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Home My WebLink AboutPermit Mechanical 2009-4-28 City 01' Springfield i Mechanical Authorization To Begin Work E-mailedTo:Lindsey@marshallsinc.com Receipt # EC550706 4/28/20099:19:15 AM ~1~~.....R....1IJl~ ' . l J(t) . Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us .::';:;;F.EE'ScHEOULE - --, -.- ;"1';: -"'0 10 New l'onstmctlon ~ Addition/altcrmionfrcplaccmem 1/', "E~i~G,Ofl:!."OJl~gO.N~T_Ri1CjiC!~:''.''A~~ I [K] ] or 2 family dwelling 0 Multi-family 0 Accessory Building' I, < , . ~~; JOB.slfE.:(~FORM.~L6N AND;hO:SATI9,~;<,,;~) ,;,," I.Job 110.: I Job address: I] 25 58TH'ST I Cif)'/StaterI.IP: SPRINGFIELD, OR 97478-6852 \Suitelbld~.!apt.no.: SPC 75 II)roject nllme: PAWLIRZYN Cross street/directions to job site: I ",il I <'<"'1 '~.' -".: - . ....?' I 1 1 1 ISubdh'ision: iTlIx map/pllrcel no.: 1702342200100 I " "'~=;~;&D~~C_RI~t'(),,~:OF, 'tw9~k~~::~ ~~~:1.~,';-;:~' INSTALL AIR CONDIT[ONER ILal no.: .<'_: ^~,_-t ~ :.- ..,_ :-:~~~/,~~",~rf~~CO~T~Pt:%; I Name: SHERRY PAWLlRZYN l~hO~t": (54])9]J-6230 t.mall: I "'''r{..~,"~;_~~~, IF"" t. ~6NtFY'~.T.9k.t 'i~j;It,({,~':,~,~~,:j~t, ~ 1 1 "1 ;:'j..: I Description 1;,lIcatinglc~~J.rr.gappl!~~c~, . I Furnace- up to 100,000 BTU I Furnace - above] 00,000 BTU j Electric Furnace I Duct llltcrations and'additions I Gas heater unitsl in-wall, in- duct susoended ctcl ! Vent, flue, liner for above I Air Conditioner Heat Pump I Air Handler 1~(Wlcr f~'~Fb~rfl'hl'g~~PP~~!I:Cc.~ I Wat~'rheil1er I Gasfireplacdinsertlstove I Gas lug/lug lighter I Gas clothes dryer I Gas stove/range I Pool or spa_h~~... kiln I Wood/W!~_eP~~o;~~Ith1.o~t 1 Woo&f,~f~~: I'V;Ytlt, I Ch~;ftfi;)r/nU~)li'lt~4P, V/"6 llooJiJlntt . ~"'... 0_ 0'r1~ ..)", 1~:(rm!ij~~~J~~%sJ~.9JenJiI~!~nu_ ~ I Ran~~Jdr/,lt9 "cty ",~OJr. /itr1~Y Ih_'~ ~,.. I clothe(!1lwem....fi'~JI. Vtc$l/; {~.,..,~~ If,; q ~'reS' , .l_~_ '._ I Siog[,-do',ViG!!,fi'i\jY,arh'ftml-:O :'9? c'.\'. &01} J u(; , toil" compan;:;"ilts>:('~ IVOt,' ~$.\' 0"1 < '$& 0,.,i,: ~ rooms) ~~Li. On . ~ ./j O~~ '.iT~. $~;~ :I~. I Attic/craw]space HillS V!_?~liil/, SIr.,'lS ~ : u..?"'1.:-'/'!~ 1 ~'ueJ ninili-g-;':\;--;-","'- -~.t'..J"~~..'~J"'-?kO;~,~ft:i.6i-~/$~:"':7~" """. I~.I'" ",---,,:,_ ~. ',,'7:-,' ~~"_ ;. ',,:,,,~,U"'J...',"- .,. l~ptofirst40ut]ets(cnterQty=l) 'I)l~ '~iOc$lArl&.-Y .1 I each additionlll oul]et I YI) \i;.~_~~8~~lc~~~'E~MIT:FE~,~^E:: 7,~ "..,. Subtotal I City or Springfield First Appliance feel Swte Surcharge (12% ofpcrmil fee) City Of Seringfie]d fees' I I TOTAL PERMIT n':E . City or Springl1e]d fees: 5% Technology Fce ~ Qty. Ea. [I 1 I $[7.00 .':'il'." . -%,.\,..,,'; "I " I I I ceo lie. no.: 25790 I Business l'llllne: MAR$HALLS INC ICO"tact, LINDSEY HAETI(/l No. IAdd,e,,, 4110 Ol.YMPId'~iV.5'/ ~ 0, ICity/State/Ztp, SpRINGFlE'i?!\t~~%~~ IPho"e, (54 [)7477445 ' To{ ~t~o'!f"'f-#4@~082[ I Email: Lindsey@marshallsinc.com..i.cY/~/P..P/ <>"..x:." 1M"... II, """It1'9<i:.%?9,~~:a.:l['l l;h .j//;J V,y,,), 019 Upon ...vlew and app,oval by your local jU';Sdl~Y~<1 ~..Y~:t -I1f;, permit will be e-mailed or faxed within one bUSineS'S~./6'Q ~ 'tY with instructions on how to schedule your inspection~ O'...x: ~ VL} NOTE: This Autho,lzatlon To Begin WO'k expl,es wlt~~~ 0'..y -?b- C, q - 5LD3 days if a pennit is not obtained. .... ~O4' ~ ' The local building department may determine that an \~i\ ~o.:r:f' Authorization To Begin Work is null and void if it does not )V. meet applicable land use laws and locat o,dinances, k 'f;~ - ~~.c9\ ~~ ~~~~ is'? I~ erA. TolaJ I I ",. I 1 $17.001 1 I 1 I I I I I 1 I I I I I I I I ,I I I '1 $17,00 I $79.00 I $1152 I $4.80 I $112.32 I 4 \ z.81D1 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: COM2009-00563 ISSUED: 04/28/2009 APPLIED: 04/28/2009 EXPIRES: 10/28/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 