The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-4-23 APR-22-2009 13:35 , MAR5HALLS INC. Mechanical Permit Application , , . Ci'fY'OF 'sPRiNGFiE:"Lri, OREGON " .. "', ~ ..,'. " 225 Fifth Su"," Spnngfield, OR 97477. PH(541)726.3753 . FAX(541)726,36R9 541 741 0821 P.01/01 1,....:ij~~~~'iME.~f::Q~$:'ON~Yt'..ii:;-1 I Pennil no.. C9..:535< 1 I Date: ~Joq I This permil is issued under OAR 918-440-0050. Permits expire irwork is not started within 180 days of issuance or if work is suspended for 180 day.. [1~:'i~;1~lfjBii~f1l::'.I\It;;~QR.,Y!lPF:(~dNSTRUCT,ON" ......... I ~esidenlial j 0 Government I 0 Commercial H~~l~'iilQi3'ffi$!f~~ojNIiJi:l)~MA.II9!11;'A.N[i.;LOCATION '. . ." I Job sile address: \4 'Z.."I L'St I City: ~ I ,,",of, " \Q 1 Slale: oR I ZIP: 0(7'-1- 'T J 1 I Subdivision: ..j I Lol no.: I ~;1!10'jif,ic~!il.llirl:~"4;:~ESPRIP:r1dtFOF'WclRK' . .,1 I J:\'\s..\.c""L.\.\ ~OJ::; .h,..Jv\r, { 'i. tfir~\!!m~m\~~~~m1i~fi}m~~~iPRQ:eERty:1~:Q,WN,ER('; ':'~~:':<: '" Name: ~ J \-\r. Sl\IC"'QrI Address: 14 TQ' L 'S~ I City: 9Y1 i naPu.1 d I State: 6f- I PhoncfA,-qI5 iqOlDS I Fax: I E.mail: This installation is being made on property owned by me or a memher of my immediate family. and is exempt from licensing requiremenls under ORS 701.010. . Signature: iri!!!:~;il\'\1&!ffi'~Qi'4'tRA9tQR~IIIIS"AtliA TIOIII'"ic.. . I Business name:'1Yku <: hr!t.UA::tV\ c I Address: 41/" 01 Ir' ':'..f I City:, . State: oe.. I Phone~' L ~ I E-mail~ ~ I v , , CCB lice~~~Jo/'~ g :.8-. I Pri~e: Un seu r-<a.efG I Signature:XJt1rJ11Jf.t/ f{cu..:.,fLJ ,__/J' LY . I I zIP:OIl'f-T1 ~P" .~. ~ ~~ 440-2545-J (\ t/08/COM) .. '.1 1 I 1"Residential'>' ... . .~. .~g;"""'I'Q' iv..I,..,COit;.: 1;.,.,Tolst;,-, :' .".."" .." . _ -, - . d:~' - ea.,d_-, .1::-' cost I Firsl Avvli.nee I $79.00 $ !Furnace/burner including dUds. Bnd vents 1 Up to lOOk BTUlhr. I I $17.00 I $ n.w Over lOOk BTlJ/hr. $20.00 $ \ 1 Hcaters/stoves/vents I Uni' heater I $17.00 $ 1 I Wood/pellet/ga, ,'ovelflue $38.00 $ I I Repair/alter/add to heating appliance/ I refrigeration unit or cooling system/ S58.00 S absorption system I Evaporated cooler $13.00 S 1 Vent fan wilh one duct/appliance vent $9.00 S 1 I Hood with exh.ust and d"et $13.00 $ 1 I Floor furnace including vent $58.00 $ 1 I Cas piping lOne to four outlets I I $7.00 I $ 1 I Additional v"tlets (each) $4.00 $ 1 I Air-handling units, including ducts 1 I Up to 10,000 CFM I I $11.00 I $ 1 lOver 10,000 CFM $20.00 $ 1 ..1 I Compressor/absorption ,y,lemlbeat pump 1 1 I Up to 3 hpllOO.k B]1J_ _.. _ $.17.00 IS. 1 I Up to 15 hpj~bHi'J'tJ'V'" v"",\Ju:, "v~.' ';!.'ft~~~k:t. '.~ I I I Up to 30 hRl~~~~~;~t:~;~\~~':: ":)~R~~~~I~;tf) I I Up to 50lllJl!d~Q:l3(flh_nn1_(\'~ l1..dM.;Gl\ ?~01- lOver 50 h1lJ!l~ IlilOlJ mav o~s OnMl\"jMs bV I I Incinerato","lIinn Ihp. "AnlP.r. INote: the teleDhone 1 I Domestic il1finmtroir for the OregD)1 Utilitv S2l1ltiMaSion I 1..Commerclal...... .....CenUiri$',1:'8Q()C?f;!?i~a4-(lP.;;:";:"~':'i:iq I Enter total valuation of mechanical system 1 and installation costs s_ I Enter fee based on valUation of mechanical sys.tem, etc. I S " "M"~~~~,IJ~,h"eQY~: r~~"s~::; """2J~l~~ ~{i;jl~M~;:'!~~~~t :rj.~~.f~~~.