HomeMy WebLinkAboutPermit Mechanical 2008-1-10
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CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED'
APPLIED:
EXPIRES'
VALUE:
COM2008-00036
01/1012008
0111012008
07/1012008
225 Flfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
SITE ADDRESS 835 JANNETTE CT
ASSESSOR'S PARCEL NO 1703342401433
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE New
PROJECT DESCRIPTION Change ont gas furnace Carner bl dnd 80%
ReSldentldl
Owner MILLER LIVING TRUST
Address 835 JANNETTE CRT
SPRINGFIELD OR 97477
Phone Numb.. 541-726-5777
I CONTRACTOR INFORMA TlO1\T I
Contractor Tvpe
Mechamcal
Contractor
MARSHALLS INC
LIcense
25790
BVlLDlNG INFORMATION I
Expiration Date
12/2312009
Phone
541-747-7445
#ofUmts
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 BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Ba..ment
Sq Ft Garage/Cal port
Sq Ft Other
Occupant LOdd
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback
SIde I Setbdck
SIde 2 Setbdck
Rearyard Setback
Solar Setbacks
Overlay DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements
Sldewdlk Type
Storm SeweJ Available
SpeclOllnstructlOn
A1TENTION: !Q'l;gm.o6.W~yau to
follow rules adopted by the Oregon UtIlity
Notification Center. Those rules are set forttt
NotNOTICE: F THE WORK In OAR 952.001.0010 through OAR 952-001-
-;-111: :'Hlt,....,. C!uM..l.E!'IRE I _ ",:r:- t'.''r "IlVAlllyll,*rUCFIA..~th"l'''t''ell,,:"
AUTHORIZED UNDER THIS Pt.KIVIIIF~'" I D' ~llnI the center. (Note: the telephone
CEO OR IS ABANDONED 0", a uatlOn escn~ for the Oregon Utility Notlflcalloft
COMMEN Center 111-800-332-2344)-
MIV 180 DAY PERIOD. $ Per Sq Ft Square Footage
Descflll'lloll '1'vpe of COllstrucholl It I B d A Value Date Calculated
or mu Ip lef or I mount
Paee I of 2
Status
Issued
CITY OF SrK11~GFIELD
Building/Combination Permit
PERMIT NO. COM2008-00036
ISSUED' 01110/2008
APPLIED. 01110/2008
EXPIRES 07/10/2008
VALUE
225 F,fth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees PaId J
Fee DescriptIOn
-MechaOlcal Issuance Fee-
+ 10% AdmmlStr.t,ve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Gas Outlets 1-4
MIOImum/AdJustment MechaOlcal
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$1400
$500
$3100
1/10/08
1/10108
1/10/08
1/10/08
1/10/08
1/10/08
1/10/08
3200800000000000024
3200800000000000024
3200800000000000024
3200800000000000024
3200800000000000024
3200800000000000024
3200800000000000024
Total Amount PaId
$83 50
I Plan Reviews I
To Request an mspectlOn call the 24 hour recording at 726,3769. All mspectlOns requested before 7:00
a m wIll be made the same workmg day, inspectIOns requested after 7.00 a.m. wIll be made the followmg
work day
I ReoUlred Insnectlons I
, .
