HomeMy WebLinkAboutPermit Mechanical 2009-4-30
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City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC550911
4/30/2009 1:36: 1 0 PM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfiellor.us
Total
Fumace- up to 1 oq,ooo BTU
I Furnace - above 100,000_ BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unitsJ in-wall, in-
duct. suspended. etcl
I Vent, flue, j-iner for abo,:,e
I Air Conditioner
! Heat Pump
I Air Handler
rL2!,[~~t~.~~!t~:t{m;]p~J.lrg:€ifi7~"t~jitR!;~%~~~~~
IWaterheaier I
I Gas firep]ace/insertlstov'~
I Gas log! log lighter I
Gas clothes dryer I
I Gas stove/range I
I Pool or spa-heater, kiln I
I Wood/pellet stoYe/inse~ 1
Wood fireplace j I
Chimney/liner!fJuelventw/o -,,,..,- I
apoliance I.
li;Et~iRmmentaj1"eX.h1iust'tANl>':venii1atiOill'\A#~!4ffi:4Pf:t~"~f5'~<{[~~~;~
i:h=roll1'<,.._r-~"''''''_:'Al?JU;;<ti''0~_''<:,'iiK-j_""""~~~i,,,,,~{;I~'~~tr\.:..
I Range hood 1 _
I Clothes d1rr~,~f10N' ()rI1~nn low rcnlliro~ y~'.!. ~3--
I Single-dUf6m9a~SL~!'!l\!:o'1ri'oJ ted by tt e O' Ut""t
toilet comRd!tm~ntl..uhli& u rego 1 II Y
rooms) IvOt/1/Ca!lon Cente ". Those 'ules are ;et forth
I Anic/cr!Qllpa'&o4f,'ri!)2,001-0~1O through OAR S 52-001- I
,,-=;",.w "'1?~0.urlliC'iO . I 'Ie -;'l"i!r..!!t-b~':
I 1~.!illJ.~~'r''0#.,....,\lil].""~~.,,,,~~f?,,,~91i"'''&1.I,L~~J..Y.ll1
I uplO first.1.?!ii\~Y~~~f9t)'1~1)I~i.\I'U~~:I.l.I,,''''',iel~r '"u~e l
I i~:;:~~:5::;hJ.~~~:d;~E~~:::2'G'~:;'~:~J':' ~:~~' J
I ,.>>~ii~b1'1~YL:;;..1~~~t~!=,~~~.~L9~~lg~Bs~~:~;~EJ!~~lf~i
II City OfSpringfie]d FirstApp]iancefee $79.00 I
State Surtharge.( 12% of permit fee) $11.52 I
I I'~ CitY Of Springfield fees * $4.80 I
I TOTAL PERMIT FEE $112.32 I
'C9:n;~~echnOKlL L}] 3D} CA
I
I
$17.001
I ill ] or 2 family dwelling D MuJti-f~mily D Accessory Building
r;'~"!"miii!ilt4-~OB:SiTE;INf6RMATi0N1AND;irOcAT10N!!\'l\?''Jl';1I>f"i),'~~lJ
"_'I1.i?~~~~?:'l:";,,,,,.-,-"~="'1"''-:' .~,.,~",:J"""Jc'=~'~="""+~....J}J~"~;y~.~
Job no.: IJob address: 4022 VIRGINIA AVE
1 City/Statc/ZIP: SPRINGfiELD, OR 97478-8134 I
1 Suite/bldg./apt.no.: 1
I Project name: duncan I
'Cross street/directions to job site:
$17.00
Subdivision: I Lot no.: I
l'tax map/parcel no,: ]702314401641 J
1.~~~~~~fERm:TI("NtoFlw6Rl{~7fi~~W~~~flW~1
INSTALL DUCTLESS HEAT PUM~ lN' 'K.J;SIDENCE ' .
I N~me: RICHARD DUNCAN
I Phone: (54])747-3017
IEmail:
IFa"
I CCB lie. no.; 25790
I Business Name: MARS HALLS INC
IContaet: Lllj!l~AAFH .
IAddress: 4l4J~c?t-.f~ipltS.T_._ _.. .
