HomeMy WebLinkAboutPermit Mechanical 2008-7-1
CITY OF SPRINGFIELD
Building/Combination Permit
~t,ltu~
Issued
PERMIT NO. COM2008-00953
ISSUED. 07/01/2008
APPLIED. 07/01/2008
EXPIRES: 01/01/2009
VALUE'
225 F,fth Str eet, Sprmgfield, OR
541-726- ,753 Phone
5~ 1-726-3676 Fax
541-726- ,769 InspectIOn Lllle
SirE ADDRESS 3178 W ST
A 55ESSOR'S PARCEL NO 1702193400610
Spnngfield TYPE OF WORK Healing System
TYPE OF USE
New
Resldentldl
PRO.JEC 1 DESCRIPTION Heat Pump & AIr Handler
O\\nel BRINCEFIELD BILLY J
Addle" 3178WST
SPRINGFIELD OR 97477
Phone Number 541-726-6407
I CONTRACTOR INFORMATION I
ContJ actol Type
l\lcch.lnllJI
Contractor
MARSHALLS INC
License
25790
, BUILDING INFORMATION I
ExpIratIOn Date
12123/2009
Phone
541-747-7445
# of lJllIt...
Pllln31 y OClupancy Group
~l'cor](I,1I y O,cupancy Group
PIIIllJI' ConstructIOn Type
~{'cond~lJ '" Construction Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUIld 109
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
n/d
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total
Hdndlcapped
Compdct
FI ontY,1I d Setback Overlay Dlst
!'oHle I Sctb.lck # Street Trees Rqd
5HIc 2 Sctl,,"k Paved Dnve Rqd
Rc,lrv.lI d Setbdck % of Lot Coverage
~ol.1I Setb,lck~TTENTION Oregon law reqUires you to
1..11. . __ _--'__~_--' '- .....___ .....H____IU,.I......
.- - - - -- -, -- .-} - - -'.=.-,.::"..: ::-''';'-)
Nol:flcatlon Center Those rulei9'<llBI>K:f4JmROVEMENTS ,
~ I m OAR_952-001-001 0 through l,,-.n '",,-vv ,!
tr eet mpr o~e~sn~bu may obtam caples of the rules by
Stolm S"'CI A<V,"lallht'1e center (Note the telephone
~pl'll.11 In'tl ufllMil~er for the Oregon Utility Notification
Center IS 1-800-332-2344).
SIdewalk Type
Downspouts/Drams
Notes
I ValuatIOn DescrmtlOn I
NOTICE:
Til'/": r--
, ,lJ l.n'vJ/ I ~HALL EX
AUTHORIZED UNDER THPIRE IF THE WOR <
COMMENCED OR I IS PERMIT IS NO .
Square FootageANY 180 1:1,^)' "'ER S ABANOON1=D mR
B d A t 'via u. 100 Date C';lcul~t'l!d'
or I moun
Dcsu IptlOll
1 vpe of ConstructlOu
$ Per Sq Ft
or multiplier
Paee I 01 2
CITY OF SPRINGFIELD
Building/Combination Permit
St,ltus
Issued
PERMIT NO
ISSUED.
APPLIED.
EXPIRES
VALUE'
COM2008-00953
07/01/2008
07/01/2008
01/0 I /2009
223 Filth "tl eet, Sprmgfield, OR
5~1-726-1731 Phone
341-726-1676 Fax
541-726-1769 InspectIon Lme
Total Value of ProJect
fees PalCl I
IIIII
Fcc Dc~u IpllOn
-Mech.lIIH...t1 Issu.lOce Fee-
+ lOlXJ AdmllJlstratJve Fee
+ 12tX, ",Llfe Surcharge
+ 5(};) I cdlllo1ogy Fec
All 11.1Ildllllg Ulllt Up to 10,000
lIe.lt Pump
1\1 1I11muml AdJustment Mechalllcal
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$900
$1400
$2700
711108
711108
711108
7/1108
7/1/08
711108
711108
3200800000000000451
3200800000000000451
3200800000000000451
3200800000000000451
3200800000000000451
3200800000000000451
3200800000000000451
1 otal Amount PaId
$83 50
I Plan Reviews I
Tn Rcquc~t an IlIspectlOn call the 24 hour recordIng at 726-3769 All InspectIOns rcquested belore 7:00
,I III \\')11 bc made the same workIng day, InspectIOns requested after 7 00 a m WIll be made the folloWIng
\VOl k daY
I Re(lUJred Insnechons I
111.111111111
Rough Mechnmcal Pnor to Cover
flll.,1 Mechamcdl When all mechamc.tI work IS complete
Il\ "gnatu. e, I state dnd agree, that I have carefully exammed the completed applicatIOn and do hereby cerl1fy thdt dll
Inlol rIIdtlon hereon IS true .md correct, and I further certify .hd' any and all work performed shall be done III dccorddnce With
Ihe O"lIu.luces of the CIty ofSpnllgfield dnd the Laws 01 the State 01 Oregoll pertallllng to the work descnbed herem, and
th.11 NO OCCUPANCY WIll be made of any structure WIthout permissIon of the Commulllty Services DIVISIOn, BUlldmg Safety
11111 the. clltIfy thdt 0111) contr.lctors and employees who are m compliance WIth ORS 701 005 WIll be used 011 thIS proJect
I 1111 thcl .lgl ee to cn,ul e thdt dll reqUIred mspcctlOns arc I equested dt the pI Oller tIme, that each dddre;; IS I eddable flom the
