HomeMy WebLinkAboutPermit Mechanical 2009-5-12
City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:~indsey@marshallsinc.com
Receipt # EC551569,
5/12/200910:44:44 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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I D Ne~ constmction
[K] Additiun/alteration/replacement
j [K] 1 or 2 family dwelling
o Multi-family
D Accessory Building
I Job no.: l.Job address: 2222 6TH S1'
I City/~tllt('/ZIP: SPRINGFIELD, OR 97477-2238
I Suitc/bldgJapt.no.:
I Project name: VIAN
Cross strect/diredions to job site:
I Subdivision:
ITax map/parcel no.: 1703262101415
ILot no.:
INSTALL HEAT PUMP AND AIR IIANDLER
I Nam" GORDON VIA/.j t'\~1 I
IPhone: (541)98S-191cL.-:! _{;E~ lFax: I
lEman, ,11~0,...tKIVIII SHAll EXPIRE IF "', I
,"'~ffj;,'~dI5Allil''''V~IZt''-''''~' "'"~'.,c, ~&0JHE"..,ORK'==-1
;~~"r'>:, 'K':titiLri1:;::Th0iJ',~ ,,'111_ ~'&;VD1 ~JlllS'jfp'8,..."fk:i{;~""~':-i" '''''''f''',-",;_Jii:ff!:*~t;!
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ICC" II" no" 25790 ~~,IVIIV/tIV(;m OR IS ABAMnO~!ED FO~ "..I,
1"",ln,,,Nnme: MA'il.SUA~L(SllNl:!AY PERIOD. I
I Contact: LINDSEY l3AETI! I
IAddress: 41100LYMPICST I
I City/Stlltt'/ZIP: SPRINGFIELD, OR 974785620 I
I Phone: (541 )7477445 I Fax: (541 )741 0821
Email: Lindsey@marshallsinc;com
li\lell"O lie. no,; I Cify lie. 110.: CCl3 25790
Upon review and approval by your local jurisdiction, your
permit will be e-mailedor 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.
IOeSCl"ipliOIl
, Qty,
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unitsl in-wall, in~
duct susoended. ctel
I Vent.l1ue, liner for above
I AirCondilioner
I Heat Pump
Handler
$l7.00
$17.00
I
I
I
I
I
I
I
$17001
$17,001
I
I
I
I
I
I PoolorspaheaterMlrrF~ITlnrl. r'l,,___ I I I
I Wood/pellet sto\MH~W rul~~ ~rl-~i;~~~J'~.'~~I'I~t::~~f/res you ,~O
I Wood ficepln"Notlflcation C en/Ar T n~^"t; _] "gon U/, Ity
;;~~;n?:ln1er~~~f\/\V~:>2-0 )1-001 0 t~r~~g~~q;RC9~~_~ ~~~
ti~n"t!loJQtRlff~~~~6~~~~~&\~~/x~~t~6tl~~,~qi~~RP)r~,~6t~tf1.e~flHers by
I """ge hood number In; tl;~'~:~~\~~~~:,,[neJelephon~
i Clothes dryer exhaust CentJr i~-1~~~'.")~I~'~,...'~~,1IT1Catl( n
I Single-duct eXhaust (bathrooms, I - ~J:.. -...... ."T).
toilet compartments, utility
rooms)
I Attic/crawlspacefans I
I Water heater
I Gas fireplace/insertlstove
I Gas log/log lighter
I Gas clotbes dryer
I Gas stove/range
'-:""
-
I UplO first 4 outlets(enter Qty=l)
I each additional outlet
Subtotal I
CityOfSpringfieJd FirstAppliance fee"
State Surcharge (12% of permit fee) I
Cit\' or Springfield fees * I
I TOTAL PER~'lIT FEE I
* City Of Springlicld fees: 5% Technology Fee
$3400 I
$79.00 I
$13.56
$5.65
$132,21 I
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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: COM2009-00656
, ISSUED: 05/12/2009
APPLIED: 05/12/2009
EXPIRES: 11/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726"3676 Fax
541-726-3769 Inspection Line'
SITE ADDRESS: 2222 6TH ST
ASSESSOR'S PARCEL NO,: ' 1703262101415
Springtield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner: VIAN DAVID G & NIKKI
Address: 2222 6TH ST
SPRINGFIELD OR 97477
"'-,
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Gronp:
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:
Side I Setback:
Side 2 Sctback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
ATTENTION: Oregon law requires you 'to
$.....11......... ....1_... ,....J_....&......J t.." 41...... rI~____ II..:.:.....
NOTICE: ' I :UBLIC IMPROVEMENTS I ~otification Center, Those rules a~e set forth
S I HALL EXPIRE IF THE WORK In OAR 952-001.0010 through OAR 952-001-
lreet mpr?r~5'ljI1rnMIT S 009%\d~1:)'al~lIrJ1,'iitain copies of the rules by
Storm sewef1IAT!ir1llbilED UNDER THIS PERMIT IS NOT c1l~wnsp(ju1~iDrain~~jote: the telephone
Speciallnsl(~ti1i~fNCED OR IS ABANDONED FOR number Tor the Oregon Utility Notification
ANY 180 DAY PERIOD, Center is 1-800-332-2344),
Notes:
I Valuation De,scription I
Description
Type of Constl'uction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 01'2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00656
ISSUED: 05/12/2009
APPLIED: 05/12/2009
EXPIRES: 11/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769Inspection Line
Total Valne of Project
Fee~ Paid I
Fee Description
+ 12% State Snrcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pnmp
Amonnt Paid
Date Paid
Receipt Number
$13,56
$5,65
$79.00
$17.00
$17,00
5/12109
5/12/09
5/12/09
5112/09
5112/09
1200900000000000402
1200900000000000402
1200900000000000402
1200900000000000402
1200900000000000402
Total Amonnt Paid
$\32,21
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 Relluired Insnections I
"
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete,
By signatnre, 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 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 uscd 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
Pa~e 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00656
COM2009-00656
COM2009-00656
COM2009-00656
COM2009-00656
Payments:
Type of Payment
ONLINE CHGS
cRcceinll
RECEIPT #:
1200900000000000402
Description
1st Appliance
Air Handling Unit Up to'IO,OOO
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 05/12/2009
Item Total:
Check Number Authorization
~eceived By Batch Number Number How Received
KR
Page I of I
ONLINE Marshalls Online
lnc
Payment Total:
II :08:25AM
Amount Due
79,00
17,00
17,00
5,65
13,56
$]32,21
Amount Paid
$132,21
$]32,2]
5/1 2/2009