HomeMy WebLinkAboutPermit Mechanical 2008-7-7
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00993
ISSUED: 07/07/2008
APPLIED. 07/07/2008
EXPIRES 01/07/2009
VALUE:
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 1934 I ST
ASSESSOR'S PARCEL NO 1703361202200
SprIngfield TYPE OF WORK MechaDlcal Ouly
TYPE OF USE
PROJECT DESCRIPTION InstallatIOn of gas fireplace and gas tankless water heater
New
ResidentIal
Owner BARRETT LYMAN M & JULIE
Address 1934 I ST
SPRINGFIELD OR 97477
Phone Number 541-505-7454
I CONTRACTOR INF<?RMA TlON .
Contractor Type
Mechamcal
Contractor
MARSHALLS INC
LIcense
25790
EXpIratIOn Date
12/23/2009
Phone
541-747-7445
I BUILDING INFORM.A nON I
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary CoustructlOn Type
SecondJry ConstructIOn Type
# of Bedrooms
# of StorIes Lot SIze
HeIght o[iWf'f.tw:e Sq Ft 1st Floor
Type or1ieat. Lt: Sq Ft 2nd Floor
Water Ty/l~,S PERMIT SHALL EXPIRlS<lwTIiIisWiilli'lI<
Range Typln,(1RIZED UNDER THIS ~Fffl'1qa~!ill-&1irport
Energy Path '\A~NCED OR IS ABAN~l!IK.
Sprmkled BUI~dl~g)AY PERIe'1l Occupaut Load
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
Side I Setback
Side 2 Setback
Rearyard Setback
Solar SetbJcks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
-!r\~ t/o ot Lot €overage ,...... "'"" t.,
ATTENI"" '
I a " .
tnl10w ru~. l, '1
Not ~~iliBLi<;:JMP,RO.~EMENTS I"" -
in 0 obtain cuj.J,cv .JI' _ Jlt........ t Y
0090 You may (Note the teleohC.<ISldewalk Type
calling the center N t f eolian
mber for the Oregon Utility 0 I I " uowuspoutslDrams
nu Center IS 1_800-332-2344).
Total
Haudlcapped
Compact
Street Improvements
Storm Sewer AvaIlable
SpecmllnstructlOu
Notes
I Valuation DeSCrIotIOn I
DeSCriptIOn
Tvpe of ConstructIOn
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Status
Issued
225 FIfth Street, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DescrIptIon
-Mechdmcdl Issuauce Fee-
+ 10% AdmlmstratIve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fireplace (LIsted)
Gas Outlets 1-4
MIDlmum/AdJustmeut Mechamcal
MIDlmum/AdJustment Mechamcal
Total Amount PaId
Lll ~ OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00993
ISSUED- 07/07/2008
APPLIED. 07/07/2008
EXPIRES: 01/07/2009
VALUE'
Total Value of Project
Fees Palll I
Amount PaId
Date PaId
Receipt Numbel
$20 00
$500
$600
$250
$1700
$500
$10 00
$1800
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
2200800000000001026
717108
717108
717108
717108
717108
717108
717108
717108
$83 50
I Plan RevIews ~
To Request an mspection call the 24 hour recordmg at 726-3769. All mspectIOns requested before 7:00
a.m. will be made the same workmg day, mspectIOns requested after 7:00 a.m. WIll be made the following
work day.
