HomeMy WebLinkAboutPermit Mechanical 2008-4-18
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00547
ISSUED: 04/18/2008
APPLIED: 04/18/2008
EXPIRES: 10/18/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1493 DELROSE AVE
ASSESSOR'S PARCEL NO.: 1703243306000
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Heat pump and air handler.
Owner: V ANDENDRIES CARLA J
Address: 1493 DELROSE AVE
SPRINGFIELD OR 97477
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:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Stor~ Sewer AVfil~:'bregon law requires you to
SpecIal Ift~Mim It. d t d b the Oregon Utility
follow rU.es a op e y
Notification Center. Those rules are set forth
Notes: In OAR 952-001-0010 through OAR 952-001-
-838 'ley ",au 9t:?tain ...nrip~ nftl)e rules by -~-
v caliing the center. (Note: the tele )h~: "'I:~
number for the Oregon Utility Noti icMtiMation Descri TMIDl ERMIT SHAll EXPIRE IF THE WORK
Center is 1-800-332-2344). S RIZED UNDER THIS PERMIT IS NOT
Tvpe of Construction $ perl~ql~t o~r~~~!ft:ool~~n~D OR IS AB'AN~ONED FORte Calculated
or mu tip ler 'Pf'i~ 1 mJ 'WAY PERIOD.
Downspouts/Drains:
Description
Page 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00547
ISSUED: 04/18/2008
APPLIED: 04/18/2008
EXPIRES: 10/18/2008
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 I
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
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
4/18/08
2200800000000000485
2200800000000000485
2200800000000000485
2200800000000000485
2200800000000000485
2200800000000000485
2200800000000000485
Total Amount Paid
$83.50
I Plan Reviews,
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.
L Reouired 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 of2
City of Springfield
Mechanical Authorization To Begin Work
E-malledTo:cevm@marshaIIsinc.com
Receipt # EC528966
4/18/200810:30:02 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE 'OF WORK \
I SubdiVISIOn: I Lot no.
I Tax map/parcel no: 1703243306000
I D~SCR"PTION OF WORK
INSTALLATION OF A HEAT PUMP AND AIR HANDLER
\<
,\ 'I
I DescriptIOn
I Heatinlilcoohng appliances
I Furnace- up 10100,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alterations and additIOns
I Gas heater UnIts/ In-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air ConditIOner
I Heat Pump
I Air Handler
I Other fuel burnmg applian~es
I Water heater
I Gas fireplace/Insert/stove
I Gas log/log hghter
I Gas clothes dryer
I Gas stove/range
I Pool or spa healer, kiln
I Wood/pellel stove/Insert
I Wood fireplace
I Chimney/I Iner/flue/venl w/o
apphance
I J';nvi~onmental' ~xhansi AND ventilation
I Range hood
I Clothes dryer exhausI
SIngle-ducl exhaust (bathrooms,
100Iel compartments, utlhty
rooms)
I Attic/crawlspace fans
I Fnel, pipmg ,
I upto first 4 outlets( enler Qty= I)
I each additIOnal oullel
I ' , MECHANICAL PERMIT FEES
I
FEE SCHEDULE
Qty.
Ea.
Total
"
D New construcllon
[K] AdditIon/alteration/replacement
CATEGORY o'F CONSTRUCTION
[K] I or 2 fa~lly dwelling
D Multl-farmly
D Accessory BUilding
JOB SITE INFORMATION AND LOCATION
IJob no: IJob address: 1493 DELROSEAVE
I City/State/ZIP: SPRINGFIELD, OR 97477-1619
SUlte/bldg /apt.no.:
Project name: HAAS
Cross streeUdlrectlons to job site:
I
II
11
$1400
$900
I
$14001
$900
I
I Name: DONALD HAAS
I Phone: (541) 741-1523
IEmall'
I
I CCB hc no.: 25790
I Bnsmess Name, MARS HALLS INC
I Contact: CevIn White
IAddress: 4110 OLYMPIC ST
I City/State/ZIP' SPRINGFIELD, OR 974785620
IPhone: (541)7477445 IFax: (541)7410821
I Ema.I' cevIn@marshallsInc com
I Metro hc. no.:
SITE CONTACT
IFax:
)' I
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
I
I
* City Of Spnngfield
$10 Issuance Fee
Sublotal $23 00 I
Minimum fee used Instead of Subtotal $5000
State Surcharge (12% of permit fee) 1 $600
City Of Spnngfield fees *1 $27 50 I
TOTAL PERMIT FEE 1 $83 50 I
10% Local Admin Fee, 5% Local Technology Fee,
I City hc. no.: CCB 25790
NOTE' ThiS Authorization To Begin Work expires wlthm 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
ThiS Authorization 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 Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00547
COM2008-00547
COM2008-00547
COM2008-00547
COM2008-00547
COM2008-00547
COM2008-00547
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000485
Date: 04/18/2008
DescriptIOn
AIr Handling Unit Up to 10,000
Heat Pump
Mmlmum/ Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
DDK
ONLINE MARSHAL Onlme
LIS INC
Payment Total:
Page I of 1
1:44:17PM
Amount Due
900
1400
2700
2000
250
600
500
$83.50
Amount Paid
$83 50
$83,50
4/18/2008