HomeMy WebLinkAboutPermit Mechanical 2009-6-3
City of Springfield
Mechanieal Authorization To Begin Work
. .
E-mailedTo:Lindsey@marshallsinc.com
Receipt # EC55291R
6/3/2009 10:36:38 AM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New construction
IX] Addition/alteration/replacement
CATE,GO~'("2F'CQ,NSTffUCTION
IlliJ I or 2 family dwelling D Muhi+family D Accessory Building
I '.. " ~ ' JOS'SITE INFOR~ATIONANO:.(()CAiION_'
IJob no.: IJob address; 30] 69TH PL
]City/StaterI.IP: SPRINGFIELD, OR 97478-7295
I Suite/bldg.!:tpt.no.:
1 Project name: FARREl.L
Cross street/directions to job site:
I Lot no.:
I Subdivision:
ITax map/pllrcel no.: ]70235320]700
I, O!'sCRlFiT1()i;OF WORK
INSTALL HEAT PUMP AND AIR HANDLER
,~~
SlTE'~ONTA~f:!~::_ . ..';J.,.~
I Name: RICHARD FARRELL
I Phone: (541) 747-0403
I Email:
I'.. . '. .,
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I CCD lie. no.: 25790
I Business Name: MARS HALLS INC
I Contact: Lindsey Bacth
!Address: 4]]0 OLYMPIC S1'
IOty/State{LIP, SPRINGFIELD. OR 974785620
I Phon" (541 )7477445 I Fa" (541 )741 0821
I Email: Lindsey@marshllllsinc.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 Bogin Work is null and void if it does not
meet applicable land use laws and local ordinances.
~. I;.EE S.CHEOULE;
.'
I.. Qty.
-,". ;
Description
1'_Heatrngli?O-li~g_applianc~('\
.' I Furnllce- up 10100,000 BTU
I Furnace - above 100,cioo BTU
I EleClric Furnace
! Duct alterations and additions
I Gas heater units/in-wall, in-
duct. suspended. etc/
I Venl. nue. liner ror above
I Air Conditioner
I Heal Pump
I Air Handler
It~~_~er fu~~"~_~rlii!li.~ppli~.ii"ces "~;'~";';:'
IWalerheater
I Gas lireplace/insert/slove
I Gas log/log lighter
I GllS clolhes dryer
I Gas slave/range
I Pool or spa heater, kiln
I Wood/pellel slovelinsert
j Wood fireplace
- ~ll Chir~lney!linerlflue/venl w/o I
! aoollllnce
I 1_.Ehvirol!I~~fii!e~h"~si-~ND ve~tij~ion',-;
I Range hood
I ! Clothes dryer exhaust
I Single-ducl exhaust (bllthrooms,
toilet compartments, utility
rooms)
I Attic/crawlspacerans
I_Juerpiping+;:~. .
I uplO first 4 outlets(enter Qty=l)
I I each additional outlet
I 11 ,M~~,HAN.IC~t ~E1f1@uEE~.:
I I Subtotal
I I City Of Springfield First Appliance fee
I Slate Surcharge (12% ofpl:nnil fee)
I City Of Springfield lees"
I TOTALPERJ\-I1TFEE
.. City Of Springticld fees: 5% Technology Fce
Ell.
I
I
I
I
II
II
$17.00
$17.00
Clli,'UJO'1
(p "'-cS - 0'1
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f)m
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
11(P
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I
Total I
'I
I
I
1
I
I
I
I
$17.001
$17.001
I
I
I
I
I
I
1
I
I
I
.' I
" '.
I
I
I
I
I
I
I
<'.I
$34.00 I
$79.00 I
$13.561
$5.65 I
$132.21 I
I
I
I
I I
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_$~I'\INQP.tllil"liI:i
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00776
ISSUED: 06/0312009
APPLIED: 06/0312009
EXPIRES: 12/0312009
VALUE:
225 Fifth Street, Springfield, OR
541-726,3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 301 69TH PL
ASSESSOR'S PARCEL NO.: 1702353201700
Springfield TYPE OF WORK: Heatirig System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install heat pump & air handler
Owner:
Address:
FARRELL RICHARD M & D L
301 69TH PL .
SPRINGFIELD' OR 97478
Phone.Number: 541-747-0403
I. CONTRACTOR INFORMATION I
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 Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# uf Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:.
RearyardSetback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:.
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE' 1 PUBLIC IMPROVEMENTS I . Ore on law requires youto
. ,~, . _NTION., g_. \", the Oregon UtJlity
Street Imp'r,~rS~t~t,~i.1IT SHALL EXPIRE IF THE WORK follow rultSldewalli'fhg~k rules are set forth
Storm Se~~H\v'3i1361~:J UNDER THIS PERMIT IS NOT ~otlflcatlo~~yW~i~'!,t!!))rai!Is:OAR 952,001-
.Specialln~tjActi!J1X:JCED OR IS ABANDONED FOR mO~~R ;;u may obtain copies of the rules by
Notes: ANY 180 DAY PERIOD.' 0 caliing the center. (NOI~;:.~e ~e~~~~~t~~n
number for the o~e8g000n_33k~i344).
f"':Dn1p.r is 1-
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I 01'.2
_li>~~ING!'1lli1Lq" _"""
."
cl
"
Status
Issued
225 Fifth Street, Springlield, OR
541-726-37~3 Phone
541-726-3676 Fax
541-726,3769 Inspection Line
Total Value of Project
Fe~s Paid .1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid.
$13.56
$5.65
$79.00
$17.00
. $17.00
Total Amonnt Paid
$132.21
I Plan Reviews ,
Date Paid
6/3/09
6/3/09
6/3/09
6/3/09
6/3/09
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-00776
ISSUED: 06/03/2009
APPLIED: 06/03/2009
EXPIRES: 12/03/2009
VALUE:
Receipt Number
3200900000000000416
3200900000000000416
3200900000000000416
3200900000000000416
3200900000000000416
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.
Re?"ired Insoections 1
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
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 Ordinances of the City of Springfield and the Laws of the State of Oregon per.taining to the workdcscribedherein, 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 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 theJront of the property, and the approved set of plans will remain on the site at all
times during construction.
,
Owner or Contractors Signature
,
Page 2 of 2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
~n;~~..~~."":...'. '
..:., ..
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000416
Date: 06/03/2009
II :28:09AM
Paid By
Item Total:
l:heck Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
17.00
17.00
5.65
13.56
$132.21
Job/Journal Number
COM2009-00776
COM2009-00776
COM2009-00776
COM2009-00776
COM2009,00776
Description
I st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
njm
ONLINE marshalls Online
Payment Total:
$132.21
$132.21
cRcceintl
Page I of I
6/3/2009