HomeMy WebLinkAboutPermit Mechanical 2007-12-24 (2)City of Springfield
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Upon review and approval by your local jurisdiction, your
permit will be e-mailed 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.
Mechanical Authorization To Begin Work
E-mailed To: cevin@marshallsinc,com
Check on status of permit
By Phone ; (541)7 26-37 53 or Em ail : permitcenter@ci.sprin gfi eld.or.us
Receipt # 8C522932
1212412007 7:02:58 AM
* City OfSpringfield l0o/o Local Admin Fee; 5% Local Technology Fee;
$l 0 Issuance Fee
l-l New constn-rction f, eddition/alteratior/replacement
]ONSTRUCTION
I or 2 family dwelling E uutti-famity Accessory Building
Job no.:Jobaddress: 381 9THST
City/State/ZlP: SPRINGFIELD, OR 91 477 -41 52
Suite/bldg./apt.no.:
PToJect name: CHANDLER
Cross street/directions to job site:
Lot no.:Subdivision:
Tax map/parcel no.: 1703351310800
DIN TALL GAS FIREPLACE (NG
Name: CHRIS CHANDLER
Fax:Phone: (541) 7264082
Email
CCB lic. no,i 25790
Business Name: MARSHALLS INC
Conlact: Cevin White
Address: 4ll0 OLYMPIC ST
City/State/ZIP: SPRINGFIELD, OR 974785620
Phorct (541)7477445 Fax: (541)7410821
Email: cevin@marshallsinc.com
Metro lic. no,City lic, no.: CCB 25790
Description Ea.Total
Fumace- up to 100,000 BTU
Furnace - above I 00,000 BTU
Electric Fumace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct. susDended. etc/
Vent, flue, lrner for above
Air Conditioner
Heat Pump
Air Handler
Water heater
s15.00Gas fi replace/insert/stove I sls 00
Gas log/ log lighter
Gas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
Wood fireplace
Chimney/liner/fl ue/vent ilo
applrance
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
upto first 4 outlets(enter Qty=l)
Attic/crawlspace fans
$s.00 $5 00
each additional outlet
S ubtotal $20.00
$s0 00Minimum fee used instead of Subtotal
$4.00State Surcharge (8% ofpermit fee)
City Of Springfield fees *$27 s0
TOTAL PERMIT FEE $81.50
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
TYPE OF WORK
JOB SITE INFORMATION AND LOCATION
DESCRIPTION OF WORK
SITE CONTACT
CONTRACTOR
FEE SCHEDULE
Qty.
Heating/cooling appliances
Other fuel burning appliances
Environmental exhaust AND ventilation
t'ucl piping
I
MECHANICAL PERMIT FEES
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cit'' -t Springfield Official Receipt
De, .opment Services Department
Public Works Department
RECEIPT#: 2200700000000001899 Date: 1212412007 t2zt4:26PM
Job/Journal Number
coM2007-0 r 919
coM2007-01919
coM2007-01919
coM2007-01919
coM2007-01919
coM2007-01919
coM2007-01919
Description
Gas Outlets l-4
Fireplace (Listed)
-Mechanical Issuance Fee-
M in imum/Adj ustment Mechanical
+ 5%o Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
5.00
17.00
20.00
28.00
2.s0
4.00
5.00
Item Total:$81.50
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE marshall's
inc
Online
Payment Total:
$81.s0
$81.s0
cReoeint I Page I of I 1212412007