HomeMy WebLinkAboutPermit Mechanical 2007-12-24
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01917
ISSUED. 12/24/2007
APPLIED. 12/24/2007
EXPIRES 06/24/2008
VALUE
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 3780 OREGON AVE
ASSESSOR'S PARCEL NO 1702314208000
Spnngfield TYPE OF WORK Mechamcal Onl)
TYPE OF USE
AddItIOn
Resldenhal
PROJECT DESCRIPTION Change out of a gas wall furnace
Owner HARRISON DUANE R & ARMINDA
Address 3780 OREGON AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechamcal
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
Expiration Date
12/23/2009
Phone
541-747-7445
# of Umts
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
Spnnkled Buddmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
Frontyard Setback
S,de I Setbdck
S,de 2 Setback
Rearyard Setback
Solar Setbacks
I DEVELOPMErftlf~feItMA TlON 1 10 lAIn
\,rU,U",,,, ~,If,~ EXPIREIFTHREOt!jl}EDPARKING
A~THORIZED UNDER THIS PERMIT it, l~OI
Overlay Di thilJ\:fcNGED OR IS ABANDONrD T,~W
# Street -r; ,"K Handicapped
Paved DrM,r~q '0 DAY PERIOD Compact
% 01 Lot Coverage
I PUBLIC IMPROVEMENTS'
Street Improvements
Sidewalk Type
Storm Sewer A vadable Downspouts/Drams
SpeCl3II?.~fbN Oregon law reqUires you to
follow rules adopted by the Oregon lJllllty
Notes NotificatIOn Center Those rules are set f0rth
._ "'0 O~"_M1-f'\{),1 n throuoh OAR 952.001-
0090 You may obtain copies Cl me -.- :'
calling the center (Note the tel,bValUatlOn DescnDtlOn I
number for the Oregol1 Utility Not".~- -
f'...ntAr I5d-800-33;?-?344) $ Per Sq Ft Square Footage
DescflotlOn -rype OTConstructlOD Valoe
or multIplier or BId Amount
Date Calculated
Pa!!e I of2
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01917
ISSUED. 12/24/2007
APPLIED 12124/2007
EXPIRES: 06/24/2008
VALUE'
225 FIfth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspechon Lme
Total Value of Project
Fees Paul I
Fee DeScriptIOn
-Mechamcallssuance Fee-
+ 10% Admmlstratlve Fee
+ 5% Technolog) Fee
+ 8% State Surcharge
Furnace - up to 100,000 btu
Gas Outlets 1-4
Mlmmum/Adjustment Mechamcal
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$250
$400
$1400
$500
$3100
12/24/07
12/24/07
12/24/07
12/24107
12/24/07
12124107
] 2/24/07
3200700000000000823
3200700000000000823
3200700000000000823
3200700000000000823
3200700000000000823
3200700000000000823
3200700000000000823
Total Amount P..d
$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 Reolllred 'nsn~cllons I
Rough Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance
Fmal GdS When all gas work IS complete
Rough Mechdmcal Prior to Cover
Fmal Mechamcal When all mechamcal "ork IS complete
By Slgndture, I state dnd agree, thdt I have carefully exammed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done III accord.mce wIth
the Ordmances of the CIty of Springfield and the Laws of the State of Oregon pertammg to the work described herem, and
that NO OCCUPANCY WIll be made of any structure wIthout permISSIOn of the CommunIty ServIces DIVISIOn, BUlldmg Safety
I further cerhfy that only contractors and employees who lire 10 comphance wIth ORS 701 005 will be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper hme, that each address IS I eddable from the
street, that the permIt cdrd IS located at the front of the property, and the approved set ofpldns ",II remam on the SIte dt all
times dunng constructIOn
Owner or Contractors Signature
Date
Paee 2 of2
Clty of Sprmgfield
