HomeMy WebLinkAboutPermit Mechanical 2009-5-22
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC552219 '\ ').-.r
5/22/200912:06:10 PM ~/
()
Check on status of permit
By Phone: (541)726-3753 or Email: pe~mitcenter@ci.springtield.or.us
.'~.~_' I~:-~~--.~",..~' ::::~F,E_E~~CHEqULEi.' -,
I Description l Qty. , Ea.
1~~I~~~frrg;~~~(i~rlljlpf!~ ~~~sr~tJl~ ,- X~7.,~:~,~~;;:?J~",~'-\'"~.
~ I Furnace. up to 100,000 BTU
I Furnace - above 100,000 BTU
',," I Electric Furnace
I Duct alterations and additions
Gas heater unitsl in-wall, in-
duct. suspended. ctel
Vent, llul', liner ror above
I Air Conditioner
IlkatPump
1;~~;~;;::'bU,,!}!>g 'PP"~$i'i\ii;'l~;:,
I Water heater
I Gas fireplace/insert/slove
I Gas logllog lighter
I Gas c1otht.:s dryer
I Gas slove/range
I Pool or spa healer, kiln
I Wood/pellet stovc/inscn
Wood fireplace
,", ,- "" I Chimney/liner/flue/vcnt w/o
aooliance
Il&~J<irOnn~n~~-)~~a!l~IAN,2Y1n5U~tlon'7~~~~}~il_;;'::e;--}~~~"".., "d':~,'c I
I Range hood I
c.; II I Clothes dry" exhaust I
I Single~duct exhaust (bathrooms, I
I toilet compartments, utility
I rooms)
I Attic/crawlspace fans I
I j~"~u~.IP!pilif~-.'~~\'i" ~'j.':jl~'~~tt _"_.~~?c€/~'_~~.,t:.., .;,~'l
I I upto first 4 ou\lets(enter Qty=l) I I I
II each additional outlet I
I TMe:cr~e.~fc~~~fI~~Mrr;' ~Eg~.-:i:~~l~~f:" W~:,~':'';l
II Subtotal $17.001
I I City Of Springfield First App]iance fee $79.00 j
I State SurcharRe(12% of permit fee) $11.521
I City Of Sprin!J:f"ield fees. $4,80 I
I TOTALPERl\-1ITFE[ $112.321
. City Of Springfield feeS: 5% Techno]ogy Fee
I. ~"~"-~~;;: ;;."-< ~ ~4:,ft~~~ ~~/Z~LvP'~E ..,Qf' WO~~~ ~.~ .. r;-,~<4~
I D New conslruction [i] Addition/alteration/rep]acement
I~, ....~~~;.i_,';~~.~. '-~1;~:~-<C!\tE?q~':~OF_ q-q~~~'!Rlf9TIQN~/7~ .~~":
I W I or 2 family dwelling D Multi-family 0 Accessory Bui]ding
'-~~~;CtT.T1f(()_~)rt~)~fqR~~"tio.NL~~P ,tQCA.fld"f~ ~ ~i~"
IJob no.: IJob address: 1 ]59 QUINALT ST
ICily/SlllteIZIP: SPRINGFIELD, OR 97477.2639
I Suite/bldg.!apt.no.:
I Prujccl nllme: TART
Cross street/directions to job site:
I Subdivision: I Lot no.:
I'lilx map/parcel no.: 1703264106800
!,:~,:~~1:-~~:,,~,:T~~~::~4.";R~~~~J~tl(jN~Q!{WQ~K,"~,:::-~:;f~:4r,~-
INSTALL DUCTLESS HEAT PUMP IN RESIDENCE
I' ::~;.~~{~'?!~~~~' ,; :~~y~:,~:":~~~cc~~TtE< C6~T!qT.:;(.~,
I N:lnlC: MARGARET TART
I Phone: (54l) 747-4630 I FllX:
IEmail:
I~~' .~:; r :~~'~~.~'/;;;':~~~~:~;~~NT~9.fo~~~ ~ :;:~~>:.:;~~~
ICCD lie. no.: 25790
I Business Name: MARSJ-IALLS INC
ICo~tact: LINDSEY BAETI)
]Address: 4110 OLYMPIC ST
I CHy/Staternl): SPRINGF]EI.D. OR 974785620
I Phone: (541 )7477445 I Fax: (541 )741 0821
I [mail: Lindsey@marshallsinc.com
I Metro lie. no.: I City lie. no.: CCB 25790
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.
.".1
Tolul I
, '~:;I
I
I
I
I
I
117.00
117,00
Co (Yl 2(jO 9 ,; ()O 7;J.;)'
5- ';)d---07 f\l1V\.
This Authorization To Begin Work must be posted at the job site until replaced by a Permi!.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00722
ISSUED: 05/22/2009
APPLIED: 05/2212009
EXPIRES: 11/2212009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1159 QUINAL T ST
ASSESSOR'S PARCEL NO.: 1703264106800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Ductlessheat pump
Owner: TART JOHN H & MARGARET A
Address: '1159 QUINAL T ST
SPRINGFIELD OR 97477
Phone Number: 541-474-4630
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 Occupancy Group:
Secondary Occllpancy Group:
Primary Construction Type
Secondary COllstructioll 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 Lond:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Halldicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvem"ents:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
, or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliallce
Heat Pump
Amount Paid
$11.52
$4.80
$79.00
$17.00
Total Amount Paid
$112.32
Total Value of Project
Fees Paid I
IIIIII
I Plan Reviews I
Date Paid
5/22/09
5/22/09
5/22/09
5122/09
CITY 01< ~rRINGFIELD '
Building/Combination Permit
PERMIT NO: COM2009-00722
ISSUED: OS/22/2009
APPLIED: 05/22/2009
EXPIRES: 11/22/2009
VALUE:
Receipt Number
2200900000000000556
2200900000000000556
2200900000000000556
2200900000000000556
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,i:n. will be made the following
work day.
I RecllI,ire~ Insl,~ections I
Rough Mechanical: Prior to Cover
Filial Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed applicatioll alld do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be dOlle ill accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertainillg to the work described hereill, and
that NO OCCUPANCY will be made of any structure withollt permission or the Community Services Division, Building Safety.
I further certify that only contractors alld 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, alld the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Pa~e 2 of 2
Date
225 Fifth Street
Sptingfieid, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00722
COM2009-00722 .
COM2009-00722
COM2009-00722
Payments:
Type or Payment
ONLINE CHGS
cReceiotl
RECEIPT #:
Oescril}tion
1st Appliance'
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000556
Date: OS/22/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm
ONLINE marshalls Online
Payment Total:
Page 1 of 1
2:09:14PM
Amount Due
79,00
17,00
4,80
11.52
$112.32
Amount Paid
$112,32
$112.32
5/22/2009