HomeMy WebLinkAboutPermit Mechanical 2009-6-10
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': City of Springfield
R~ceipt # EC553443
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6/10/2009 3:0 I :58 PM
Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsinc.com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
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10 New construction
~eSCriPtiOn
~l~~~t(hgjco~olTrrg' ifppiiancc~:i~~:-
,., ..0",'-." 0 ~_.....;'.YJ2......:."'...'_" ".'.." _'~
I Fumace- up 10 100',000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
Duel alterations and additions
Gas hC<.llerunils/in-wilJ/. in-
duct susoended, etd
I Vent, flue, liner for above
I Air Conditioner
II-Ieat Pump
I Air Handler
$17.00
$17.00
[KJ Addition/alteration/replacement
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""~.9AT~GOR'!',:,9.~~CP-~SI.~~q_fLo~-,,-:N~:_~.~~_tili~4+:~~~~-.;
I IX] I or 2 family dwelling 0 Multi-family 0 Accessory Building
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I Job no.: IJob addrc:os; 5635 D ST
I City/Stllte/ZIP: SPRINGFIELD, OR 97478-5414
I Suite/bldg.Japt.no.:
I Project name: RUSSELL
Cross street/directions to job site:
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Total I
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$17.001
$17.00[
I Lot no.:
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I Name: ROBERT RUSSELL
Il'hoo" (541)515,1862
1 [mail, NUIII,;E:
." iIJI:iISCPERMln'SA~~T~'flfWE:fFTWE~i,.~3'mrii~~'~ ':;
ICCBlk.oo. 2PMJTHOR/ZED IlNnFR Tf-l'C:: DEl~1IT IS NGT . I
I Bos;ne" N"m,COPMiI@JOflI'FOR IS AB.4.l'JDONe r:m I
I Contact' Lind~et.8D DAY PFRlnn I
IAddress: 4110 OLYMPIC ST - I
Oty/SlatelZII', SPRINGFIELD, OR 974785620 1
Il'hoo" (541)7477445 IF." (541)7410821 I
I Email: Lindsey@marshallsiric,com I I 1 Subtotal
I MNro lie. no.: I City lie. no.: CCB 25790 III City Of Springfield First Appliance fee
I Stale Surcharge (12% of per mil fee)
I City Of Springfield fees '"
I TOTALPI<:RMIT n:r.
'" City Of Springfield fees: 5% Technology Fee
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\~ lo\lLlo~
ISubdivision:
I Tax map/parcel no.:
I,Waterheater
I Gas ~replacc/insert/stove
I Gas log/log lighter
Gas clothes dl)'er '
I Gas stove/range
1 Pool or spa heater, kiln
I Wood/pellet stovefinseJ1 11.1
I Wood'lireplacc I~:' I
I Chi':1ney/linerlflue/vent w/o ~I I
apphf!ncJ~___ ___ h
1:.~,~!~~~~~~l~~~,~~~~~1tiiii~.~~t_~g~2res,VR~j9: :
R .....e'.ho~d. ~.....~ l;4\,JVJJlt::iUj'" Y lIlt: VI eyun Ultilty
_~I1g.,I"",""'h......... /"'.......~~r Tt I.., ~ , ..-.
- -----.-.. --.,.-" . ~IG, UtC.::rCLI flll
Clothe" drver--exhau<;h.., nfl1 fl h.
:--T,.',~-f" .....-,....-J1~., .......,.-:or-,r ^n"""""',- 1
;o~ ,1~~~~~n!~M:9'l3r4in :C~-pj~~'; 'the-r~,efbY
roorrtBl'llma the center. (~otP.' thA tAIArh" 0
I AttOOllvJ1sllfclililhlhe Ore>l~'n Utilitv ~otificati 1'\
1;~tiE~!pwgc~~,e.\ll2':(I~~1'!lQ.QJ,~~2.'2~'1A l",Z'cf"~~;:
I upto first 4 out1ets( enter Qty= 1) I
I each additional outlet
1702331406400
INSTALL HEAT PUMP AND'AIR HANLDLER
IFa"
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 18.0
days if a permit is not obtained.