MechaDlcal AuthorizatIOn To Begm Work
E~malled To cevm@marshallsmc com
Receipt # I<:C522931
12/24/20076 49 54 AM
~
Check on status of permit
By Phone (541)726-3753 or Emall permltcenter@clsprlngfieldorus
TYPE OF WORK
I SubdiVISIOn
I Tax map/p.lrcd no 1702314208000
I DESCRIPTION OF WORK
CIIANGC-OUT Of A GAS WAl L rVRNACE
I Lot no
I DescriptIOn
!Ue.ttmg/coohng dpph lUles
I Furnace- up to 100 000 BTU
I rurnace above 100000 BTU
I ElectTlc furnace
I Duct alteratIOns and addltlons
I Gas heaterunlts/In ""afl In-
duel suspended etcl
I Vent flue, Ilncr for above
I Air ConditIOner
I Heal Pump
I Air Handfer
I Other fuel burmng IpplumcC!t
I Water heater
I Gas f1replace/lnst.rtlstove
I Gas log! log ltghter
I GdS clothes dryer
I Gas stove/r dnge
I Pool or spa heater kl]n
I Wood/pellet stO\ e11n~ert
I Wood fireplace
I Chlmney/llner/flue/vent w/o
aooJn:lllce
I Em'lronmental exh.mstAND ventilatIOn
I Range hood
Clotht.s drytlr exhaust
I 'imgle duct t.xhatlst (bathrooms
tOIlet companmcnt~ utlllt\
rooms)
I Attic/crawlspace fans
J Fuel plpmg
I upto first 4 out1et~(enter Qty=])
I I each addltlOna] outlet
I I MECHANICAL PERMIT FEES
II
I'
I
I
1
. City OfSpnngfield
$ J 0 Issuance Fee
FEE SCHEDULE
Qly
Eo
Total
) 0 New constructIon
[KJ AddltlOn/alteratlonlrt.placement
CATEGORY OF CONSTRUCTION
I [X] 1 or 2 famlly d\\elhng D Multi family 0 Acce~~ory Buildmg
I JOB SITE INFORMATION AND LOCATION
IJob no IJob address ]780 OREGON AVE
I CIly/StatelZlP SPRINGFIFLD OR 974786458
I ~U1te/bldg /apt no
I Project name HARRISON
Cro~~ slreet/dlrectlons to Job Mte
$1400
$1400
SITE CONTACT
I Ndme DUANr JlARRISON
I Phone (541) 726-084 J
) EmaJl
I..,
I
I
I
I
I
I
I
1
I
Subtotal I $1400 t
Minimum fee uSt.d 1I1stead of Sub toW I I $5000 I
State ~urchdrge (8% of penmt fee) $400 I
ClIY Of 'iprlngfieJd fees" $2750 I
TOTALPERl\lIl H.ll $8] 50 I
10% Local Admin Fee 5% local Technologv Ft.e
CONTRACTOR
I CCB he no 25790
I Busmess Ndml MARSHAll ~ ]NC
I Conlact CevlI1 WhIte
IAddress 4110 OLYMPIC ST
1 Citv/Mllle/LIP SPRINGF]ELD OR
IPhone (~41)7477445
Ilmall cl.vm@marshallslnl. com
i Metro III no
974785620
I Fax (54] )7410821
I Cltv fie no CCB 25790
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bUSiness day,
With instructions on how to schedule your mspectlon
NOTE This Authorization To Begm Work expires wlthm 180
days If a permit is not obtamed
COf\A.,-Q(j[) 7 ~ O/if/ 7
:??trO 7 -643)
Wd
BY ~
/ / I
/ I I
ThiS AuthOrization To Begin Work must be posted at the Job site until rI~~~,ed by a Permit
RCPT #.
The local bUlldmg department may determine that an
AuthOrizatIOn To Begm Work is null and VOid If It does not
meet applicable land use laws and local ordinances
PROCES
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OffiCial Receipt
Development Services Department
Pubhc Works Department
Job/Journal Number
COM2007-01917
COM2007-01917
COM2007-0 1917
COM2007-0 1917
COM2007-01917
COM2007-0 1917
COM2007 -01917
Payments
Type of Payment
ONLINE CHGS
CReCell"ltl
RECEIPT #:
3200700000000000823
Date. 12/24/2007
DescriptIOn
Furnace - up to 100,000 btu
Gas Outlets 1-4
MlmmumlAdjustment Mechamcal
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Admmlstrallve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number AuthoflzatlOu
Received By Batch Number Number How Received
NjM
ONLINE MARSHAL Onlme
LS
Payment Total
Page 1 of I
JO 22 55AM
Amount Due
1400
500
3100
2000
250
400
500
$8150
Amount Paid
$8150
$8150
12/24/2007