HomeMy WebLinkAboutPermit Mechanical 2009-4-30
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com.
. (I~
Receipt # .EC550901 0])
4/301200911 :03:20 AM (A/
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I Furnace- up to loo,oooinu
I Furnace - above 100,000 BTU I
1 Electric Furnace I
I Duct alterations and addi,tions I
I Gas heater units! in-wall,' in- I
duct suspended, ete!
I Vent, flue, liner for above I
I Air Conditioner 1
I He" Pomp I $17.0C' $17.001
I Air Handler 1
ILI1,ilii);;r~~I[!lif~!ji1'~p"pM[~m~%'@iiW:1tiii~;i;i;5:li~t~~~~:\i21flJ;1
I Subdivision: I Lot no.: I Water heater r .
I I I Gas fireplacelinsertlstove
Tax map/parcel no.: 1702353203300 .:
I".'. """"'. "'''''''~''''. -"," "",,"'-. '. ,"",."--"" """"""~"'''!fJfc-''''~'~'"'.''"''''~' ,~~<.".il'l Gas log/log hghter
:"';;'i;i;~E,Jir.1,,2t:l~';,~<_':O.~tyV;~?(<1~";DESCRIP.'TION;OE:WORK(~7.~.~.:~ri"". - ..:f~::;{;*;;l'?;'\I,~" '"(~t' _ - ;,i$;'Jd; .
fi~~T~'l~'L~;D~~~ES9~~~~~~pu~;p"iN"RESiDEN~E\)-;-',c~".~...~~.._t<,,~-_..~:q;,\,"\W"~-, ,"''''i~_ .u"K; I Gas clothes dryer
. I Gas stove/range
I Pool or spa heate'r, kiln ,
I WoOd/)?el~I.~~1r4\\\''hrP.Oor law reqllreti~~~'~;;v I
I wodil!r1~~i"i~s adopted by tne.uJ ~_~~'~.;; i ,rth I
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I Clothe.,.1i;' "r' '~h Ore on U\lIIt' w",,--" ,
.,,!l'.'i!;. ~,,) t e --, ~1')
s;~gl~J1I1tt!i'exii'l"h(JJf!bro\>s1s1-iI\U\J-"""-'v . - I
toilet compartme'mf,'Jtll!ty
rooms)
Anic/crawlspace fans ( I
Check on status of perm,it
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I [XJ 1 or 2 fam~ly dwelling D Multi-family 0 Accessory Building
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IJob no.: IJob address: 6847 CST I
I City/State/ZIP: SPRINGFIELD, OR 97478-7389 I
I Suite/bldg./apt.no.: I
I Project name: CARPENTER I
Cross Slreet/directions to job site:
INam" BRENT~lofI'tJRMIT C:W'l~~.::}'rl'
!Phon" (541) 72<Am'HQBlZEn l~h;(,Eq$j/[ }fT~t VVUKI\ I
lEman, COMMF~IC ---,,,' . U!L~r~I~I;) I~UI
1'~.'il!f1 "~~""iirifdi~~R"r~!~~IJIIiI:l/:fF~r~r...~
~"IJ\'=44:<<N, .~" ,', . "pEW1 ' ".~._,~I'l!..",~__,tta~""~;;'\\fio"kl
I CCB lie. no.: 25790 . .
I Business Name: MARS HALLS INC
IContact: LINDSEY BAETH
IAddress: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: (541 )7477445 . I Fax: (541 )7410821
1 Email;Lindsey@marshallsinc.com
I Metro lie. no.:
I upto first 4 outJets(enterQty=l)
I each additional outlet
I City lie. no.: CCB 25790
I
I
~
I TOTAL PERMIT FEE $112.32,1
* City Of Springfield fees: 5% Technology Fee .'
tq- 5CC~ \G{L 4 \ 30\ 09
Subtotal
City Of Springfield First Anpliance fee
Slate Surcharge (12% of pennit fee)
. City Of Springfield fees *
$17.00 I
$79.001
$11.52 I
$4.80 I
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 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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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00588
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 Inspection Line
SITE ADDRESS: 6847 C ST
ASSESSOR'S PARCEL NO.: 1702353203300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROjECT DESCRIPTION: Install duetless heat pump in residence
Owner:
Address:
CARPENTER BRENT 0 & SALLY A
6847 C ST
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 Occupancy Group:
Primary Construction Type
Seeondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strueture
Type of Heat:
Water Type:
Range Type:
Encrgy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Oceupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: Overlay Dist:
Side I Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setbaek: % of Lot Coverage:
Solar SetbackJi: ATTENTION: Oregon law requires you to
MnTIr.I=' ","_ _...__ _"__'0'< hu tho nronnn I!tilily
THIS PERMIT SHALL EXPIRE Ii P\lii!t.~j,ROVEMENT~)tiiication Center. Tho'se rules are set fort~
~VlliQfilZED UNDER THIS PEr,,,,, 0 'v j~, II, OAR,Q!'j2-001-0010through OAR 952-001
Street Imp COeMMENCED OR IS ABANDONED FOR 0090.. ?tIU'll'i'J~ifiY1Il!n ~o~~s of the r~~~ebY
Storm Sewe!:r<N"I.i~&lfiAY PERIOD' . call1rn:o\Ms6\l1l1~!D.\tIn.nktheNtelef r
Speciallnst%Hioln:' number for the Oregon Utility otllca Ion
- Center is 1-800-332-2344).
Total:
Handicapped:
Compact:
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Caleulated
Paee lof2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2009-00588
ISSUED:' 04/30/2009
APPLIED: 04/30/2009
EXPIRES: 10/30/2009
VALUE:
225 Fifth Street, Springtield, OR
541-726~3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Projeet
Fees Pa i~ I
Fee Description
+ 12% State Sureharge
+ 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
3200900000000000286
3200900000000000286
3200900000000000286
3200900000000000286
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 Reonirerl J 'suec\lions .
II 11 I I III" r IIIII ....
Rough Mechanieal: 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 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 deseribed 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 eon tractors and employees who are in compliance with ORS 701.005 will be used on this projeel.
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 Contraetors Signatu're
Date
Paee 2 01'2
225- Fifth Strcet
Springficld, Oregon 97477
5417.726-3759 Phone
Job/Jou~nal Number
COM2009-00588
COM2009-00588
COM2009-00588
COM2009-00588
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Applianee
Heat Pump
+ 5% Technology Fee
+ 12% State Sureharge
Paid By
ONLINE PERMIT CHGS
a_.._:r~.~-~~~~.'~~... no;,;,'.
_.'
3200900000000000286
City of Springfield Official Reccipt
Development Scrvices Department
Public Works Departmcnt
Date: 04/30/2009
1I:18:32AM
Amount Due
79.00
17,00
4.80
11,52
$112.32
Item Total:
Check Number Authorizlltion
Received By Batch Number Number How Received
KR
Page I of I
Amount Paid
ONLINE Marshalls Online
Inc
Payment Total:
$112.32
$112.32
4130/2009