HomeMy WebLinkAboutPermit Mechanical 2008-4-9
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00496
ISSUED: 04/09/2008
APPLIED: 04/09/2008
EXPIRES: 10/09/2008
VALUE:
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 5793 MONTCLAIRE WAY
ASSESSOR'S PARCEL NO 1802030002000
SPRINGFIETYPE OF WORK MechallIcal Only
TYPE OF USE AlteratIOn
ResIdentIal
PROJECT DESCRIPTION, InstallatIon of aIr condItIoner
Owner WILSON AARON & SIOK M
Address' 5793 MONTCLAIRE WAY
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
MechallIcal
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of U llItS
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 1st 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 1 Setback'
SIde 2 Setback.
Rearyard Setback
Solar Setbacks
Overlay DISt
# Street Trees Rqd'
Paved Dnve Rqd.
% of Lot Coverage
Total
HandIcapped
Compact,
I PUBLIC IMPROVEMENTS I
Street Improvements
Sidewalk Type
Storm Sewer AvaIlable Downspouts/Drams
SpeCIal ~N' Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes'NotlflCatlOn Center Those rules are set forth NOTftCE".
In ()AR qC;?-001-001 0 throuah OAR 952-001- D
0090. You may obtain copies ofthe r.;;;I:: ::)' II ilL I:HIVIIT SHALL EX/-"IKt IF THE WORK
calling the center (Note the tele hWduation DescfI 0 -f ORIZED UNDER THIS PERMIT IS NOT
number for the Oregon Utility Notlfl S COIV~~J:!CED OR IS ABANDONED FOR
DescnptIon CeptlJeI8fl=~g~i~~c~;~~44). o~ :~'~:l~etr o~\1.'v AW'<<:~~Y PERIODyalue Date Calculated
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00496
ISSUED: 04/09/2008
APPLIED: 04/09/2008
EXPIRES: 10/09/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
L Fees Paid I
Fee DescnptlOn
-Mechamcal Issuance Fee-
+ 10% AdmmlstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BOIler/Comp Up To 100,000 btu
MmImum/Adjustment Mechamcal
Amount PaId Date Paid ReceIpt Number
$20 00 4/9/08 2200800000000000427
$500 4/9/08 2200800000000000427
$600 4/9/08 2200800000000000427
$2,50 4/9/08 2200800000000000427
$14 00 4/9/08 2200800000000000427
$36 00 4/9/08 2200800000000000427
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.
LReouired Insoections I
Rough Mechamcal' Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By signature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mformatIon hereon IS true and correct, and I further certIfy that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety.
I further certIfy that only contractors and employees who are m complIance 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 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 remam on the sIte at all
tImes durmg constructIon
Owner or Contractors SIgnature
Date
Pae:e 2 of 2
City o( Springfield
MechanIcal Authorization To Begm Work
E-malled To, cevm@marshallsmc com
Receipt # Ec528472
4/9/2008 2 50 08 PM
Check on status of permIt
By Phone (541)726-3753 or [mati permltcenter@cl sprmgfield or us
\V TYPE OF WORK
\ '1 t
D New construction
IKJ AddItIOn/alteratIon/replacement
CATEGqRYIOFl"cONSTRUCTION
"
'I
I,
[K] I or 2 family dwelling
D Multi-family
D Accessory BuIldmg
I JOB'SITE INFORMATION AND'LO'CATION
[Job no IJob address 5793 MONTCLAIRE WAY
I CIty/State/ZIP SPRINGFIELD, OR 97478-7735
I SUlte/bldg /apt no
I Project name WILSON
Cross street/dIrectIOns to Job sIte
I SubdIvIsIOn
ITax map/parcel no
I Lot no
1802030002000
DESCRIPTION OF WORK
INSTALLATION OF AN AIR CONDITIONER
I
I Name AARON & MEGAN WILSON
I Phone (541) 654-0557
IEma11
[
I CCB hc no 25790
I BuslOess Name MARS HALLS INC
I Contact Cevm WhIte
[Address 411 0 OLYMPIC ST
I CIty/State/ZIP SPRINGFIELD, OR 974785620
I Phone (541)7477445 I Fax
I Ematl cevm@marshallsmc com
I Metro hc no
I (
\1"'" SITE CONTACT"
I,
I Fax
,'CONTRACTOR
,:jllrl
(541)7410821
I CIty hc 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
NOTE ThIS Authorization To Begin Work expires within 180
days If a permit IS not obtained
The local bUilding department may determine that an
Authorization To Begin Work IS null and vOid If It does not
meet apphcable land use laws and local ordinances
II
I DeSCriptIOn
I He.atI,n, g/coohng apphances
(II
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
'I I Electnc Furnace
Duct alteratIons and additions
Gas heater UOltS/ m-wall, m-
duct, suspended, etc/
I Vent, flue, lmer for above
I Air CondItioner
I Heat Pump
I Air Handler
I Other fuel burnmg ~pphances
I Water heater
I Gas fireplace/msert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stovehnsert
I Wood fireplace
I Chlmney/llner/flue/vent w/o
appliance
I EnVIronmental exhaust AND venttl,atlOn I
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOilet compartments, utIlity
rooms)
I Attic/crawlspace fans
I Fuel plplOg
I upto first 4 outlets( enter Qty=])
I each additIOnal outlet
I I I MECHANICAL PERMIT FEES
J I
J :
I
I
* City Of Spnngfield
$10 Issuance Fee
FEE SCHEDULE
I Qty I
Ea
Total
1
$14001
1
1
I
$14001
I
1
II
1
1
Subtotal $1400
Mmlmum fee used mstead of Subtotal $5000
State Surcharge (12% of penmt fee) $6 00
City Of Spnngfield fees * $27 50
TOTAL PERMIT FEE I $83 50
10% Local Admm Fee, 5% Local Technology Fee,
ThiS Authorrzatlon To Begin Work must be posted at the Job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OffiCial Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00496
COM2008-00496
COM2008-00496
COM2008-00496
COM2008-00496
COM2008-00496
Payments
Type of Payment
ONLINE CHGS
cRecelOt 1
RECEIPT #:
2200800000000000427
Date: 04/09/2008
DescriptIOn
BoIler/Comp Up To 100,000 btu
MInImum/AdJustment MechanIcal
-MechanIcal Issuance Fee-
+ 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
ddk
ONLINE MARSHAL OnlIne
L'S INC
Payment Total
Page 1 of I
3 14 29PM
Amount Due
1400
3600
2000
250
600
500
$83 50
Amount PaId
$83 50
$83 50
4/9/2008