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Home My WebLink AboutPermit Mechanical 2008-4-30 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: C0M2008-00608 ISSUED: 04/30/2008 APPLIED: 04/30/2008 EXPIRES: 10/30/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6952 GLACIER DR ASSESSOR'S PARCEL NO.: 1802022204000 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Heat pump Owner: JACOBSON MICHAEL H Address: 6952 GLACIER DR SPRINGFIELD OR 97478 Phone Number: 541-747-4688 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2009 Phone 541-747-7445 I BUILDING INFORMATION I # 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 Floo r: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla 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: Storm Sewer Available: ~E~1JnspoutslDrains: Special Instruction: """ow I N: Oregon law requlr NOTICE ru es adopted b es you to : .Notlflcation Cente Th Y the Oregon Utility Notes~~~su~~~~~ 3,H.~LL EXPIRE IF THE WnRI< ~~~~~~~,~~11i10t~~~,~~ciA~eQ~~t~~~~ COMMEN WCN I HI::) PERMIT.) i\lu I "ailing the cente ell" \,;op/es of the rules b f\ \JY ~ CEO OR IS ABANDONED F aluation Descri ,m~er for the 0 r. (Note: the telephone y ,I 180 DAY PERIOD. Center is ~~J1000~~~ity Notification Description Tvpe of Construction $ Per Sq Ft Square Footage Value -2344}Oate Calculated or multiplier or Bid Amount Pa2:e 1 of 2 CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: C0M2008-00608 ISSUED: 04/30/2008 APPLIED: 04/30/2008 EXPIRES: 10/30/2008 VALUE: 225 Fifth Street, Sprin2field, 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 Heat Pump Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt Number $20.00 $5.00 $6.00 $2.50 $14.00 $36.00 4/30/08 4/30/08 4/30/08 4/30/08 4/30/08 4/30/08 2200800000000000558 2200800000000000558 2200800000000000558 2200800000000000558 2200800000000000558 2200800000000000558 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. 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 ofthe 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 Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00608 COM2008-00608 COM2008-00608 COM2008-00608 COM2008-00608 COM2008-00608 Payments: Type of Payment ONLINE CHGS cRecemtl RECEIPT #: 2200800000000000558 Date: 04/30/2008 Description Heat Pump 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 nJm ONLINE marshalls Online Payment Total: Page 1 of 1 2:04:52PM Amount Due 1400 3600 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 4/30/2008 City of Springfield Mechanical Authorization To Begin Work E-mailedTo:cevin@marshaUsinc.com Receipt # EC529578 4/30/20081:25:58 PM Check on status of permit By Phone: (541)726-3753 or Email: pennitcenter@ci.springfield.or.us '" o New constructIon "*TYPE OF WORK ,,, ~~~, liJ AddItIon/alteratIon/replacement I Subdivision: I Lot no.: I Tax map/parcel no.' 1802022204000 It@ill;' DESCAlkTloN:OfWORli;~ 0'~~'?~r', <8<* V"'-WWh~ ~.l' ///ft ....;:-:;.+~ INSTALLATION OF A HEAT PUMP x;:;:"" , , FEE" SCREDUJ;.S:"" I Description I Qty. J Ea J Total Ifn-; fi-"";"J:5J..:...~-' , , ~~,. ,<'/ ''''''%i....:-.\f-...~...- '~'-w:0.J-?;.y~:t-'- --~ i:- C$ ~nea,~:;........g a..-:;,...,~...J~~:1'h :'~;;:;1$1iII1Ili\'t I Furnace- up to 100,000 BTU I I Furnace - above 100,000 BTU I I ElectrIc Furnace I I Duct alteratIons and addItIOns I I Gas heater UnIts! m-waIl, m- duct. susoended. ere/ 1 Vent, flue, lmer for above I AIr CondItIOner I Heat Pump I AIr Handler ~t()thf';1irei buTn;Dg .....~::.:.res~:?:#,j" r ,/~ '-' -'/// "'~, I Water heater I Gas fireplace!lnsert/stove I Gas log/log lIghter I Gas clothes dryer I Gas stove/range I Pool or spa heater, laIn I Wood/pellet stove/msert I Wood fireplace "t$(4If I Chllnney/lmer/flue/vent w/o aoolIance rv,~q0%'Z'4iie' 'F;~" '.'~ . ".9W;I" I Iff'dibI4:;,t' ntal e1:~~~,~,~D,~tej!,!Itio,~ '#" ~',,' I Range hood ',n " I I Clothes dryer exhaust ,/ Smgle-duct exhaust (bathrooms, I tOIlet compartments, utIlIty I rooms) I AttIc/crawlspace fans I I Fue'!'Pj,:;r::';' I I upto first4 outlets( enter Qty= I) I I each addITIonal outlet I I ,~~',w:?""MECHANICALPERMt11!"CC:':' I I ' 4m,'", S~b~~~ $1400 I I I MInImum fee used mstead of Subtotal $50 00 I I State Surcharge (12% ofpenmt fee) $600 I I CIty OfSpnngfield fees. $2750 I I TOTAL PERMIT FEE $83 50 I · City OfSpnngfield 10% Local Admm Fee, 5% Local Technology Fee, $10 Issuance Fee " ~~.., '>>~1f'C.t.1EGORY40F CON. SmUcfuON&4::'M / t< /,' Wdibl4:;,~ h/;,. , F / """"'/"#"" ' [X] I or 2 famIly dwellIng D MultI-famIly 0 Accessory BUlldmg ,~>> >>'~ _ >>>>_, W>>Pp w,~ '. :"791> '~iL '~'''PBme INF:~nON ANl?:!-,9CA1!2!:2~ ~ W;>> I Job no.: I Job address: 6952 GLACIER DR I City/State/ZIP: SPRINGFIELD, OR 97478-7309 I Suite/bldg.lapt.no.: I Project name: JACOBSON Cross street/directions to job sIte: $1400 $14001 I "'f';"'-' ~ ,_r''''J1%l1U41MIV ::~':~SITEt\...;I;')AeT " ~'" <>>~'%"'" Vy ~/.%i:x;.~"," I Name: MICHAEL JACOBSON Phone: (541) 747-4688 Email: I Fax: 747-4688 ~('\CONrRACTORC, >>'~\K "'''"",*,,<l~ ->>>> "" , ,,~ "'~" CCB lie. DO.: 25790 I Busmess Name: MARSHALLS INC I Contact: CeVlll WhIte IAddress: 4110 OLYMPIC ST I CIty/State/ZIP: SPRINGFIELD, OR 974785620 /Phone: (541)7477445 IFax: (541)7410821 I Email: cevm@marshallsmc com I Metro lie, no.: I CIty he. no.: CCB 25790 Upon review and approval by your local Jurisdiction, your permit Will be e-mailed 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 applicable land use laws and local ordinances. COM: rl tnJ -& ... ~c,t RCPT#: ~ J..:::t lJ\) K - 5 S ~ DATE PROCESSj'4"- h[)/O g' PROCESSED BY: (fy\( ~ This Authorization To Begin Work must be posted at the job site until r~PlaC~Y a Permit.