HomeMy WebLinkAboutPermit Mechanical 2008-5-28
CITY OF SPRINGFIELD.
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-00748
ISSUED: OS/28/2008
APPLIED: OS/28/2008
EXPIRES: 11/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3985 OREGON AVE
ASSESSOR'S PARCEL NO.: 1702314400800
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: HIP & A/H installation
Owner: WARREN DARLENE
Address: 3985 OREGON ST
SPRINGFIELD OR 97477
Phone Number: 541-746-5636
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:
Description
NaT'C~:
THIS PERMIT SHALL EXPIIlt i~ li'~ i.'I' 'lJ'l\ .
AUTHORIZED UNDER THIS P - ",a ,ua IOn,. eSCrI
COMM,~NgM OR IS ABAI\IDOi'\lW g~~t
ANY 1lf~ [YA'tPrRl6~~n or multiplier
I PUBLIC IMPROVElNllr.JK~IJJ5>f: Oregon law requires 0 t
IUIIUVV rUles adot".J~ h th..-.~ Y u 0
NotIfIcatIon C t ~ wa'l~ 'F eegon Utility
. en er. hose ru es are set forth
In OAR 952-001-0cnQ)\f~M9~>>@)i.ft~2_001.
0090. You may obtaIn caples of the rules b
callmg the center. (Note: the telephone y
number for the. Oregon UtIlity Notification
Center IS 1-800-332-2344\.
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2008-00748
ISSUED: OS/28/2008
APPLIED: OS/28/2008
EXPIRES: 11/28/2008
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
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 5/28/08 2200800000000000769
$5.00 5/28/08 2200800000000000769
$6.00 5/28/08 2200800000000000769
$2.50 5/28/08 2200800000000000769
$9.00 5/28/08 2200800000000000769
$14.00 5/28/08 2200800000000000769
$27.00 5/28/08 2200800000000000769
Total Amount Paid
$83.50
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Reouired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevm@marshallsinc.com
Receipt # EC531039
5/28/200811:59:31 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.sprmgfield.or.us
I'
, ~'<II
D New constructIOn
[X] AdditIOn/alteration/replacement
Ilj , ~ 'II i'~>liMt'll~4< w ~ ~~ '"' >>J'I I,I~ Hi< tx III 'l<11l~IIWi'$~ " "'*06 < >> ~ ,
, ", ';"''', ',,,,'" 'A'il"'t'+;;!ir~fq~~liJ~,@ftq~y QF CONSTRUCrrJ~~lf>"ll!_f_P;' I
[K] I or 2 family dwelhng
o Multi-family
o Accessory BUlldmg
I' f ""1"~3,*II~oBWSiTE$INFORMATIOt,rAN6'i:6c~TION:Pilr4~;;;;'OM~~II 1r:$,'I{1(%lI!l"!!I3Iill
'I "~I>>1<~I, ~ 1""'I'!0illl',iit.",*,11111&w1, ,~~ {~w "f'iI~h,@"'i<jAIi1<I<mll>>'''' ~ , 'B.1:9,~01t'b14W~<$;i:"-<v t
I Job no.: I Job address: 3985 OREGON AVE I
I City/State/ZIP' SPRINGFIELD, OR 97478-6463 I
I SUlte/bldg.!apt no.' I
I Project name: BOWMAN I
Cross street/directions to Job site:
I SubdivIsIOn' I Lot no.:
I Tax map/parcel no.: ]7023]4400800
I'I
INSTALLATioN OF A HEAT PUMP AND AIR HANDLER
I
I Name: DARLINE BOWMAN
I Phone: (541) 746-5636 I Fax:
IEmall:
I
I CCB hc. no.: 25790
I Busmess Name: MARS HALLS INC
I Contact: Cevm White
IAddress. 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD, OR 974785620
