HomeMy WebLinkAboutPermit Mechanical 2009-5-22
City of SprilJgfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC552203 y\
5/22/200911 :07:13 AM ~ \
G~/
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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Total I
I 0 Ne~ construction [KJ Addition/olterationlreplacement
Jif_,,',<{ :: ':'EArE(jq,~y;gtCON_~TRLLCTIO~\' . 'n.
I [XJ 1 or 2 family dwelling 0 Multi-family 0 Accessory Building
I', ,,',..,;:~JiiB:~ITEjNFiiR~~TiCiN,ANl:!~C!Q'TION~,?-'::
I Job no.: I Job llddress: 5252 CYNTHIA CT
Cil)'/Statt'/ZIP: SPRINGFIELD, OR 97478-6229
Suitc/bldg.llljll.no.:
Project nllme: SMITH
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! Description Qt)'. 1 Ell.
I' Itc~JiWg/c'oo~~'g:uppJiitllces;:.."..'" of.i':€Jl\,.. '~~:'i"~~" .It~:~'
! Fumacc- up to ] 00,000 BTU
Furnace. above 100,000 BTU
Electric Furnace
Duct alterations and additions
Gas hClltr.:r unitsl in-wall, in-
duct. susoended. etc/
Vent, flue, liner for above
~-,:'~I"~:SONfACT,~'~.
I NjUIII;': MELANIE AND TOM SMITH
[I'honc: (541) 98&'J!j1ff r. F' I Fa"
I_~~";l:. ..T.!"J;~ !;,):~,fn'J :._UA,LL EY.-!?IR."E.JrJ:~i,.~ \'Wr.:<"Wy,
, " ,"AI 'I" .' '"'' CO~TRAr:TOR' ..". .'" .. P., . ,y.,y"
'" ,,-" ffildnRI7P'"",I:,:~,~~ "':::.'r!:"m;~!~'iS' tnf" " ,;",
ICCDI",no,: 2mq~n~n):~IC',=~ 0,,!2: /\~,^J!OOtJ~:J r8{1
lOusiness N:lme:.I1ly!^RS,I'!-^!~-'~,:,C ~~R!Q[,-.
I Contact: LINDSEY BAETH
IAddress: 4]]0 OLYMPIC ST
ICily/Stale/ZIP: SPRINGFIELD. OR 974785620
II'hone: (541 )7417445 1.'lIx: (54l )74] 082]
I Email: Undsey@marshullsinc.com
I Metro lie. 110.:
..
,.....
Air Conditioner
Heat Pump
Air Handler
Qt~cf.:fpel(€~'rui~g'a_PI?JIanl~s: '~,
Water heater
Gas fireplace/insert/stove'
r Gas log! log lighter
I Gas c10lhes dryer
I Gas slove/range
I Pool or spa heater, kiln
I Wood/pellel stovelinscrt I
I Wood Ilreplace _ J
r311_;~hf~!::,~::;~~~nii~~~:_~~~~~e~~r~,~~!~i~~~I, , ,
1.1'~n\'lronmentlllexhuust:A'ND~relltnatJon I" ~. "-.t'f 'th'''~, ...." I
I -_""."'h".......''II.....nt _~I,lr?>1 . ..11' ':-.~HJ esare_se -\ or,- ,~!:,.
