HomeMy WebLinkAboutPermit Mechanical 2009-6-12
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Wood fireplace I
Chimney/lincrlllile/vent w/o I' I
appJi""c~F '-'0'1' ^'~.'1'1n, Iqw reQL,lres you 0 . .
;E.~~~"~.~~.~.1;~~~M1t~~'t5~~~R~tl~~Qreg9n ~{~ l~,Y^'.~,~~_.~ ,~I
I R iI.JJ'fi"o~.d':--' ~ -:-- . Ttjose ruler ar~ :::ita if' Ltl I
K!;'C:...~.'t'M r.Anter. . . ~ '}<_
~\i~ic\;S\t!tl@Q1-0010!hrOUgn l '';'''0''1'.1'';' hI' I
si~!\-fl~ct "I'!ltl'\II\!!.ll!/1(9IDiJS"] CUl-"~O " ,.. - - - I
to~I'a,\j,Rartm'"JhU4ii'ltter 'Note: thE telephol1e
room:!)alllOg HIe (jlj _' ~ __ Il+ilih. t\lntificat on
I Allic.fltb(fJli>IRf'Jb'ryslll~,::,.~v~:;:;~;~?_21344\. I I
l:t~p!~i_rgf~-lt;~;~~~~;t1::j:;~::;:~:,~~~t?':;::,;'-,
I upto first 4 OUIletS(e.nter Qty=l) :il .1'
each additional outlet . ,i
1~~F2~?:';'M~~H~Ni9~~:R~RMltfF,-~,E~:t5;J:~~.'i,_
I - Subtotal
I City Of Springfield Firs! Appliance fee
I State Surchar.e;e (]2% o!"permit fel;')
I City Of Springfield fees .'1
I TOTAL PER1\UT FEE
. City or Springfield rees: 5% Technology Fee
t9-55lo VO
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City of Springfield
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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
I D New conslruction
I Description ~J
l,il!~~ti!lti!fo~'!f~i~Jijilla~ccs'~~:~'~
W Addition/alteration/replacement
'~.f"iCATEGbRY;OFitONSTRUCTI6N'
. J'O'.._.., ,,~"" "...,...~. :"'_ "'-".:..,,,,,,,' ,....""...."..~.. """.0'="---'_
o I or 2 famify dweffing 0 Multi-family D A(.'cessory Building
I Furnaee- up to 100,000 BTU
) Furnace - above 100,000 BlU
I Electric Fumace
I Duct alterations and~additions
I Gas heakr units/ in-\villl, in.
duct, suspended.elc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
':'~~2!t~i!irIN.F,OR~Ai(qJ~'A~'[1:q9.A'[q~j::~~~~,r~~~~'ff~:.~1
IJob no.: IJub address: 30 NEPTuNE AVE I
l~i~Y/Slale/ZIP: SPRINGFIELD, OR 97477-5361 I
I Smte/bldg.l:ipt.no.:
I Project n-ame: JONES I
Cross street/directions tu job site:
ISubdivision:
I Tux.map/pureel no.: 1803023302700
Watt'rheater
I Lot no.:
I Gas llreplaee/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
Pool or spa heater, kiln
Wood/pellet slove/if,1ser1
INSTALL ELECTRIC FURNACE
I Name: WENDY JONES
I Phone: (541) 988-5448
I"n"
!CCBlic.no., 2M~TlrE:
I Business Name::-ili\k.-R~k~ tf~ __ __
IContnct' Lind1':r ii:e\lh~';Z~ OJ) !A~~ ~^t'IKt r~ I HE WORK
IAdd'"'' 4110C"E~~f~~!J';..D ~r,Ei~n I t11;' t'tHMIT IS NOT
City/SlntelZlP,:, ~!WI~9.f;lEkD;8R%ilt:5rh\PANUUNED FOR
Ipho",,, (541)747'7445' vv un1 nn1UU1Fox, (541)7410S21
I Emaii: Lil1dsey@mar~haI1sinc.eom
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 faxec:t 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.