IPhone (541)7477445 IFax: (541)74]0821
I Emall: cevm@marshallsmc com
I Metro hc. no.: I City hc. no.: CCB 25790
"'''''''1''1'''''1
'< ');''T'~I ~0"<1i"
I
I
I
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed within one bUSiness day,
With instructions on how to schedule your inspection
NOTE ThiS Authorization To Begin Work expires Within 180
days If a permit IS not obtained
'I II'WiII($lll" FEE ,SCHEDUL:E'fttt't'l\1,I",,$,(''&ffl,('/,', ",il! '\i'!!t"',,11 Ii I
''!?'IrH,\U<i<'Y'i1W'NI,jI,lll'il ~"~' 1 , " C*W;;;
Total I
I
I
I
I
I
I
I
I
$14001
$9001
I
I
I
I DeSCriptIOn
1 .. . < ~~~~~" '"J%-1'~1III1f1
w~elJtingl,~~tW~4iI~~J>J~~"~~~,,li*.I,,
I Furnace- up to ]00,000 BTU
I Furnace - above 100,000 BTU
I Electnc 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
I Air Handler
I' ~ ,,:; x' -91i,' l" 'lJ~'" ,q~, '"~H~Pkrltl BM ~"ilih "(, Kf "ffi <
I' Other fuel burnmg'appllllnces' hl'l, "'I'I""likIIH'
',\X'Jf\/+hi0i2'4dljr" ~hnill':C~:{%'-~~~ ~I ~r' '0 -
I Water heater
I Gas fireplace/msert/stove
I Gas log/ log hghter
I Gas clothes dryer
I Gas stovelrange
I Pool or spa heater, kiln
I Wood/pellet stove/msert
I Wood fireplace
I Chimney/I mer/flue/vent w/o
apphance
1,i,Environmentaf'ex'ba~sfANiY ventilah~'6h'\'i'l!' ;.;1'1' I 'iIl"";;;;;;"I," Ii hil!\, t
~~<..< We ~ 4'~\>>:-~ <<t.~"'JV'''' ^i~ 'v MJIJ1l'I'''II~~",,\q:~lrw~~0W'il'IMi:.~t"'IIII,1 ~II" r'" (I ~
I Range hood
I Clothes dryer exhaust
Smgle-duct exhaust (bathrooms,
tOilet compartments, utIlity
rooms)
I Attic/crawlspace fans
Ea
$1400
$900
Iii'
'" ~)I" IY ,
Ii
upto first 4 outlets(enter Qty=l)
each additIOnal outlet
'. "MECAAi,UCAL'PERMrfFEES'liI!'lIiJ!ii0t11%!'\'I,fl..
I
I
I
I
I
* City Of Spnngfield
$10 Issuance Fee
Sublotal $23 00
Mmlmum fee used mstead of Subtotal $50 00
State Surcharge (12% of permit fee) $600
City Of Spnngfield fees * $27 50
TOTAL PERMIT FEE. $83 50
10% Local Admm Fee, 5% Local Technology Fee,
COM.~f1\Jr ,(07LtO'
- ~ ~~Y: -t0q
RCPT#'~ ~IIV .
. DATE PROCESSED: 6/;;; d07 ,.
. PROCESS.>u ,;:::f;r A t ~
ThiS Authonzatlon To Begin Work must be posted at the Job ;,t~u~;,i llaced b~ ~"perT11lt
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
.~
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00748
COM2008-00748
COM2008-00748
COM2008-00748
COM2008-00748
COM2008-00748
COM2008-00748
Payments:
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000000769
Date: OS/28/2008
DescnptlOn
MlmmumJ Adjustment Mechamcal
Heat Pump
-Mechamcal Issuance Fee-
Air Handling Umt Up to 10,000
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstrahve Fee
PaId By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
ReceIved By Batch Number Number How Received
NJM
ONLINE MARSHAL Online
LS
Payment Total:
Page 1 of 1
1:39:06PM
Amount Due
2700
1400
2000
900
250
600
500
$83.50
Amount PaId
$83 50
$83.50
5/28/2008