HomeMy WebLinkAboutPermit Mechanical 2007-11-13
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01669
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05/13/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 221 W CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703274401100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas furnace changeout.
Owner: HARDRE PAUL D
Address: 221 W CENTENNIAL BLVD
SPRINGFIELD OR 97477
Q
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 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 Improvemf'!fllt!t!NTION' 0 .
-,,-rTc; . regon law requires you to
Storm Sewer Afa~~~\t/leples adopted by the Oregon Utility
Special Instru~Rl~f!catron Center. Those rules are set forth
lli OAR 952-001-0010 through OAR 952-001-
Notes: 0090., You may obtain copies of the rules by
calling the center. (Note: the teleohone
_. '.-,,!,- - r [' _ .
.:._1. fu::, 1oJ. iv. .,Q Vlb'~Uli 'UUfllt' l'IrnlY!("\,,",I",-,l'"'IJ
Center is 1-800-332- )xt,:Ii'1 -t-:-'.' 'D '.
...."a ua .on escn
Sidewalk Type:
N OT~ cF?ownspoutslDrains:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
A' Y 180 DAY PtKIUU.
tion
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
aPRJNmPJIIIi:....Q
-j .
"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01669
ISSUED: 11/13/2007
APPLIED: 11/13/2007
EXPIRES: 05113/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
$41-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$14.00
$36.00
11/13/07
11/13/07
11/13/07
11/13/07
11/13/07
11/13/07
1200700000000001391
1200700000000001391
1200700000000001391
1200700000000001391
1200700000000001391
1200700000000001391
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.
Reouired Insnections I
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
~ity of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC520388
11/12/2007 12:58:24 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
D New construction
[iJ Addition/alteration/replacement
Total
[X] I or 2 family dwelling
o Multi-family
o Accessory Building
Job no.: IJob address: 221 W CENTENNIAL BLVD
I City/State/ZIP: SPRINGFIELD, OR 97477,2925
I Suite/bldg./apt.no.:
I Project name: HARDRE
Cross street/directions to job site:
Subdivision:
I Lot no.:
Tax map/parcel no.: 17032744011 00
GAS FURNACE CHANGE,OUT (NG),
I Name: PAUL HARDRE
I Phone: (541) 988,0280
Email:
I Fax:
CCB lie. no.: 25790
I Business Name: MARS HALLS INC
I Contact: Cevin White
IAddress: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 /Fax: (54])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.
I Description
Qty.
Ea,
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/
Vent, flue, liner for above
Air Conditioner
I Heat Pump
I Air Handler
$14,00
$14,001
/ Water heater
I Gas fireplace/insert/stove
I Gas log/log lighter
Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimney/liner/flue/vent w/o
appliance
II
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
upto first 4 outlets( enter Qty= I)
each additional outlet
Subtotal $14001
Minimum fee used instead of Subtotal $5000 I
State Surcharge (8% of penn it fee) $4,00 I
City Of Springfield fees · $2750 I
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
I
I
I
I
· City Of Springfield
$10 Issuance Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Springfieid, Oregon 97477
541:'726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
'Job/Journal Number
COM2007-01669
COM2007-01669
COM2007-01669
COM2007 -01669
COM2007 -01669
COM2007 -01669
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001391
Date: 11/13/2007
Description
Furnace - up to 100,000 btu
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
DDK
ONLINE MARSHAL Online
L'S INC
Payment Total:
Page 1 of 1
10:37:56AM
Amount Due
14.00
36.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
11/13/2007