HomeMy WebLinkAboutPermit Mechanical 2008-4-10
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00500
ISSUED: 04/10/2008
APPLIED: 04/10/2008
EXPIRES: 10/10/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7027 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702352204000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump and air handler installation.
Owner: DILWORTH GUY F & PATRICIA A
Address: 7027 THURSTON RD
SPRINGFIELD OR 97478
Phone Number: 541-747-2587
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
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 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 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Il'lJtlLIC IMPROVEMENT~I
. , ENTI')~,I ('1'''>'-''" 1.,\~, 1')~' ~ r)~ "",.);~
- ~ I 3
fol'o'" "l,Sidewalk Type:, il ,'" _ , ,
I V'I ~ 5"........ c..:t\,., l~ h. ,I -\ i]2> 'C'f," ','
j -, ,.. ...... II ;t
NotiflcatloDG Gen'.-" t"/D' ',(' . , '1'_"_ ar"" ...1" /"I' ,">,..
. o",nsRou s rains. c. G ,,,l Jil,
m OAR 952-001-0010 UlrLlu~Jh CJ-\'19G2.00fi-
0090. You may obt81n cop:es of tile rul8S q
calling the centel. (Note' the teleohofle
number for the Oregon Utility NotlflcatJQlll
""'n,tl"lr 1'""- -I rr0 I"')~f"\ ".....1 ';
.- --- ----\. \.
Storm Se'6~~~~le:
Special Ins~r~Jtioii:"
THIS .PER~MIT SHALL EXPIRE IF THE WORK
Notes: ~U:hORILED UNDER THIS PERMIT IS NO
L-OI,!1MFfllr.J:n no Ie ^")f\~JO'O'1 '~r" ,,' _ T
I ,,- . ,-~ II; \ll r1 t'-. ,.....
AIN 180 DAY PERIOD I' . I
. Valuation Description
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00500
ISSUED: 04110/2008
APPLIED: 04/10/2008
EXPIRES: 10110/2008
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-t
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$9.00
$14.00
$27.00
4/10/08
4/10/08
4/1 0/08
4/10/08
4/10/08
4/10/08
4/10/08
2200800000000000434
2200800000000000434
2200800000000000434
2200800000000000434
2200800000000000434
2200800000000000434
2200800000000000434
Total Amount Paid
$83.50
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.
LReauired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 be used on this project.
I further agree to ensure that all required inspections are requested 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
Page 2 of 2
~ City of Springfield
Mechanical Authorization To Begin Work
E-maIledTo:cevin@marshallsinc.com
Receipt # EC528515
4/10/200810:48:16 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permltcenter@cLspringfield.or.us
I
o New constructIOn
TYPE Ofi'WORKt'lll
<,,1 ' II ii, .w < t, "
IX] AdditIOn/alteration/replacement
, 'I I >11cll"'" ~ 1>>:<<< ' ", 111111"",
CATEGOR:t"lqflqq,NSTRUCTIO~ jl'I;!';!'I,liH BY;,
IX] I or 2 family dwellmg 0 Multi-family 0 Accessory BUlldmg
'^ '1'"'^f~lt\!I;Y I"lJOB srrE INFORMATION AND LOCATi'bN'&IIIIII'1; 'II' ,," "
~, ~ '" U'III~I"~ 1> ' ~")i>'"'n",I"'1 ~ < 1,"I~clk"
Job no ' 1 ~Ob address 7027 THURSTONRD
I City/State/ZIP SPRINGFIELD, OR 97478-7226
I Smte/bldg /apt.no..
I Project name DILWORTH
Cross street/directIOns to Job sIte
SubdiVIsIOn I Lot no..
I Tax map/parcel no' 1702352204000
I" "'DESCRI~:r!qNpF,VYORK'
INSTALLATION OF A HEAT PUMP AND AIR HANDLER
: \ II; I'" ,~ITE CONTACT I; Y'
I Name GUY & PATRICIA DILWORTH
I Phone' (541) 747-2587
I Emall
I,
I CCB he no 25790
I Busmess Name. MARSHALLS INC
I Contact Cevm White
I Address. 4110 OLYMPIC ST
I City/State/ZIP SPRINGFIELD, OR 974785620
IPhone. (541)7477445 [Fax. (541)7410821
I Emall. cevm@marshallsmc com
I Metro he no
',,<,
jFax
11_";hl;iHCONTRACTOR"
I "~or
I City he no CCB 25790
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.
~ I / , <'
II,iHh
FEE SCHEDUL~
I Qty
'I'
j
Ea Total I
I
I
I
I I
I I
I I
I I
II $1400 $14001
II $900 $9001
: ; dV I I
I
DescnptIon
I Heating/cooling appiknces';'I,"l
'1'<111",> II' ~ ~<"<< << <
I Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
I
I
Electnc Furnace
I Duct alteratIOns and additIOns
I Gas heater Units/ m-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I Qther '~~I burou:.g appliances" '
I Water heater I
I Gas fireplace/msert/stove I
I Gas log! log lIghter I
I Gas clothes dryer I
I Gas stove/range I
I Pool or spa heater, kiln I
I Wood/pellet stove/Insert
I Wood fireplace
I Chlmney/lmerfflue/vent w/o
apphance
I 'EDvlronniental'exhau~tANpv~ntilation
, ,
I Range hood I
I Clothes dryer exhaust I
Single-duct exhaust (bathrooms,
tOilet compartments, utIlIty
rooms)
I Attic/crawlspace fans
I Fuel piplnf
I upto first 4 outlets(enter Qty=l)
each additional outlet
,J "
'"
I
,M~C"lANICAL PERMIT FEES ' , I I
Subtotal I $23 00 I
MinImum fee used Instead of Subtotal $5000 I
State Surcharge (12% of penmt fee) I $600 I
City Of Spnngfield fees *1 $2750 I
TOTAL PERMIT FEE I $83 50 I
10% Local Admm Fee, 5% Local Technology Fee,
I
I
I
I
I
* City Of Sprmgfield
$10 Issuance Fee
NOTE ThIS Authorrzatlon To Begin Work expIres WithIn 180
days If a permit IS not obtaIned
The local bUIldIng department may determIne that an
~~~0:~Z;I~~~~~ol::3~s:::~~Sa~~I::;~ ~~~~nl:~~:~es not I c~~:~tjh5"~~
RCPT #: d ~ oK / 41..1- _
DATE PROCESSED: ~ -[ 0- i::{; I
PROCESSED BY: , ~ ~~I1t;v-- ' i
ThiS Authonzatlon To Begin Work musJ be oosted at th~lle U I "~d""J- ~y a
Permit
225 Fifth Street
Snringfi'"eld, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00500
COM2008-00500
COM2008-00500
COM2008-00500
COM2008-00500
COM2008-00500
COM2008-00500
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000434
Date: 04/10/2008
DescriptIOn
MIOlmum/ Adjustment MechaOlcal
-Mechanical Issuance Fee-
Air Handling DOlt Up to 10,000
Heat Pump
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
nJm
ONLINE marshalls Online
Payment Total:
Page 1 of 1
II :22:03AM
Amount Due
2700
2000
900
1400
250
600
500
$83.50
Amount Paid
$83 50
$83.50
4/1 0/2008