HomeMy WebLinkAboutPermit Mechanical 2008-5-8
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/0812008
APPLIED: 05/08/2008
EXPIRES: 11/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2563 15TH ST
ASSESSOR'S PARCEL NO.: 1703243200317
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Air conditioner & gas furnace
Owner: TEASLEY SAM R & MARILYN K
Address: 2563 NORTH 15TH ST
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.
Street Improvements:
Sidewalk Type:
Downspouts/Drains:
Storm Sewer Available:
Special WPt~~~8N: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notes: NotIfication Center. Those rules are set forth
in n~?-nn1-nn1 n IhrnLJoh O~2-0n1.
0090. You may obtain caples of the I lilt;;) Ly
calling the center, (Note: the tele hVraluation Descri
number for the Oregon Utility Notlfica Ion
Description CeT~JeIBf\=~~Qi~.Y61~~44). $ Per S,q ~t
or multiplIer
NOTICE:
!~~S PERMIT SHALL EXPIRE IF THF wnRI(
J" I .... 'hlLtU UNUtH THIS PERMIT IS NOT
flb"rM NCED OR IS ABANDONED FOR
o DAY PERIOD.
Square Footage
or Bid Amount
Value
Date Calculated
Pal!e 1 of 3
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Boiler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/0812008
APPLIED: 05/08/2008
EXPIRES: 11/08/2008
VALUE:
Total Value of Project
~
Amount Paid Date Paid Receipt Number
$20.00 5/8/08 2200800000000000621
$5.00 5/8/08 2200800000000000621
$6.00 5/8/08 2200800000000000621
$2.50 5/8/08 2200800000000000621
$14.00 5/8/08 2200800000000000621
$14.00 5/8/08 2200800000000000621
$5.00 5/8/08 2200800000000000621
$2.00 5/8/08 2200800000000000621
$15.00 5/8/08 2200800000000000621
$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.
~eouiredJnsnections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Final Gas: When all gas work is complete.
Pa2e 2 of3
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00645
ISSUED: 05/08/2008
APPLIED: 05/08/2008
EXPIRES: 11/08/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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
Pal!e 3 of 3
f'EE SCHEDULE
~ < 111'1' 1< I, E~
I DeSCriptIOn I Qty. I
I'Hi "<<fj~1 ~1'<J;;i~v,'.rIlIII18'\1'<<I'~'\I+n <'1I,lliitl< 11, I}
eatm",coo mg app lances" j'"'"
'lfWI M'-"k'I~'0'~%l", )111,,-, ,'50 Zm~,1111 J' I
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I ElectriC Furnace
I Duct alterations and additIOns
I Gas heater Unlts/ m-wall, m-
duct, suspended, etc/
I Vent, flue, Imer for above
I Air ConditIOner
I Heat Pump
Air Handler
IOthetlfuel)burnmgiappliances ""
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 stove/msert
I Wood fireplace
I Chlmney/lmer/flue/vent w/o
applIance
I ,E,!yh;on!;De'!tal exhaustfAND ventilation"", "
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOilet compartments, utilIty
rooms)
I Attic/crawlspace fans
I Fuel """
I upto first 4 outlets( enter Qty= I) $5 00
I each addItional outlet I $2 00
'" I":," ,,," ~ YIMECHANICAL~RERMIT FEES" 'Y;NV: j'\ 'I'
I "~ik<< %,'/ii!' "1,,,1:1 W"IW' "I << (,
Subtotal $35 00
MInimum fee used mstead of Subtotal $50 00
State Surcharge (12% of permIt fee) $600
CIty Of Springfield fees * I $27 50
TOTAL PERMIT FEE I $83 50 I
10% Local Admm Fee, 5% Local Technology Fee.
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Check on status of permIt
By Phone: (541)726-3753 or Email: permItcenter@ci.sprmgfield.or.us
OF"WORK jj
IKJ Addition/alteratIOn/replacement
D New construction
I ",Ij,Y',(Uh]:'y/ 1<' i,< ,,1">>.iW~7~~" I I '" >>~ ~ V',
, '" I "CATEGORY"OFCONSTRUCTI(~N'N7t%\ij1III\liJ\i7tli,,:illi;,,'&lj'I''','
[K] I or 2 family dwellmg D Multl-fanllly D Accessory BUlldmg
I' > f ""IJOB$ITE INFORMATION AND LOCATION~il:il~>'~\1IjT)::ij!),jl;
x\II"I'" jl x/,II~IIPIIi" I">' )"'(l ~ I '1 "I ~d! ~ ~ '",~ wX,',
I Job no,: I Job address: 2563 15TH ST
I City/State/ZIP SPRINGFIELD, OR 97477-1688
I Smte/bldg.lapt.no :
I Project name
Cross street/directIOns to Job site:
I SubdiVISIOn. I Lot no.'
I Tax map/parcel no.: 1703243200317
I ' 'jj'jjj,+ \>"Ii<::~;"W+j~+?W\:IlI?,i,Ii'\i:t4j,\\ ";;, DESCRI~JION ,OF:, WORK,
, p' ~,~ ""fl.M~L>Y;:;iillI/ Y'w "',* I&<~ ,1<,111,11,1<110;:"" ~'~ 1'1"1<1 I' ,\ ~r~* ~,!,,-,..\;JY I
INSTALLATION OF AN AIR CONDITIONER AND GAS FURNACE
I ,'I'
!li4jil"jo,;..e".k(," ""SITE CONTAGT"I\Ii""""jo,.;...,
)!'+
I Name' SAM TEASLEY
I Phone: (541)743-5198 1 Fax:
IEmall:
I' \C;().NT~CT(),,~~J;"lilj ,
I CCB hc. no,: 25790
\ Busmess Name: MARS HALLS INC
I Contact: Cevm WhIte
IAddress. 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone' (541)7477445 I Fax: (541)7410821
I Emal!. cevm@marshallsmc com
I Metro hc, no.: 1 City hc no. CCB 25790
I
I
I
I
I
* CIty Of Spnngfield
$10 Issuance Fee
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 applicable land use laws and local ordinances
Receipt # EC529981
5/7/20084:03:23 PM
, l
Ea.
Total
$1400
$1400
$14001
1
1
1
I
I
1
$14001
I
I
>)\
1/
, \'\
I I> I
$500
$200
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
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
COM2008-00645
Payments:
Type of Payment
ONLINE CHGS
cRecemll
RECEIPT #:
2200800000000000621
Date: 05/08/2008
Description
BoIler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Gas Outlets 1-4
Gas Outlets 4+
Mmimum! Adjustment Mechanical
-Mechamcallssuance 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
ONLlNEMARSHAL OnlIne
LS INC
Payment Total:
Page 1 of 1
8:51:09AM
Amount Due
1400
1400
500
200
1500
2000
250
600
500
$83,50
Amount Paid
$83 50
$83.50
5/8/2008