HomeMy WebLinkAboutPermit Mechanical 2009-9-17
Cily of Springfield
Mechanical Authorization To Begin Work
E"'mailed To: lindsey@marshallsinc.com
Check on status of permit
By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us
I D New Conslruction
o Addition/alteration/replacement
101o<"="Ydwollio. DMoIH-r=iIY D Comm"oi,[ DA''',"O'YBolldiO'
1.:"~~ffJoBTs7fETNj:;ORMATioNlAND11!'6CA;fION~~~~t~~~~1
I. Job Address: 1523 FAIRVIEWDR I
City/State/ZIP: SPRINGFIELD, OR 97477 I
I
I
I
1'.1 c:r.1;>'2..\'?f2.. CC>''?::A.o I
1~~~"~,,T"~=[~Ji9:Rie;TI()N;(ii;;wPlft{S~J~~T"~jj2f,z:31
Suitelbldg./apt.no.:
Project Name: BU1TERFIELD
Cross Street/directions to job site: CENTENNIAL TO PRESCOlTTO FAIRVIEW
I Tax map/parcel no.:
INSTALL HEAT PUMP AND AIR HANDLER
Name: BILL BlJITERFIELD
Phone: 541.519-4529
Fax:
Email:
CCD lie. no.: 25790
Business Name: MARSHALLS INC
Contact:
Address: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: 541.747.7445 Fax: 541-741-0821
I Emllil:
I Metro lie. no.: City lic. DO.:
Upon review and approval by your local jurisdiction, your permit will be
e-malled 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 penn it 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
Description
IkatPulllp
Appliance Fee
I Subtotal
I State surcharge (12% of penn it
total)
I Technology fee (5% ofpermit
tOlaI)
I TOTAL PERMIT HE
,?1~
l\)
()
69600-BMC-09-00127
9/17/2009 12:29 pm
Approval ~ode: 007300
~.O'
~~
S'
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
j' .
~mLot:A-O 1377
}JM . 0-I1-b~
$96.001
$11.52
$4,~01
$112.,,(
~~~
~ :t\;t~
,\,
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2009-01377
ISSUED: 09/17/2009
APPLIED: 09/17/2009
EXPIRES: 03/17/2010
Y ALUE:
225 Fifth Street, Spriugfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspecliou Liue
SITE ADDRESS: 1523 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703273200136
Spriuglield TYPE OF WORK: Heating Syslem
TYPE OF USE: New
Resideulial
PROJECT DESCRIPTION: Install heat pump and air handler.
Owner: BUTTERFIELD WILLIAM & TRACIE
Address: 23614 SW HERON LAKES DR
SHERWOOD OR 97140
Phoue Number: 541-519-4529
I CONT~CTOR INFORMATION I
Contractor Type
Mecbauical
Contractor
MARSHALLS INC
License
25790
nUIL1J1NG INFORMATION I
Expiration Date
12/2312009
Phone
541-747-7445
# ofUuils: .
Primary Occupancy Group:
Secoudary Occupaucy Group:
Primary Constructiou Type
Secoudary Constructiou Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heal:
Water Type:
Rauge Type:
Euergy Patb:
Spriukled Building:
Lol Size:
Sq Ft 1st Floor:
Sq Ft 2ud Floor:
Sq Ft Basemeul:
Sq Ft Garage/Carport
Sq Ft Olher:
Occupaut Load:
n/a
I, DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Selbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lol Coverage:
Total:
Handicapped:
Compact:
NonCE:
THIS PERMIT .~f.i~11 r:vnin. ,__
AU I HORIZEO U -. ...~.. ...- '''''':: ::;
CO NOERTHISPEh'y"T.1,nf"--D" I
MIVlENCEO OR IS AS 'Pia ~a 1O~ escrmtlOn
ANY 180 0 ANOOlVtu rUK
. . AY PERIOD. . $ Per Sq FI Square Footage
DescnplIou Type of ConstruclIou l' I' B'd A
or mu tIp Ier or I mount
I PUBLIC IMPROVEMENT~ I
ATTSidewalk'typ!,pn law requires you to
folloYJIOrules adonfDted:bv the Oregon Utility
N t'f' owuspouts r.ams: .
o IIGd,'UoI 0811'"'' IIIUse rules are set forth
iil OAR 952-001,0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
nllmhpr f(iY thp nrpi'1nn , ltilitll f\1"tifi('~ti('m
. Street Improvemeuls:
Slorm Sewer Available:
Special Iustructiou:
Notes:
Center is 1,800,332-2344).
Value
Dale Calculated
Pa2e 1 of2
_~'"A~f!lIll~~I~t:'~
.I,.. .. ,
~ . . --..
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01377
ISSUED: 09/17/2009
APPLIED: 09/17/2009
EXPIRES: 03/17/2010
VALUE:
225 Fiftb Street, Springfield, OR
541-726-3753 Pboue
541-726-3676 Fax
541-726-3769 luspection Line
Total Value of Project
F~~s Paid I
Fee Description
+ 12% Stale Surcharge
+ 5% Techuology Fee
Ist Appliauce
Heat Pump
Amount Paid
Date Paid
Receipt Number
$11.52
$4.80
$79.00
$17.00
9/17/09
9/17/09
9/17/09
9/17/09
3200900000000000653
. 3200900000000000653
3200900000000000653
3200900000000000653
Total Amouul 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 Re(J.~ired Insnections I
Rough Mechauical: Prior to Cover
Final Mechauical: When all mechanical work is complete.
By signa lure, I state aud agree, that I have carefully examiued the completed application and do hereby certify that all
iuformatiou bereou is lrue and correct, and I furtber certify Ihat auy aud all work performed shall be done iu accordimce witb
the Ordiuances of tbe City of Spriugfield aud the Laws of the Slate of Oregou pertaiuing to Ihe work described hereiu, and
Ihal NO OCCUPANCY will be made of auy structure withoul permissiou of tbe Commuuity Services Division, Building Safety.
1 further cerlify that ouly contractors aud employees who are iu compliance wilh ORS 701.005 will be used ou this project. .
1 further agree to eusure tbat all required iuspectious are requested at the proper time, Ihal each address is readable from tbe
streel, tbat Ihe permit card is located at the frout of the property, aud the approved set of plaus will remaiu on tbe site at all
times during construction.
Owuer or Coutractors Siguature
Dale
Page 2 of 2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 13 77
COM2009-0 13 77
COM2009-01377
COM2009-01377
Payments:
Type.of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
Heat Pump
+ 5% Technology Fee
+ 12% Stale Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200900000000000653
Date: 09/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
njm ONLINE marshalls Online
Paymenl Tolal:
Page 1 of 1
1:27:07PM
Amount Due
79.00
17.00
4.80
11.52
$112.32
Amount Paid
$112.32
$112.32
,
9/17/2009