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Home My WebLink AboutPermit Mechanical 2009-6-1 City of Springlield Mechanical Authorization To Begin Work E-mailedTo:Lindsey@marshaIlsinc.com Receipt # EC552740 6/1120092:30:57 PM 1V~ 0~~ Check on status of permit By Phone: (541)726-3753 or Emajl: permilcenler@ci,springfield.or.ns I Description Qty. 1;,iIeaiing;coolin"itapp'ianccS'ifL~:*:j.i,.;~.t~,' ' .J."" ................,......._. .'..'-_.M..........,r... 4; I furnace- up to 100,000 BTU I Furnace. above 100,000 BTU I Electric Furnace I Duct altemt(ons and additions I Gas heater units/ in-"....ill1, in- . ducL susDended. ctcl I'Yent, flue, liner for above I Air Conditioner I Heat Pump I Air Handler D New construction o Addition/alteration/replacement IlK) ] or2 ramily dwelling 0 Multi-family 0 Accessory Building .J t?~;:::.,~;- '~JqB:~t!~"I~i=9~~~tI9=~t~!!9M'19E~ttQ~Z:f::~lft~~-~ ~~1:~_~1 IJob no.: IJob address: 874 56TH PI. I I Ci~Y/StatcIZIP: SPRINGFIE!.-D, OR 97478-68l1 I SUlte/bldg./apt.no.: 1 I.Project name: MOORE I Cross street/directions (0 job site: I I I I I. I I $17 00 I $I7,QC I Water heater I Gas lifeplace/insertf.stQve' I Gas iog/log lighter I Gas clothes dryer I Gas stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I.Wood fireplace 1 Chimn-ey/I iri~rltluc/Yent w/o aDDliance 1:'En'~ironi'lc'ntiij exha-ust AND,YentihWon~,- _.);:'!'j'lZ '; ':.. ,.....w,..:....,... :'~ "....:...-"',-,,,_.-,.- ,.=..".~"..,., -'r v. I Range hood I I Clothes dryerexhau'st I Single-duct exhaust (bathrooms, loilet compartments, utility rooms) I Attic/crawlspacefans I Subdivision: ITax map/parcel no.: 1702331102200 I Lot no,: I Name: TOM MOORE I Phone: (541)746-1416 IEmail: I FlU: I CCO lie. no.: 25790 I Business Name: MARSHALI.S lNC Contact: Lindsey Baeth !Address: 4110 OLYMPIC ST I City/State/ZIP: SPRINGFIELD, OR 974785620 I Ph.." (541)7477445 'Fa" (54] )74] 0821 I Emllil: Lindsey@marshallsinc,com I Metro lie. no.: I City lie. no.: CCB 25790 1 upto first 4 outlets(enter Qty=l) each additional outlet Upon review and approval by your local jurisdiction, your. permit will be e-mailed or faxed within one business day, with instructions on how to schedule your inspection. I Subtotal I I City OfSpringtield first Appliance feel I - State Surcharge (12% of permit fee) I Citv Of Springfield fees" I I TOTAL F$RMIT FEE I .. City Of Springfield fees: 5%Technology Fee $]700 I $79,00 I $1152 I $480 I $112.32 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. 0omwoT nm 007& 3 o -or -09 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 _~~t~~,llllli!L~1 ! CITY OF SPRINt..l'lELD Building/Combination Permit PERMIT NO: COM2009-00763 ISSUED: ' 06/01/2009 APPLIED: 06/0112009 EXPIRES: 12/01/2009 VALUE: Status" Issued ,225 Fifth Slreel, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax S41-726-37691nspeclion Line SITE ADDRESS: 874 56TH PL ASSESSOR'S PARCEL NO.: 1702331102200 Springfield TYPE OF WORK: Heating System TYPE OF USE: PROJECT DESCRIPTION: Install duclless heat pump Owner: MOORE THOMAS M & SUSAN V Address: 874 N 56TH PL SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I Expiration Date 1212312009 Phone 541-747-7445 # of Unils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Conslruclion Type: # of Bedrooms: # of Slories: Heighl of Slruclure Type of Heal: Waler Type: Range Type: Energy Palh: Sprinkled Building: Lol Size: Sq Ft I sl Floor: Sq Fl 2nd Floor: Sq Ft Basemenl: Sq Ft Garage/Carport Sq Fl Olher: Occup~nt Load: II/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Selback: Side 2 Selback: Rearyard Selback: Solar Selbacks: Overlay Disl: # Slreet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Noles: NOTICE: I PUBLIC IMPROVEME~:r.S'I\jTION: Oregon law requires youto , follow ruleSj(J~wai"(+9pet:he Oregon Utility Notification Center. ThOse r~les are set forth in OAR 952,gg~'.'