HomeMy WebLinkAboutPermit Mechanical 2008-5-9
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00659
ISSUED: 05/09/2008
APPLIED: 05/0912008
EXPIRES: 11/09/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 649 54TH ST
ASSESSOR'S PARCEL NO.: 1702331300205
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Heat pump installation
Owner: EDMONDS SCOTT L & IV ALEN L
Address: 643 54TH ST
SPRINGFIELD OR 97478
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:
fI'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
REQUIRED PARKING
f\~~["".y.,-"..\t'J 0' ."1C'n !::tw requires you-ro-
Frontyard Setback: Overlay Dist: L ,,'. "J i '. ,;", adopted by t1lotahegon Utility
Side 1 Setback: NOnCe" # Street Trees Rqd: ~htlflc2tlon Center. ThoSEHaJhmcar~effiforth
Side 2 Setback:" Paved Drive Rqd: III OAR 952-001-001 0 throCD!)fu~~ 952-001-
Rearyard Setback/HIS PERMIT SHAll EXPIRE rFO~~WB~rage: 0090, You may obtain copies ofthe rules by
Solar Setbacks: AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note:,t,he tel~~ho~e
('()nnnnfTT&"-5"" . -"~.\"'iH f'i?r tho nro("nn I UllWI Notification
ANy'1'SO DAY ~E~:~;Dtwm\f~iioVEMENTSi" Center is 1-800-332-2344).
Street Improvements: Sidewalk Type:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
-~
" -..
Notes:
I Valuation Description I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD ..
Building/Combination Permit
PERMIT NO: COM2008-00659
ISSUED: 05/09/2008
APPLIED: 05/0912008
EXPIRES: 11/09/2008
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-l
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
5/9/08
5/9/08
5/9/08
5/9/08
5/9/08
5/9/08
2200800000000000637
2200800000000000637
2200800000000000637
2200800000000000637
2200800000000000637
2200800000000000637
Total Amount Paid
$83.50
I Plan Reviews,
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reauired Insoections .
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certIfy that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC5300n
5/9/20089:19:28 AM
Check on status of permit
By Phone: (541)726-3753 or EmaIl: permitcenter@cl.sprmgfield.or.us
o New constructIon
'TYf,lE10F WORK
~ ~ "'<<1'1&", >>, ,1",<",
[X] AdditIOn/alteratIon/replacement
" ""-,,,,~4~'''''I"J4' i" . , -""~II<<IIT"'>:'
"" "M:;:_CAliEGO~X(I5?I!;S,~~SliROCliIO~,.hwll"
[X] I or 2 family dwellmg 0 MultI.famlly 0 Accessory BUlldmg
I.,' M iV"~OB~SlliE INEORMATION:AN'6koCAliION
t ~ ~) , I +-",,>$ ~Yb,%d," I ' ,:1i':(~~~jl iii'l, I, '^
Job no I Job address 649 54TH ST
City/State/ZIP, SPRINGFIELD, OR 97478-6137
I SUltelbIdg /apt.no ,
I ProJect name' BUCKHOLTZ
Cross street/dIrectIons to Job sIte,
I SubdIvIsIon' I Lot no '
I Tax map/parcel no.. 1702331304200
I.'" - ~IEIIDESC'Rfi?itION OF WORK
o 1 h~!fl' ~\ "
INSTALLATION OF A HEAT PUMP
,. I -~ 'llo/Wit ""II'"
SlliE CONliACli-.\h', fl!~:kI0flll/;,
,,1-1'1 ;, II~, 4"
I Name, ROBERT BUCKHOLTZ
I Phone (541 )744-231 0
IEma11
I,
I CCB hc no 25790
Busmess Name MARS HALLS INC
Contact Cevm White
IAddress 4110 OLYMPIC ST
I City/State/ZIP SPRINGFIELD, OR 974785620
/Phone' (54])7477445 I Fax' (541)74]082]
I EmaIl cevm@marshallsmc com
I Metro hc no.. I City hc no' CCB 25790
IFax,
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
NOliE lihls AuthOrization lio Begin Work expires Within 180
days If a permit IS not obtained
II
FEE SCHEDUL:e;;= ~I
I )y~ '" < " <~
I Qty I
Total
I
I
J +1
I DeSCrIption
I HeatlngtcO"Jling!appIiances.
>>~ ~~~
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alteratIOns and additIons
I Gas heater umts/ m-wall, m-
duct, suspended, etc/
, Vent, flue lmer for above
I Air ConditIoner
I Heat Pump
I Air Handler
II Other f;"jl~uilj)lDg"appliancesl I.'
,", '%'i"",~ 1(,1 ,,1111>> ~~
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/Insert
I Wood fireplace
I Chlmney/I mer/fl ue/vent w/o
appliance
IIEnvirimmental e~haust ANI)'"velllilation< ',^' I
"EO. <,\" <J<~I<< < i(.Si:!'^" '<< IJ"I!< < 1'1' >>" ,In,,! Ii ( I'",
I Range hood I
I Clothes dryer exhaust I
Single-duct exhaust (bathrooms,
tOilet compartments, utility
rooms)
I Attic/crawlspace fans
)1"
Ea
$1400
$1400
<, I'
I
I
I
I
','0 "iJ' j
,i
Subtotal $1400 I
Mmlmum fee used mstead of Subtotal $5000 I
State Surcharge (12% ofpenmt fee) $600 I
City Of Sprmgfield fees · $27 50 I
TOTAL PERMIT FEE $83 50
] 0% Local Admin Fee, 5% Local Technology Fee,
f W11 "'
I upto first 4 outlets(enter Qty=l)
I each addItIOnal outlet
~1:~;'t'h1 ,A'f~%<'*~' II'fll:I:MECHANiCAi::~'PERMIT~FEES
,(",<< P' "I' "" , ~< '1 'f I'" '\,
I
I
I
I
I
· City Of Spnngfield
$10 Issuance Fee
COM' d mJ '6 - ()(J05~
RCPT#.:J~ ()(J 0' - ~ 2. 7
DATE PROCESSED:\5A I 0 ;(
PROCESSED By:~l \OfY)( I V
"'---:-t.
\ .
ThiS AuthOrization To Begin Work must be posted at the Job site until repiaced by a Permit
lihe local bUilding department may determine that an
AuthOrization lio Begin Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00659
COM2008-00659
COM2008-00659
COM2008-00659
COM2008-00659
COM2008-00659
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000637
Date: 05/09/2008
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
10:55:43AM
Amount Due
1400
3600
2000
250
600
500
$83.50.
Amount Paid
$83 50
$83.50
5/9/2008