HomeMy WebLinkAboutPermit Mechanical 2009-4-28
qty of Springfield
Mechanical Authorization To Begin Work
E-m.liled To: Lindsey@marshallsinc.com
Receipt # F:C550777 S ~ lP
4/28/2009 3:35:26 PM 0.. /
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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I 0 Nt:w construction
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lliJ Addition/illteration/replaccment
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I (K] 1 or 2 family dwelling 0 Multi.family 0 Accessory Building
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I Cify/StllferLlP: SPRINGFIELD, OR 97477.\ 500
I Suitc/bldg./apt.no.:
I Project name: KLIPFEL
Cross street/directions to job site:
jsubdi\'ision: I Lol no.:
jTa.\ map/pared no.: 1703262101100
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INSTALL HEAT PUMP AND AIR HANDLER IN RESIDENCE
~:) ." ~{SJTE COi!.TA~T,. ..
I Nllme: DON AND JUDY KLIPFEL
1 PhUOl': (54l) 736-5683 I FilX:
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1""in"Jtll&JIILll's!lII-SHAU EXPIRE IF THE WORK
ICnnl,,,J\UNOOHI~liliUNDER THIS PERMIT IS NOT
IAdd,,,>BIiJl.dM,yf,J0ElilrOR IS ABANDONED FOR
I CilyIS"~l"HOOIiM'\tifl:E~iIOO785620
[Phnn" (541)7477445 IFn" (541)7410821
t..:mail: Lindsey@marshallsinc.com
I Metro lie. no.: I Cit): lie. no,: CCD 25790
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Upon review and approval by your local jurisdiction, your
permit will be ewmailed 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 laws and local ordinances,
I~~/ ,';(.. 'FEE.SCji:E~U,L1~t:',,- ,.:,,^,
I Description J Qty. Ell.
li.l~a.ti!lg/c~ottng.~pplht'n~~~~~~;;~~;" ..
I Furnace. up to 100,000 BTU
1 Furnace - above 100,000 BTlJ
I Electric Furnace
Duct alterations and additions
. Gas heater units/ in. wall. in-
duct. susDended. etc/
I Vent, nUl:, liner for above
I Air Conditioner
I Heat Pump $17.001 $17,00
lAir H.a..ndlcr $17.001 $17,00
I;:'::hea,,, "i:'':'[
I Gas fircplace/insen/stovc I
I Gas log! log lighter I
Gas clothes dryer I
I Gas stove/range I
I Pool or spa heater, kiln 1
I Wood/pellet stoveli!!.s.e!!..... _ . I
I Wood Ii"PI~@:r L;IHIU", l 'f".yun. larN reqU/r~ you to 1
I ChimneY/li,p~~r'l~ ClJLtJH:~U UYIUH:~ ure on Utility!
. a?oHance N'oH~rc'at'lon CenJer. ,~hq~ n Ilp~ ~r. -:~ot f.....1fh
1'~~viiv~n~imt~l~~~~~Dy~~0)fnrouqh,O'AR;952'O'Ol '
I Range hnu\lU>lU.:, YOU may o/btain col)ies of thl rules b"
I Clolh"dryeo'l!~IUIIJ '!'tl (je~r.er. (N01je: the tellphone
I Si~lgle-dllct~~\''1'''fl~bt1\robrAS!t::;. VIt:YUllflllI1Y NO meation I
IOllet ,umpartme",s. ut(j)~nter 'S 1-800- 32-23441'
roums)
I Attic/crawlspace fans ,I
".Fuel pipillg'.-~ ~,'":., ,,' .~~. .< :--:':';'~~:' ~fJ ':_:-...- ~.:;~;:;~.::t~.ft' ,'" . ,,'I
. ,,, ~'v. ._,t'... _,-=-.~..~. ..._'l-.,....~-...,.., '.,L->,--f .
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Subtotal I $34.00 1
City Of Springfield FirstAppliance fee $79,001
State Surcharge(l2% of permit fee) $13.56 1
City Of Springfield fees .1 $5.65 1
I TOTALPEI~~IlT FEE I $132.21 I
.. City Of Springfield fees: 5% Technology Fee
~q -5&v kQ- L\ \3ol 0')
Total
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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: cOM2009-00586
ISSUED: 04/30/2009
APPLIED: 04/30/2009
EXPIRES: 10/30/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InsJleetion Line
SITE ADDRESS: 537 HAYDEN BRIDGE PL
ASSESSOR'S PARCEL NO.: 1703262101100
Springfield TYPE OF WO~K: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and
Owner: KLIPFEL DONALD J & JUDITH A
Address: 537 HAYDEN BRIDGE PL
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Oceupancy Group:
Secondary Oecupaney Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strueture
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:
II/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
"-'". Handicapped:
Compact:
_. ___ _ _ \...........~ ITII"\U. r........'J""..... 'IO\M rt:lnllirl~~ \fOU to
I~ U IIl1l:. 1'p~,~l(;,l~fROVEMENTSil'li~; ~~h~s adopted by the Oregon Utility
THIS PERMIT SHALL EXPIRE , ,"utific?lion Ceriter. Those rules are set forth
Street 1mprAtCJl1t1!~lZED UNDER THIS PERMIT IS NOT in OARSjgzll'i'J~J~H?e:through OAR 952-001-
Storm SeweG~WI{iifr)/.r.ED OR IS ABANDONED FOR 0090. Dowi'i\ip6Glsi~Pa\'Rs,?i~sh 0\th1e r~les ebY
SpeciallnstNftioffiO DAY PERIOD calling the center. (Note.t. e e ep on
, .. number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Paee I of2
_&eAIN~!'1I!i!c1;l:li
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:cITY OF SPRINGFIELD
Building/Combination Permit
PERMIT 'NO: cOM2009-00586
ISSUED: " 04/30/2009
APPLIED: 04/30/2009
EXPIRES': 10/30/2009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 lnspeetion Line
Total Value of Project
Fees Paid I
'.
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Applianee
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
4/30/09
4/30/09
4/30/09
4/30/09
4/30/09
1200900000000000321
1200900000000000321
1200900000000000321
1200900000000000321
1200900000000000321
Total Amount Paid
$132.21
I Plan Reviews .1
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 Re9uired Ins.n~.ctio.~~.1
Rough Meehanieal: 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 eorrect, and I further certify that any and all work performed shall be done in aceordance 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 eontractors and employees who are in.complianee with ORS 70[;005 will be used on this projeet.
I further agree to ensure that all required inspections are requested at the proper time, th* 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
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00586
COM2009-00586
COM2009-00586
COM2009-00586
COM2009-00586
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
1200900000000000321
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: 04/30/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
KR
Page I of I
ONLINE Marshal1s Online
Inc
Payment Total:
9:58:45AM
Amount Du'e
79.00
17.00
17.00
5.65
13.56
$132.2 I
Amount Paid
$132.21
$132.21
4/30/2009