HomeMy WebLinkAboutPermit Mechanical 2007-10-1
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: C0M2007-01489
ISSUED: 10/01/2007
APPLIED: 10/01/2007
EXPIRES: 04/01/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 364 69TH PL
ASSESSOR'S PARCEL NO.: 1702353200800
Springfield
TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pellet Stove
Owner: AHERN WILLIAM P & LINDA K
Address: 364 N 69TH PL
SPRINGFIELD OR 97478
Phone Number: 541-747-4729
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS 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:
Heigbt 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:
n/a
I DEVELOPMENT INFORMA nON I
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer-i'UiRfNjjl0N: Oregon law requires you to
Special Inst~~~WM~les adopted by the Oregon Utility
. otrflcatlon Center. Those rules are set forth
Notes: In OAR 952-001-0010 through OAR 952-001-
0090.. You may obtain copies of the rules by
ge!.I:;-~ tl,,, "'elll~l. \'lfule. [.Iet :eI8p::::;E
number for the. Oregon Utility n~iMtj.m Descri
Center IS 1-800-332-23
$ Per Sq Ft
or multiplier
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PFRMIT ,~ Mf'lT
. t;l VlIVIENCED OR IS ABANDONED FOR
tlO 180 DAY PERIOD.
Descriotion
Tvoe of Construction
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of2
CITY OF SPRINGFIELD'
Status
Issued
Building/Combination Permit
PERMIT NO: COM2007-01489
ISSUED: 10/01/2007
APPLIED: 10/01/2007
EXPIRES: 04/01/2008
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
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$17.00
$33.00
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
10/1/07
2200700000000001530
2200700000000001530
2200700000000001530
2200700000000001530
2200700000000001530
2200700000000001530
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 w()rking day, inspections requested after 7:00 a.m. will be made the following
work day.
Pellet Insert: After installation
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 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 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 of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC517840
10/1/2007 12:06:49 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[Xl I or 2 family dwelling
D Multi-family
o Accessory Building
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
I Air Handler
Job no.: I Job address: 364 69TH PL
City/State/ZIP: SPRINGFIELD, OR 97478-7250
I Suite/bIdg.lapt.no.:
I Project name: AHERN
Cross streeUdirections to job site: TAKE 126 EAST TO 69TH ST. MAKE A LEFT,
RIGHT ON B ST. LEFT ON 69TH PLACE.
I Subdivision:
Tax map/parcel no.: 1702353200800
I Lot no.:
Water heater
I Gas fireplace/insert/stove
I Gas log/ log lighter
I Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerlflue/vent w/o
appliance
$33.00
$33.00
INSTALLATION OF A PELLET STOVE.
Name: BILL & LINDA AHERN
I Phone: (541)747-4729
Email:
I Fax:
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
CCB lie. no.: 25790
I Business Name: MARS HALLS INC
I Contact: Cevin White
!Address: 41 10 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
jPhone: (54])7477445 /Fax: (541)7410821
upto first 4 outlets(enter Qty=l)
each additional outlet
Email: cevin@marshallsinc.corri
Metro 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.
I
I
I
I
I
· City Of Springfield
$l.9..ls,~\lillI.<i~ K:.:,
COMt~01)-7 ~ 0 /~g-7
ltePt~t~.cm-l -- \'2\~
I t\A.m~l~IO-OI.-9V__
Ip~~.D".. CUn j\ (2( ,
This Authorization To Begin Work must be posted -;;tth;job ;, e u II tep'dCty j "f'~rmit
I City lie. no.:
Subtotal $33.00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of permit fee) $4.00 I
City Of Springfield fees · $27.50 I
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
1
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01489
COM2007-01489
COM2007-01489
COM2007-01489
COM2007 -01489
COM2007-01489
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001530
Date: 10/0112007
2:02:27PM
Description
Wood Stove/Insert
Minimum/Adjustment Mechanical
~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
33.00
17.00
20.00
2.50
4.00
5.00
$81.50
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
njm
ONLINE marshaIls Online
Payment Total:
$81.50
$81.50
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