HomeMy WebLinkAboutPermit Mechanical 2009-3-23
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City of Springfield
Mechanical Anthorization To Begin Work
[-mailed To: Janice@marshallsjm.,,('om.
Receipt # EC:S4S70S
3/23/20099:33:09 AM
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Check on status of permit
By Phone: (541)726-3753 OJ' [mail: permitcenter@ci.springfield.or.us
10 New construction
[K] Addition/alteration/replacement
I ~ 1 or 2 family dwelling 0 Multi-family 0 Accessory Building
,h ;;,.. .'''~,,~gflslfEIN~c;l13~~'ri9WAJ~QrLbcAfi2~ '7?,;;}~l,lJ,'
IJob no.: IJob address: 2530 38TH S1'
I City/Stilte/ZIP: SPRINGFIELD, OR 97477-1825
I Suitc/bldg.lllpt.no.:
I Project name: REIRSGAARD
Cross street/directions to job site:
28TH TO"HAYDEN TO 38TH
ISubdivision:
I Tax m.lp/pllrcl'l no.:
ILot no.:
1702194209100
?6~~P'R!~,t1q~'!OfJ~'9~K,i'lf.4r~~if;..~:4'i"S:~.~;'~~.~~~;
REPLACING GAS FURNACE NO HEAT
IName: MICHAEL REIRSGAARD
I Phone: (541) 746-4345
I [mail:
IF""
I CCB lit. no.: 25790
1 Business Name: MARSHALI.S INC
ICOlllal'l: Janice Flora
!Address:' 4110 OLYMPIC ST
I City/State/ZII': SPRINGFIELQ, OR 974785620
IIJhone: (541)7477445 I Fax: (541 )741 0821
I [mail: Janice@marshallsinc,c.:om
) Metro lie. no.: I Cit)' 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 determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
I Furnilce- up to 100,000 BTU
I Furnac.:e - above 100,000 BTU
I Electric Furnace
I Ducl alterations and additions
I Gashealerunits/in-\valJ,in-
duct susoended. ctd
I Vent, flue, liner fur above
I Air Conditioner
I Heat Pump
I Airllandkr
I
'1
$17,00 I
I
I
I
I
I
I
I
$17.00
IWatcrhccllcr
I GasllreplacelinsertJslOve
I Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater. kiln
I Wood/pellelslOve/insen
I Wood fireplace
I Chimney/linerllluelveilt w/o
aooliance
I Range hood
I Clothes dryer exhaust
I Single-ducl exhaust (bllthrooms,
lOiJeLcompartments, utility
rooms)
I Altic/cm\vlspacc fans
I,. ..,0' . e
}:ud:-p~pLn~;;~_;.:.
I t1plO tlrst 4 outlets(enterQty=l)
I each <lddition<ll oULlet I
Ig~fj':;";~.;';[fii.~fB1~1S5I;'~E~Mli ~~E:sl~j'Iil;;1;:!f::r,,1
I SubtOl<l1 $17,00 I
I City Of Springfield First Appliance fee $79,00 I
I S!31e Surcharge (12% of permit fee) $11.521
I City or Springfleld fees'" I $4.80 I
'----- TO'l~\L PERI\UT FEE I $112.32
'" City Of Springlield.fees: 5% Technology Fee
C<CT'I 2.00 9 - 003, 7 <-j
'--:s- L3 - O~ ~rv--
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
_S"f!AINGI'(IEUll:
l
CITY OF SPRINGFIELD
,
Status
Issued
Building/Combination Permit
PERMIT NO: COM2009-00374
ISSUED: 03/23/2009
APPLIED: 03/23/2009
EXPIRES: 09/23/2009
VALUE:
225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726:3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2530 38TH ST
ASSESSOR'S PARCEL NO.: 1702194209100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Replacing gas fnrnace. No heat
Owner: REIERSGAARD MICHAEL E & LEE
Address: 2530 N 38TH ST
SPRINGFIELD OR 97477
Phone Nnmber: 541-746-4345
I CONTRACTOR I,NFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION'
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occnpancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
Height of Strnctnre
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Fl Ist.Floor:
Sq FI2nd'Floor:
Sq Fl Basement:
Sq Ft Garage/Carport
Sq Ft Other: '
Occnpant Load:
n/a
I DEVELOPMENT INFORMATION I
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 I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of ConstruCtion
$ Per Sq Ft
or multiplier
Sqnare Footage
or Bid Amonnt
Valne
Date Calcnlated
Page I of 2
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-00374
ISSUED: 03/23/2009
APPLIED: 03/23/2009
EXPIRES: 09/2312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fees Paid'
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Fnrnace - np to 100,000 btu
Amonnt Paid
Date Paid
Receipt Nnmber
$11.52
$4.80
$79.00
$17.00
3/23/09
3123/09
3/23/09
3123/09
3200900000000000179
3200900000000000179
3200900000000000179
3200900000000000179
Total Amount Paid
$112.32
I Plan Reviews ~
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.
I RelllJired Insnections I
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, I state and ag'ree, that I have carefnlly 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 ofany structure without permission of the Commnnity Services Division, Bnilding Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be nsed on this projecl.
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 Sigrutture
Date
Page 20f2
225 Fifth Strcct
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00374
COM2009-00374
COM2009-00374
COM2009-00374
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12% State Surcharge
raid By
ONLINE PERMIT CHGS
iE~i
City of Springfield Official Rcceipt
Development Services Department
Public Works Dcpartment
3200900000000000179
Date: 03/23/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJrn
ONLINE rnarshalls In Person
Payment Total:
Page 1 of 1
9:47:0IAM
Amount Due
79,00
17.00
4,80
11.52
$112.32
Amount Paid
r
$112.32
$112.32
3/23/2009