Rougb Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance
Fmal Gas When all gas work IS complete
Rough MechaOlcal Pnor to Cover
Fmal MechaOlcal When all mechaOlcal work IS complete
By SIgnature, I state and .gree, that I have carefully exammed the completed .pphcatlOn and do hereby certIfy that .11
mformatlon hereon IS true and COt reet, and I further certify that any and aU work performed ShdJl be done In Accordance WIth
the Ordmances of the CIty 01 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 CommuOlty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are 10 comphance WIth ORS 701 005 WIll be used on thIS project
I further agree to ensure that all reqUIred mspectIons are requested at the proper tIme, that each .dd, ess IS re.dable from the
street, that the permIt card IS located at the front of the property, .nd the approved set of plans WIll rem am on the SIte at all
times dunng constructIOn
Owner or Contractors Signature
D.te
Pa~e 2 of 2
~Clty of Spnngfield
MechaDlcal Authonzatlon To Begm Work
E-rnaIled To Jamce@marshallsmc com
Receipt # F:C523629
1/912008 3 39 41 PM
~
Check on status of permit
By Phone (541)726-3753 or Em..1 pernlItcenter@clsprmgfieldorns
TYPE OF WORK
I 0 New constructIOn
o Addltlon/altl",ratlonJreplacemenl
CATEGORY OF CONSTRUCTION
I [KJ 1 or 2 fdmlly d\\cllmg
DMultlfaml1y
o AC:l.es~ory I3luldmg
JOB SITE INFORMATION AND LOCATION
I Job no I Job address 835 JANNETTr CT
I City/State/LIP SPRINGnrLD OR 97477 3694
SUlle/bldg {dpt no
I Project n')me Jess Miller
Cross street/directions to Job "'Itl
Jannctte
West Centenlal south on Rambow West on
I SubdivIsIOn I Lot no
ITax map/parcel no 1703342401433
I DESCRIPTION OF WORK
Change out Gas furnace Camer Brand 80%
SITE CONTACT~
IName Jess MIller
! Phone (54]) 726 5777
I Em.1I1
I CCB he no 25790
I Busmess Name MARSHALLS INC
I Contact JanKe I lord
IAddress 4110 OLYMPIC ST
IOtv/State/LIP SPRINGFIFLD OR 974785620
IPhone (541)7477445 IFax (541)7410821
l.lmall }anlee@marshall~lnL com
Metro he no I City he no CCB 25790
I Fax
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 inspection
NOTE ThiS AuthOrization To Begm Work expires Within 180
days If a permit 1$ not obtamed
~I
II De~cnphon
I Heatmgleoolmg"upphan~es
J rurnace up to 100 000 BTU
I rurnllce above 100000 BTU
I CleclncFurnnce
I Duct alterations and addItions
I Gas heater unlb/ In wall In
duct susnended ele/
I Vent flue Imer for above
I Air CondItIOner
I Heat Pump
i Alrllandler
I Othu fllel bllrnmg upphanuEs
!Waterht-ater
I Gas fireplacehnsert/stove
I GdS log/log lighter
I Gas dotht-s dryer
I Gas stove/range
I Pool or spa heater kiln
I Wood/pellet stove/msert
I Wood I1replaee
ChlmneylImerlfiuelvent w/o
aool1ance
Envlronmental~exhanstAND ventilatIOn
FEE SCHEDULE
Qty
Ea
lohl 1
I
$14001
I
I
$1400
I
I
1
I
I
I
I
1 Range hood
I Clothes dryer exhaust
I Smg]e duct exhaust (bathrooms
tOIlet compartments utIlity
rooms)
I Atllc/craw]spacenms
I Fuel plpmg
I upto first 4 outJets(enter Qtv=l)
I I each addlllonal outlet
I[
II
II
I
I
I
* City at Spnngfield
$]0 Issuance Fee
I
I
I
SUbtotal/ $1400
Mllllmum lLc used Illstead of Subtotal $5000
State Surclldrge (12% of permIt fee) I $600
CIty or Sonngfield fees *'1 $27 50
TOTAL PFRMIT FEE $8350 I
10% Local Admin ree 5% Local Technology Fec
MECHANICAL PERMIT FEES
COM' f:) rJO/( -IYJ()~-Sf;;
RCPT# 2)';;( U[J ~ - c:!).L.f
/
DATEProcF~ /--/.1,,() yJ
PROCE~'f/}1/( ~
ThiS AuthOrization To Begin Work must be posted at the Job site untll~PI'ed{Y a Permit
The local bUIlding 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
225 FIfth Street
Spr-Ingfield, Oregon 97477
541,726,3759 Phone
iF~
CIty of Sprmgfield Official ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00036
COM2008-00036
COM2008-00036
COM2008-00036
COM2008-00036
COM2008-00036
COM2008-00036
Payments
Type of Payment
ONLINE CHGS
cRecemt 1
RECEIPT #:
3200800000000000024
Date. 01110/2008
Descnptlon
~MechanJcal Issuance Fee-
Gas Outlets]-4
Furnace - up to 100,000 btu
Mmlmum/AdJustment Mechamcal
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Pa,d By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL Onlme
LS
Payment Total
Page I of 1
742 14AM
Amount Due
2000
500
1400
3100
250
600
500
$83 50
Amount Paid
$83 50
$83 50
1/10/2008