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Home My WebLink AboutPermit Mechanical 2007-12-18 '- Sta tus Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2007-01871 ISSUED. 12/18/2007 APPLIED' 12/18/2007 EXPIRES: 06/18/2008 VALUE. 225 FIfth Street, Sprmgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme SITE ADDRESS 314 65TH ST ASSESSOR'S PARCEL NO 1702344203400 Spnngfield TYPE OF WORK MechaOlcal Only TYPE OF USE New Resldenllal PROJECT DESCRIPTION Install Gas msert and gas plpmg Owner RAVZI EDWIN D & MARY JANE Address 314 N 65TH SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type MechdOlCdl Contractor MARSHALLS INC LIcense 25790 BUILDING INFORMATION I ExpiratIOn Date 12123/2009 Phone 541-747-7445 # of VOlts Pnmary Occupancy Group Secondary Occupancy Group Pnmary ConstructIOn Type Secondary ConstructIOn Type # of Bedrooms # of Stones HeIght of Structure Type of Heat Water Type Range Type Energy Path Sprmkled BUlldmg Lot Size Sq Ft I st Floor Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Sq Ft Other Occupant Load n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback Side I Setback SIde 2 Setback Rearyard Setbdck Solar Setbacks Overlay D.st # Street Trees Rqd Paved Dnve Rqd % of Lot Coverage Total Handlcdpped Compdct I PUBLIC IMPROVEftiki:.rs ','UN dOregon law requIres you to Wo f os a opted bl' the 0 U Street Improvements otlllcatlOn CeiS.llW"llII"S\3Y/lIl regon tlllty i1 OAR 952-001;{10 as are setforth Storm Sewer A vadable fl090 You may ti8HRs\l1flm~a 952-001. SpeClOII~rll~<fC'I!: calling the centeral(~~f'et~ of the rules by THIS llumber forthe 0 . e e telephone Notes PERMIT SHALL EXPIRE IF THE WORK Center IS ~~~~h/lty Noltficatlon AUTHORIZED UNDER TI-lIC:: PJ:"CAnIT 1(' "';'J 2-2344). LvlVllVltNCED OR IS ABANDONEpFflRoo- I I,NY 180 DAY PERIOD V'lUlJation DescriDtion DescrIPtIOn Tvpe of ConstructIOn $ Per Sq Ft or multiplier , Square Footage or Bid Amount Value Date Calculated Pd2e 1 of2 '~ CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO ISSUED' APPLIED. EXPIRES: VALUE COM2007-01871 12/18/2007 12/18/2007 06/18/2008 225 F,fth Street, SprIngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Lme Total Value of Project Fees P31r1 I Fee DescriptIOn .....MechaDlcal Issuance Fee-- + 10% AdmlOlstratlve Fee + 5% Technology Fee + 8% StJte Surcharge FIreplace (LIsted) Gas Outlets 1-4 MIOlmum/Adjustment MechaDlcal Amount PaId Date Paid Receipt Numbel $20 00 $500 $250 $400 $1700 $500 $28 00 12118/07 12/1 8/07 12118/07 12/18/07 12/18/07 12/18/07 12/18/07 2200700000000001860 2200700000000001860 2200700000000001860 2200700000000001860 2200700000000001860 2200700000000001860 2200700000000001860 Total Amount PaId $8150 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 ReoUlrerllnsnechons I Rough MechaDlcal PrIOr to Cover Fmal MechaDlcJI When all mechaDlcal work IS complete Rough Gas After lIne IS IOstalled and requIred testmg and capped If not attached to an applIance Fmal Gas When all gas work IS complete By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certify that JII mformatlon hereon IS true and correct, and Ilurthel cel tlfy that Jny and all work performed shall be done 10 JLcordance WIth the Ordmances of the CIty of SprIngfield and the Laws of the State of Oregon pertammg to the work deSCrIbed herelO, and thJt NO OCCUPANCY wIll be made of any structure WIthout permlsslOlI of the CommuDlty Services DIVISIOn, BUlldmg Safety I further certify that only contractors and employees who Jre 10 complIance WIth ORS 701 005 WIll be used on thIS project I further agree to ensure that all reqUIred mspectlOns are requested at the proper tIme, that each Jddl ess IS reJdable from the street, that the permit card IS located at the front of the property, and the approved set of plans w,lI remam on the site at all tImes dunng constructIOn Owner or Contractors SIgnature Date Paee 2 of 2 $5001 I I Subtotal I $2000 I Mlnlmum fee used mstLdd of SlIblOl,jl $5000 I ~tatL Sun.harge (8% 01 penmt tee) I $400 I C1t} OfSprmgfidd fees" $2750 I IOTALPI-Rl\IITl<H $8150 I 10% local Adm III ] LC 5% I ocallLchnology I LL MECHANICAL PERMIT FEES - COM. :J (J{) 7 -- () I g 7_' . ;9. 