~j~~~~~1 ~;~~~~~t~ ;":~~ 1 Reinspeetion $58.00 $ I I Specially requested in,pections (per hr.) $58.00 $ I Regulatedequipment(unclassed) l $13.00 $ I Each additional inspection: (I) $58.00 S Ir:;);Ei~~~f~fi(+i~,~;j1i~~i;;AF!BelC"{j~j;Ji\t.SE~~jf~;Nt~~~~t{ilij(~~~:~~t~:1 I (A) Enter subtotal of above fees (or enter set " minimum ree of $ ~ $ 71.00. I (3) Investigativdee (equal to [Al) S I (e) Enter 12% surcharge (.12 x [A+Bl) S c,.Lj1l' . I (D)Seismicfee, 1%(.01 x [An S- - (1 I (E) Technology Fee (5% of[Al) \ S2 '1'5 I TOTAL rees and ,urcharges (A Ihrough E): $_nt) U',,::-, y> y 2.. . L\3 TOTAL P.01 ~ Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00538 ISSUED: 04/23/2009 APPLIED: 04/22/2009 EXPIRES: 10/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1429 L ST ASSESSOR'S PARCEL NO.: 1703253306600 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas fnrnace Owner: SNEAD RUTH E Address: 1429 L ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMA T10N , Contractor Type Mechanical Contractor MARSHALLS 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: Lot Size: HeighlofSlruclure Sq Fllsl Floor: Type of Heal: Sq FI 2nd Floor: Water Type: Sq FI Basement: Range Type: ~~Q~geil=arport Energy Pa~TTENTION: Oregon law re dl e~'lity . ,'... I doptPIi by the I >lV' ",r Spnnkled.~~~~~~~~sr.~nter~Those ru9JS'AI'1!'!~~~" - -" -".. ') tnrOUY11 Ut"'\lt ';;v_ ..7_ . I DEVELOPMENm INF10RMfTION. 'In copies of the rules by \Ju"u.. ,,~- .".._, t r (Note: the teleiREl(llilRED PARKING calling the cen e . . . otifi{, Ii n Overlay Di~i.tmber for the Oregon Uliilty N To~aF: # Slreet Trees Rqd:Center is 1-800-332-2344)'Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: Fronlyard Selback: Side I Selback: Side 2 Selback: Rearyard Selback: Solar Setbacks: . NU riCE: IPUBLIC IMPROVEMENTS I I THIS PERMIT SHALL EXPlhe ,r I ne .. un" Slreel mprove~EN~ORIZED UNDER THIS PERMIT IS NOr Slorm Sewer AfaJ)~~!~ENCED OR IS ABANDONED FOR Speciallnstruc\!'~l'i' 180 DAY PERIOD. Sidewalk Type: Downspouls/Drains: Noles: I Valuation Description I Description . Tvpe of Conslruction $ Per Sq FI or multiplier Sqnare Footage or Bid Amount Value Date Calculated Paee I of 2 .~ tl~~~:~9~P'J~',e:F~,~'>~(UJ,JJ l Status Issued CITY VI' ..,PRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00538 ISSUED: 04/23/2009 APPLIED: 04/22/2009 EXPIRES: 10/23/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 12% State Surcharge + 5% Technology Fcc + 5% Technology Fee 1st Appliance 1st Appliance Reversal- + 12% State Surchar Reversal - + 5% Technology Fcc Reversal - 1st Appliance Amount Paid Date Paid $9.48 $9.48 $3.95 $3.95 $79.00 $79.00 $-9.48 $-3.95 $-79.00 4/23/09 4/23109 4/23/09 4/23/09 4/23109 4/23/09 4/23/09 4/23/09 4/23/09 Receipt Number 3200900000000000266 3200900000000000268 3200900000000000266 3200900000000000268 3200900000000000266 3200900000000000268 3200900000000000267 3200900000000000267 3200900000000000267 Total Amount Paid $92.43 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. ~{',;,.ire~ T~.~,]~ctions I Final Mechanical: When all mechanical work is complete. Rough Mechanical: Prior to Cover 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 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 011 the site at all times duriilg construction. Owner or Contractors Signature Date Page 2 of2 225 -Fifth Street Springfield, Oregon 97477 541-~26-3759 Phone Job/Journal Number COM2009-00538 COM2009-00538 COM2009-00538 Payments: Type of Payment CreditCard cReceiotl RECEIPT #: Description I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By MARSHALLS INC aPs:aINQFla.:> '! I! , Wk~~ City of Springfield Official Receipt Development Services Department . Publie Works Department 3200900000000000268 Date: 04/23/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR 08185D Fax Payment Total: Page I of I 2:02:14PM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 4/23/2009