HomeMy WebLinkAboutPermit Mechanical 2007-9-24
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: C0M2007-01440
ISSUED: 09/24/2007
APPLIED: 09/24/2007
EXPIRES: 03/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 631 65TH ST
ASSESSOR'S PARCEL NO.: 1702341300409
Springfield
TYPE OF WORK: Pellet Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pellet Insert
Owner: LUSSON RYAN A
Address: 63165TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION ~
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION.
Frontyard Setback:
Side 1 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 Available:
Special Instruction:
I PUBLIC IMPROVEMENTS'
Sidavalk Tvne:. ' es you to
ATTENTION: ure?ol1' raW ~q~~gon Utility
follow rUI~~ID;t~~ are set forth
Notification Center. ThhOSe rUhe~AR 952-001-
i OAR 952-001-0010 t roug b
n btain copies of the rules y
0090. You may 0 (Note' the telephone
caning the cent~r._ ~ 1};\liW I\Intifiaation
ber TOI Lila ",. "l:;-" "
tio: Center is 1-800-332-2344).
Notes:rJ:QTiCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNUtK I HI~ t"tKIVII I~ J.IM:I-l
COMMENCED OR IS ABANDONED luation Descri
ANY 180 DAY PERIOD.
Description Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: C0M2007-01440
ISSUED: 09/24/2007
APPLIED: 09/24/2007
EXPIRES: 03/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
~Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Minimum/Adjustment Mechanical
Pellet Stove/Insert
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$17.00
$33.00
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
9/24/07
3200700000000000641
3200700000000000641
3200700000000000641
3200700000000000641
3200700000000000641
3200700000000000641
Total Amount Paid
$81.50
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.
Pellet Insert: After instaJlation
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 shall be done in accordance with
the Ordinances ofthe 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 ofthe 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 ofthe property, and the approved set of plans will remain on the site at aJl
times during construction.
Owner or Contractors Signature
Date
Paee 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC517422
9/24/20078:44:15 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us
D New construction
I2U Addition/alterationlreplacement
[X] 1 or 2 family dwelling
D Multi-family
D Accessory Building
I Job no,: I Job address: 631 65TH ST
I City/State/ZIP: SPRINGFIELD, OR 97478-7070
I Suite/bldg./apt.no,:
I Project name: LUSSON
Cross street/directions to job site: TAKE MCKENZIE HWY EAST OUT TO 66TH.
MAKEA LEFTON 66TH. MAKE A LEFTON "A" STMAKEA RIGHT OR NORTH ON
55TH.
I Subdivision:
I Tax map/parcel no,: I 702341300409
I Lot no,:
INSTALL OF A PELLET INSERT
I Name: RYAN LUSSON
I Phone: (541) 302-2744
Email:
I Fax:
CCB lie, no,: 25790
Business Name: MARS HALLS INC
I Contact: Cevin White
IAddress: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
IPhone: (541)7477445extll7 IFax: (541)7410821
I Email: cevin@marshallsinc.com
I Metro lie. no.: I City lie. no,:
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 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
Description
Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Air Handler
I Water heater
I Gas fireplace/insert/stove
I Gas log/ log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
Chimney/linerlflue/vent w/o
II
I
I
$33001
I
I
$3300
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I upto first 4 outlets(enter Qty=l)
I each additional outlet
I
I
I
I
I
· City Of Springfield
$10 Issuance Fee
Subtotal $3300
Minimum fee used instead of Subtotal $50,00 I
State Surcharge (8% of permit fee) $4,00 I
City Of Springfield fees · $2750
TOTAL PERMIT FEE I $8150 I
10% Local Admin Fee; 5% Local Technology Fee;
COM::;J (J() I ~ 0 \ Lt40
RCPT #:'3 ''2o-v I - <:e 'tf
DATE PROCESSED' q -- d. 4- - b --,
PROCESSED BY[\omP, C\-. ·
h~ job .;t~ ,,"hi '~r:"r~~jt
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01440
COM2007-01440
COM2007-01440
COM2007-01440
COM2007-01440
COM2007-01440
Payments:
Type of Payment
ONLINE CHGS
cReceiot 1
RECEIPT #:
3200700000000000641
Date: 09/24/2007
Description
Pellet Stove/Insert
~Mechanical Issuance Fee~
Minimum! Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL Online
L'S
Payment Total:
Page 1 of 1
8:54:I3AM
Amount Due
33.00
20.00
17.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
9/24/2007