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Home My WebLink AboutPermit Mechanical 2009-5-22 CitY of Springfield Mechanical Anthorization To Begin Work E-mailedTo:Lindsey@marshallsinc.com ~ Receipt # EC552238 '}.'\ 5/22/20093:59:23 PM V ~ / ~ Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springtield.or.us I .,;""' " I Q New construction l..}lX~"E'9F:~~~~K':::;:~;',i~..,,~:~' -. [] Addition/alteration/replacement I, . . .,.,~,X;;eAfl'GciR!~o,F.;<::}:~NSt'3UeTION ,. I [K] 1 or 2 family dwelling D Multi.family D Accessory Building I," ' ..::.;';;0 c.jOBl;I,!gINf,9RMjlTlON A~[>'LOc:ATIO~~ ",' IJob no.: IJob ad,dress: ]8]9 1.IAYDEN BRIDGE RD ICily/Slllte{L1P: SPRINGFIELD, OR 97477.1680 J SuiteJbldg.lllpt.no.: II'rojccl fllllllC: CARNEY Cross street/directions to job site: ~ ISubdivision: Il.ot no.: IT:n: map/parct'lno.: 17032521]2700 ~'. ,\::;'~.:~~~";I;~,:~Jrr~i9ESC'3tPT!p'~~OF;~2~K~ , ~ INSTALL GAS FIREPLACE AND GAS PIPING ::~::~':if_~~:. - SIT~:CONTACf:~~~ Ii'\umc: TRAVIS CARNEY II)honl': (360) 739-9]48 1 Email: . ..~, " ~ I FllX: I' ," , ~'a,; , ~e(),'i~eTOR .~ -' I CCB lie. no,: 25790 1 Business Name: MARS HALLS INC I Contact: LINDSEY BAETH. IAddress: 4110 OLYMPIC ST I Cit}'/Statef.lIP: SPRINGFIELD, OR 974785620 I"hone: (541)7477445 IFax: (541)741082] 1 F:mail: Lindsey@marshullsinc.com 1 "lelro lie. no.: 1 Cil)' 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. " " ~~ ( "'\~i'}~"F,EE,~CH~P~~1: - . I QI). I Ea. 1'1 Total I I I I I I I I I I I "I I $38.001 I I I I I '''. '/'''1 I I I I I I I I I I I I "'?'''''' $38.00 ]1 $7.001 "";:.':_' '" :"~~o' $7.00 I Dcsniption U.1i~t-!rigi~o~ITg~Jlpfi,~n-c~'. '< '" :-;. I rllrnace~ up to 100,000 BTU I Furnace - above 100,000 BTU . I Electric Furnace I Duct alterations and additions I Gashcalcrunits/in-wull,ill- duct. SUSDended. ete/ 1 Vent, flue, tiner for above Air Conditioner 1 Heatl'ump Air Handler 1,'8t,~r:'"(u!!i~~ii~~g:~p~li;rric~sj:i Ilwatcrhcaler II OilS fireplacellnsertlstove '1 I Gas log! tog ]ightcr I Gllsciothesdrycr I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insco I Wood I1rrp]ilce I Chirnlley/liner/flue/vent w/o app]mnce 1:,~n:v.ir~'.!liiICi!!~14ei~llu_st~~Dvcl~tiIatio~ ','] 1 I Raog, hood I I Clothes dl)'er exhaust I I. Single-duct exhaust (bathrooms, 1 toilet COrnpilrlments, utirity rooms) I Atticlcmwlspacefilns I It~~Ul'I.; iij~i,~gYJ.' I upto tirst 4 outlets( enter Qty=]) I cnch additional outlet Il~1~ .:~~~CH~~J~~'~'P,t~~IJ-.Fg~S~., Subtotill City or Springfield First Appliance ree State Surchilrge (]2% orpcnnit fee) City OrSpringtleld recs * I TOTAL PER:\-lIT FEE . CilY OfSpringlield fees: 5% Technology Fcc Com -z-cm1 5~~0-0Cl $45.00 $79.00 $14.88 $6.20 $]45.0S CD? d,( rJi"A.. This Authorization To Begin Work must be posted at the job site until replaced by a Permit. , CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2009-00727 ISSUED: OS/2612009 APPLIED: OS/2612009 EXPIRES: 11/26/2009 VALVE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone ' 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1819 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1703252112700 Springlield TYPE OF WORK: Mechanical Only. TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas fireplace and gas piping Owner: CARNEY CARRIE M & TRAVIS D Address: 1819 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 360-739-9148 I CONTRACTOR ~NFORMATION , Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION' Expiration Date 12/23/2009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupllncy 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/Cllrport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION' REQUIRED PARKING Street Improvements: Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot Coverage: . . , aU \0 on laW requIres J U\ility ___"ITlnN'. Qreg . .1-\.-.0. nreQon . ~\.-.. I PUBLIC IMPROVEME~iS\I,\e5 ~~~~r'."1~;;se ru~e~~~ ;;2~001- \'lot\1\c;(.Cuon cS'dn~< nlklhT,ougl' \ t"'e rulGS by Ii 952-0 I ewa ype:.s 0 " in Ofl.. o~ obtaIn G~r'~ ''1e lelep\,",one 0090. 'Iou rnDownspoiiislDrains::-!O\llic,'\IOn calling the 1,)~"Oregon lJtlilW I mber tor l\'1e 800_332-2344).. nU center IS \- Front yard Setback: . Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Storm Sewer Available: Special In~ttgCf(o':PE: IF THE WORK THIS PERMIT SHALL EXPIRE T Notes: AUTHORIZEO UI~DER T~\S PE~~~Tc~S NO __."..r..,~r:n nQ Ie: {)hj\\\:lJOLc~ I JR I,:"'; 1"'_' ~." - I _'- r:' I '1 - . 1\1 ~ r, '-I '; .. I Valuation DescriDtion I . Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I of 2 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 Appliance Cas Outlets 1-4 Wood Stove/lnsert Total Amount Paid Total Value of Project Fees Paid I Amount Paid $14.88 $6.20 $79.00 $7.00 $38.00 $145.08 I Plan Reviews .1 Date Paid 5/26109 5/26/09 5/26109 5/26/09 5/26109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00727 ISSUED: OS/26/2009 APPLIED: OS/26/2009 EXPIRES: 11/26/2009 V ALlJE: Receipt Number 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 3200900000000000391 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 Reouired Insnections I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Cas: When all gas work is complete. By signature, I state and agree, that 1 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 'my 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 further agree to ensure that all required inspections arc requested at the proper time, that ci,ch 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 constructjo~. I I ! Owner or Contractors Signature Paee 2 01'2 Date 225 Fifth Street ~pringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00727 COM2009-00727 COM2009-00727 COM2009-00727 COM2009-00727 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: Description Wood Stove/lnsert j . I st Appliance Gas Outlets 1-4 + 12% State Surcharge + 5~o Technology Fee I I Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt DevelopmentServices Department Public Works Department 3200900000000000391 Date: OS/26/2009 j Ite~ Total: Check Number Authorization Received By Batch Number ~umber How Received nJn1 ONLINE marshaUs Online Payment Total: Page I of I 8:29:00AM Amount Due 38.00 79.00 7.00 14.88 6.20 $145.08- Amount Paid $145.08 $145.U8 5/26/2009