HomeMy WebLinkAboutPermit Mechanical 2007-10-12
CITY OF SPRINGFIELD
Building/Combination Permit
I
Status
Issued
PERMIT NO: C0M2007-01542
ISSUED: 10/12/2007
APPLIED: 10/12/2007
EXPIRES: 04/12/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2347 33RD ST
ASSESSOR'S PARCEL NO.: 1702193401700
Springfield
TYPE OF WORK: : Mechanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Install gas piping from meter range, dryer and outside for BBQ ~~d boiler for spa.
Owner: TANNER MERLE R & ALETHA K
Address: 234733RD ST
SPRINGFIELD OR 97477
Phone Number: 541-954-7290
1
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12i23/2009
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:
n/a
I DEVELOPMENT INFORMATION 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: ATTfBijR~fi.a~n faw requires you to
Storm Sewer Available: folloWJJlles ad~81lst~.the Oregon Utility
Special Inst"rifction: Notificarr~rf~EfrWer. mosa rules are set forth
.,_. ""' · ~ ~t: in OAR 952-001-001 Q through OAR 952-001-
. I HIS PERMIT 0090.. You may obtain copies of the rules by
Notes. ,iJ,UTHOR SHALL EXPI calling the center. '(Note: the telephone
0,." ".: IZED 11M!)!:,! r RE IF TWr:- l\l:- nllmhAr fnr thl:l Clt,l:lhM Iltilit\, t\I"tifi",oti"",
ANy';v'tIVCED OR IStAB nib PERMI r j.~ ;/~~ .. I Center is 1-800-332-2344).
80 DAY PERIOD. ANDONED ._()~UlatlOn DeSCriptIOn, i
Tvpe of Construction $ Per SqFt Square Footage Val~e
or multiplier or Bid Amount \
Description
Date Calculated
Pal!e 1 of 2
)
I
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% TechnololO' Fee
+ 8% State Surcharge
Appliance Not Listed
BoilerlComp Up To 100,000 btu
Gas Outlets 1-4
MinimumlAdjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: C0M2007-01542
ISSUED: 10/12/2007
APPLIED: 10/12/2007
EXPIRES: 04/12/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 10/12/07 3200700000000000679
$5.00 1 0/12/07 3200700000000000679
$2.50 10/12/07 3200700000000000679
$4.00 10/12/07 3200700000000000679
$20.00 10/12/07 3200700000000000679
$14.00 10/12/07 3200700000000000679
$5.00 10/12/07 3200700000000000679
$11.00 10/12/07 3200700000000000679
$81.50
I Plan Reviews I
To Request an inspection call the 24 hour recordin2 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.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
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 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
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshaIlsinc.com
Receipt # RC51R525,
10/11/20073:27:10 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1702193401700
[Y~~}~'DESCRl~ic15QN',~i:~~~=:1::1;:::;::~\ ..'
INSTALL OF GAS PIPING FROM METER TO RANGE, DRYER, AND OUTSIDE FOR
BBQ & BOILER FOR SPA
D New construction
. ..,+t~:+fEE S<:H~J:)!,LE')Wi;
Qty.
$7.00
$10.00
$10.00
I
I
I
$7.001
$10.00 I
$10.00 I
I
I
I
I Name: MICK TANNER
I Phone: (541) 954-7290 I Fax:
I Email:
L.
I CCB lie. no.: 25790
I Business Name: MARSHALLS INC
I Contact: Cevin White
I Address: 4110 OLYMPIC ST
I City/StateIZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 I Fax: (541)7410821
I Email: cevin@marshallsinc.com
I Metro lie. no.: I City lie. no.:
"~,~~~ ~ ;~~?;%t~<;~:1 'i1 m"
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.
$5.001
I
'..1
$32.00 I
$5000 I
$4.00 I
$27.50 I
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.
COM:'~D07 - DIS<.J~
-'-)
RCPT#: ~ 2007 -(,7Cj
DATE PROCESSED. 1(\ .-1 2- - 07
PROCESSEDBY: ~,lCh) 'fY--"
This Authorization To Begin Work must be posted at t, ,~ job .ilc ~nlil ':~'~tl ~ D"rmit
225 Fifth Street
Springfieid, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01542
COM2007-01542
COM2007 -01542
COM2007-0 1542
COM2007-0 1542
COM2007-01542
COM2007 -01542
COM2007-0 1542
Payments:
Type of Payment
ONLINE CHGS
cReceiot 1
RECEIPT #:
3200700000000000679
Date: 10/12/2007
Description
Boiler/Comp Up To 100,000 btu
Gas Outlets 1-4
Appliance Not Listed
Minimum! Adjustment Mechanical
~Mechanicallssuance Fee~
+ 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 marshalls Online
Payment Total:
Page 1 of 1
7:47:08AM
Amount Due
14.00
5.00
20.00
11.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/12/2007