HomeMy WebLinkAboutPermit Mechanical 2007-11-2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01629
ISSUED: 11/02/2007
APPLIED: 11/01/2007
EXPIRES: 05/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 5062 E ST
ASSESSOR'S PARCEL NO,: 1702332300303
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Installation of wood fireplace insert.
Owner: BEYERLIN BRYAN K & TERRY L
Address: 5062 E ST
SPRINGFIELD OR 97478
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 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
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:
Sidewalk Type:
Downspouts/Drains:
Stor~ S1~BW?t>regon law requires you to
Speclal/c\W~Wl'WB~ adopted by the Oregon Utility
Notification Center, Those rules are set forth
Notes: In OAR 952-001-0010 through OAR 952-001-
nn,?n v"" rn<>\, nht'.:lin ~nnip.~ of thp. rules b'l
calling the center, (Note:. t,he telc:~ ,: ". .
number for the Oregon Utl!lty Noth ...:v.;a)uatIOn DescfI
Center is 1-800-332-2:344).
Description
Type of Construction
$ Per Sq Ft
or multiplier
NOTICE:
TH~ ~ERMIT SHALL EXPIRE IF THE WORK
itl f nUhlLtU UIIJUtK I HI~ PERMIT IS NOT
tibilll MENCED OR IS ABANDONED FOR .
180 DAY PERIOD.
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01629
ISSUED: 11/02/2007
APPLIED: 11/01/2007
EXPIRES: 05/02/2008
VALUE:
225 Fifth Street, Springfield, OR
541- 726-3 753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid J
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Minimuml Adjustment Mechanical
Wood Stove/Insert
Amount Paid Date Paid Receipt Number
$20,00 11/2/07 2200700000000001664
$5.00 11/2/07 2200700000000001664
$2.50 11/2/07 2200700000000001664
$4.00 11/2/07 2200700000000001664
$17.00 11/2/07 2200700000000001664
$33.00 11/2/07 2200700000000001664
Total Amount Paid
$81.50
I Plan Reviews'
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.
I ReQuired Insoections I
Wood Burning 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 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
Pa2e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC519784
11/1/200711:47:43 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
[K] Addition/alteration/replacement
Description
Qty.
Ea.
Total
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
[Gas heater units/ in-wall, in-
duct. suspended, etc/
I Vent, flue, I iner for above
I Air Conditioner
I Heat Pump
I Air Handler
[i] 1 or 2 family dwelling
o Multi-family
o Accessory Building
I Job no.: I Job address: 5062 EST
I City/State/ZIP: SPRINGFIELD, OR 97478-6048
I Suite/bldg./apt.no.:
I Project name: BEYERLIN
Cross street/directions to job site:
I Water heater
I Gas fireplace/insertlstove
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/liner/flue/vent w/o
$33.00
I Subdivision:
I Tax map/parcel no.: 1702332300303
I Lot no.:
lNSTALLATION OF A WOOD FIREPLACE lNSERT
I Name: BRYAN BEYERLIN
I Phone: (54 I )747-3450 I Fax:
IEmail:
I
I CCB Iic. no.: 25790
I Business Name: MARS HALLS INC
I Contact: Cevin White
Address: 411 0 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 I Fax: (541)7410821
I Email: cevin@marshallsinc.com
I Metro Iic. no.: I City Iic. no.:
11
I
I
$33001
I
[
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
1.If~eI\pi~ing
I upto first 4 outlets(enter Qty=l)
I each additional outlet
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
$10 Issuance Fee
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.
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 the job site until replaced by a Permit.
225 Fifth Street
Springfielll, Oregon 97477
541-.726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01629
COM2007-01629
COM2007-01629
COM2007-01629
COM2007-01629
COM2007-01629
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 11/0212007
2200700000000001664
Description
Wood Stove/lnsert
Minimuml 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
ddk
ONLINE MARSHAL Online
L'S
Payment Total:
Page I of I
8:30:29AM
Amount Due
33.00
17.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/2/2007