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Home My WebLink AboutPermit Mechanical 2009-5-22 City of Springfield, -i Mechanical Authorization To Begin Work E:.mailed To: Lindsey@inarshallsinc.com Receipt # RC552220 5/22/2009 12:11 :32 PM ?-1; /1'\ lJ/A, . Check on status of permit By Pholle: (541)726-3753 or Email: permitcenter@ci.sprillgfield.or.us I D New construction [X] Addition/alteration/replacement I Description Qty, I. Ea, Total I Fumace- up to 100,000 BTU I Furnute - above 100,000 BTU I Electric Furnace I DUCI alterations and additions I' Gas hcuterunitsfin-wall, in- duct. suspended, eteJ I Vent, flue, liner for above I Air Conditioner I Heat Pump I Airl-landler I I I I 1 I $\7 00 I I I I [KJ 1 or 2 family dwelling 0 Multi-family 0 Accessol)' Building I'l:l:.".. -Ji':f;:.<'~,'- t>\?iek;;~"4f'~~'-;;sjdBisiTE:T~iF6RMATi6N'AND1rcrCATi6N;':~:'~ ~~.~ r ",'~."..\1I"'_"'^"'4t>r'?:t,._. ''''_ ....:,,*'~~h...""'..~.._""'...*:.# ..'~~'> ~..~~__ .,il1'~"",.. -, I Job no.: I Job 'address: 824 S 69TH ST ICily/State/ZIP: SPRINGFIELD, OR 97478-7377 1 Suite/bldg.lapt.no.: 1 Project unme: BASTa Cross street/directions to job site: $\7.00 ISul?division: \Tnx ,map/pnrcclllo.: 1802022310700 ILot no,: I Water heater I Gas fireplace/insert/stove I Gas log/log lighter I Gas clothes dryer I Gas stovdrange -I Pool orspa heater, kiln 1 Wood/pelIel slOvelinsert I Wood' fireplace I Chimncy/liner/tluc/vcn\w/o appltance I I IN RESIDENCE I Name: TOBEY BASTQ I Phone: (54 I) 988-4365 IEmail: I Fax: ICCB lie. no.: 25790 I Business Name: MARS HALLS INC I Conlact: LINDSEY BAETH IAddress: 4110 OLYMPICST I City/Stale/ZIP: SPRINGFIELD, OR 974785620 jPhone: (541)7477445 IFax: (541)7410821 I Email: l.indsey@marshallsilK,COIll I Metro lie. no.: 1 City lie. no,: CCB 25790 I Range hood I Clothes dryerexh<.lust I Single-duct exhaust (bathrooms, toilet compartments, lIlili!y rooms) I Attic/crawlspace fans I upto ftrst 4 OU\\c\s(cmerQty=l) 1 each additional outlet 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, , SUblOttll[ City Of Springfield First Appliance fee $tateSurcharge (12% of permit fee) City OfSpringJleld fees" 1 I TOTAL PEHMIT FEE " City Of Springfield fees: 5% Technology Fee $17.00 I $79.00 I $11.52 I $480 I $112,32 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine ~hat an Authorization To Begin Work is null and void if. it da:es not meet applicable land use laws and local ordinanc~s. UJIn 2%V '7 - ()() 7 :3-3 5~d:2-09 NM 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: COM2009-00723 ISSUED: 05/22/2009 APPLIED: OS/22/2009 EXPIRES: 11/22/2009 VALUE: ' . 225 Fifth Street, Springfield, OR 541- 726-3753 Phone 541-726-3676 Fax 541-726~3769Inspection Line SITE ADDRESS: 824 S 69TH ST ASSESSOR'S PARCEL NO.: 1802022310700 Springfield, TYPE OF WORK: Mechanical Only TYPE OF USE:, Addition Residential PROJECT DESCRIPTION: IlIstall Air Conditioner in Residellce OWller: BASTO ROB M & TOBI A Address: 824 S 69TH ST SPRINGFIELD OR 97478 Phone Number: 541-988-4365 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARS HALLS INC License 25790 BUILDING INFORMATION I Expiration Date 12/23/2009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary COllstruction 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 . REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyal'd Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: . . ... -,,...,\ to Paved Dnve Rqd: 0 on laW requlre,Compact: % of Lot COYifage!110N: d rered by the Oregon Ul;"t{h iollow rules a op hose rules are set or ., _,:,,"o\;nn Center, 1, _ .."h (;1>11952-001- I PUBLIC IMPRO\iEMENiS:~;~~-~~;~~'~~pies Dtt~l~ ~~.I~~eUY UVvV' ,- '0' 1~1'l\A. the t I , calling the CerSide'b'llh l);p.~,: Notitlcatlon mber ior the ore.::-...,^ ry),-...0:'),1A). nu Center Q.ownspouts/DralJls: Street Improvements: Storm Sewer Available: Special Instruction: NOTICE: THIS PERMIT SH '. AUTHORIZED UN~~L EXPIRE IF THE WORK ~m'H,~:::;::;:L., UN 10 R. ~~/S PI=Rftm ': :Cf , W 180 l'UM"UUf~tO.fnR I " DAY PER/Ol Valuation DeScrilJtion Notes: Description TVDe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 01'2 Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Pholle 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pa,id I Fee Description + 12% State Surcharge + 5% Techllology Fee 1st Appliance Appliance Not Listed Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amoullt Paid $112.32 I Plan Reviews I Date Paid 5/22/09 5/22/09 5/22/09 5122/09 CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-00723 ISSUED: OS/22/2009 APPLIED: 05/2212009 EXPIRES: 11122/2009 VALUE: ,. Receipt Number 2200900000000000558 2200900000000000558 2200900000000000558 2200900000000000558 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. Reouired Tnsnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signatllre, I state and agree, that I have careflllly examined the compieted application and do hereby certify that all information hereon is true and correct, and I furtl.1er 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 hereill, 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 used on this project. I fu~ther 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 Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-746-3759 Phone Job/Journal Number COM2009-00723 COM2009-00723 COM2009-00723 COM2009-00723 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description 15t Appliance Appliance Not Listed + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 'City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000558 Date: 05/22/2009 2:31 :40PM Item Totali Check Number Authorization Received By Batch Number Number How Received Amount Due 79,00 17.00 4,80 11.52 $112.32 Amount Paid nJm ONLINE marshalls Olllille Payment Total: $112,32 $112.32 '- Page I of I 5/22/2009