'd-- 0 7 - I S--~ <5 RCPT# _ DATEPROCESSED /J} ~YI PROCESSE~,It ~ -> ') V This Authorization To Begin Work must be posted at the Job site until replaced by a Permit CIty of Sprmgfield MechaDlcal AuthorIzatIOn To Begm Work E-maJled To cevm@marshallsmc com ~ Check on status of permit By Phone (541)726-3753 or EmaIl permlttenter@clsprmgfieldorus TYPE OF WORK II ID Newconstructlon W Addltlon/alteratlon/n...placement I DescriptIOn !lIeatlllglcoolmg apphllnc~ I Furnace up 10 ]OOOOOBIO I Furnace above 100000 BTU I f1ectnc fumacL I Duel alterallons and additIons I Gas heaterumls/m.\\alJ m- duct. ~llspended. ctef I Vent, flue, Imer for above I Air ConditIoner I Heat Pump I AJrHandler I Othu roel burnmg appliance... !Waterhcater I Gas llrcplacehnsertlstove I Gas log! log lighter I Gas clothes dryer I Gas slave/range I Pool or spa heater, kiln I Wood/pellet stove/msert I Wood fireplace ChmmeyJllnerlflue/vent w/o applldllce Environmental exhauo;t AND ventilation CATEGORY OF CONSTRUCTION I [iJ I or 2 famIly d\~ellmg o Multi family o ACCCSSOf) BUIlding JOB SITE INFORMATION AND LOCATION jJob no IJob addr~s 314 65TH ST I Clfy/Malt/7IP SPRfNGHI::LD OR 974787010 I SUllelbldg /apt no Project name RAUZI Cro"!l !ltrcetJdlrectlOns 10 Job "lie [~ubdIVls'on I Lot no I lax map/parcel no 1702344203400 I DESCRIPTION OF WORK INS fAI L GA, INSCRT AND GAS PIPING (LP)"SEND PFRMI fro JOU SITE NOI CONl RACTOR.. SITE CONTACT IName 1::0 RAUZI IPhone (541)747.01,)9 I Emall I I CCB he no 25790 1 BU!lIOCSS Name MARSHALLS INC IConhlet Cevm White IAddf\!l!l 4]]001 YMPIC ST Clt}/SlateIZIP SPRINOrJ[LD, OR 974785620 I"hone (54])7477445 1t<.1X (541)741082] 1 Em.lIl cevm@marshallsmc com I Metro he no I City he no CCB 25790 I Fax I Rangr.. hood I Clothes dryerexhausl I Single duct e'\haust (bathrooms tOIlet compartments utllllY room!l) I Attlc!cra\\]space fans I Fuel plplllg I upto first 4 outlel5(enter Qly=l) II eachaddltlOna] oUllet II II I I . CIty Of Sprmgtldd $]0 Issuance Fee CONTRACTOR Upon review and approval by your local JUrisdiction, your permit Will be e-malled or faxed Within one business day, with Instructions on how to schedule your mspection NOTE ThiS Authorization To Begin Work expires Within 180 days If a permit IS not obtamed The local buildmg department may determine that an Authonzatlon To Begin Work IS null and void If it does not meet applicable land use laws and local ordinances / ReceIpt # F:C52273R 12/18/2007123427 PM FEE SCHEDULE Qly I Ea I $IS Dol II $5001 lolal I $15001 I I I I I I a~ Wit - - 225 Flfth"Strcet Sprmgficld, Orcgon 97477 541-726-3759 Phone Job/Journal Number COM2007-01871 COM2007-01871 COM2007-01871 COM2007-01871 COM2007-01871 COM2007-01871 COM2007-0 1871 Payments Type of Payment ONLINE CHGS cRecemtl CIty of Springfield Official Rccclpt Development ServIces Department Public Works Department RECEIPT #. 2200700000000001860 Date' 12/18/2007 2 58 58PM DeSCriptIOn Gas Outlets 1-4 -Mechanical Issuance Fee- Fireplace (LIsted) MInimum/AdJustment Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 500 2000 1700 2800 250 400 500 $8150 Paid By ONLINE PERMIT CHGS Item Total t:heck Number AuthorizatIOn Received By Batch Number Number How Received Amount Paid NJM ONLINE MARSHAL Online LS $81 50 Payment Total $8150 Page I of I 12/18/2007