HomeMy WebLinkAboutPermit Mechanical 2009-10-20
.;;'i
,Mechanical Authorization To Begin Work
E-mailedTo:lindsey@marshallsinc.com
69600-BMC-09-00158
10/20/2009 8:36 am'
Approval Code: 03082D
Check on status of permit
By Phone: 54]-726-3753 or Email: pennitcenter@ci.springfield.or.us
I D NewConstl1lction
o Additionlaltemtionlreplacemellt
101 "2f=iIYdw,iliO~ '~:DMOlti'fomi';' ''[J Comm",i,1 DA'''''0'Y80ildiO'
Illllill!.l!ii'lb~jJl~?:f6Ei'sI1.'tiN"6RNiATT6N'AND.t!6cATiON~',t'S~Jl\l
Job Address: 1853 2NDST; -: I
City/StateJZIP:'SPRINGFIELD, OR 97477 I
Suitelbldg./apt.rio.: I
ProjectName:ewillg I
1 C"" 5,,,,"di,,,tio", 10 job ,;too Q 5T
IT",,,,p/p"',I",: \".r):,~~ ~ 'Q'\~~
hL'\i'Illllr ~l ."1l ~6irscRiij;noNI5~iv"Q'~Km!~l!i1:J;EJ'~~~~"tJ
INSTALL GAS FURNACE Ale AND GAS PIPING
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. This Authorization To Begin Work mustbe posted at the job site until replaced by a Permit
I Name: PATRICK EWING
I Phone: 541"515-2627
I Email:
Fax:
CCBlic. no.: 25M<nTlrl=.
Bo,i"", N.m''fufS''t1t~~ ~I-IAl t EXPIRE IF THE WORK
I Coo',,1 ^lJTI:IOal'l=n IIN'lER THIS PERMIT 15 NUl
I Add"":41106~~J:~Mrl=fl fiR IS WNDONED fOR
ICitylStllteJZIP:~
I Phone: 541-747-7445 ' . Fax: 54]-741-082]
I Emlllil:
I Metro lie. no.:
'... _ 1'~.
, ,,,~.o;" -7,r;.. .
Citylic.no.:
Upon review and approval by your Jocal jurisdictJon, your permit will be
e-mailed or faxed within one busine$s day, with instructions on how to
schedule your inspection.
c
NOTE: This Authorizati.on To Begin Work expires within 180 days if a permit is
not obtained.
The local building deparbnent may determine that an Authorization To Begin
Wo'rk Is null and void If It does not meet applicable land use laws and local
ordinances
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,.,,7 I
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IDe~eriPtion
Q'Y, I Eo,
JGasPiping- firsl four
TOlal
I Furnace -upto ]00,000 BTU
I First Appliance Fee
ISubtota]
IState surcharge (12% ofpemlil
total)
ITechnoJogyfee(5%0[pcrmif
total)
I TOTAL PERMIT FEE
$5.151
$lZ0.Stl,
~q- \D6L\
~ \D\2D\cq
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001.
0090. You may obtain copies of the rules by
calling the center. (Note: the tel~~hone
number for the Oregon Utility Notification
Center Is H00-332-2344).
II
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Status
Issued,
, ",---
CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01534
ISSUED: 10/20/2009
APPLIED: 10/20/2009
EXPIRES:' 04/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1853 2ND ST
ASSESSOR'S PARCEL NO.: 1703262401300
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas furnace, air conditioning, and gas piping in residence
Residential
Owner: EWING PATRICK & KIMBERLY A
Address: 477 BROOKDALE . '"
SPRINGFIELD OR 97477'
Phone Number: 541-515-2627
, CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
B.uI~DING INmRMATlON I
Expiration Date
12/2312009
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 Fi 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Street Improvements:
Storm Sewer Available;'""''''..
Special Instruction:
Frontyard Setback: Overlay Dist: Total:
S~de 1 setba~=OTICE: ' ,# Street Trees Rqd: Handicapped:
Side 2 Setba 1.11<:: PERMIT SHALL EXPIRE IF TH~=,ve Rqd: ATTENTION: OregolJ:Ompfiel!uires you to
Rearyard Set \W<: V,..o Coverage: follow rules adopted by the Oregon Utility
Solar SetbacJtsUTHORIZED UNDER THIS PERMIT ." Notification Center. Those rules are sel forth,
,:grAM~N{;:l!g QR I') ^!lAMnnNl:n FOR I~ a~"_nn1_nn1(\thrnll(1h nAR !'Jfi?-On1-
ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I 0090. You may obtain copies of the rules by
, , 'calling the center. (Note: the telephone
. . nu~Il&'r"1\W iffil'EJregon Utility Notification
, . Dow~1\Iltm)~h\i\Wp-332-2344).
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
~
CITY OF ~YKmlI1'lJ',LD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01534
ISSUED: ]0/20/2009
APPLIED: 10/20/2009
EXPIRES: 04/20/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541,726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4 '
$12.36
$5.15
$79.00
$17.00
$7.00
10/20/09
10/20/09
10/20/09
10/20/09
10/20/09
Receipt Number
2200900000000001199
2200900000000001199
2200900000000001199
2200900000000001199
2209900000000001199
,"
Amount Paid
Date Paid
Total Amount Paid
$120.51
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.
Reouinid T nsoections I
~ 11 I I "
Rough Mechan'ical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, 1 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 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 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
Page 2 of 2
225 Fifth Street
. ,
Springfield, Oregon 97477
54](726-3759 Phone
Job/Journal Number:
COM2009-01534 ' ,
COM2009-0 1534
COM2009-01534
COM2009-0 1534
COM2009-01534
Payments:
Type of Payment
RECEIPT#:
Description
1 st Appliance
Furnace - up to 100,000 btu
Gas Outlets 1-4
+ 12% State Surcharge .
+ 5,% Te,~hnology Fee
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
220090000000000]199
Date: 10/20/200'1
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LS INC
Payment Total:
Page 1 of 1
9:02:23AM
Amount Due
79.00
17.00
7,00
12,36
5,15
$120.51
Amount Paid
$120,51
$120.51
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10/20/2009