HomeMy WebLinkAboutPermit Mechanical 2009-4-24
City of Springfield
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Mechanical Authorization To Bcgin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC550503
4/24/2009 8:36: lOAM
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Check on status of' permit
By Phone: (541)726-3753 or Em.ii: permitcenter@cLspringfield.or.us
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o New construction GJ Addition/altemtionlreplaccmcnt
c. .'~'CATEGQRY OF:CpNSTRli~YlON' ~':'~,'""/ -'_: ',~_;,"f ;::'~ :~I
I [K] 1 or 2 family dwelling 0 Multi-family 0 Accessory Building !
": ~:..i9B'$IT!fINf9~MATI<?~)\N ~.l-qCf\TIO..N.~6,,"? ~ <~;~;..;.I
I Job no.: IJob address: 7438 A ST
I City/State/ZIP: SPRINGFIELD, OR 97478.7285
I SuiteJbldg./apl.no.:
I Projecl DlIme: PELKEY
Cros_~ Sll"l'l't/direrlioll.~ to jub silt,:
I Subdivision: I Lot no.:
ITax fillp/parcel no.: 1702354200]2]
I D'Es:C5RtPt!9N~;Qf~WO~}3-,_:~7i1+t::: )i,:~~;f#;N't-'Lj~.;'t~1
INSTALL HEAT PUMP AND AIR HANDLER
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I Name: LA UREN PELKEY
II'hone: (54!) 505-7037 I Fax:
iEmllil: _____~_
I'", .'C'. ""?,I~U UliC,;",ClicONTRACfOR, ~J"'J .',,;:"., ,~;;;~
Icc~ Ik: n'~: 2~v~I:;'~tKiVlll' ~tiALL' tl\~l~tIF TH_E~;i~~K'-
I "",inm N"md''m!II<!,#wIIILSnW:UNUtK I HI" t"'ttilVIII I" l~uT
ICnn.,,", L1ND3EfJB~J'it'n!HIJ[;tu UK I:; AI:lAI~UUNtU tun
IAddee'" 411001&lI{pi1::8;iJ) DAY Pl:HIUU.
ICity/Statefl.lP: SPRINGFIELD, OR- 974785620
II'hom': (541 )7477445 J Fax: (541 )7410821
I Email: Lindsey@m<lrshallsinc.com
I ~Ietro lie. no.: I 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.
NOTE: This Authorization To Begin Work expires within 180
days if a pennit is not obtained.
.~
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not ..~' '.1J\
meet applicable land use laws and local ordinances. ?_~ D \
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I:."",:,;,,~c. " . fEE ~<?HEDULE ,. .
IUl'seription I Qly.
l!il~at.,~!!~C02Iillg:up~~iac~~L:S;~~~~~;:,;;;
1 Furnace- up 10 100,000 BTU .
I Furnace - above 100,000 BTU
j Elcclric Furnace
I Duct alleralions and additions
I Gas heater unilsl in-wall, in-
dllCI. suspended, clc/
j Vent, flue, liner for above
! Air Conditioner
I HcuI Pump
1 Air Handler
'~2!~~d~J))u'rl}\~r~^pi~i~lle~~J~~~ ;.
I Walerheater
I Gas fireplace/insert/stove
I Gus log/log lighter
I Gas c10lhes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insen
I Wood fireplace
I Chimney/linerltlue/vent w/o
appliance
1;!:n'iroJhleM.!'\!~'iNIL'):Gi'~mllt!hJl_w,requires;you tci.[r,1
I ""nge\ldHd'W rUleS aoopwo oy me'uregon IJtIIlty I
I cI01J~Yi;'~;rv'~~;k\1U Ct:lllt::J. lilu;:it:: IU eti /:tle::it- (lOrIn
'_'Nt,,, '~","1 ~,r1-'1 I -'!:"-""'flfll
I Singl~t[ui" lk~-a:llittbarltfo'orff*, J-L IIUU~ I Vi-HI 0";.- ..
toiletlJ~"m""tkl Olit%, obt, in copie~ of the rlles by
rooms) ~:::IlIin'1 thp. f'p.ntor 1t\lf"Ito' t '0 tolo,"'hl~""9---
I Allic/'l~Il~!s~fU~l'Jr the Or"'o'on LJtiliy Nntiii"J,"tinn
1;;t~~;:r:g~tl~s%:;,t~~;~~/-1800'332:12j44).>tl' d ~o;..
I each ildditional outlet I
I.~ ~,;;,-r~~~Z,~ ,f:~\~.~CF~~lg~L:-PE~MIJ'.F~.E.S ~
I Subtotal I
1 City OfSpringl1eld FirstAppliance fee
I Stale Surcharge (12% ofpennil fee)
I City Of Springlicld fees .1
I TOTAL PEI~MIT f":":
. City Of Springl1eld fees; 5% Technology Fce
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Tot,,1 I
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$17.00 $17001
$170~~:,,~lt~~1
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$34.00 I
$79.00 I
$1356 I
$5.65 I
$132.211
CQ-550
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This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00550
ISSUED: 04/24/2009
APPLIED: 04/24/2009
EXPIRES: 10/24/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7438 A ST
ASSESSOR'S PARCEL NO.: 1702354200121
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: PELKEY MICHAEL D & LAUREN N
Address: 7438 A ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/2312009
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: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Sem@:l'lCE: % of Lot Coverage:
Solar Sctbac~fliS PERMIT SHALL EXPIRE IF THE WORK
AU I HURIZED UNDER THIS P~rBiili: iMPROVEMENTS I
COMMENCED OR IS ABANDu ''L.U I vn
Street Impr'A"l\If"Foti DAY PERIOD.
Storm Sewer Available:
Special Instruction:
Total:
Handicapped:
ATTENTION: OregG,om!WJ~uires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
III Vf"\n ;;1;';c..-UV \-VU J U llll UUYII UKn ~OG-uu 1-
0090. You may obtain copies of the rules by
csm~\Hlw~!lr. (Note: the telephone
number for tne Oregon Utility Notification
Dow~'rn!Ji/~~UvGD-332-2344).
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Foutage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009"00550
ISSUED: 04/24/2009
APPLIED: 04/2412009
EXPIRES: ]012412009
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
+ 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
4/24/09
4/24/09
4/24/09
4/24/09
4/24/09
2200900000000000430
2200900000000000430
2200900000000000430
2200900000000000430
2200900000000000430
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 Retltlired Insnectitl~s 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 certif)' that any and all ,,"'ork performed shall be done in accordance n'ith
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 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 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
Page 2 of 2
22:'1 Fifth Street
Springfield, Oregon 97477
541'.726-3759 Phone
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Job/Journal Number
COM2009-00550
COM2009-00550
COM2009-00550
COM2009-00550
COM2009-00550
Payments:
Type of Payment
ONLINE CHGS
cReceint]
RECEIPT #:
2200900000000000430
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 04/24/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of 1
ONLINE Marshalls Online
Inc
Payment Total:
9:06:17AM
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.2 I
Amount Paid
$132.21
$132.2\
4/24/2009