HomeMy WebLinkAboutPermit Mechanical 2007-12-11
_0:'0";" jiiI,.
WIi:. .
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01815
ISSUED: 12/11/2007
APPLIED: 12/11/2007
EXPIRES: 06/ll/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 205 W J ST
ASSESSOR'S PARCEL NO.: 1703341103100
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Gas Wall Furnace
Owner: CUMMINGS TERRY W & JUDY K
Address: 39157 EASTON LN
SPRINGFIELD OR 97478
Phone Numher: 541-914-6059
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION,.
Expiration Date
12123/2009
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 I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENTINFORMATlON I
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Set hack:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMEN11SIENTION: Oregon law requires you 10
. ,o'",vw rul@sadolkt'KI.'oJ!the Oregon Utility
~otlflcatiol'1~~)lIrer. 'rtr6se rules are set forth
In OAR 95;ooQ,hSP:litilItlIh:llj!!~ OAR 952-001-
0090.. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Available:
Special Instructio9:)'"1 C E:
(HIS PERMIT SHALL EXPIRE IF THE WORK
WTHORIZED UNDER THIS PERMIT IS NOT
i~y:;'~:6J~1~ ~;R;~;.~~;;f'~~~~'a:;~~ Descrintion I
Notes:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e I of 2
-u..,.~,'"-.;-jil,:
~.ti ,i
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01815
ISSUED: 12/11/2007
APPLIED: 12/11/2007
EXPIRES: 06/11I2008
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 ]ssuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
MinimumlAdjustment Mechanical
Amount Paid
Date Paid
Receipt Numher
$20.00
$5.00
$2.50
$4.00
$14.00
$5.00
$31.00
12/11/07
12111/07
12111107
12111/07
12/11/07
12111/07
12111107
3200700000000000800
3200700000000000800
3200700000000000800
3200700000000000800
3200700000000000800
3200700000000000800
3200700000000000800
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.
I Required lnsnections I
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas 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 he used on this project.
I further agree to ensure that all required inspections are reqnested 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 # EC522335
12/1112007 I :34:30 PM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I Subdivision:
jTax map/parcel no.:
] Lot no.:
I Description
Illeatinglcoolingapplianccs
I Furnace- up to 100,000 8TU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct. suspended, etcl
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I Other fuel burning appliances
I Water heater
I Gas lireplucelinserllstovc
I Gas log/log lighter
Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimncy/lincr/l1uc/vcnt w/o
appliance
I Environmental exhaust AND.\-'entilatioll
1 Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
i Attic/crawlspace fans
I Fuel piping
I upto first 4 out]ets(enter Qt)=])
[ each additional outlet
FEE'SCHEOULE
Q'J'.
I
Ea. Tolal I
1
II $14,001 $14001
1
1 1 1
1 1 1
I I
1 I
1 I
1 1
I I
TYPE OF WORK
I D New construction
lliJ Addition/alteration/replacement
~,*CATEGOR.Y;OF CONSTRUCTION
I [Xl J or 2 family dwelling 0 Mu1ti~family D Accessory Building
1 JOB SITE INFORMATION ANO LOCATION
IJob no.: IJob address: 205 W J ST
ICity/StatelZlP: SPRINGFIELD. OR 97477-3741
I Suite/bldgJapt.no.:
I Project name: CUMMINGS
Cross street/directions to job site:
1703341103100
I OESCRIPTION OF WORK
CHANGE-OUT OF A GAS WALL FURNACE,
1
I Name: TERRY CUMMINGS
1 Phone: (541) 914-6059
IEmai):
1
SITE CONTACT
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
I
1
I
I
1
I
I
I
MECHANICAL PERMIT FEES 1
Sublotal I $14,00 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% ofpermil fee) $4.00 I
City Of Springfield fees'" $27.50 I
TOTAL PERMIT FEE $81.50 I
... City Of Springfield 10% Local Admin Fee; 5% Local Technology Fee;
$10 Isslnncf' I=f>f'
COM: .;X\1l1 -- 0\ ~ 15
'~2.oo-1 .-- (h-o
RCPT #.
~ED' j.--ll-nr ,
DATE ' x.J
PROC SED BY: fYI ~ ( \ ..
This Authorization To Begin Work must be posted at the jO~site drePlaced by a Permit.
1 Fa"
CONTRACTOR
[CCB lie. no.: 25790
Business Name: MARS HALLS INC
Conlact: CEVIN W]-IITE
IAddress: 411 0 OLYMPIC ST
1 Cily/Sta'elZlP: SPRINGFIELD. OR 974785620
Irholle: (541)7477445 I.'a" (541)7410821
I Email: cevin@marshallsinc.com
1J\letro lie. no.:
I City lie. no.: CCB 25790
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.
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
r;;: ~
~-
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01815
COM2007-0 1815
COM2007-0 1815
COM2007-01815
COM2007-0 1815
COM2007-01815
COM2007-0 1815
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000800
Date: 12/11/2007
Description
Furnace - up to 100,000 btu
Gas Outlets 1-4
Minimum/Adjuslment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
t.:heck Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL
LS
In Person
Payment Total:
Page I of I
I :49:37PM
Amount Due
14.00
5,00
31.00
20,00
2.50
4,00
5,00
$81.50
Amount Paid
$81,50
$81.5U
1211112007