HomeMy WebLinkAboutPermit Mechanical 2009-4-8
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Status
Issued
CITY OF SPRINlil<l1<,LD
Building/Combination Permit
PERMIT NO: COM2009-00466
ISSUED: 04/08/2009
APPLIED: 04/08/2009
EXPIRES: 10/0812009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1155 18TH ST
ASSESSOR'S PARCEL NO.: 1703253407301
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJE'CT DESCRIPTION: Ductless heat pump
Owuer: WILLIAMS DAWN J
Address: 1155 18TH ST
SPRINGFIELD OR 97477
Phone Number: 541-554-4773
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS 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 Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
, Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Overlay Dist: Total:
# Street Trees Rqd: Handicapped:
Paved Drive Rqd: ATTENTION' Oregl Compact:, "
0' f L ' on aw reQuires "~u '0
'00 ot Coverage: joHow rules adopted by the 6rec;~;; ;', ;';'{{
~o:.'~I'::.al'?~ Center, Those rules 2.109 r;: ;,:i"
. .-'''' ............... '-'OJ I-VU IV llllUUidrl UP'" ,.... r
I PUBLIC IMPROVEMENJI:SI" You may obtain copi~s 01 i;l/.~' ,,':
Lidding tsh,od r:A"lfe"T {hl.")t", ','-e fl" '"1
I ewa t\ ype:.... ;1 .;',
number TOr me urepon U;;':lv i\ ': ""..Jl
CDo"nspoiIts(Qr~ l'!J '",.i ""t.
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE:
THIS PERMIT SHALL EXPIRf:: If:: TI-I" 'MrlDI/
iiU I HU'~ILtO UNDER THIS t"trj,VIJ I JS ~lnT I
COMMENCED OR IS ABANDON -.YaWifi'Oh Descriotion ,
ANY 180 DAY PERIOD ~- , -..
. ' . . $ Per Sq Ft Square Footage
DescnntlOn Type of ConstructIOn I ' I' B'd A
or mu tip lef or I mount
Notes:
Value
Date Calculated
Pa2e I of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-00466
ISSUED: 04/0812009
APPLIED: 04/08/2009
EXPIRES: 10/08/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
F~e.~ Pai~ I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance,
Heat Pump
Amount Paid
Date Paid
Receipt Number
$1\.52
$4.80
$79.00
$17,00
4/8/09
4/8/09 '
4/8/09
4/8/09
3200900000000000231
3200900000000000231
320090000000000023\
320090000000000023\
Total Amount Paid
$112.32
I Plan Reviews ,
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 Renuired Insn~ctions I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signature, I state and ag.-ee, that I have carefnlly examined the completed application and do hereby certify that all
information hereo~ is true and correct, and I further certify that any and all work performed shall be done in accordance wit~
the Ordinances of the City of Springtield 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 f.-ont of the pl'operty, and the approved set of plans will .-emain on the site at all
times during construction.
Owner or Contractors Signature
Date
Paee 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # FTS49730
4/8/2009 9:36:03 AM
. Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
I [KJ ] or 2 family dwelling
o Multi-family
D Accessory Building
I Description Qty.
I'H~~i~g;~?,~ll~i",~.pp"{a~~~E::;;f.r?:: '. ~ u;
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
Electric Furnace
I Duct alterations and additions
I Gas heater units! in-wall, in-
duct suspended, etel
I Vent, nue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
10 New cotistruction
[K] Addition/alteration/replacement
I Job no.: I Job address: 1] 55 18TH ST
I Ci~rISfate/ZIP: SPRINGFIELD, OR 97477-4269
I Suite/bldg.lapt.no.:
I Project name: WILLIAMS
Cross street/directions to job site:
I
]1
$17,00
I
I
I
I
I
I
$17,001
0',,:\1
I
I
I
IName: DAWN WILLlAMS
I Phol1e: (54l) 554-4773
IEmaiJ:
.1 Water heater
I I 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/pellet stove/inscl1
I Wood fireplace
I Chimney/liner/nlle/vent w/o
appham:e _
1~.;Vi~~~~i~h€~]_~~~~~~~p'v~eNiJ~tion~'~' ~;
I Range hood
I Clothes dryer exhaust
I Singh~-duct exhaust (,bathrooms,
toiletcompartmcnts, utility
rooms\
I Altic/crawlspacefans
ISubdivision:
ITax map/plIrn'J no.: 1703253407301
I Lot no.:
DUCTLESS I-!EAT PUMP
IF",:
lie. no.: 25790
I llusiness Name: MARS HALLS INC
I Contact: Lindsey Bileth
IAddress: 4]]0~)LYMPICST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: (54])7477445 I Fa" (54])74]082]
Email: Lindsey@milrshalIsinc.com
I i\letru,lic. no.:
I upto first 4 outlets(cnterQty=l)
I each additional outlet
I City lie. no.: CCB 25790
Subtotal I
City or Springfield First Appli,mce fee
Slate Surcharge (12% ofperml\ fee)
Cit\, Of Springfield fees * I
TOTAL PER~HT n:..:
* City Of Springfield fee5:.5% Technology Fee
$79.00 I
$11.52
$480
$112,321
Upon review and approval by your local jurisdiction, your
permit will be a-mailed or faxed within one business day,
with instructions on how to schedule your inspection_
Com2b09 - OO..y~(#
-<I--JY~o9 NJ'Y\J
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.
This Authorization To Begin Work must be posted at the jop site until replaced by a Permit.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00466
COM2009-00466
COM2009-00466
COM2009-00466
Payments:
Type of Payment
ONLlNE CHGS
cRcceintl
RECEIPT #:
Description
1 st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLlNE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000231
Date: 04/0812009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLlNE marshalls Online
Payment Total:
Page 1 of 1
12:04:43PM
Amount Due
79,00
17,00
4,80
11,52
$112.32
Amount Paid
$112,32
$112,32
4/8/2009