HomeMy WebLinkAboutPermit Mechanical 2009-3-26
City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marsh~llIsinc.com
Receipt # EC549009
3/26/2009 11 :05:02 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ID New construction
IKJ Addition/alteration/replacement
I w 1 or 2 family dwelling
D Multi~ramily
o Accessory Building
I.Job no.: I Job address: 4591 IVY 51'
ICily/State/ZIP: SPRINGFIELD; OR 97478-7543
I Suite/bldg.Japl.no.:
I Project name: BANTA
Cross street/directions to job site:
!Subdivision:
I Tax map/pllrcclno.: 1802051303208
ILot no.:
INSTALL HEAT PUMP IN HOUSE
MARY BANTA
IPhone: (541)221-7123 IFax:
Il:m:Oil'iC/l~J':f!'lI,l"I.II:i.t:.;i;;;:~~Q~j-.R,o.S.T~~!'~%f.'t!~~;:jE~~~;I't~.i1
ICCB Ik. no.' 257o"fHIS PERMIT SHALL EXPIRE IF THE WORK I
I Bu,in"s Name: ~AMSH;j.U1tsl~ UNDER THIS PERMIT IS NOT I
IConta,', Lindsey GGMMENCED OR IS ABANDONED FOR I
IAdd"'" 41l00LAA\tl80 DAY PERIOD. I
I City/StaterJ:IP; SPRINGFIELD, OR ,974785620 I
Phone: (541 )7477445 It',,,, (541 )741 0821 I
Email: Lindsey@marshallsinc.com I
:\'fetro lie. no.: I City lie. no.: CCB 25790 I
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 Desc ription 1 Qty.
Im~tI~lW~~!~!~~~~@~p1~~~-;:~.,
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Eleclric Furnace
I Duct alleralions and additions
I Gas heaterunits/in-wall,jn-
duel. susoended. elc/
IVenl, nue, liner for above
I Air Conditioner
I Heal Pump
Air Handler
Ea. Total I
,I
I
I
I
I
I
I
I
$1700 $17001
I
Ilwalerheater
Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellel stovc/insert
I Wood fireplace
I Chimney/liner/llue/venl w/o
I R:onge hood ~ I I
I Clolh~ALLt"N.h~Y'" VI "\:J "10,,, '" i~tres-ye ~.J
~~Y'"'~'_I _I!] ,- .h" -"MM I """v
I SmgliJ.ldI1M~hblM~I~~v Lry-nn:;- ;;;tTt::;:j_.. - )-
to"'N01>ifiGmti1lll1olD~ter. hose rul 3S are se forth
""'1~ Cl/\R 952 (lnLMi thrnllC't OAR 95~ -001-
A'" ~i'fPaVrffrro~v oN n copiesl of the ru,es by I
,[il~I!1\!8i'i11~ti'theyc'e'nter,:R(Note[~th ~@~Rh9"n,e;r. '1
I oplO r,numWel~IiI!,~Gr~gon Utll~IY~I~OllllCfLlUII I
I mh add;tional oJiillnter IS ljDUU.""" 1""....). I I
Im~,{!~~,+;~:~MI9oE~~I~~~~:~f:.Rf~,IT:f:~E~1~i;f~:K!~~~~,~~\
I Subtotal I $17.00 I.
I City Of Springfield First Appliance fee $79.00 I
I State Surcharge (l2% of permit fee) I $11,521
I City OfSprinJJ;fie1d fees" I $4,80 I
I TOTAL PERJ\llT FEE $1/2.32 I
.. City Of Springfield ICes: 5% Technology Fee
C.Q-Li03
~ 3\.2i.l\CCi
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4591 IVY ST
ASSESSOR'S PARCEL NO.: 1802051303208
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00403
ISSUED: 03/26/2009
APPLIED: 03/26/2009
EXPIRES: 09/26/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install heat pump in house
O'wner:
Address:
BANTA MELVIN L
4591 IVY ST
SPRINGFIELD OR 97478
BANTA MARY ANN
4591 IVY ST
SPRINGFIELD OR 97478
Owner:
Address:
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
License
25790
~UILDlNG INFORMATION I
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Impr'N~~:
Storm Sewe,l,MHiiIilIlICMIT SHALL EXPIRE IF THE WORK
Special InstrAtlT'lQORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Page 1 on
Expiration Date
12/23/2009
Phone
541-747-7445
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS.
. , ATTENTION: Oregon Jaw requires you to
follo'\idm;~i!(yiP~led by the Oregon Utility
~otifW.(l.tilln)Qf1n\WtoThqse rules are set forth
In OAir!:l5~irO"r(lQ11.rffirough 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).
Notes:
.
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
. or Bid Amonnt
Type of Construction
Total Value of Project
Fees \airll
Fee Description
+ 12'10 State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
$11.52
$4.80
$79.00
$17.00
Total Amonnt Paid
$112.32
I Plan Reviews I
3/26/09
3/26/09
3/26/09
3/26/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00403
ISSUED: 03/26/2009
APPLIED: 03/26/2009
EXPIRES: 09/26/2009
VALUE:
Value
Date Calculated
Receipt Number
2200900000000000299
2200900000000000299
2200900000000000299
2200900000000000299
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.
I Reouirerllnsnections 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 arc in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections arc 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 Signature
Paee 2 of 2
Date
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00403
COM2009-00403
COM2009-00403
COM2009-00403
Payments:
Type of Payment
ONLINE CHGS
cRec"eiotl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000000299
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 03/26/2009
11:40:50AM -
Amount Due
79.00
17.00
4.80
11.52
$112.32
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page 1 of 1
Amount Paid
ONLINE Marshalls Online
Inc
Payment Total:
$112.32
$112.32
3/26/2009