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Home My WebLink AboutPermit Mechanical 2009-5-19 I" City of Springfield Mechankal Authorization To Begin Work E-mailedTo:Lindsey@marshallsinc.com Receipt # EC55]957 VrA..'? 5/19/2009 11 :47:50 AM ~ ~/ '. \~ jl, Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us L [I-;;e' ';T~~"',~'~FEfsSHEDUL(:::, I i'~(;;~~~;~o}i~g~pj)lia"~_~i::~l, ~t)" I Furnace- up to 1 00,000 BTU I Furnace - above 100,000 BTU I Electric Furnace I olicl alterations and additions I Gas heater unitsl in-wall, in- duct. susocnded. clel I Vent, Ouc, liner for above I Air Conditioner I Heat Pump I Air Handler 1:2t,~~.r!ucf:j~lltIl~Rg:~~ii~~~~~ ~~4~.c I Water heater I Gas lircplace/insenls\ove . ~ I Gas log! log lighter Gas clothes dryer I GasslOvdrange A r"t'~fltf~f:Ie.r.{';ln ' [ , 1) ~;jkb'tg~i1l~s,'!t~' _Ia~ Inl,!UIres {OU to ., ,pc I eu,_I''"_ Cy ,e'lv V't:YUII UlIIlIY _.,' '_. J iWBlL..l~qljl P~~(1ttU Th,...........,..r_ _ _ r.. _ "i~ C!>ll!P"'8~i'1l'tl9~{{m'dviP; -- rt,-v~, v fvl ou, ,1/ Ollcr"ooU'nce. rouglh OAR 952-001_ ~ ~~vlM~hl!~!a!. ~~~~~~_~,~~nli)~&Qh e,rlJleS ,bv~~'-, " " ,'~ -v,,,,,,. (l'Ult:'1"18Iele,:'nOne ' l'l"h~ 9fe~6A '1'.'" .. .. :- vdny I'IUlIlI ;cUlOn ", ",;.[ . C]O'h'l';.iIWn'ffMl!''1_~OOe33:, ::~ ~ 'J - .~-- I Smgle-duct exhaust (bm rooms, C,. . I toilet compartments, utility [rooms) I Attic/crawlspace fans I I:Fu-e.lrip~~g'4:C~ f. ;-;--,':-~_~'-r~'t~ j.' ,. j~~~;~~:~1f.;' I I ~Pto fi~st 4 OU~lets(entcr Qty=\) I II each additional Olllll;l\ : J?:.,',::,.,,;'-it ;';:'~lM~ECFANIs:~.L.-~ftRt~;!~ESl~; I I City OfSpringfieJd First Appliance fee I I Stale Surcharge (12% of per mil fee) I City or Spring/ield fees ""I I TOTAl. PERMIT FEE I .. City or Springfield fees: 5% Technology Fee kJL 6110/M " "/', . --;t;~'~'- <;;~~PE,Qtw6~t(':._;>,,-~,: ;-~~" [K] Addition/alteration/replacement I D New construction Ii' ~>I: ~-~ CATEG8-'~)':OF 'CONSTRUCTIO'f'f': -:... . I [K] 1 or2 family dwelling D Mulli-family D AccessOI)' Building I. . ;(,~c~~~OBSI-r:EjNfO~M!,-;-IC\tt'~~R;t31CATIQ.NC' IJob no.: jJob address: 2376 35TH ST ICit)'/StaterJ.:Ip: SPRINGFIELD, OR 97477-6724 I Suite/bldg.h,pt.no,: i Project name: BUSHNELL Cross street/directions 10 job site: I Subdivision: I Lot no.: ITal. map/parcel no.: ]702]94300900 !t~!(;,:~ ;;.. r.;'i:.:;<i,~:t;~~t~~~~~~,:fgE~g~F3fptIO_~~9J;;~Q~tC{:~~!;,;~-,"~~it _ - . INSTALL A]R HANDLER -~"':Z. . " .", ,_ C, m "m~m ", _ ".:;" SITECONT~<eT: I Nllme: TERRY BUSHNELL 11'1I0n(": (54]) 736-5820 IEmail: I. '~;:;.~ --. : ' ~~ ' ".{~~~~ ~~, <. ~(-'~-:;,;._~' ,~~~NiRA,ftO~L.'__. :--:~_r'1,.i~: - ~.: ~.. [Fa" I CCB lie. no.: 25790 I Business Nllmc: MARSJ-IALLS ]NC I Conlact: LINDSEY BAET] I [Add'''''4]]0~r- I C;'y/S,"'e/ZIP: '/Ij'}j~WQ.'ll, OR 9747H5620 Irho,,: (541J74AH1:,' Il/VI/f SH~)74]082] IEma;l: Undse~If.L~~tJI. UNQf.a.:rHf:, _ IF THE wag'( [Me'... Ue, nO''iJIjIY'/ C/Vt,tD OH/~;f.'.t;,t:lfu1ffr2fi.<1;)'IW:" OJ UAY PERla lJUNED FOR . Upon review and approval by your 10~1 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. I '.,.i,:.