I RiW&~,I2!';,~Qr.;?-001-001 0 throuoh OM 952-0p1- I
I I qp,t,h3l:~.y~WhP!ll!,V obtain Icopies of the rule~1 by I
.~." I Sjllg!Jti-1~Rtl~h~~l;l~ (9l!J~r99t;l1S, ('-I~ote: tne [etepnori ~ I
toilet C?Pi5ag,mm7'lll\igtDreglm Utility ~otificaH In
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I Attic/craw]spa'te~;h~t:l 1;) I ~V~ V-vv€- ...."" --'---'-J' I
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$1700 I
$17,00
Cross streetldin."l'tions to job site:
$17.00
$17.00
I Subdivision:
map/pllrcel no.: 1702333400202
ILot no.:
INSTALL HEAT PUMP AND AIR HANDLER
"O"h/1,1
I Of)' lie. no.: CCB 25790
I upto first 4 out]ets(enterQty=l) I
I I each additional outlet
I 1~1f$~2&.'- :~2':~:'5'4t:~,~.~H~~I,q~g:~.~~M!Jij:~"~~i:i~~1~tti?1J:,~;' ',id
I I Soblo!,1 $34,00 I
\ II City Of Springfield First Appliance fee $79.00 I
I State Surchargc (12% of permit rCI:) $13.56 I
I CitY OfSprin~field rees. $5,65 I
I TOTALPEH.MITI'EE $132,21 I
. City or Springfield fees: 5% Technology Fee
C~-1Ifl ~ t5\oo1D9
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.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00717
ISSUED: OS/22/2009
APPLIED: 05/22/2009
EXPIRES: 11/22/2009
VALUE:
225 Fifth Street, Sprillgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5252 CYNTHIA CT
ASSESSOR'S PARCEL NO.: , 1702333400202
Sprillgfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: 2 circuits for heating equipment
Owner: SMITH THOMAS J & MELANIE K
Address: 5252 CYNTHIA CT
SPRINGFIELD OR 97478
I. CONTRACTOR INFORMATION I
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
License
178518
25790
BUILDING INFORMATION I
Expiration Date
09/24/2009
12/23/2009
Phone
541-895-4466
541-747-7445
# of Units:
Primary Occupancy Gro~p:
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 INFORNIA TlON I . to'
NOTICE: ATTEN IIUI~: Oregon law rElSW~m~%'Th'ftRKING
T1-lIf D~RMIT SHALL EXPIRE IFTHE WORK . follow rules adopted by the'or gOI Irth
Frontyartl Setbiltk.: UNDER THIS PERMIT IS Ncf'!verlay DlSt: 'f r Center. Those ruThltllIle set 10
Side I s~Ii\,I-Ic~~'IIZE:D # Street Trees Rq<t!otl'~a~~~_001_0010thrOUgtfliht/l\:~IiIle\\91-
Side 2 g.qbA~jfNCED OR IS ABANDONED FOR Paved Drive Rqd: In OA a obtain copie(f~I~'eS by
RearY'!~iII;;e!l!a}:I[lAY PERIOD, % of Lot coverag.o.O;~,ii:~~h~ !enter, (Note: the telephone
Solar Setbacks: bel' for the Oregon Utility Notlllcatlon
num .... ,.,,,,, <:lQ')_?Q44L
VOI'~""" .- -
I PUBLIC IMPROVEMENTS I
Street Imrrovements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
Paee I of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pholle .
541-726-3676 Fax
541-726-3769 Inspectioll Line
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or'multiplier
Square Footage
or Bid Amoullt
Total Value of Project
Fees ~~~~ I
Fee Descrilltion
+ 12% State Surcharge
+ 12% State Surcharge
+ 5% Technology Fee
+ 5% Technology Fee
1st Appliance
Add, Alter, Extend Circ
Add, Alter, Extelld Circ Ea Add
Air Halldling Unit Up to 10,000
Heat Pump,
Amount Paid
Date Paid
'$7.32
$13.56
$3.05
$5.65
$79.00
$55.00
$6.00
$ 17.00
$17.00
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5/22/09
5122/09
Total Amoullt Paid
$203.58
I Plan Reviews ,
I
CITY OF ~nuNGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00717
ISSUED: ' 05/22/2009
APPLIED: OS/2212009
EXPIRES; 11122/2009
VALUE:
Value
Date Calclllated
Receipt Number
2200900000000000553
2200900000000000554
2200900000000000553
2200900000000000554
2200900000000000554
2200900000000000553
2200900000000000553
2200900000000000554
2200900000000000554
To Request an inspectiou 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 Insl'ections .
~l!l: ,.1., !" "
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechallical work is complete.
Paee 2 of 3
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Perin it
PERMIT NO: COM2009-00717
ISSUED: 05/22/2009
APPLIED: 05/22/2009
EXPIRES: 11/2212009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 accordance with
the Ordinallces of the City of Springfield alld 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 Commullity 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 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 011 the site at all
times during construction.
Owner or Contractors Signature
, Date
P.ee 3 of 3
City of Springfield Official Receipt
Development Services Department
Public Works Dcpartment
,
225 Fifth Strect
Spri."gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00717
COM2009-00717
COM2009-007l7
COM2009-007l7
COM2009-007l7
Paymcnts:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200900000000000554
Date: 05/22/2009
II :27:37 AM
Description
15t Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Amount Due
79,00
17,00
17,00
5,65
13,56
$132.21
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch- Number Number How Received
Amount Paid
KR
ONLINE MARSHAL Onlille
LSlNC
$132.21
Paymellt Total:
$132.21
/
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5/22/2009