HomeMy WebLinkAboutPermit Mechanical 2008-7-7
Sta tus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00992
ISSUED: 07/07/2008
APPLIED: 07/07/2008
EXPIRES' 01/07/2009
VALUE'
225 FIfth Street, Sp.mgtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 979 NANCY AVE
ASSESSOR'S PARCEL NO 1703272206900
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ResIdentIal
PROJECT DESCRIPTION Gas furnace mstallatlOn
Owner
Address
LEP APE WILLIAM E & E M
979 NANCY AVE
SPRINGFIELD OR 97477
Phone Number 541-7470116
I CONTRACTOR INFORMATION ,
Contractor Type
Mechamcal
Contractor
MARSHALLS INC
LIcense
25790
BUILDING INFORMATION I
EXPIratIOn Date
12/23/2009
Phone
541-747-7445
# ofUmts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary CoustructlOn Type
# of Bedrooms
# of StorIes
HeIght 01 Structure
Type of Heat
Water Type
Rauge Type
Energy Path
SprInkled BUlldmg
Lot SIze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
uta
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
SIde I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbdck,
Overlay Dlst Total
# Street Trees Rqd HandIcapped
Paved DrIvJi1'W:'Nr Compact
% of Lot fiJlltJN'Fie!ON Oregon law r
:~~~:~~~~9~~.~te~~ ~~:7e e6~:~~!~.~ ,~~
I PUBLIC IMP~'iEi\<mNfs. 0010 throug~~Aale settorth
cauin th' ,~btalo "nn.r. R 952-001_
n 9 e center ~ldewalR lf~jl<:: rules b
umber for the 0 (Note the tel"nh Y
C refDowuspoutsffiramSJe
enter IS 1-800-332 " "'Oimcatlon
-2344)
NanCE'
""UIC". .
Street Impro,ve'1leJlft S
A11T}jn ~ .~,' HAll EXP
Stor,.~e,,;e,::!varJ@l!s,JDER J IRE IF THE WOR
SpeCial I~S;"ucti.!l1!D OR I hIS PERMIT IS K
ANY 180 DAY P S ABANDONED NOT
Notes ERIOD FOR
I ValuatIon DescnntI?n I
Descnptlon
Type of Construction
$ Per Sq Ft
or multIplIer
Square Footage
or Bid Amount
Value
Date Cakulated
Page I of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00992
ISSUED. 07/07/2008
APPLIED. 07/07/2008
EXPIRES. 01107/2009
VALUE'
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees P:ml I
Fee DescrIptIOn
-MechaUlcallssuance Fee-
+ 10% Admmlstraove Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fnrnace - up to 100,000 htu
Mmlmum/AdJustment MechaDlcal
Amouut Paid
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$14 00
$36 00
717108
717108
717108
717108
717108
717108
3200800000000000463
3200800000000000463
3200800000000000463
3200800000000000463
3200800000000000463
3200800000000000463
Total Amonnt PaId
$83 50
I Plan ReVIews I
To Request an mspection call the 24 hour recordmg at 726-3769. All inspections requested before 7:00
a m will be made the same working day, mspectlOns requested after 7 00 a.m. will be made the tollowing
work day
I, RelllJlrerllnsn~cho,ns I
Rough MechaUlca1 PrIor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certIfy that all
mlormatIon hereon IS true and correct, aod llurther celtIly that any and all work performed shall be done m accordance With
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work deSCrIbed herem, and
that NO OCCUPANCY will be made 01 any structnre WIthout permlsslOu 01 the CommuUlty ServIces DIVlSIOU, BUlldmg Safety
I further certIfy that only contractors and employees who are m complIance WIth ORS 701 005 will be used ou thiS project
I further agree to ensure that all reqUIred mspectIous 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 remam on the site at all
