HomeMy WebLinkAboutPermit Mechanical 2007-10-24
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01593
ISSUED: 10/24/2007
APPLIED: 10/24/2007
EXPIRES: 04/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1023 NANCY AVE
ASSESSOR'S PARCEL NO.: 1703272206700
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Change-out gas furnace
Owner: PEPPLE MARILYN J
Address: 1023 NANCY AVE
SPRINGFIELD OR 97477
Phone Number: 541-746-4265
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:
Height of Structure:
'Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist 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'
Street Improvements: Sidewalk Type:
Storm Sewer Availabltf:JO'l-ICE ATTENT10NnliWrt~'p6'u~m~~illii!eS YOUUt",tl.IOty
I j . f II rlll"'s adOf";...d '~\I me VI890n
Special Instruction: TH . 0 OW.... .1\v OJ J
, IS PERMIT Notification Center. Those rules are set forth
Nt. AUTHOR SHALL EXp in OAR 952-001-0010 through OAR 952-001-
o es. COMME IlED UNDER TH IRE IF THE WORo090. You may obtain copies of the rules by
, '. NG.E.Q..e.,l' t.S.J~litln .f{ -11'- _. ~Iu 8QRh?r (I\lnto' thp tplAnho{l9
I'll V y 780 DAY PER 10 AI3iuvDnr:,.r:~' ~o NQ Il'I~'"m~;r for the Oregon Utility Notification
IOD. VafU1ttloo!!!!!CrIptlOn I Center is 1-800-332-2344).
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01593
ISSUED: 10/24/2007
APPLIED: 10/24/2007
EXPIRES: 04/24/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 10/24/07 3200700000000000707
$5.00 10/24/07 3200700000000000707
$2.50 10/24/07 3200700000000000707
$4.00 10/24/07 3200700000000000707
$14.00 10/24/07 3200700000000000707
$5.00 10/24/07 3200700000000000707
$31.00 10/24/07 3200700000000000707
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.
ReQuired Insoections ,
Rough Mechanical: Prior to Cover
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.
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
Pae:e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC519292
10/24/20072:45:23 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
$14,00
Minimum fee used instead of Subtotal $50,00
State Surcharge (8% of permit fee) $4,00
City Of Springfield fees * $27,50
TOTAL PERMIT FEE $8150
* City Of Springfield ] 0% Local Admin Fee; 5% Local Technology Fee;
$lf h,,"";l.,......,. -.:::,:",:" ..,'
'. K1~1 - O\sq 3>
COM. ol.. \) v
.~ -2-oD-" - -; 0,
RCPT #.
IO-~U.~()\
DATE PROCESSED~ I,
PROCESSED BY: f'vvnc1 1: r\A.J
. \ ; \ .
This Authorization To Begin Work must be posted at the job site unt~laced by a Permit.
o New construction
~ Addition/alteration/replacement
[Xl I or 2 family dwelling
o Multi-family
o Accessory Building
IJOb no.: IJOb address: 1023 NANCY AVE
I City/State/ZIP: SPR]NGF]ELD, OR 97477-1960
I Suite/bldg.lapt.no.:
I Project name: PEPPLE
Cross street/directions to job site: TAKE HARLOW RD WEST. TURN LEFT OR
SOUTH ON HARTMAN LN, LEFT OR SOUTH ON DON ST. RIGHT OR WEST ON
INANCY AVE,
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1703272206700
CHANGE-OUT OF A GAS FURNACE.
!Name: MAR]LYN PEPPLE
I Phone: (541) 746-4265
IEmail:
I
I CCB Iic. no.: 25790
I Business Name: MARSHALLS INC
I Contact: Cevin White
I Address: 4 I I 0 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phone: (541)7477445 IFax: (541)7410821
IFax:
Email: cevin@marshallsinc.com
Metro Iic. 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.
Furnace- up to ]00,000 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
$14,00
$14,00
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
I Chimney/Jiner/flue/vent w/o
I Range hood
I Clothes dryer exhaust
S ingle-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I upto first 4 outlets( enter Qty=])
I each additional outlet
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01593
COM2007-01593
COM2007 -01593
COM2007-01593
COM2007-01593
COM2007-0 1593
COM2007-01593
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000707
Date: 10/24/2007
Description
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum! Adjustment Mechanical
~Mechanical Issuance 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 MARSHAL Online
LS
Payment Total:
Page 1 of 1
3:08: 13PM
Amount Due
14.00
5.00
31.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
10/24/2007