HomeMy WebLinkAboutPermit Mechanical 2009-3-31
City of Springfield
Mechanical Authorization To Begin Work
E.,.mailed To: Lindsey@marshallsinc.com
Receipt #
3/311200912:13:21 PM
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RC549245 ~ ')C
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Check on status of permit
By Phone: (541)726-3753 or Emall: permitcenter@ci.springficld.or.us'
10 Nt'w construction 0 Addition/alteration/replacement
. '.'.::~~~~}~il1~~~~,et~sf6)iy~o~,[Eg~~t~P~9':1iq~(~i~}.~~:::~~~':'i~~;~;1
IlliJ I or 2 family dwelling 0 Mulli-fufT!ily 0 Accessory Building I
I Description
P~l
,I
I
I
I
I
Furnacc~' up to ] 00,000 BTU
I Fllmace - above 100,000 BTU
I Electric Furnace
I Ducl altenltions and-additions
I Gas heakr unils/ill-W<lll, in-
duel. suspended. ctel
I Vent, flue, liner for above
r Air Conditioner
I Heat Pump
I Airllandler
I
$17.001
I
l.Jobno.: ]Jobad,drcss: 2788 32NDST
I City/Stater LIP: SPRINGFIELD, OR 97477-] 8] 5
j Suite/bldg./apt.no.:
I Projl'ct lIame: VIGIL
Cross street/directiolls to job site:
$17.00
I Subdivision:
I Tax map/pllreel no.: ]702193100504
I Lot 110.:
!Waterheater
I Gas fireP.lace/insertlstove
I Gas log! log lighter
I Gas clothes dr)'er
I Gas stove/range
I Pool or s"pa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
1 Chimney/liner/flue/vent \;''10
applmnce _
I;EhviMnme'iiiai;exliaii.t6\NO:v'entflilfion':';;' '"', ,
'IC:"'.,"";',~, '"", ",'::"'f:",r,,,zoJt,,~~=,,~',h",. "~"''''it-_;.c3j.",,;; ;Ii
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
l'Att-ic/crawlspacefans
INSTALL AIR CONDITIONER
I Nal1ll;': 80B VIGIL
1 Phon" (541) 726.0117
I Email:
1'0""
ICCD lie. no.: 25790
I Business Nalllc: MARS HALLS lNC
I Conflict: Lindsey Baeth
IAddress: 4110 OLYMPIC ST
I City/Stater LIP: SPRINGFIELD, OR 974785620
I Phon" (541 )7477445 I Fa" (541 )741 0821
IEmail: Lindsey@marshallsinc.com
I Metro lie. 110.: I City 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.
.1 ~i;i;~~~~::~:J0PK~~iTJ~~~T,;:;L:~~'A~'
I I Subtotal I $] 7.00 I
I I City Of Springfield First Appliance fee $79.00 I
I State Surchar~e (12% of permit fee) I $] 1 ,52 I
I City Of Springfield fees *1 $4.80 I
I TOTAL PERl\HT "'[[ $112,32
.. City OfSpringfkld,fees: 5% Technology Fec
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Col?7200 7' _ (} o-<jd-. 9
3/2/ /07
;.J )-'2-
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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
_~Il.I""O!,:,I!'lLD,
I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00429
ISSUED: 03/31/2009
APPLIED: 03/31/2009
EXPIRES: 09/30/2009
VALUE:
SITE ADDRESS:. 2788 32ND ST
ASSESSOR'S PARCEL NO.: 1702193100504
Springlield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Install air conditioner
Owner: VIRGIL ROBERT DA VID
Address: 2788 N 32ND ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION I
License
25790
. BUILDING INFORMATlO~ 1
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# ofDnits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
12/23/2009
Phone
541-747-7445
nla
Lot Size:
Sq FtJ st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I.
Total:
Handicapped:
Compact:
ATTENTIOloJ: Oregon law requires you to
foflow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
I PUBLIC IMPROVEMENTS~~I UAH ~b<::-UU1-UUl U tnrougn UAH 952-001-
. 190. You may obtarn copres of the rules by
calliiSiile'waIWrfype:(Note: Ihe telephone
number for the Oregon Utility Notification
Dnwnsnouts/"rains:32 2344)
v\;:"r..., 1<oJ ~""VV.V - .
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
.Storm Sewer AvailablQTlCE:
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
1lI\l\l'-I(11"l nn., ......-......__
. "'... '-',., I L..11IUU.
I Valuation Descriotion I
Description
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date Calculated
Type of Construction
Paee I of 2
REQUIRED PARKING
Value
Status
Issued
CITY OF SPRING.I<lI:<;LD
Building/Combination Permit
PERMIT NO: COM2009-00429
ISSUED: 03/31/2009
APPLIED: 03/3112009
EXPIRES: 09/3012009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~e~~ .~~irl .1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Miscellaneous Mechanical
Amouut Paid
Date Paid,
Receipt Number
$11.52
$4.80
$79.00
$17.00
3/31/09
3/31/09
3/31/09
3/31/09
3200900000000000201
3200900000000000201
3200900000000000201
3200900000000000201
Total Amount Paid
$112.32
I Plan Reviews I
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. Reollirerl Insnections 1
Rough Mechanical: Prior to Cover
Fiual 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 donei" 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 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 Contractors Signature
Date
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00429
COM2009-00429
COM2009-00429
COM2009-00429
Payments:
Type of Payment
RECEIPT #:
Description
I sl Appliance
Miscellaneous Mechanical
+ 5% Technology Fee
+ 12% Slate Surcharge
ONLINE CHGS, ONLINE PERMIT CHGS
Paid By
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000201
Date: 03/31/2009
.1 :01 :56PM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
nJm
ONLINE marshalls Online
Payment Total:
$112.32
$112.32
Page I of I
3/31/2009