.Oas.fireplacelinsertlslove I Gas log! log lighter 1 Gas clothes dryer I Gas stove/range I' Pool or spa heater, kilri 1 Wood/pellct stove/insert 1 Wood fireplace Chimricy/linerlllue/vent w/o ISubdivision: ILot no.: ITax nuip/parcel no.: 1703254304700 I Name: HELEN BURGESS Irion.,: (541)744-1452 IEmail: I".,: INSTALL HEAT PUMP AND AIR IIANDLER ICiry fie. no.:CCB 25790 I I I I I I I I Subtotal II City Of Springfield First Appliance fee Slate Surcharge (12% of permit lee) I City'OfSpringfieldfees.. L TOTAVPEI{I\IIT FEf. . City or Springfield fees: 5% Technology Fee 51111cJi 1 Range hood 1 CI9thes dryer exhaust I S(ngle-duct exhaust (bathrooms, toilet compartments, utihty . rooms) Attic/crawlspace fans ICCD lie. no.: '25790 1 Business N"me: MARSIIALL$ 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