HomeMy WebLinkAboutPermit Mechanical 2009-6-17
City of Springfield
Mechanical Authorization To Begin Work
E.mailed To: Lindsey@marshallsinc,com
R~ceipt # EC55311511"
6/17/200910:04:19 AM
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Check on status of permit
By Phone: (541)726.3753 or Email: permitcenter@ci.springfield.or.us
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o New construction [X] Addition/alteration/replacement
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I [K] 1 or 2 family dwelling D Multi-family 0 Accessory Building
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I Job no.: I Job address: 845 4TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477.3947
'I SuiteJbldg.lapt.no.:
Project name: SMITH
Cross street/directions to job site:
ISubdivision: I Lot no.:
!Tax map/parcel no.: 1703352108600
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INSTALL DUCTLESS HEAT PUMP
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I Name: JANET SMITH I
IPhone: (54])746,]]00 IFa" I
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I CCB ]ie, no,: 25790 I
I Business Name: MARS HALLS INC I
I Contact: Lindsey Baeth I
IAdd"''' 4]]0 OLYMPIC ST I
ICity/State/ZIP: SPRINGFIELD, OR 974785620 I
I Phooe: (541)7477445 I Fax: (54] )741 0821. I
I Email: Lindsey@marshal]sinc.com I
I Metro lie. no.: I City lie. no.: CCB 25790 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 180
days If a permit is not obtained.
The local building department may detennine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
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IDesc~i~tion , . __ _ ___ __. L... Q~'_..J Ea. l Tota~>j
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I Furnace- up to 100,000 BTU 'I! I
! Furnace - above 100,000 BTU I
! Electric Furnace I
Duct alterations and additions I
Gas heater units/ in-wall, m. I
duct. susoended. etcl
I Vent, flue, liner for above I
I Air Conditioner I
I Heat Pump $]7.00 $17.00]
I Air Handler I
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I Water heater I
I Gas fireplace/insert/stove I
I Gas ]og! log ];ghtc, I
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chi~ne~lIiner/t1ue/vent w/o I
a~p"hance
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I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet companments, utility
rooms)
I Attic/craw]space fans I
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I Subtotal $17.00 I
I City Of Springfield First Appliance fee $79.00 I
I State Surcharge (]2% of penn it fee) $] ].52 I
I City OfSpringfie]d fees. $4.80 I
I TOTAU'PERMIT FEE I $] ]2.32 I
. City Of Springfield fees: 5% Tec~nology Fee
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This f-uthorization To Begin Work must be posted at the job site until replaced by a Permit
Status
Issued
CITY OF SPRINGFIELD
Building/Co"mbination Permit
PERMIT NO: COM2009-00878
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 12/17/2009
VALUE: ,]
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541-726.3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 845 4TH ST
ASSESSOR'S PARCEL NO,: 1703352108600
,
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install dnctless heat pump
Owner: SMITH JANET A
Address: PO BOX 70673
EUGENE OR 97401
Phone Number: 541-746.1100
I CONTRACTOR INFORMA nON ~
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
Expiration Date
12/23/2009 '
Phone
541.747.7445
"I,
# 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:
'I
n/a
J DEVELOPMENT INFORMATION'
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Availabl~PTfGE:
Special Instruction: THIS PERMIT SHALL EXPIRE IF THE WORK
AIJTHORIZEDUNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
1l~IV 1 Rn nAV pJ:Rlnn
I PUBLIC IMPROVEMENTS I N- 0 gon 1~'~' ,,,"1"'~ yM 111>
ATTENTIO ' ,re~ d - If' ' . ,l,I,,"ny!
foIlG~id.e.l\'alk2Typ-e:~ "~," I - .'l,-"tO,
N t'f'-~ti()n Center. Tit ,~_' '", '~I-
o I Downspouts/Drains:" .eV
in OAR 9:0"- -uu I'VV , ~ ,-- ,l, " I' ' : ';)y
0090 You may obtain co,'- , 'e
'I' the center (i~otD:. ,t,
cal mg 0 ' gOI' ; ,--I, ." ,,,,~~,,Jll
f the re ,VI'"
number or '1' 800-3"2-2;;"")'
rcntp.r IS ,- v
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
1"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00878
ISSUED: 06/17/2009
APPLIED: 06/17/2009
EXPIRES: 12117/2009
VALUE:
225 Fifth Street, Springfield, OR
541.726.3753 Phone
541.726.3676 Fax
541.726-3769 Inspection Line
Total Value of Project
~ees Paid I
.1111
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1 st Appliance
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4,80
$79,00
$17.00
6/17/09
6/17/09
6/17/09
6/17/09
2200900000000000682
2200900000000000682
2200900000000000682
2200900000000000682
Total Amount Paid
$112,32
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 Relluired Insnections I
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 shal~ be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the wrirk 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 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 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
Paee 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009.00878
COM2009-00878
COM2009.00878
COM2009-00878
Payments:
Type of Payment
ONLINE CHGS
:
cRcccintl
RECEIPT #:
Description
Heat Pump
I st Appliance
+ 5% Technology Fee
+ ] 2% State Surcharge
Paid By
ONLINE PERMIT CHGS
~ao_,'
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000682
Date: 06/17/2009
,
Item Total:
Check Number Authorization
Received By Batch Number Number How ~eceived
nJm
ONLINEMARSI-IAL Online
LS INC
Payment Total:
I
Page I of 1
10:28:37AM
An'lOunt Due
17,00
79,00
4,80
11.52
$112,32
Amount Paid
$1 ]2.32
$112,32
6/17/2009