HomeMy WebLinkAboutPermit Mechanical 2009-6-16
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City of Springfield
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Mechanical Authorization To Begin Work
E-mailedTo:Lindsey@marshallsiilc.com
Receipt # EC553777
6/16/2009 II: 12:02 AM
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Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
)0 New construction
."1_
lliJ Addition/alteration/replacement
10 1 or 2 family dwelling
DMulti-family
D Accessory Building
IJobno.: IJobaddress: 1141 57THST
I CityJStatelZip: SPRINGFIELD, OR 97478-6822
I Suite/bldg./apt.no.:
[Project "l.'me: LASHER
Cross street/directions (0 job site:
ISubdivision:
I Tax map/parcel no.: 1702280002400
I Lot no.:
...---.....
I
I
ICm"i1, ,
ICCll Ii:. :1:~~~~"E~~~~~~t~~~f~~RI~~~~~~~t~7~Jt';~#~j
Ill",in"'N'ln'fI~IjI1.HfI1)l!llnFR THIS PERMIT IS NOT I
ICon..", L;~tnVlli)f~~Ir:m OR IS ABANDONED FOR I
IAdd,"": 41."lI\~fYt1!~V p"RIOn I
ICity/Stllte/ZIP: SPRINGFIELD, OR 974785620 I
/Phnne: (541)7477445 ,.'"" (541)7410821 I
I [mail: Lindsey@marshaJlsinc.com I
I Metro lie. 110.: I City lie. no.: CCB 25790 I
I Name: HENRY LASHER
I Phone: (541) 954.4389
I.""
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 160
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.
I Description
I Furnace- up to 100,00:0 BTU
I rurnace ~ above 100,0'90 BTU
I Electric Furnace
I Duct alterations and a~ditions
I Gas heater unitsl in-wall, in-
duct. suspended. etc/
I Vent, nu~, liner for above
J Air Conditioner
I Heal Pump
I Air Handler
I
I
I
I
I
I
I
$17 001
I
$17.0C
I Water heater
I Gas fireplacelinsertlst(,ve
I Gas log/log lighter
I Gas clothes dryer
r Gas stove/range
I Pool or s.pa heater, kil~
I Wood/pellet stovclinsCrt
I Wood lireplace
I Chimney/Jinerltlue/vent w/o
apoliance .,
I;Etv;ninn'iintajexh.':u{~.~""M8'rSI'.daIUa,:>(',+ '~
:\.... ...~,. ",,~="'=.<'~'. ...""'.....,...""""',. .""9~.IU..,.J , ..' ..~..,'.~0r..''7''''',>.:J.''"'' -t.
I R"ge ho~JJU!i"~!!!IUN ^1!iJ7n UOo-a:l'i1)a41 JOj ~.?qwnu I
I CI th d ';UV4UtOIl:.:r.j. OI,"U OjuJ\J) .H jUO,J aYJ UUIJJ~v I
() es g;;:.r,!;~,~ls::..!" .......~.J~_..._. _ f_. . '.__~~
I Single-dLicrex:hatlsdb5tHfukns~~ ;:;.-:;.... .....{c..f' I.... j..:'t..:J-ft ,^ uouu
to;I" comp,a.Il,iillilii,/iJ/10 4610J41 0 ~(O- >OO-G~ 31:l\fO u!
rooms) UllOI1AS_,~.JP !=:RIn I flc::nl ~~ 'I:m 1:::l~ t In lO"'~!!~iJ.N-
]Au;c/craw)\P!\Ititp'1l06SJ0 aUIl AO pSlciope san J MO'I~'_
If.~uei"iI'Hi.eJc[lOA' :?eJfn!'l~"!.~\If1J66~J(j..:NO IIN3iJIi '.
lupto first 4outlets(ent~r Qty=l) I
I .. ,
each addJllOnCll outlet ii
.. Subtotal I
City OfS~ringfield FirstAppliance fee
State,Surcharge (12% ofpermil fee)
City Of Springfield fees *1
I TOTAL PERMIT FEE
* City Of Springfield fees: 5% Technology Fee
$17.00
$79.00
$IU2
$4.80
$112.32
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This Authorization To Begin Work must be posted at the job site until repla<;ed by a Permit.
Status
Issued
CITY OF SPRINGFIELD.
Build~ng/Combination Permit
PERMIT NO: COM2009-00872
ISSUED: 06/16/2009
APPLIED: 06/1612009
EXPIRES: 12/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1141 57TH ST
ASSESSOR'S PARCEL NO.: 1702280002400
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install dnctless heat pump
Owner: LASHER HENRY G & JUDITH A
Address: 1141 N 57TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMA nON I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA nON I
Expiration Date
12/23/2009
Phone
541,747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMA nON I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Sethack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: .
% of Lot Coverage:
REQUIRED PARKING
Total: . to
ATTENTION: Oreg'ffalflli~~b~~lf~s nyoU~i1ity
-f II I adopte~ ~'" th'" urego
o ow ru es eompacti re set forth
Notification Center. Those ru es a
. OAR 952-001-0010 through OAR 952-001-
~(lQn Vnu mav obtain copies of the rules by
calling the center. \1~Ole: lll~ '~'~t::"v,:v
number ,for the Oregon Utility Noltflcatlon
Sidew:$Jil)!pee5 1-800-332-2344).
NOTICE: I PUBLIC IMPROVEMENTS I
Street Improve/iJ~@!j:>ERMIT SHALL EXPIRE IF THE WORK
Storm Sewer ,,(IJJ~~IZED UNDER THIS PERMIT IS NOT
Speciallnstrm{JldDlMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD. .
Notes:
DownspoutslDrains:
I Valuation Descriotion I
Description
Tvpe of Constructiou
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of2
"
_"1f.~RII)ICl:!:,Il!t?~;
~
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541- 726-3676 Fax
541_726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Heat Pump
Amount Paid
$11.52
$4.80
$79.00
$ 17.00
Total Amount Paid
$112.32
,. ,
Total Value of Project
Fe~.sPairl I
, Plan Reviews ,
Date Paid
6/16/09
6/16/09
6/16/09
6/16/09
CITY OF SrKJJ....\..JFIELD
Building/Combination Permit
PERMIT NO: COM2009-00872
ISSUED: 06/16/2009
APPLIED: 06/16/2009
EXPIRES: 12/16/2009
VALUE:
Receipt Number
3200900000000000461
3200900000000000461
3200900000000000461
3200900000000000461
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. ~r,o.u..irerl T'!snections ,I
Rough Mechauical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, r state and agree, that r 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 pertaining to the work descrihed herein, and
that NO OCCUPANCY will he 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 wiII he used on this project.
[ further agree to ensure that all required inspections arc 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 will remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of2
Date
. .
225',Fifth Street
Springfield, Oregon 97477
541-'726-3759 Phone
Job/Journal Number
COM2009-00872
COM2009-00872
COM2009-00872
COM2009-00872
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1 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
3200900000000000461
Date: 06/16/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LS1NC
Payment Total:
Page 1 of I
1:50:33PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
6116/2009