Ci ~ 531
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 replayed by a Permit.
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$34.00 I
$7900 I
$13.56 I
$565 I
$132.211
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CITY, OF SPRINGFIELD
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Status
Issued
Building/Cl~mbination Permit
PERMIT NO: COM2009-00837
ISSUED: 06/11/2009
APPLIED: 06/11/2009
EXPIRES: 12/Il/2009
VALUE: 1
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5635 D ST
ASSESSOR'S PARCEL NO.: 1702331406400
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Springfield TYPE OF WORK: Heating System
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TYPE OF USE: New;
Residential
PROJECT DESCRIPTION: Install heat pump and air handler
Owner:
Address:
RUSSELL ROBERT S & ANDREA
5635 D ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION ,
Contractor Type
Mechanical
Contractor
MARSHALLSINC
License
25790
BUILDING INFORMA:rWr-:"
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Expiration Date
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12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
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:
r
Sq Ft 1st Floor:
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Sq Ft 2nd Floor,
Sq Ft B'asement'
Sq Ft Garage/Carport
Sq Ft Other:
..
Occup~,nt Load:
,
nla
ji
I! REQUIRED PARKING
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Front yard Setback: Overlay Dist: I: Total:
S~de I Setback:NOT1CE: ~,:>t~R)(ees Rqd: ATTENTION: OregJr11~~.PiffiPJl,rel3 you to
SIde 2 Setb,ack: ERMIT SH/l.ll EXPIRE If IpI.fi, me Rqd: follow rules adopteiJ~~'11lli<i!:..egon Utility
Rearyard Setbalk~\S P ED UNDER THIS PERM>}J J ol"'coverage: NotificatiDn Center. ljhose rules are set forth
Solar Setbacks: ~~:~~~!tr\On nR IS /l.B/l.NDONED FOR ~n.?~R\?52-001-~01?;through ~0,R 95~-0~1-
ANY'180 DAY PERIOD. I PUBLIC IMPROVEMENTS f-;~iin'gth'~'~~;ie~~'::iN~te':-th;'t~i;p;;;;e-J
, number fOf~tbB Oregon Utility Notification
Street Improvements: :5llfewa Tvpe
. ven er'is i -800-332-2344).
Downspoutsmrains:
I DEVELOPMENTINFORMATlON ,
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
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Value
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Date Calculated
Page 1 of 2
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Status
Issued
CITY: OF SPRINGFIELD
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Building/C6,mbination Permit
PERMIT NO: COM2009-00837
ISSUED: 06111/2009
APPLIED: 06111/2009
EXPIRES: 12/11/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
, Fees P~,id J
$13.56
$5.65
$79.00
$17.00
$17,00
6/11/09
6/11/09
6/11/09
6/11/09
6/11/09
Receipt Number
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120~900000000000656
,120~900000000000656
1200900000000000656
1200900000000000656
120Q900000000000656
Fee Description
+ I2%State Surcharge
+ 5% Technology Fee
1 st Appliance
Air Handling Unit Up to 10,000
Heat Pump
Amount Paid
Date Paid
Total Amount Paid
$132,21
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections r~quested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will1be made the following
work day. I'
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I, Reouired Insnections I ,I
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Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 J further certily 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 w~rk described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Servi'ces Division, Building Safety,
I further certily 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' ~ddress 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 construction. I,'
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Owner or Contractors Signature Date i'
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Pa~e 2 01'2
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00837
COM2009-00837
COM2009-00837
COM2009-00837
COM2009-00837
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
]200900000000000656
Description
1st Appliance
Air Handling Unit Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Received By
KR
Check Number
Batch Number'
Page I of I
City of Spri~gfield Official Receipt
DevelopmeAt Services Department
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Pub,lic Works Department
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Date: 06/11/2009
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Item Total:
Authorization.
Number
ONLINE MARSHAL
LS INC
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How Received
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Online
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Payme~t Total:
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8:16:25AM
Amount Due
79.00
17.00
17,00
5.65
13.56
$132,21
Amount Paid
$132.21
$132,21
6/11/2009