54]-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: ] 125 58TH ST SPACE 75 ASSESSOR'S PARCEL NO,: 1702342200]00 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install air conditioner Owner: PA WLIRZYN-HASSO SHERRY Address: 1125 58TH ST SPACE 075 SPRINGFIELD OR 97478 I. CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION" Expiration Date ] 2/23/2009 Phone 541-747-7445 # of Uuits: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft ]st Floor: Type of Heat: 10;71'/21.; Sq Ft 2nd Floor: Water Type: /v'0'/0*t: ~O,Sq Ft Basement: , 'II; v;. III.i Range Type: II) Q1IOEl/i e8 S~~t Garage/Carport Energy Path: 0080 ~ 8/1) C. ElSq:FPOtlJ.er: Sprinkled Building: OEl//; I(nJa<'-Oo;I)Q~~ij.pa~'}t<'li!Q'!.j1: 1)/ h, '/}(") J Ih", ~O/'l /h_ th_ Qt /I't I DEVELOPMENT INFORMATloL'i;:1 0;1):'6/EI;: /l)ro;:,%~~e9~~YOv /,., -"'I)t, 1)1) 01)1; (t\!, OOPIi9REQUlRED(P,i\RKING I)r IS "'1)9: 0/1), 80,;'1T 8 "1)/ r,"'Y Overlay Dist: 1-8001) Ut,: l/;\;.ntaI:", :5'-2-0 Or/I) # Street Trees Rqd: 0_,'),') 1t/(yl;Iinllj51pPsa?/- , \2,.2 !Y,.", I)" 0,_ I'aved Dnve Rqd: J~\rqml1.~c,t:71) .r % of Lot Coverage: /, '101) Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: .{o", <5tO.... I PUBLIC IMPROVEMENTS I ..J.: 'V os. oJ 0. ' Street Improveme~;,., I.{//A. S'4'/l 'I ~ VV& vo, , Storm Sewer Available:~.{ ~ S'o' os. ~fyflfy 00/& Special Instruction: -1~ 0-.{ & S/ & S'o'-11Y, d-r-1 S'o, (} 0. (} 0 Notes' - IllY, ~I/ S'v,z, (9, ' . ;Ys /:-1<71, ~1tt,,-14'fy IVV:: "~ v ' I ~:"V..lJfuatt~Jr DescriDtion -,.{, '..( $ l'eiLSli'Ft or multiplier Sidewalk Type: Downspouts/Drains: Descrintion Tvpe of Construction Square Footage or Bid Amount Value D..te C..lculaled Paee I of 2 _S~.,R 'N.O'F'.'l!J.D.;ii' .'... ......... 1IIr~ 'I I. n '; . ...,...'- . .............:.'JU' X Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00563 ISSUED: 04/2812009 APPLIED: 04/2812009 EXPIRES: 10/28/2009 VALUE: 225 Fifth Street, Springlield, 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 Surchal'ge + 5% Technology Fcc 1st Appliance Appliance Not Listed Amount Paid Date Paid Receipt Numbel' $11.52 $4,80 $79,00 $17,00 4/28/09 4/28/09 4/28/09 4/28/09 1200900000000000308 1200900000000000308 1200900000000000308 1200900000000000308 Total Amount Paid $112,32 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections requesjed 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. Reouil'ed Insnectinns I Rough Mechanical: Prior to Covel' Final Mechanical: When all mechanical wOl'k 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 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 tlie work described herein, and that NO OCCUPANCY will be made of any stl'Ucture without permission of the Community Services Division, Building Safety, I fUl'ther cel'tify that only contractors and employees who arc in compliance with ORS 701.005 will be nsed on this pl'oject, I further agree to ensure that all required inspections arc requested at the propel' time, that each address is readable from the street, that the permit card is located at the front of the propel'ty, and tbe approved set of plans will remain on the site at all times during construction. . Owner or Con,tl'actors Signatul'e Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone. Job/Journal Number' COM2009-00563 COM2009,00563 COM2009,00563 COM2009-00563 Payments: Type of Payment ONLINE CHGS cReccinll RECEIPT #: Description I sl Appliance Appliance Not Listed + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS i:~', 1200900000000000308 City of Springfield Official Receipt Development Services Deparjment Public Works Department Date: 04/28/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR , Page 1 of 1 ONLINE Marshalls Online Illc Payment Total: 9:36:33AM Amount Due 79,00 17,00 4,80 11.52 $112,32 Amount Paid $112,32 $112,32 4/28/2009