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Home My WebLink AboutPermit Mechanical 2009-4-6 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:Lindsey@marshallsinc.com Receipt # RC549563 S~ 4/6/2009 12:07:22 PM (0.. tC\ Check on status of permit By Phone: (541)726-3753 or [mail: permitcenter@ci.springfield.or.us o New construction [K] Addition/alteration/replacement ~,c4T-~.~q:RX~cjilIO~N~I~.~-c~f((iN~J:,~~'i];;t?';~'\~,;'t,~ ~~:i\1 I [}J I or 2 family dwelling 0 Mlllti-family D Accessory Building I 1~~~~~I;:l:~~~~~;~~~]:~,~f~I~!,ORM~r!qN:A_NRj!IQ~ttf:~,~~~,~i?~.!i~~Jul I,Job liD,: IJob address: 2144 DEBRA DR I I City/State/ZIP: SPRINGFIEI.p, OR 97477-2438 I ] Suite/bldg.lapt.no.: I I Projcl"t name: LEDSWORTH I Cross streeUdircctions to job site: ISubdivision: ITax map/parcel no.: 1703261401322 ILot no.: HEAT PUMP AND AIR HANDLER INamc: ROLAND LEDSWORTH i Phone: (971) 322-6351 iEmail: IF"" leeB lie. no.: 25790 I Business Name: MARSHALLS INC I Contact: Lindsey Baeth IAddress: 4110 OLYfy1PICST I City/State/ZIP: SPRINGFIELq, OR 974785620 I Phone: (541 )7477445 I Fax: (54 I )741 0821 I Email: Lindsey@marshallsinc,colll. II\'lelro lie. no.: I City lie. no.: CeB 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 Jaws and local ordinances. I Description 1 Qty. It(~,::a)i!iW~f:?Jm,~'Appi!~,~~~:~~~::~.! ". I Furnace- up to 100,000 BTU I Furnace - above 100.000 BTU ElecLric Furnace I Duet altcrations and additions I Gas heater uriits/in-wall, in- duct susoended. etcl I Vent, flue, liner for above I Air Conditioner I I Heat PLllllp II I Air Handler II $17.00 $17.00 I I I I I I $17.001 $17.00 WaterheClter I Gas fireplace/insert/stove I Gas log/log lighter I Gas clothes dryer I Gas stove/range I Pool orspCl heater, kiln I Wood/pellet stovc/insen Wood fireplace Chimney/linerlflue/venl WiD appliance :'~.ritJro.nlri,c.n~~t,~~~1i~~'~fi9~_~r~~fi~tiond"? -if.;; I Range hood I Clothes'dl)'erexhallst I' Single-duct exhaust (bathrooms. tollet companments, utllity rooms) I Allic!cmwlspacc fans lupto first 4 outlets(enter Qty=l) I ea'ch additional outlet I SUblOlClI I I City Of Springfield Firsl Appliance fee '1 State Surcharge (12% of permit fee) I City or Spriligfield fees ~ I TOTAL PER1\-HT FEE .. City Of Springfield fee~: 5% Technology Fee Co(i1 LCflf) - OO'-~ 5 5' NM 4-(p,-OO\ This Authorization To Begin Work must be posted at the job site until replaced by a Permit I I I ,,' . -I I I I I :1 I I /1 $34.00 I $79.00 I $13.56 I $5.65 I $132.21 I CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: cOM2009-00455 ISSUED: 04/06/2009 APPLIED: 04/06/2009 EXPIRES: 10/06/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2144 DEBRA DR ASSESSOR'S PARCEL NO.: 1703261401322 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat Pum & Air Handler Install Owner: LEDSWORTH ROLAND 0 & MARY ANN Address: PO BOX 916 ROCKAWAY BEACH OR 97136 Phone Number: 541-322-6351 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 ,BUILDING INFORM~TlON' 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 1st 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 Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Oyerlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: . I PUBLIC IMPROVEME!'iTS, S t I . ATTENTION: Oregon law rel""rc" yr>!J lG .... Ik T tree mplOv.ements., d ~ I 'h ( 1'1' NO o!(f.r.:oo ype: IUlIuv'v IU es a ODl'?u )),f Ll~: !F'f'JClll,\t11ty -I ..,i,;,:.- Storm SeweNAV1iila5Ie: Center. TI,'iO(. r"!:" nr~ r,ll '0rth THI9l6'wR~J1b1i1SI:I),~MIf:XPIRE IF THE WORK Special Insti-uctiMi:952-001-0.01,:' :1(<' :. .' \. r tl!;lh AUTHORIZED UNDER THIS P~R,.,1I7 J~, "WT 0090,. You may olYam :.:.,'" " ,;I~,; II" j ily COMMENCED OR'S At: '''!,-.. -'f': -.;1 N. call1ngthecentt.:.r. (.... ':, ~'I'I'--;, .",e ,'" .l..I\.c.....'-,I,t...'...I......., otes. .. "N" "PO 0 '.\1 r."" 1',-' number for tile Or., ..t.,;,c,.Jun ' 1 1,,1 r.. [-t,." ,I,. ..........'L'-" '.... . ........"" ........._........ ,.". I Valuation Descriqtion , Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-00455 ISSUED: 04/06/2009 APPLIED: 04/06/2009 EXPIRES: 10/06/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspect.ion Line Total Value of Project .Fees Paid J Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Air Handling Unit Up to 10,000 Heat Pump Amount Paid Date Paid Receipt Number , $13.56 $5.65 $79.00 $17.00 $17.00 4/6/09 4/6/09 4/6/09 4/6/09 4/6/09 3200900000000000219 3200900000000000219 3200900000000000219 3200900000000000219 3200900000000000219 Total Amount Paid $132.21 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 Reolli~ed I~snecth~~~ I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature,.1 state and agree, that I have car'efully 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 tbe State of Oregon pertaining to the work described herein, and that. NO OCCUPANCY will be made or 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 IIsed 011 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 setofplans will remain on the site at aU times during construction. ~ Owner or Contractors Signature Date , Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00455 COM2009-00455 COM2009-00455 COM2009-00455 COM2009-00455 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: City of Springfield Official Receipt Development Serviccs Departmcnt Public Works Dcpartment 3200900000000000219 Date: 04/06/2009 Description I st Appliance Air Handling Unit Up to 10,000 Heat Pump + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Rece,ived By Batch Number Number How Received njm ONLINE marshalls Online Payment Total: Page 1 of 1 ]2:40: 13PM Amount Due 79.00 17.00 17.00 5.65 13.56 $132.21' Amount Paid $ 132.21 $132.21 . , 4/6/2009