I Relllllred Insnechon.sl
Rough Gas After hue IS mstalled and reqUIred testmg and cdpped If not attdched to an apphauce
Rough Mechamcal PrIor to Cover
Fmal MechaDlcal When all mechamcal work IS complete
By Slguature, I statc and agl ee, that I have carefully exammed the completed apphcatlOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and I further certify that any and all work performed shall be done lD accordance with
the Ordmauces of the CIty of Sprmgfield aud the Laws of the State of Oregou pertammg to the work descrIbed herem, and
thdt NO occur ANCY will be made of any structure wIthout permISSIon of the Commumty ServIces DIVIsIOn, BUlldmg Safety
I lurther cerlIfy that only contractors and employees who are 10 comphance wIth ORS 701 005 wIll be used ou thIS project
I further agree to ensure that all reqUIred mspectlOns 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 pI operty, and the approved set of plans will remam on the sIte at all
hmes dunng constructIon
Owner or Contractors Slguature
Date
Page 2 of2
City of Sprmgfield
MechaDlcal AuthorizatIon To Begm Work
E.maded To cevm@marshallslDc com
Receipt # RC53333R
71712008831 18 AM
~
Check on status of permit
By Phone (54])726-3753 or EmaIl permltcenter@clsprmgfieldorus
I SubdiVISion I Lot no
ITax mdp/p.m.lI no 1703361202200
~~ j ,DESCRIPTION OF WORK
INSTALLATION OF A GAS FlRPLACE AND A GAS TANKLESS WAl ER
$10 001
$15001
I
I
Total I
~
I
I
I
I
I
I
I
I
I
I
$10001
$15 00 I
I
I
I
I
I
I
I
I
I
I
I
TYPE OF WORK
FEE SCHEDULE
Qly
Ea
IDNewconstructlOn
[X] AddItion/alteratIOn/replacement
IOc!lcnptlOn
! Hel!t~iiw~~I!~fgappIMnce~
furnace up to ] 00,000 BTU
C_4IEGORY Of. CONSTRYCTI61('~'C:-'~-
I [K] 1 or 2 famlly dwelhng D Mult! family 0 AccessOl)' Buddmg
~ JOB SITE INFO~MATION AND LpcJi.TION '
I Job no I Job Jddrcs.<. 1934 I 51'
IOt)/State/ZIP SPRINGfiELD OR 97477-4279
I SUlte/bldg lapl no
I Project name BARRETT
Cross strtet/dlrcctlons 10 Job 1IIIe
furnace - abovl.- 100000 BTU
Electnc Furnace
Duct altemtlOns and addItIOns
Gas hedter uons/ m-wall m~
duct. suspended. elc/
1 Vent nue, lmer for dbove
I AlrConultlOner
I Heat Pump
I AIr Handler
1~~~!l~lJilli!ng
Water heater
I Gas fireplace/msewstove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa hldkr l-.lln
I Wood/pellet stove/msert
I Wood I1rcplace
~ I Chlmney/lmer/flue/vent w/o
I applmnce
I IEnvll:()~j~len~al exhdust AND
I Range hood
I I Clothes dryer exhaust
I I Smgle duct exhall~t (bathrooms,
I tOIlet compartments utIlity
rooms)
I I Anle/crawlspace fans
I I Fuel plpmg
I I upto first 4 outlets(enter Qty=l) 11 $5 001
I I each additional outlet I
I I --:-;:; MECHANICAL PERMIT FEES
I I Subtotal $3000
I I Mlnlmum fee used Instead of Subtotal $5000
I State Surcharge (12% of penn It fee) $600
I CIty OrSpnngfield fees'" $2750
I TOIALPERMlf FH $8350
+ City OfSpnngfteld tees 10% Local Admm Fee 5/0 local Technology
Fee $10 Issuance Fee
SITE CONTACT
I Ndmt. LYMAN &. JULIE BARRETT
IPhone (541)5057454 IFdx
I Emml
i ~CONTRACTOR
! CCB he no 25790
I Busmess Name MARS HALLS INC
I Contact Cevln WhIte
IAddre!l!l 4110 OLYMPIC ST
I City/Sf Iter LIP SPRINGFIELD, OR 974785620
I Phone (541)7477445 I FlIx (54] )741 082]
I Em"'ll cevm@marshallsmccom
I Metro lie no I City IIc no ees 25790
$500
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 wlthm 180
days If a permit IS not obtained
~ Q\J,r-- OOqqs
COM.
.2::< ()O j' - If);)?
RCPT #"
DATE p~SSED 1- -; ~o Y
PROCESSED BY~/_J ~
I
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
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 Str.eet
Sprmgfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
COM2008-00993
Payments
1 ype of Payment
ONLINE CHGS
cRecemtl
RECEIPT #:
2200800000000001026
Date 07/07/2008
Description
MIDlmumlAdJustment Mechamcal
Gas Oullets 1-4
Flfeplace (Listed)
MmlmumlAdJustrnent Mechamcal
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PCRMIT CHGS
Item Total
t:heck Number AuthorizatIOn
Received By Batch Number Number How Received
NJM
ONLINE MARSHAL Online
LS
Payment Total
Page I of 1
9 17 OIAM
Amount Due
10 00
500
1700
1800
2000
250
600
500
$83 50
Amount Paid
$83 50
$83 50
71712008