times dunng constructIon
Owuer or Contractors SIgnature
Dale
Page 2 of2
CIty of Sprmgfield
MechaDIcal AuthorizatIOn To Begm Work
E-maIled To cevm@marshallslDc com
ReceIpt # EC533332
7/7/2008 7 50 56 AM
l~
Check on status of permit
By Phone (541)726-3753 or EmaIl permltcenter@clsprIngfieldorus
TYPE OF WORK
I SubdlVIMon
IT.n m lp/parcel no 1703272206900
I DESCRiPTION OF WORK
IN~TALLAnON OF A GAS FURNACE
I Lot no
I DescriptIOn
I Ut.d.tmitco~,hng~upph.tncc!l
I Furnace up!O 100,000 BTU
I Fumm,e - above 100,000 BTU
I Flectnc Furnace
Duct alteratIons and addlllOns
. Gas heater umts/ In wall, m~
duct suspended clel
I Vent Ouc, I mer for above
I Air CondltlOntX
Il-leat Pump
I Air Hdndkr
I Other fuel bummg !!Pph!!I~e.s~~,,~ ^
r Waterhea1cr
I Gas fireplace/lllsertlstove
I Gas log! log hghter
I Gas clothes dryer
I Gas slovelrange
I Pool or spa healer kIln
I Wood/pellet ~tove/msert
I Wood fireplace
I ChlmneyllmerlflueJvcnt w/o
applumtc
I Envlronmt.ntal exh~du!.t~AND ventllahon
I Range hood
I Clothes dryer exhaust
I Smgle-ducl exhaust (bathrooms,
tOilet compartments utlhty
rooms)
I Attic/crawlspace fans
j hel plpmg
I upto flrst 4 outlets(enter Qtyo;=l)
I each additIOnal outlet
II
II
[I
I
I
I
... City Of Spnngfield fees
Fee $10 Issuance Fee
FEE SCHEDULE
Qty
E. Total
$14001 $14001
I I
I
I
I
I
I
I
I
I
I
I D Ncw construction
IX] Addltlon/dlterdl1onlreplacement
" CAJEGORY OF CONSTRUCTION:;"
I [K] 1 or 2 family dwellmg D Multi family D Accessory BUlldmg
I 'JOB SITE INFORMATION AND L()CAJION
IJOb no IJob address 979 NANCY AVE
I Clty/Statl/ZIP SPRINGFIELD OR 97477-1962
I SUltt.lbldg /Jpt no
I Project name LCPAPC
Cros!. street/directIOns to Job site
I"
I Name WILLIAM LEPAPE
[Phon' (54])747-0116
jE:mall
SITE CONTACT
[ Fd'
CONTRACTOR
IcCS he no 2)790
ISusmess Name MARSHALL') INC
I ConflIct Cevm WhIte
IAddress 411 0 OLYMPIC 51
IClty/Mate/.lIP SPRINGFIELD OR 974785620
IPhone (541)7477445 1'"' (54])741082]
I Emall cevm@marshallsmc com
I Metro he no I City he no CCB 25790
MECHANICAL PERMIT FEES
Upon review and approval by your local JUriSdiction, your
permit Will be e-malled or faxed wlthm one busmess day,
With mstructlons on how to schedule your mspectlon
Subtotal $1400
Mmlmum fee used mslead of Subtotal $5000
State Sun.-hdIge (12% ofpennlt feL) $600 I
CIty OfSpnngficld fLCS'" $2750 I
TOTAL PERMIT FEE I $83 50 I
10% Local Admm Fee 5% Local Technology
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtained
COM ~ ClO a --- (') 0<10 d---
RCPT# 3;)(JVY-~..:?
DATE PROCESSED 7- 7- () Y
PROCES~:r
ThiS AuthOrization To Begin Work must be posted at the Job s/e until r~r~ced by a Perm;t
The local bUlldmg department may detennme that an
Authoflzatlon To Begin Work IS null and VOid If It does not
meet applrcable land use laws and local ordinances
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
;~
IlL-
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00992
COM2008-00992
COM2008-00992
COM2008-00992
COM2008-00992
COM2008-00992
Payments
Type of Payment
ONLINE CHGS
LRecelOtl
RECEIPT #:
3200800000000000463
Date' 07/07/2008
DescnptlOn
-MechanIcal Issuance Fee-
MInImum/AdJustment MechanIcal
Furnace - up to 100,000 btu
+ 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
NJM
ONLINE MARSHAL OnlIne
LS
Payment Total
Page 1 of 1
8 SI ISAM
Amount Due
2000
3600
1400
250
600
500
$83 50
Amount Paid
$83 50
$83 5U
7/7/2008