HomeMy WebLinkAboutPermit Mechanical 2009-6-24
Mechanical Authorization To Begin Work
E-mailedTo.:lindsey@marshallsinc.com
69600-BMC-09-00005
6/24/2009 4,18 pm
Check on status of permit
'.
By Phone: 541-726~3753 or Email: permitcenter@ci.springfield.or.us
I D NewConstruction
o Addition.lallemliow'rep~aCt:lllellf
I Description
lItC:lt!~g/~ooliog
I Fuma','", - up \_0 [00,000 BTU
~;:#~~~,i=EE;'SCH'EDtjLE~':'
I
Project Name: LAMB
l
IMECli'\NicA~Z?E)~M\i\F~~r", b_J~
I Subtotal
Istate surchargc(12% of pen nil
total)
I I Techno[ogy fee (5% of permit
I, total)
1 hOTAL PERMIT FEE "
QC\-QD1 \U2- Ul0t5[01
.~;
$17.0?I'
$79,001
. ----". 'I
,'","-'.", ':',
$96.00
$]1.521
$4.801,
$112.321,
101" 2 Imnlly dwellln, D M""I-I=lIy D Commo"I,1 DAce""o>)' B""dl'g
'1' ~:,-k~:~JOB:SI;{E:TNFCfRMA:no'N~ANb~OCATIO-N~:?~,_:-i;;<~~"4.~E....~:~~1
I Job Address: 1565 KELLOGG RD ' I
I City/Stale/ZIP: SPRINGFIELD, OR 97477 I
I Firsl Applianc~ f~t:
SuiteJbhlg.lapt.no.:
CrossStrl"et/direetions tojobsife:
T... m.plp"ml "0' ~ 'II) - O"~~ '"2.. Q\i}..lY
;l~C;;1~!~~~\~~~;;r~ir€sdilgT'tON;o0FrWORkf4~=~~~.~C*~:;t',,;1
INSTALL GAS FURNACE AND Ale UN]T
Name: TRA VIS LAMB
Pbone: 541-744.1415
Fax:
Email:
, CCB lie. no.: 1579U
I Business Name: fvlARSHALLS lNC
I Contact;
I Address: 4110 OLYMPIC $T
I CitylStllteJZIP: SPRINGFIELD, OR 974785610
1 Phone: 541-747-7445 Fax: 54]-741-082]
I Email:
I Metro lie. no.: City lie. no,:
I , 'quireS you to
!,TTENTION: orego; ~a~::,oregon Utility
1])\loW rules adOP1\h Ye rules are set forth
I'IDtification cent~~1 0 t~~OU9h OAR 952-001-
'" OAR 952-001- 'co ies of the rules by
,1090, You may obtain loie: the telephone
I calling the center. (~n Utility Notilica\lOn
I number lor the or1~~OO_332-2344),
I Center \S
'u ~lnTl.CE: Ib I 1"sd'ctI-'C~,'r'^,01[>K
pon review an approva., y your",oca JUri I on, 1,our 1;)8rmit WII ....e
_, ,.", r:"l~""~"11 f.:,Hul l c^r 1111-.1 ,.- _
e-mailed!o'lfaxedwithin one business day, with instructionsl'onlhow;toT
, ,- R I HI" r'tt'llVIl Iv IN
schedule,your:inspection.D UNDE u
MU \I "o,,'~~ NED FOR
~{'>",,,r:~I['j:lJ OR IS ABANDO
NOTE: This Authorization-To Beg[n Work expires within 180 days if a
penn;';, nOlobtaln.., DAY PtRIUU,
1\111 t ,'<J....
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 replaced by a Permit
Status Issued
''225 Fifth Street, Springlield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINliH~LD .
Building/Combination Permit
PERMIT NO: COM2009-00907
ISSUED: 06/24/2009
APPLIED: 06/24/2009
EXPIRES: 12/2512009
VALUE:
SITE ADDRESS: 1565 KELLOGG RD
ASSESSOR'S PARCEL NO.: 1703342201200
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Electric for heating system
Owner: LAMB TRAVIS W & SHELLE C
Address: 1565 KELLOGG RD
SPRINGFIELD OR 97477
,,,
, I'CONTRACTOR INFORMATION i
Contractor Type
Electrical
Mechanical
Contractor
RITE ELECTRIC
MARSHALLS INC
, License
178518
25790
Expiration Date
09124/2009
12123/2009
Phone
541-895-4466
541-747-7445
I, BUILDING INFORMATION.
# 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 B'asement:
Sq Ft c;arage/Carport
Sq Ft Other:
Occupant Load:
nla
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I DEVELOPMENT INFORMAUO/S"lrlON' Oregon"IRw reoIJires vou to
, I:i' REQIHRED'P.ARKING
follow rules adopted y L"~ u""\,juIl lJ"",y
Overlay Dist: Nqtification Center. Tho'l'Ofai:3S are set forth '
# Street Trees Rqd: in OAR 952-001-0010 thIHiinlli8tpp{d;2-001-
Paved Drive Rqd: 0090., You may obtain c'Go&pii'~{:~e rules by
% of Lot Coverage: calling the center. (Note: tne telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Street Imllr.o~I~lJIents:
Nul,~t:
Storm Se"n'er.Availa,ble:SHALL EXPIRE IF THE WORK
. I lu-f{.I1I'V1t I
SpCClall~m~'(Y~rZED UNDER THIS PERMIT IS NOT
Notes: COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Sidewalk Type:
Downspouts/Drains:
Page I 013
Status
Issued
i25 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Valuation Description I
Description
$ Per Sq Ft
or multiplier
Type of Construction
Square Footage
or Bid Amount
Total Value of Project
Fee~ Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
Add, Alter, Extend Circ
Add, Alter, Extend Circ Ea Add
+ 12% State Surcharge
+ 5% Technolugy Fee
1st Appliance
Furnace - up to 100,000 btu
Amount Paid
$7.32
$3.05
$55.00
$6.00
$11.52
$4.80
$79.00
$17.00 '
Total Amount Paid
$183.69
I Plan Reviews I
Date Paid
6/24/09
6/24/09
6/24/09
6/24/09
6/25109
6/25/09
6/25/09
6/25/09
CITY; OF SPRINGFIELD'
Building/Cqmbination Permit
PERMIT NO: COM2009-00907
ISSUED; 06124/2009
APPLIED: 06/24/2009
EXPIRES; 12125/2009
VALUE: I
Value,
Date Calculated
Receipt Number
120Q900000000000728
1200900000000000728
1200900000000000728
120Q900000000000728
1200900000000000732
1200900000000000732
120Q900000000000732
1200900000000000732
"
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7;00
a.m. will llemade the same working day, inspections requested after 7:00 a.m. will; be made the following
workday."
I R~'1,",~~~d rnsnectinn~ I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Electric: Prior to Cover
Final Electric: When all electrical work is complete.
Pa2e2 of 3
"
Status
Issued
.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C'OM2009-00907
ISSUED: 06/2412009
APPLIED: 06/24/2009
, EXPIRES: 12/25/2009
VALUE:
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 furtber certify tbat 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 described herein, and
that NO OCCUPANCY will be made ofany structure without permission of the Commnnity Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 willibe 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
Pa2e 3 01'3
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job'Journal Number
COM2009-00907
COM2009-00907
COM2009-00907
COM2009-00907
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Furnace - up to 100,000 btu
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Developmeht Services Department
Public Works Department
1200900000000000732
Date: 06/25/2009
8:01 :04AM
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 I of I
6/25/2009