HomeMy WebLinkAboutPermit Mechanical 2009-7-31
City of Springfield
e-q -/log
Mechanical Anthorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-BMC-09-000S0
Check on status of permit
By Phone: 541-726-3753 or [mail: permitccntcr@ci.springfield.or.us
I D NewConstruction
o Additionlallemlionlreplacemeilt
10 1 or 2 frunily dwelling D Multi-family D Commercial
DACCeSSOryl3lJilding
Job Address: 2551 17TH 51'
City/StateJZIP; SPRINGFIELD, OR 97477
Suitclbldg.lllpl.llO.:
Project Nnme: STERN
Cross Street/directions to job site: YOLANDA TO GRAND VISTA DRIVE TO
17TH
Tllx map/plIrcelno.:
INSTALL GAS FURNACE, Ale AND GAS PIPING
Name: MARK STERN I
Phone: 541-337-9661 Fax: 1
Email: I
. 'j""l
CCBlic. no.: 25790 I
Business Name: MARS HALLS INC I
Contact: I
Address: 4110 OL YMPTC 51' 1
City/State/ZIP: SPRINGFIELD, OR 974785620 I
Phone: 541-747-7445 Fax: 54]-741"0821 I
Email:
Metrolic.no.: City lie. no.: 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 ob~ined,
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
7/31/2009 2:03 pm
Approval Code: 04226D
!DcseriPtion
-,. 'FEE,SCHEDU'EE~iR',~,-:
Qty, IE',
Totlll
IGas'PipinG- first four
II~c'atiilg(co1tling" iipplian2cs'
IFulllacc-upto 100,000BTU
IMiJIimiliD'Feeil'" -'~
....."............ ,^
I First Appliance Fee J
IKiECJI,-\NC_~~J>tR~l'l;r:FIEE$~~~~~ ,~"
I Subtotal
I State surcharge (12% of permit
total)
ITeChnOIOgy fee (5% of permit.
total)
!TOTAL PERMIT FEE
, .~ 0-..
~ ...~ ~".".o
tv" {'v'
'\
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
Lam looQ, -O\lO(
f\m '1 /' 3 \ '---Qq
$103.001
$12.361
$5.151
$120.511
~ ~~.(A
~ 'fJ,V '
~~
Status
Issued
CITY OF SPRINL.1'lJ!.LD
Building/Combination Permit
PERMIT NO: COM2009-01108
ISSUED: 07/31/2009
APPLIED: 07/31/2009
EXPIRES: 01/31/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2551 17TH ST
ASSESSOR'S PARCEL NO.: 1703243400127
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas furnace, AIC and Gas Piping
Owner: STERN MARK J & LORI A
Address: 2551 17TH ST
SPRINGFIELD OR 97477
Phone Number: 541-337-9661
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS 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 I sl Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
,I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS I /'1; I t:1~ 'I'UN: Oregon law requires you to
o,.?W ru es adopted by the Oregon Utilit
NOS.'d'"-;'"lk""-' Th Y
, I ewa '.'ype:r. ose rules are set forth
In OAR952-001-0010 thro h OA
oocDownspoutsffirains: ug R 952-001-
--.. 'vc. ",ay' DiJLctlfl cop,es o/the rules b
, calling the center. (Note: the telephone y
number for the Oregon Utility Notification '
Center IS 1-800-332-2344).
Storm Sewer Available:
Special Instruction:
NOTICE: '
THIS PERMIT SHALL EXPIRE IF THE WORK
^I\Tur'DI7cn mineR THIS PFRMIT IS NOT
COMMENCED OR IS ABANClu'~cur~;; .. I
ANY 180 DAY PERIOD. ValuatIOn DescriptIOn.
$ Per Sq Ft Sq uare Footage
or multiplier or Bid Amount
Notes:
Type of Construction
Value
Dale C.alculaled
Description
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01108
ISSUED: 07/31/2009
APPLIED: 07/31/2009
EXPIRES: 01/31/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541_726-37691nspection Line
Total Valne of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - np to 100,000 btn
Gas Outlets 1-4
Amount Paid
Date Paid
Receipt Number
$12.36
$5.15
$79.00
$17.00
$7.00
7/31/09
7/31/09
7/31/09
7/31/09
7/31/09
1200900000000000859
1200900000000000859
1200900000000000859
1200900000000000859
1200900000000000859
Total Amount Paid
$120.51
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 Rm"I\. ired Insneetions I
, 11111 II
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 1 further certify that any and all work performed sh~1I 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 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 nsed on this project.
1 further agree to ensure that all required inspections are requested at the proper time, that each address is re~ldable 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
COM2009-0 II 08
COM2009-0 II 08
COM2009-0 II 08
COM2009-0 II 08
COM2009-0 11 08
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000000859
Date: 07/31/2009
Item Total:
<":heck Number Authorization
Received By Batch Number Number I-low Received
NJM
ONLINE MARSHAL Online
LS
Payment Total:
Page I of 1
2:58:59PM
Amount Due
79,00
17,00
7.00
5,15
12,36
$120.51
Amount Paid
$12051
$120.51
7/31/2009