HomeMy WebLinkAboutPermit Mechanical 2007-12-20
Status
Issued
U 1 f OF ~rKINGFIELD .
Building/Combination Permit
PERMIT NO: cOM2007-01909
ISSUED: 12/20/2007
APPLIED. 12/2012007
EXPIRES' 06/20/2008
VALUE.
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
SITE ADDRESS 656 0 ST
ASSESSOR'S PARCEL NO 1703352408100
Spnngfield TYPE OF WORK MechamcalOnly
TYPE OF USE
PROJECT DESCRIPTION InstallatIOn of a gas furnace (NG) and gas plplllg
New
ReSIdent..,
Owner VANDENBURGH LAURA K
Address 656 D ST
SPRINGFIELD OR 97477
Phone Nnmber 541-747-1895
I ,CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
MARSHALLS INC
LIcense
25790
BUILDING INFORMATION I
ExpiratIOn Date
12/23/2009
Phone
541-747-7445
# of Umts
Pnmary Occupancy Croup
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms:
# of Stones
"eIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled Buddlllg
Lot S,ze
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 I Setback
SIde 2 Setback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements 1-11' t:NTfON SilJewalkf!l)\p/'G
",nT,,,_,,, follow fLIes adopted b qUires you to
Storm SewilrrA:v'lJ,l,nble NotlflcatJOn CeDIO'l'n'fo~tlmrQffi9on Ut,lity
SpCCldl 11iSfr:;'~I~P.MIT SHA 10 OAR 952-001 :;010 t~~~r~ es are setforth
Notes 2~[:~E~~~~ UONRDi~ ~~;~~E~J/~~~~~: o::a~IIO~o~h~~~~~~a'(~gie'~~~~1~~f~~~1;
Anl\' . _ _ IS AR4^,""(\r'\r-~ ro- Umber for the Or,fnnn I..".... ". \iP one
'vi) uAY I-'I:RIOb "-'" "'k . enter IS 1 80 ' . '-" 'V""'VII
I ValuatIOn DescnotJon r . 0.332.2344)
DeSCriptIOn
Type of ConstructIOn
$ Per Sq Ft
or mulhpher
Square Footage
or BId Amonnt
Value
Date Calculaled
Pa2e I of 2
_.~,..~
Irat: ' :
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO. cOM2007-01909
ISSUED. 12/20/2007
APPLIED' 12/20/2007
EXPIRES: 06/20/2008
VALUE'
225 F,fth Street, Sprlllgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlIle
Total Valne of Project
Fees Paid'
Fee DescnptlOn
-Mechalllcal Issuance Fee-
+ 10% Adlllllllstrallve Fee
+ 5% Technology Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
MIllImum/Adjustment Mechalllcal
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$250
$400
$1400
$500
$3100
12/20/07
12/20/07
12/20/07
12120/07
12120/07
12/20/07
12/20/07
3200700000000000817
3200700000000000817
3200700000000000817
3200700000000000817
3200700000000000817
3200700000000000817
3200700000000000817
Total Amount PaId
$81 50
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspectlOns requested before 7'00
a m. WIll be made the same workmg day, mspectlOns requested after 7.00 a.m. wIll be made the followmg
work day
I ReoUlred Insnections I
, ,
Rough Gas After hne IS IIlstalled and reqUIred testmg and capped If not attached to an appliance
FlIlal Gas When all gas Will k IS complete
Rough Mechalllcal Pnor to Cover
FlIlal Mechalllcal When all mechalllcal work IS complele
By sIgnature, I state dnd dgree, that 1 have carefully examllled the completed apphcatlOn and do hereby certify that all
mformatJon hereon IS true and correct, and I further certify that any and all work performed shall be done 1D accordance With
the Ordlllanc", 01 the CIty of Sprlllgfield and the Laws 01 the State of Oregon pertalllmg to the work descnbed herelll, dnd
that NO OCCUPANCY Will be made of any structure WIthout permiSSIOn of the Commulllty ServIces DIVISIOn, BUlldlllg Safety
I fnrther cerllfy that only contractors dnd employees who are III comphance With ORS 701 005 WIll be used on thIS project
I fnrther agree to ensure thdt all reqUIred mspectlOns are requested at the proper lime, that each address IS readable Irom the