. vSlJ
erD
C.
Receipt # EC553614
6/12/20092:19:29 PM
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$17.001
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$1700
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$1700 I
$7900 I
$1152 I
$4.80 I
$112.32 I
lJ2 \ l51 CA
This AuthOrization To Begin Work must be posted at the job site until replaced by a Permit.
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Status
Issued
CITY, OF SPRINGFIELD
Build~ng/Combination Permit
PERMIT NO: COM2009-00856
ISSUED: " 06/15/2009 "
APPLIED: 06/12/2009
EXPIRES: 12/15/2009
VALUE: "
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 30 NEPTUNE AVE
ASSESSOR'S PARCEL NO.: 1803023302700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install electric furnace
Owner: JONES WENDY L
Address: 30 NEPTUNE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMA T~~N I
Expiration Date
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12123/2009
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:
" n/a
I
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2rd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Qther:
Occupant Load:
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
: REQUlRED'pARKING
h Total:
" Handicapped:
I Compact;
ATTENTION: Or~gon law requires you to
follow rules adopted by the Oregon Utility
...I_-I-:.J:..............i".... {'n....+6( Thf'lco n~lp~.;up. set forth
in OAR 952-001-00"1 0 through OAR 952-001-
OQi;lO. You may obtain copies of the rules by
'l!g~m~1fh1"1l'I!Shter. (Note: the telephone
1J!}fIW\l9fj6(1fsYmaGlItgon Utility Notification
Center is, 1-800-332-2344). ,.
NOTICE: I PUBLIC IM~ROVEMENTS I
Street ImP'NlmIWflMIT SHALL EXPIRE IF THE WORK
Storm Sewl'\tj\Tv.~OflillitD UNDER THIS PERMIT IS NOT
Speciallns~~t;?RENCEO OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Notes:
J i,
I Valuatio~ DescriDtion .1
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage'
or Bid Amount
I
. Valu~'
Date Calculated
Pa2e I 0\'2
_~l7:RINGI!I~;~
~r ,........'1......- ....', -,-,.-">,.".,,,',...:,
~~
'if ..
CIne OF SPRINGFIELD
Status
Issued
i
Building/Combination Permit
PERMIT NO: COM2009-00856
ISSUED: 06/15/2009
APPLIED: 06/12/2009
EXPIRES: 12/15/2009-
VALUE: '
225 Fifth Street, Springfield, OR
541-726_3753 Phone
541-726-3676 Fax
541-726_3769 Inspection Line
Total Value of Project
Fees Pai~ I
$11.52
$4:80
$79.00
$17.00
6115/09
6115/09
6/15/09
6/15/09
Receipt' Number
1200900000000000681
1200900000000000681
1200900000000000681
120~900000000000681
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - Unit Heater
Amount Paid
\. Date Paid
Total Amount Paid
$112.32
. I Plan Reviews I
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 Reonired.lnsnections I
Rough Mechanical: Prior to Cover
Final Mechauical: When all mechanical work is complete.
By signature, I state and.agree, that I have carefully examined the completed applicatiun,and do herehy certify that all
information hereon is true and correct, and I further certify that any and all work perfo~med 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 he made of any structure without permission of the Community Se"'vi~es Divisiou, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used ou 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, and the approved set of plans wifl remain on the site at all
times during construction. ' r
Owner. or Contractors Signature
Date
Page 2 of 2
225,~Fifth Street
Springfield, Oregon 97477
541~726c3759 Phone
Job/Journal Number
COM2009-00856
COM2009-00856
COM2009-00856
COM2009-00856
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Furnace - Unit Heater
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Sprihgfield Official Receipt
Development Services Department
Public Works Department
1200900000000000681
Date: 06/15/2009
8:22:50AM
Hem Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
1700.
4.80
11.52
$112.32
Amount Paid
KR
Online
,
$112.32
ONLINE MARSHAL
LS INC
Payment Total:
$112.32
,
i:
Pa.ge I of I
6115/2009