HomeMy WebLinkAboutPermit Mechanical 2008-5-16
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00697
ISSUED: 05/16/2008
APPLIED: 05/16/2008
EXPIRES: 11/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2753 3RD ST
ASSESSOR'S PARCEL NO,: 1703233404800
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Installation of gas furnace and heat pump.
Residential
Owner: KINLEY DALE & ARLENE ANN
Address: 2753 N 3RD ST
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION'
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION'
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'
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: Downspouts/Drains:
Special Iu\1itiN(J'N;>N: Oregon law requires you to
follow ru~es adopted by the Oregon Utility N[>>T~C1E:
Notes: Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
In OAR 952-001-001 ~ t~r?~~~S~~~9.~~~~02,~ AUTHORIZED UNDER THIS PERMIT IS_ NOT
UUt1u. .l.Ju III<>'J vlJ......, ~~.....e~.!!. ...-". . FF'~'1~EI\JL, U UK I::> AIjAI\!UUI\lCU run
calling the center. (Note: the tale Pnone . . yVlv I:
number for the Oregon Utility Not fl~JllwttlOn DescnptAwv 80 DAY PERIOD.
Center is 1-800-332-2344).$ Per Sq Ft Square Footage
Description Tvpe of Construction It' I' Value Date Calculated
or mu Ip ler or Bid Amount
Pae:e 1 of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00697
ISSUED: 05/16/2008
APPLIED: 05/1612008
EXPIRES: 11/16/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 5/16/08 2200800000000000678
$5.00 5/16/08 2200800000000000678
$6.00 5/16/08 2200800000000000678
$2.50 5/16/08 2200800000000000678
$14.00 5/16/08 2200800000000000678
$14.00 5/16/08 2200800000000000678
$22.00 5/16/08 2200800000000000678
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
L Reauired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevm@marshallsinc.com
Receipt # EC530438
5/15/20083:34:46 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I " , "
<, i
D New constructIon
, '" ""* ~'\*
, TYPE'OF WORKillil>,,$A, m: I'
, ; """ ,""ill ~@1" q , ~" >I, :sU"l ~ 4,5& JiS~ I
!Xl AddItIOn/alteratIOn/replacement
I 'it<" ~ '& "",I ':1>'%~t':~1~1"" ,,4<1%' ~ I ,,(^* t $"'"f~ I "NI\">l'.!f4t:4+i~I" ow 10'"
\l',WZll '\ ''''l,l''i/' '1::"(\'\ f" hl'iVqI,~\\CATEGORY:,,,OP'CONSl:RUCJION':'liAkk'l,*, '~:l1l 'l'E
'"P " k; t "",*"w711i"0'#4:dm1u~A,W' ,~, ' ~ ~ '1"0-'''I(''~I^,>!\'''j,I~(i'I~Wji~~HIIIf'P ~,~((.,(
[X] I or 2 falmly dwellmg
D Multl-fanuly
D Accessory BUlldmg
JOBfSITEm:ri=o'RMATION AND
^ p$ , ,.; ;<- , " '''i~''
I Job no.: I Job address: 2753 3RD ST
I City/State/ZIP: SPRINGFIELD, OR 97477-1407
I SUlte/bldg /apt.no
I Project name: KINLEY
Cross streeUdlrectlOns to job sIte:
SubdIVIsIOn: I Lot no.:
I Tax map/parcel no.: 1703233404800
I >'iJillWuf~" II""",,~ !"0;"' ~(t -W<HW\I~tkl?'il=;t~~~(0'" ~
, " ' \I!#;rw,,<<i DE~C~lflIO,~1Pf*\NORK" ,J0,~",\:\~:\, 'I~::\\.
INSTALLATION OF A GAS FURNACE AND HEAT PUMP
" ;1,;" SrrE CONTACT",ili"j: i,
)1, ,", '" ,II~' <'I '" Vi< ( <::: "(,~, I+~ du,'>> >>CR n ,I ~" ""
" '
, i
I Name: DALE & ARLENE KINLEY
I Phone: (541) 746-3154
I Emall:
I
I Fax: 746-3154
CONTRA'CTORi'I1i\:l'ls;: ::'T:*:<<""
( 'R,", Jl/~'\<~"~'"I",tiI&14J ' ~ ,f;"A-
CCB hc. no.. 25790
, BUSIness Name MARS HALLS INC
I Contact: Cevm WhIte
/Address. 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
I Phone: (541)7477445 I Fax: (541)7410821
I Emarl: cevm@marshallsmc com
I Metro hc. no.: 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 applicable land use laws and local ordInances.
h FEE,sg'HE,DU!:.,E
I Qty J
Total
I DescnptlOn
'Heating/c6bling appliances'l:il}
~*r~,~ ~Imp, v,j\&j,\~~ ~?i/" ~'" '" I
Ea.
,<,
Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electnc Furnace
I Duct alterations and additIons
I Gas heater Units/ m-wall, m-
duct. suspended, etc/
I Vent, flue, Imer for above
I AIr CondItIOner
I Heat Pump
I Air Handler
1,9th,~rlU~,I, b,JrDlIlg appliances,
I Water heater
I Gas fireplace/mserUstove
I Gas log/log hghter
" v I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kIln
Wood/pellet stove/msert
Wood fireplace
I Chlmney/hnerlflue/vent w/o
apphance
I,~R0~lif6~~nJ~I, exh'a.,!s~.~~ ;v~~tJ~tlon
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOIlet compartments, utIlity
rooms)
I Attic/crawlspace fans
I'Fue!}~iI?ing/
I upto first 4 outlets( enter Qty= I)
I each addItional outlet
,'::cOo/~~~\fM'ECHANICALlYPERMIT'FEES'1 ."
II 1."'.<~" << '" ( ~)o''' " II" [
Subtotal $28 00
Mmlmum fee used mstead of Subtotal $5000
State Surcharge (12% ofpenmt fee) 1 $600
CIty Of Spnngfield fees *1 $27 50
TOTAL PERMIT FEE I $83 50
10% Local Admm Fee, 5% Local Technology Fee,
$1400
$1400
$1400
$1400
1'\' .,
I
I
I
I
I
* City Of Spnngfield
$10 Issuance Fee
ThiS AuthOrization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00697
COM2008-00697
COM2008-00697
COM2008-00697
COM2008-00697
COM2008-00697
COM2008-00697
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000678
Date: 05/16/2008
Description
Furnace - up to 100,000 btu
Heat Pump
MInimum/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 OnlIne
LS INC
Payment Total:
Page 1 of I
8:51 :52AM
Amount Due
1400
1400
2200
2000
250
6.00
500
$83.50
Amount Paid
$83 50
$83.50
5/16/2008