'II crt, thJt the permIt card IS located at the front of the property, dnd the dpproved set of plans WIlli emam on the site at all
tIIncs dUlll1g constructIOn
0\\ lie. OJ Contractors Signature
Date
Paee 2 of2
CIty of Springfield
Mechalllcal Authorl73tlOlI To Beg," Work
E-m'llled fo clvm@m.1I3hallsmc com
ReceIpt # EC533111
6/3012008 3 52 10 PM
Subtotal $2300 I
MinImum fee used Instead ofSublolal $5000
Stale Surcharge (12% of perm II lee) $600
CIty Of Spnngfield fees * $2750
TO fAL PlRMIl }< l- ~ $83:::.0
10% Local Admin Fee 5% 1 OCt) Technology I ee
Check on status of permit
By Pholle (541)726-3753 or Lrnall perlllltcenter@L1spnllgfield orus
TYPE OF WORK
FEE SCHEDULE
)u~LrlpllOl1 Qt)
Heating/cooling appliances
Furnace lip to 100000 STU
Furnace l1bove 100000 BTU
IL] Nc\\col1~trll(,.1I0n
o Addlllon/alterallon/replacemellt
CATEGORY OF CONSTRUCTION
l~J I or21,111111\ d\\elllllg
o ACLeSSOl) BUilding
o Mllltl family
JOB SITE INFORMATION ANP LOCATION
lob 110 IJoh ltldre~.!l 3178 W $T
1~~\I"t lllllll' .':.PRINGllELD OR 97477 7904
!<"UIIL/hldl!./lpt no
i Proll cl II lrlll BRINCCFIELD
Elet.tnc Furnace
Duct alterations and additIOns
Gas heater unnsl m \Vdlt In
duct SusDt.l1ded ctcl
Vent flue Imer for above
AlrCondltlOner
( I ()~~ ~tlllt/dlll{'tlon~ to Job ~Ite
Hlat Pump
Air Handler
Other fuel burnmg ..pphanccs
Water heater
Gas hrcplacc/msertlstove
Gas log! log hghter
Gas clothes dryer
Gas stovtJrange
Pool or spa heater ~lln
Wood/pellet stovelinsen
Wood fireplace
Chlmney/lmerlflue/vcnt w/o
appl1ance
EnVironmental exhaust Ai"'JD ventdatlOn
ILot no
i....llhdn "1011
I
111\ llllp/p IfeLl no 1702193400610
i DESCRIPTION OF WORK
IN" lAr I AI10N OF A HfAT PUMP AND AIR HANDLER
I
I
SITE CONTACT
1'\ Hill.- 8111 ARINCErIEI D
IPhone {~'ll) 726 6407
I
I ~ 11\ 111
I( (B III no 2'>790
I BII',llll~~ J'\' IlTlL MARSHAl I "i ]NC
,-
i(ulltnt (v,Il1Whlte
Il<ax
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms
tOIlet compartments utility
rooms)
I AlIIc/crawlspacefans
I Fuel plpmg
UplO first 4 outlels(enterQty=l)
IIl.aCh addltlOnal oUllet
I I MECHANICAL PERMIT FEES
II
II
I
I
I
. City OfSpnngfield
$10 Issuance ~ec
CONTRACTOR
I\ddll~~ 4!IOOLYMPICSl
i (11,/5tall/l..ll' )PRING! ILLD OR 974785620
Il'hOlll {5ill )7'177445 f Fax (541 )74] 0821
;111111] Llvrn@llldrshallslnccom
I \!llra III.' llO
,
I ( Ity hl no CCB 25790
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bUSiness day,
With InstructIOns on how to schodule your inspection
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permIt IS not obtamed
',,,., <;;.- - OOQ53
COllA',,--,Iu v 0
RCPT # -$2.. QLl ':5- - 4 S (
DATE PROCESSED ;- I ~() 9
PRoc",{;;,.vf' '7---
ThiS AuthOrization To Begin Work must be posted at the Job site Intil rePla~ed by a
The local bUlldmg department may determmo that an
AuthOrization To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordinances
LI
$1400
$900
Permit
I
10t,.1 I
I
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I
I
I
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1
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$14001
$9001
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225 F,fth StJ cet
Springfield, Oregon 97477
541-726-3759 Phonc
City of Springfield Official Receipt
Development Scrvlces Department
PublIc Works Department
Job/Journ.11 Number
COM200S-00953
COM2008-00953
COM2008-00953
COM200S-00953
COM200S-00953
COMJOOS-00953
COM200S-00953
Pa\ mUlts
I vpe of P1ymcnt
ONLINE CHGS
LReLuntl
RECEIPT #
3200800000000000451
Date 07/01/2008
DescnptlOn
Air Handling Ulllt Up to 10,000
Heat Pump
Mllllmuml Adjustment Mechalllcal
-Mechalllcallssuance Fee-
, 5% Technologv Fee
+ 12% State Surcharge
+ 10% Admllllstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item rota I
t:heck Number Authorization
Received By Batch Number Number I-Iow Received
NJM
ONLINE MarshaUs Onlme
Payment Total
Page I of I
801 21AM
Amount Due
900
1400
2700
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
7/1/2008