HomeMy WebLinkAboutPermit Mechanical 2007-11-20
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01711
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1011 DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052407700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas furnace change out.
Owner: CHAPMAN RONALD E & MIRIAM A
Address: 1011 DIXIE ST
SPRINGFIELD OR 97477
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 Improvements:
Sidewalk Type:
Downspouts/Drains:
Stor~ Se~~~ Oregon law requires you to
SpecIal In20"o~I"oles adopted by the Oregon UUiity
Notification Center. Those rules a're set;()ilh
Notes: In OAR 952-001-0010 through OArl S:Y,:(),;!-
0090. You may obtain copies of the rult".~ ,',"
calling me center. (Note: the' tlS'I,:.. -
number for the Oregon Utilit\! !\lc ,i\taluation Descri
Center is 1-800-3;32,,2344).
$ Per Sq Ft
or multiplier
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AIITI../nRm::n '.'fII(1lQ T~ '~C rCnrv1iT 13 fKJ7
~UIVI' ENCED OR IS ABANDONED FOR
80 DAY PERIOD.
Description
Type of Construction
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01711
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 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
Appliance Vent
Furnace - up to 100,000 btu
Minimuml Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$7.00
$14.00
$29.00
11/20/07
11/20/07
11/20/07
11/20/07
11/20/07
11/20/07
11/20/07
Receipt Number
2200700000000001729
2200700000000001729
2200700000000001729
2200700000000001729
2200700000000001729
2200700000000001729
2200700000000001729
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.
L Reouired Insoections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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 co~p)eted 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
Page 2 of2
c
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC520858
lJ/20/2007 12:00:19 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
, 0 New construction
lliJ Addition/alteration/replacement
[X] I or 2 family dwelling
o Multi-family
o Accessory Building
IJobno.: IJobaddress: 1011 DIXIEDR
I City/State/ZIP: SPRINGFIELD, OR 97478-9505
I Suite/bldg./apt.no.:
I Project name: CHAPMAN
Cross street/directions to job site:
I Subdivision:
ITax map/parcel no.: 1802052407700
I Lot no.:
GAS FURNACE CHANGE-OUT(NG).
I Name: RON CHAPMAN
I Phone: (541) 726-5407
jEmail:
IFax:
I 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 IFax: (541)7410821
I Email: cevin@marshallsinc.com
I 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.
Description
Qty.
Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
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
IOthe~fuel burning applian.~~s
I Water heater
Gas fireplace/insertJstove
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/liner/flue/vent w/o
appliance
I" Environmertal exh~usi AND ventilation
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
II
$14.00
$14001
I
I
I
I
$7.00
$7.00
i";:,",,,,"
;<i<"7::i<::~:;\:,;-: {,'
upto first 4 outlets(enter Qty=l)
each additional outlet
Subtotal $21. 00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of penn it fee) $4.00 I
City Of Springfield fees · $27.50 I
TOTAL PERMIT FEE I $8150 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
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-01711
COM2007-01711
COM2007-01711
COM2007-01711
COM2007-01711
COM2007-01711
COM2007-01711
Payments:
Type of Payment
ONLINE CHGS
cReceintl
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2200700000000001729
Date: 11/20/2007
2:52:04PM
Description
Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanica] Issuance Fee-
+ 5% Techno]ogy Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Amount Due
]4.00
7.00
29.00
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
ddk
ONLINE MARSHAL Online
L'S INe.
$81.50
Payment Total:
$81.50
Page I of I
I ] /20/2007