street, thdt the permIt card IS located at the front of the property, and the approved set 01 plans Will remam on the site at all
times dunng construction
Owner or Contractors Slgnalure
Date
Pa2e 2 of2
City of Sprmgfield
i;-~
IL'
MechaOlcal AuthorIzatIOn To Begm Work
E-malled To cevm@marshallsmc com
ReceIpt # EC522864
12/20/20071 II 31 PM
Check on status of permit
By Phone (541)726-3753 or EmaIl permltcenler@clspnngfieldorus
Th" till"""",,," To Begm Wo,' m,,' b, p,,'oo " ~, ,ob "Ie ""hi ,"PILl, ,
~TYPE OF. Vl/ORK-c ~
o New constructIOn
[K] AddlllOn/altt..ratlon/replacement
CATE;GO!lY~OF CONSTRUCTION
I [KJ ] or 2 family dwelll11g 0 Multi-famIly 0 Accessol) Butldmg
I JOB SITE INFORMATION AND LOCAIIO':l
I Job .lddress 656 D ST
I Job no
Clty/St.lte/ZIP SPRINGFIELD, OR 97477-4636
I SUltelbldg lapt PO
I Project name VANDENBURGH
Cross street/dlrecllons to Job site
I SubdlvlMon
Tax mdpfparcel no
ILot no
] 7033524081 00
DESCRIPTION OF WORK
INSTALL OF A GA5 FURNACe (NG) AND GAS PIPING
SITE CONTACTC::}'
.,
IName LAURA VANDI::NBURGH
IPhone (541)747.1895
IEmad
I~
I CeB he no 25790
I Busmess Name MARS HALLS INC
I Cophet Cevl11 White
IAddre!.s 4110 OLYMPIC ST
I Clty/StatelZIP SPRINGfiELD OR 974785620
IPhone (541)7477445 l}<ax (541)7410821
Ilm.ul cevm@marshallsmc com
I Metro he no I CIty he no CCB 25790
I Fa,
CONTRACTOR
Upon revIew and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one busmess day,
with instructions on how to schedule your mspectlon
NOTE ThiS Authorization To Begm Work expires wlthm 180
days If a pe""lt IS not obtained
The local bUlldmg department may determme that an
Authorization To Begm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
I I .,,,~F.EE SCHEDULE
II De!lcnphon I Qty I
jl!cJtmglcoohng ~haii~es:~x:=-~~
I Furnace up to 100 000 BTU
I Fllrnace above 100000 BTU
I Electflcfurnace
I Duct alteratIOns and addttlOns
IGasheaterunlts/tn wall,1n
duct, suspended etcl
I Vent, Oue ]mer for above
I Air CondItIOner
!lleatpump
Air Handler
I Other fuel burmng dpphanu..'!!t
I Waterhedtcr
I Gas llreplace/lnsertlstove
I G'lS log! log light~r
I Gasdothesdryer
I Gas stove/range
I Pool or spa heater kIln
I Wood/pellet stove/lnsert
I Wood fireplacl.
I ChlmnLy/lmer/flue/vent wlo
appliance
I Environmental exhaustANDventdahon
I Range hood I
I Clothes dryer exhaust
I Single duct exhdust (bathrooms I
tOIlet compartments, utlltty
rooms)
I Attlclcrawlspacefans I
I Fuel plplllg
J upto first 4 outlets(enter Qty=]) I J
I each addttlona] outlet I
I I '''MECHANICAL PERMIT FEES
II
II
I
I
I
* City Of Sprmgfield
$]0 lssuance Fee
F.
Totti
$1400
$]400
$5001
$500
Sllbtotdll $1900
M11llmum ft.-l used mstl.. 'ld of Subtotal $5000 I
Sldte Surcharge (8% ofpemllt fee) $400 I
CIty OfSpnnglield fees ~.I $2750 I
10 fAL PlRMIT fEE I $8 I )0 I
10% Local Admllll ee 5% [ oCdl Techno]ogy Fee
~
Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Spnngfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2007-01909
COM2007.01909
COM2007-01909
COM2007.0 1909
COM2007-0 1909
COM2007-0 1909
COM2007-0 1909
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #.
3200700000000000817
Date' 12/20/2007
Descnptlon
Furnace. up to 100,000 btu
Gas OUllets 1-4
MlIlllllum/AdJuslmenl Mechalllcal
-Mechalllcallssuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Adlllmlslratlve Fee
PaId By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
nJIll
ONLINE marshalls Onlme
Payment Total
Page 1 of 1
2 06 49PM
Amount Due
1400
500
3100
2000
250
400
500
$8150
Amount Paid
$8150
$8150
12/20/2007