HomeMy WebLinkAboutPermit Mechanical 2009-4-23
Receipt # EC550482 ~i
4/23/20093:57:54 PM /6
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Pool or spa hC;lter, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chi~ney/lincrllllie/Yent w/o I
aoollance .
I~En~(r:o.n~~bi?e"x~~~N ~~;n!!liifl?I~:lV~ {~~C}':J'r~SY?'~<).9 :, :
Range h~g~t.O.w ~~It::. i:1U~!J t:~ _~~ :IIJ VI ~~~l~ _~~,hlY
-CI h 'T\\uuf,uClLIVII 0...-11l\:'" lllu........, ....,......:.....-.3ftI::t--
01 e~Q~{I~lt~,~tl'"\ ().('I-4 "C H'I +h.. r I '2 QQ~
Sing1e-thlcf"c'xh'a '{b11throoms7 ": u.. . l
toil" ,.Ql;jflIi1n, @,~t/ilJ1lY ob aln COpl s of the r Jles by
rooms) ~~l1inn th" ,,"nte', (Note: the telea lone
1 Atti,;,ral'i!mlbl!!rsfor the 0 'eqon Utllity Notifibation
I,~'u),jipipingc 'C '.'G:eiiteris.:l;,!1.9P-3~g:53f4)::~ .
I uplO first 4 outJets( enter Qty= I) I I I
each additional oullel
,,;~gMECH~N.ICA"'I'E~~b;~!~~~:i?'F' :~%~'I~:~'I
Cily or Springfield First Appliance fee $79.00 I
State Surch<lrgc(12% of permit fee) $11.521
City or Springfidd I't:cs .. $4,HQ I
I TUIALPERJ\lITFEE $]]2,]21
.. CilY Of Springfield fees: 5% Technology Fee
'?\L t.-\ \2.:~~\'CPl
<;:ity of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshalIsinc.com
~
Check on status of permit
By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us
l'~: . - . -.:' ,~~~~~~r.vP"~~9~_::YV.Q~~.'7~::~'r::~i:~~':~:~J1~::i~;"::
10 New construction ~ Addition/alteration/replacement
I' ..;,J,.'- _, .CI\'rEGOR'(OF90t-lS.!13U<<T.!9Nff",i.~,?;':, . ,7;;~'i1
I [Xl I or 2 fumily dwelling D Multi-family 0 Accessory Building
I <fOBSlfEjNFORM~T.!9t.j:AND'~QC~'rI~N,,~~\f';':
IJob no.: IJob address: 1238 F ST
I City/StatcrI.IP: SPRINGFIELD, OR 97477-4155
I Suilc/bldg.hlpl.no.:
I Project name: LANGDON
Cross strct't!directions to job site:
ILot no.:
I,. >"f~~';;'~_.:'-:,;c,!~.r> ':.:r-FEE'SCHEDULE'.
..;,p,,,_ '_~Y"""-.i;l:J.. '~......... .' ,. O~"',"""'_~'
Il)cscriptioll I Qty. I
I J ~c~!~ilglc~~I!lI-g.ap~[;n~~~
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct. susnended. etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I i.<?ther~~U1I: b-u r!.! i~g~~ilPlia' n ~~~~;'\;;'-.~.i";~ \
I Water heater
I Gas fireplace/insert/stove
) Gas log/log lighter
Gas clothes dryer
Gas stove/range
,..
cor}: f~
.:a.
II
$17.001
I
I Subdivision:
ITax map/parcel no.: 1703351104901
. :,::,';', ."'~'!~'i-L. .:";D.ES'cilIPTf@fJFW~~.K';'~",,~"" -
INSTALL DUCTLESS HEAT PUMP
.>C....
I Name: DARREL LANGDON
Phone: (541) 746-6255
jEm<lil:
1 . Nn:rIp.I=i. - ,
ICCB He. no.' TlJ?~ Ql::O~nIT ~\:!llll J:\'PIJ:lJ: II: Tl-U: ~RK
IBu';""'N"m~'Lift6Jm'~ili~NDJ:J:l TI-lI~ PJ:J:lMIT I~ ~lnJ
ICo"t"", J.JNE~~~MmtED OR IS 1I.!lAND(lMJ:n J:nJ:l
IAdd"''' 4] 19J,q,w~r&9-.'\Y PEP.!Q.!;I.
I CHylStaternp: SPRINGFIELD. OR 974785620
II>hone: (541 )7477445 I Fax: (541 )741 0821
I Email: Lindsey@marshallsim:.com
I i\letro lie. 110.:
IF""
1 City lie. no.: CCB 25790
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your Inspection.
, ~..$ tq-54g
~~~
~~rt
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may detennine 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
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$17.001
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Status
Issued
225 Fifth Street, Springfield,OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1238 F ST
ASSESSOR'S PARCEL NO.: 1703351104901
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00548
,
ISSUED: 04/24/2009
APPLIED: 04/23/2009
EXPIRES: 10/24/2009
VALUE:
Springfield TYPE OF WORK: Heating System
PROJECT DESCRIPTION: Install ductless heat pump
Owner: LANGDON DARREL N/MELINDA A
Address: 1238 F
SPRINGFIELD OR 97477
TYPE OF USE: New
Residen tial
I CONTRACTOR INFORMA TION I
License
25790
BUILDING INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction T)'pe
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Expiration Date
1212312009
Phone
541-747-7445
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
MnTI,,~:
T~IS PERMIT SHAll EXPIRE~~OVEMENTS'
Street Impro%\i;MQRIZED UNDER THIS PERMIT IS NOT
Storm seweHW~~~N~ED OR IS ABANDONED FOR
Speciallnst~[9;IoJ. 0 DAY PERIOD.. .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Notes:
Val~atio.n DescrIDtion I
Description
$ Per Sq Ft
or multiplier
Square Footage
,or Bid Amount
Type of Construction
Page 1 01'2
REQUIRED PARKING
Total:
ATTENTION: Ore!!hml1i~aPflCII\reS youto
follow rules adopl€drbp,tt-t<:' Oregon U~litih
Notification Center. Those ru~e~:~e ;;~-g~1.
in OAR 952-001-0010 throug b
_ _ _.. ---'J ,",ht~in I""nnlP.S of the rules y
vv;;lii~9 the center. (Note: the te,~tJ, .v,:~
'mb lor the Oregon Utility Notification
Sl'dewJ1L\XIle: 'IS 1-800-332-2344).
't;t;:.I.OI
Downspouts/Drains:
Value
Date Calculated
-7~i..!.
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.. ,'. .-: .,'r
,. '. ~
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Status ,Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00548
ISSUED: 04/24/2009
APPLIED: 04/23/2009
EXPIRES: 10/24/2009
VALUE:
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
4/24/09
4/24/09
4/24/09
4/24/09
1200900000000000295
1200900000000000295
1200900000000000295
1200900000000000295
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 Reouirerllnsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signatnre, 1 state and agree, that I have carefully examined the completcd 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 Springtield and the Laws of the State of Oregon pertaining to the work descrihed herein, and
that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety.
1 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 readahle 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 01'2
.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00548
COM2009-00548
COM2009-00548
COM2009-00548
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CI-IGS
*~
1200900000000000295
City of Springficld Official Receipt
Development Services Department
.Public Works Dcpartmcnt
Date: 04/24/2009
Item Total:
Check Number Authorizntion
Received By Batch Number Number How Received
KR
'-
Page I of I
ONLINE MarshaUs Online
lac
Payment Total:
8: \0:35AM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Pllid '
$112.32
$112.32
4/24/2009