ICity/s'atelZ~i :~PJ)fu9.Fdi~tI. Ok!1f;l.\:18.5&MPIHE IF THE WORK
I Phone: (541)A4.:h'4~.\~_nl~C_U UI~UtK I tI-iliJ?fiflMlilii21S NOT
IEmall: Li"d~~~~llh~I\\\nt:lJnJJK I::> AtiANDQNED FOR
I Metro lie. nJJ/\I1 I au Uf1 Y t'ttiIUU. 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 YOLlr 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.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
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I
Status
Issued
CITY OF SPRINGFIELD
Buildi~g/Combination Permit
PERMIT NO: cOM2009-00592
ISSUED:' 04/3012009
APPLlED': 04/30/2009
EXPIRES: 10/30/2009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone.
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4022 VIRGINIA AVE
ASSESSOR'S PARCEL NO.: 1702314401641
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence
Owner:
Address:
DUNCAN RICHARD 0 & AUDREE E
4022 VIRGINIA ST
SPRINGFIELD OR 97477
Contractor Type
Mechanieal
I CONTRACTOR INFORMATION I
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Phone
541-747-7445
Expiration Date
, 12/23/2009
# of Stories:
Height of Strueture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
# of Units:
Primary Occupancy Group:
Secondary Oecupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
'Lot Size:
.Sq Ft 1st Floor:
Sq Ft 2nd Floor:
'Sq Ft Basement:
,'Sq Ft Garage/Carport
:Sq Ft Other:
:Occup~nt Load:
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
. ..... L'1 'equires you to
. Overlay DlSt: ATTENTION: Orego".."..I: reo n Utility
# Street Trees Rqd: 101l0w rules ,adopted H\lJtlrc~~~ set 10rth
NOTICE' Paved Dnve Rqd: Notification c;enter. T~<%i\\JlbAR 952-001-
THIS PERMIT SHALLo~lm! fM'flJ:!iWORKin OAR 952-0~1-~~t~~~h:~Pi~S olthe rules by
f 'jTUI1DI71'n IIMnFR THIS PERMIT IS NOT 0090.:, Y~~~~'!ntPr INote: the telep'ho,ne_
COMMENCED I~BL~v~\l1'ijhs I h;~b~r for',tM or1eBgg~_~~~~l~~~~)~"v_',-'-
O D^V L U Center IS -
ANY 18 '" r t:l\IU . SidewalkType:
Downspo,uts/Drains:
I, Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Page I of 2
Status
Issued
~ITY OF SrKJNGFIELD
Buildi~g/Combination Permit
PERMIT NO: cOM2009-00592
ISSUED: : 04/30/2009
APPLIED: 04/30/2009
EXPIRES': 10/30/2009
V Al;UE:
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
Heat Pump
Amount Paid
Date Paid
Receipt Number
$ 11.52
$4.80
$79.00
$17.00
4/30/09
4/30/09
4/30/09 .
4/30/09
2200900000000000461
I, 220090000000000046 I
2200900000000000461
2200900000000000461
Total Amount Paid
$112.32
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'ln' will be made the following
work day.
R~ol,Jir~d lnsn~cti?ns I
Rough Mechanical: Prior to Cover
Final Meehanical: When all mechanieal work is eomplete.
I'
By signature, I state and agree, that I have carefully examined the eompleted application a~d do herehy certify that all
information hereon is true and correct, and I further certify that any and all work perforni'ed 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
I
that NO OCCUPANCY will be made of any strueture without permission of the Community Serviees Division, Building Safety.
I further eertify that only contractors and employees who are in eomplianee with ORS 701:005 will be used on this projeet.
I further agree to ensure that all required inspections are requested at the proper time, th~t each address is readable from the
I'
street, tllllt 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 of2
i!
.'
225 ~ifth Street
Springfield, Oregon 97477
541"il26-3759 Phone
Job/Journal Number
COM2009-00592
COM2009-00592
COM2009-00592
COM2009-00592
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Applianee
Heat Pump
+ 5% Technology Fee
. + 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
2200900000000000461
Received By
KR
Page 1 of I
Check Number
Batch Number
City of Springfield Official Receipt
Development Services Departmcnt
"
Public Works Department
Date: 04/30/2009
Item Total: I!
Authorization
Number l.
,
2:03:57PM
Amount Due
79.00
17.00
4,80
11.52
$112.32
How Received
Amount Paid
$112,32
ONLINE Marshall, Online
Inc,
"Payment Total:
$112.32
4/30/2009