[ [ [ I I CCl-v0\3 I I I I I II I 117,00 This Authorization To Begin Work must be posted at the job site until replaced by a Permit. '-"-':-". ~...' . I <':f:-:.:-'2i:' ":' ~~-, Totlll $\700 I I I 1,1 I I I I I I I I I I I I "'.', I " -,.... I I 117,00 179,00 I] 1.52 $4.80 $112,32 I Status Issued, CITY OF SPRmGJ'IELD Building/Com binationPermit PERMIT NO: COM2009-00693 ISSUED: 05/1912009 APPLIED: 05/19/2009 EXPIRES: 11/1912009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Pbone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2376 35TH ST ASSESSOR'S PARCEL NO.: 1702194300900 Springlield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: ]nstall air handler Owner: BUSHNELL TERRY D Address:, 2376 35TH ST SPRING,FIELD OR 97478 I CONTRACTOR ]NFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 ' , Expiration Date 12/23/2009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Constrnction Type: # of Bedrooms: " BUlLDI~G INFORMATlONiENTION' Ore ' # of Stories: follow rules ~d<lfo~~~~~w requires you to Height of Structure i~~~~ation CentSit Rih~;$~09[egon Utility Type of Heat: ' 0090 }05u2-001-Cl;q1iill2n, djRl~~~1aRre9S5e2tforth ," may 0' ~1' . ,,,,,T~n -001- Water Type: Calling the centS, Ft ~~seJ\J<;!I,tihe rules b Range Type: nUmber for the Jq J{~a~~~el.Gl!HI,Ilr,bne y Energy Path: Center is'~f!~o~,>~;r:y Notification Sprinkled Building: n/a Uctllpamaoolll!:/). I DEV~LOPMENTlNFORMATION 1 Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 'Yo of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: NOTICE: I PUBLIC IMPROVEMENTS 1 StreetlmprovemeniIHIS PERMIT SHALL EXPIRE IF THE WORK Storm Sewer Availa~lnHORIZED UNDER THIS PERMIT IS NOT Speciallnstrnction: OMMENCED OR IS ABANDONED FOR ,ANY 180 DAY PERIOD. Sidewalk Type: ~ownspouts/Drains: Notes: ' I Valuation Descriotion I Description Type or Construction $ Per Sq Ft Or multiplier Square Footage or Bid Amount Value Date Calcnlated Paee I of2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project .F~~,~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Ist'Appliance Air Handling Unit Up to 10,000 Amount Paid Date Paid $11.52 $4.80 $79.00 $17.00 . Total Amount Paid $11 2.32 L Plan Reviews I 5/19/09 5/19/09 5/19/09 5/19/09 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00693 ISSUED: 05/19/2009 APPLIED: 05/19/2009 EXPIRES: 11/19/2009 VALUE: ' Receipt Number 120090000000000048] 1200900000000000481 1200900000000000481 1200900000000000481 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. Reollired fnsnectin"s I , ,,, Rough Mechanical: Prior to Cover Final Mechanical: When all mecbanical 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 he done in accordance with tbe Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described be rein, and tbat 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 he uscd on tbis 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 tbe approved set of plans will remain on tbe site at all times-during construction. " Owner or Contractors Signature Paee 2 of 2 Date 22:'" Fifth Street Springfield, Oregon 97477 541"726-3759 Phone City of Springfield Official Receipt, Development Services Department Public Works Department Job/Journal Number COM2009-00693 COM2009-00693 COM2009-00693 COM2009-00693 Payments: Type of Payment ONLINE CHGS cReceinl] RECEIPT #: 1200900000000000481 Date: 05/19/2009 Description 1st Appliance . Air Handling Unit Up to 10,000 + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS Item Total: (;heck Number Authoriz:ution Received By Batch Number Number How Received kr ONLINE MARSHAL Online ,LS lNC PaymentTotal: -, Page 1 of I 1l:59:42AM Amount Due 79,00 17,00 4,80 11.52 $1l2.32 Amount Paid $112.32 $1l2.32 5119/2009