HomeMy WebLinkAboutPermit Mechanical 2009-6-12
i
Mechanical Authorization To Begin Work.
K-mailed To: Lindsey@marshallsinc.com'
Receipt # EC553625
'i
6/12/20093:58:41 PM
I:
I
~0'\
~C\..
.,
City of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
~"'"
I 0 New construction
lliJ Addition/alteration/replacement
, ~..~..
I rurnace- up 10 100,000 BTU
I Furm.lce ... above 100,000 BTU
I Electric Fumace
I Ducl alterations and additions .
I Gas healer unitsl in-wall,' in-
duct suspended..ctc/
I Vent, l1ue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
Itt?i_~~,I;~p~~i~~'~ij'~Ji~ll~S/~t~-:-'~~-;
I Water heater I
I Gas fireplacelinsert/stove
I Gas log! log lighter I
I Gas clothes dryer
J Gas slOve/range
I Pool or spa heater, k(ln
I Wood/pellet s1Ov~linsen
I Wood fireplace \
~ChiJ~neYl1iner!flUe/vent w/o _ I
apphance. _ ,. _ . '..<::.J...U...1:"-'::"''''S ~',"-.11 ~'\
"-:-~..".....' T..' I' 'I'" \:....t-. GU~ ','"(~'\{.~.,r"'.:1''''''''''",-' :.1'". ....., '::. , ..
~~Vi~... p,*,r.N~~~_\!~..~:J'~t~W\\t!I~I.f';.fr ,A'"nn;, 'Utilitv-h!
I l"Ii,." "..v~ ~~-~'-r-. ) - ~ h
RangfJI1?9,'i:~rnntar rrhn!=:.e ru 8S are S8. fort
I Clot,,:~'<lj~i~,%a.\'}t_0n1_001)throUQI OAR 95 -001-1
I smgl~fJJitC:;.'lW!sli'Ml.!rfPebH in copie: ofthe r~les oy 'I
to'letOOt\lla'rt:n~frlp,Jltiltl' t (Note' t 1e telep one
rooms I Gallma the cen er '.. .... ,. _..
~Attic/CrFl\lW\lbffiirfDr the ur ~~?!:l ~l~ :Y,.,~~llll'''r~lv" I
,""'"". ..~......,':'V""":;;,,,,_,~';' :... .;..' -"-I':OVV~".",J.c;.;:.,",v:,",:,}. "t'.':'_~ .~. i
:E,~..~"I"PJp"I~..~~t......~~~!1I~Elfi?""~;ni '~~'?.a~~...'.. '?~"-~-<h;::"'"", ;;!~ .' "i~1
luptofirst4outlets(enterQty=l) I I I
I each additional outlet I I
I
$17.001
$79.001
$11.521
$4.801
$11232 I
I
I
I
I
I
1
I
$1700 I
I
[K] 1 or 2 family dwelling
o Multi-family
o Accessory Building
~jcil.~Jt'~'f~~;:~::~9ji~ITEil~:~o~~t\flf)~~~'~.l?:L!6q!l[(i~~1'::.i~~:.~t:~~q~~;:+;
IJob no.: jJobaddress: 1602 RAINBOW DR I
I City/State/ZIP: SPRINGFIELD,DR 97477-2761 I
!Suitc/bldg.lllpt.no.: 1
I Project name: ALEXANDER I
Cross street/dir~etions to job site:
$1700
I Subdh'ision:
Tax map/parcel no.: 1703274201007
I Lot no.:
INSTALL DUCTLESS HEAT PUMP
I Nllme: CAROLINA ALEXANDER
I Phone: (541) 463-0313
I Emllil:
I'
IF."
ICCD lie. no.: 25790
I B"s'.ess N.mN 9nfli~LS INC
ICo.t.c" Limlf~ffiletJi'ERMIT SHALL EXPIRE IF THE WORK
IAdd"''' 411~~'fIl41t1l:RU'ED UNDER THIS PERMIT IS. NOT
I City/SI.terLIlr. fl1m1\\WNlRf; [)R(}RI1g;6M3AN DO N ED FO R
Irho." (541)7A'R/I151110 nAY PERIOD]r." (541)7410821
I Emllil: Lindsey@marshall~inc.com
ll\letro lie, no.: I City lie, no.: CCB 25790
Upon review and approval by your local jurisdiction, your
permit will be e~mailedor faxed within one business day,
with instructions on how to schedule your inspection.
I Subtotal
I City Of Springfield Firs! Appliance fee
I State Surchurge (12% of permit fee)
I City OfSprii1gfield fees '"
I TOTAL;-PERMIT FEE
'" City Of Springfield fees: 5% Technology Fee
II .
CQ-8S\1 ~D
Lori 115 \ OC1
,.
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.
"
This Authorization. To Begin Work must be posted at the job site until repla'ced by a Permit.
. .., I, .
.
CITY; OF SPRINGFIELD
I
Building/Co.mbination Permit
Status
Issued
, :j
PERMIT NO: C,oM2009-00857
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: 1602 RAINBOW DR
ASSESSOR'S PARCEL NO.: 1703274201007
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install ductless heat pump in residence
Owner: ALEXANDER CAROLINA I
Address: 1602 RAINBOW DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
,
Expiration Date
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:
Sq Ft 1 st Floor:
Sq Ft 2nd Fluor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~~t Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Sethack:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
"REQUIRED PARKING
Total:
, . I Handicapped'
ATTENTION: Or~~n 1AlII/:equires you to
follow rules adopteargy'l~e Oregon Utility
Notification Center, Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
vu~u. IUU IIIi:lY uU~clln copies onne rUles oy
calling the center. (Note: the telephone
rsJae';l,r~/lJtoty~~; qregon Utility Notification
Center IS 1-800-332-2344).
Downspouts/Drai,i1s:
NOTICE: . . I PUBLIC IMPROVEMENTS'
Street 1!M.~fe~~M~T SHAll EXPIRE IF THe \)VOHK '
AUTHORIZED UNDER THIS PERMIT IS NOT .
~tor'." ItvMNtt~tli1'oR IS ABANDONED FOR
pCClaAPI)\Y~60~:AY PERIOD.
Notes:
I Valuation DescriDtion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
_$I!llllllliilflII!!O,'
Status
Issued
. CITY, OF SPRIN\JJ!l]';LD
Building/Cqmbination Permit
PERMIT NO: C'OM2009-00857
ISSUED:' 06/15/2009
APPLIED: 06/12/2009
EXPIRES: li/15/2009
VALU~: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~ee~ P~i~ I
$11.52
$4.80
$79.00
$17:00
6/15/09
6/15/09
6/15/09
6/15/09
Receipt Number
1200900000000000682
1200900000000000682
1200900000000000682
1200900000000000682
Ii
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
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 Reouired' nsnections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
I
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 shaILbe done in accordance with:
the Ordinances of the City of Springfield and the Laws of the State of Oregun pertaining to the wo'rk described herein, 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 wilhbe used on this project.
I further agree to ellsure that all required inspections are requested at the proper time, that each a~dress 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. '
Owner or Contractors Signature
Date
Page 2 012
225 Fifth Street
Springfield, Oregon 97477
541-"726-3759 Phone
Job/Journal Number
COM2009-00857
COM2009-00857
COM2009-00857
COM2009-00857
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department'
Public Works Department"
1200900000000000682
8:23:48AM '
Date: 06/15/2009
Item Total:
Check Number Authorization "
Received By Batch Number Number How Received
Amount Due
79,00
17.00
4.80
11.52
$112.32
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$112,32
Payment Total:
$112.32
Page 1 of I
6/15/2009