.sP!'.!'!sI,~rajns:)AR 952-001- 0090" You may obtain C'~pies 0f the r~19s by calline l'18 C8iltSr. (I".,'''' ';:2 t~12r'-,,'le ~ I. .' ~!, ").... nurrlberofur U-,e ': (..:f:~' ;,'" '.,., "". It C" :'s "d ,0, . Slreet Improvemenls: Slorm Sewer Available: Special Instruction: TUIC' nCrHl/llT 011 ^ I I r\/nlnr- II"" Tt.,... IA'r,......l;' Description AUTHORIZED UNDER THISI)IV~M1.tfo~lf(lescriDtion I COMMENCED OR IS AB!\f~L"J"Lu, un ' , \;YT' H5(] [f'It,C''! PFRlnn, $ Per Sq Fl Square Foolage vpe 0 onslruclIon I . I" B'd A - or mu tip lef ~r I mount Value Date Calculaled Page I of 2 Status Issued 225 Fifth Slreet, Springfield, OR ',541-726-3753 Phone 54] -726-3676 Fax S41-726-3769Inspeclion Line Fee Descriplion + 12% Slale Surcharge + 5% Technology Fee - 1st Appliance Heat Pump Amounl Paid $11.52 $4.80 $79.00 $17.00 Tolal Amounl Paid $112.32 Total Value oj' Project Fees Paid I I Plan Reviews I Dale Paid 611109 6/1109 6/1109 6/1109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00763 ISSUED: 06/0112009 APPLIED: 06/01/2009 EXPIRES: 12/0112009 VALUE: Receipt Number , 3200900000000000407 3200900000000000407 3200900000000000407 3200900000000000407 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 ~~n\Ji~e" In~l'ec~ions I Rough Mechanical: Prior 10 Cover Final Mechanical: When all mechanical work is complele. By signature,,1 state and agree, that I have carefully examined the compleled application and do hereby certify that all informalion hereon is lrue and eorrecl, and I furlher certify lhal any and all work performed shall'be done in accordance with lhe O~dinances of lhe City of Springfield and lhe Laws of lhe Slale of Oregon perlaining to the work described, herein, and that NO OCCUPANCY will be made of any slruclure wilhoul permission of lhe Communily Services Division, Building Safely. I furlher certify lhal only conlnictors and employees who. are in compliance with ORS 701.005 will be used on lhis project. I furlher agree 10 ensure lhal all required inspections are requesled allhe proper lime, lhat each address is readable from lhe slreel, lhallhe permit card is located at the fronl of lhe properly, and lhe approved sel of plans will remain on lhe sile at all times during construction. . Owner or ConlractorsSignalure Pa!!e 2 01'2 Dale 225 Fifth"Street .' . SpriIigfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00763 COM2009-00763 COM2009-00763 COM2009-00763 Paymcnls: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description Heat Pump 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ' City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000407 Date: 06/01/2009 Item Total: Check Number Authorization Receive~ By Batch Number Number How Received NJM ONLINE MARSHAL Online LSINC Paymcnt Total: Page I of 1 2:39:09PM Amount Due 17,00 79,00 4,80 11.52 $112.32 Amount Paid $112.32 $112.32, ~ 611/2009