HomeMy WebLinkAboutPermit Mechanical 2009-4-2
Mechanical Authorization To Begin Work
E~mailed To: Lindsey@marshallsinc.com
Receipt # EC549408
4/2/2009 I :43:02 PM
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01(
V.
pty of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
ID New construction
. lliJ Addition/alteration/replacement
I Description
Cross street/directions to job site:
I F;urnace- up to 100,000 BTU
I Furnace - above I 00,000 BTU
I Electric Furnace
I Duct altemtio"ns and additions
I Gas heater units/in-wall, in-
duct. susoended, clef
1 Vent, nut', liner for above
I Air Conditioner
I Heat'Pump
I Air Handler
I
I
I
I
I
I
I
$]7,001
I
I [i] 1 or 2 family dwelling D Multi-family 0 Accessory Building
1~!lj~~~~tX~[~9B~~I~:(~~\9'5~~&]g.~:P;N[}.iLjicAf(QNlk~~,{:',::~~~'f7;~f6i
IJobllo.: IJobaddress: 1158 18THST I
I City/State/ZJI>: SPRINGFIELD,OR97477-4209 I
I Suitc/bldg.lapt.no.: I
I Project nnme: WILLIAMS I
$]7,00
II Walerheati:'r
. I I Gas fireplace/insert/stove
I Gas log/log lighter
I Gus clothes dryer
I Gas slave/range
I Pool or spa heater, kiln
Wood/pellet stove/insert
I Wood fireplace
I Chimney/linermu.elvcnt w/o
IName: DAWN WILLIAMS ap.oliance,.
:::~;;:.. (54]) 554-Yibflei;; IF.,. , : I~:~;~~~:'~!;~~~:;:f~:~;!}ft~?/~
1,.'jf"~\'f'''~;':.2~f/j1I,~jt-:t!:\IVII.''bb1Allh.dl'li~mE'It:.,THEWORK~--;f''~,~_j'll CJo'heNl!ltff]sa~feIt1 Center, Those r~les are s JJ forth I
1~~;-]::"~~.~5~~UThui1i~tU-UNLh:HIHI~ PERMIT 1-5 "Nor ,Jj i,~ I ri~~;;~~t~;~gt ~~nt~~~~ ~ ~~~e9: J~~~O~Y I
I:::.';.:',' NL~::~yt~i'~~t!~~ ~:R:g~BANDONED FOR , : Il;~';::~;~;~~k;~:'J~;-9!~:~~~~;;);~y~~~:~K~~L~'!;'_:':11
IAddress: 41109LYMPic.ST .. 11"l;:t;;'lr~t4>o~~;1:s(E~r-6~Lfr' ~~_1);J.~\ti,-,-._,",~./!i I
I City/Stole/ZIP. SPRINGFIELD, OR 974785620 I I mh .dd";oo,1 0",]" I I I
I Phone: (54] )7477445 I Fax: (541 )741 0821 I 1~:!i;[~~~~t~~~~~~8~~~.iS~f:~~'B:~ITJf~E$,~r;:,:,:,~tr.;~ .~'j~';'~~1
IEmail: Lindsey@marshallsinc.com I Subtotal I $17.00:1
I Metro lie. no.: I City lie. no.: CCB 25790 I City Of Springfield First Appliance feel $79.00 I
State Surcharge (12% of penn it fee) I $11.52 I
I City Of Springfield fees * $4.80 I
Upon review and approval by your local jurisdiction, your TOTALPER~nT f'EE $112.32. I
permit will be e-mailed or faxed within one. business day, . City Of Springfield fees: 5% Technology Fee
with instructions on how to sche~ule your inspection. ~ Iq. _ 4Lt 8 I~
: NOTE: This Authorization To Begin Work expires within 180 C
days if a permit is not obtained. '
I Lot'no.:
ISubdivision:
]Tax map/parcel no.:
1703253406300
INSTALL
L\ \2\Dq
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.
SP.RINGl'llEtLI),
-If ", , ,,"~~,"
Stafus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00448
ISSUED: 04/03/2009
APPLIED: 04/02/2009
EXPIRES: 10/0312009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
, SITE ADDRESS: 1158 18TH ST
ASSESSOR'S PARCEL NO,: 1703253406300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pnmp in residence
Owner:
Address:
LIGHT FRANK M TE
3515 VALENTINE CT
SPRINGFIELD OR 97477
LIGHT DOROTHY J TE
3515 VALENTINE CT
SPRINGFIELD OR 97477
Owne~:
, Address:
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMA nON I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secoudary Occnpancy 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:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
, I DEVELOPMENT.INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
#.Street Trees Rqd:
Paved Drive Rqd:
o/u of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street 1"NlJT1eets:
Storm SerNlWIltgwlQ:SHALL EXPIRE IF THE WORK
Special Il'I'\!lijiNOOi:':ED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
Notes: ANY 180 DAY PERIOD.
I PUBLIC IMPROV~MENTS I
ATSiliW&lilttJilWgon law requires you to
follow rules adopted by the Oregon Utility
NotIil8~lIl'iR~1~~iJI~ose rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies oj the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Pa2e ] 01'2
_S;p,R'I\IS!,!:IE~L:!:>' '
.1
.1-
Status
Issued
CITY OF SPRI~ul'lI:',LD
Building/Combination Permit
PERMIT NO: COM2009-00448
ISSUED: 04/03/2009
APPLIED: 04/0212009
EXPIRES: 10103/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Descdotion I
Description
Type of Construction
$ Per Sg Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Fees P3i~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pnmp
Amount Paid
Date Paid
Receipt Number
$11.52
$4,80
$79.00
$17.00
4/3/09
4/3/09
4/3/09
4/3/09
2200900000000000330
2200900000000000330
2200900000000000330
2200900000000000330
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
3.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
I, Reouired Insnections 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 Communit}' Services Division, Bnilding SafeI)'.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther agree to ensnre 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
Pa2e2 of 2
225 Fihh Street
Springfield, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2009-00448
COM2009-00448
COM2009-00448
COM2009-00448
Payments:
Type of Payment
ONLINE CHGS
cRcceiotl
, RECEIPT #:
Description
] st Appliance, '
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department,
2200900000000000330
Date: 04/0312009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MarshaUs Online
lnc
Payment Total:
Page ] of I
8:45:02AM '
Amount Du~
79,00
17,00
4,80'
]],52
$112.32
Amount Paid
$112,32
$112.32
4/3/2009