HomeMy WebLinkAboutPermit Mechanical 2008-7-14
Status
Issued
CITY OF ~rK1J"'hHELD
Building/Combination Permit
PERMIT NO: COM2008-01044
ISSUED, 07/14/2008
APPLIED, 07/14/2008
EXPIRES' 01/14/2009
VALUE:
225 FIlth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
SITE ADDRESS 810 S 69TH ST
ASSESSOR'S PARCEL NO 1802022310800
Spnngfield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ReSldeDtlal
PROJECT DESCRIPTION
Owner FREEMAN MARK E & MARCIE ANNE
Address PO BOX 33
SPRINGFIELD OR 97477
Phone Number 541-521-1582
I. CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
MARS HALLS INC
License
25790
BUILDING INFORMATION I
ExpIratIOn Date
12123/2009
Phone
541-747-7445
# of Umts
Pnmary Occupancy Group
Secondary OccupaDcy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
D/a
I DEVELOPMENTINFORMATlON I
REQUIRED PARKING
Frontyard Setback
SIde 1 Setback
SIde 2 Setback
Rcaryard Setback
Solar Setbacks
Overlay Dlst Total
# Street Trees Rqd HandIcapped
Paved Dnvc Rqd Compact
% of Lot cAfffiEig.rION Ore<lon law req~lres l'oU to
follow rules adulJted by It,e Oregon Utility
"Inhf,....~h,.,..... f""^....j......~ Tl-_:: "_':.: -.:. ~~.... f......",
I PUBLIC IMPRI()'\lEME1*TSt1-001 0 through OAR 952-001-
:_-! 1 V", ...,~ obt?,Ir:120RWSrof the rules by
calling the center"I\'N~t\J t~m'€.1ephone
number for the Oroown_~~ljjhlatlon
Center IS 1-800-332-2344).
Street Improvements
StOl m Sewer AvaIlable
SpeCIal InstructIOn
Notes 'Ir~~I~:~M\T SU~~~~ Ef~~q~~~~~TEI~~~~
',IITHORIZED ~_ .~~ ~')D
COMMENCED OK Ib /-I . ,~- .'-
ANY 180 DAY PERIOD Valuation DescnotlOn I
DescriptIOn
Type of ConstructIOn
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
Sta tus
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01044
ISSUED: 07/14/2008
APPLIED' 07/14/2008
EXPIRES 01/14/2009
VALUE
225 Fifth Street, Spnngfield, OR
541-726-3753 PhODe
541-726-3676 Fax
541-726-3769 InspectIOn Lme
TOtdl Value of Project
" Fees P~"II
Fee DescnptlOD
-Mechamcal Issuance Fee-
+ 10% AdmmlStratIve Fee
+ 12% State Surcharge
+ 5% Techuology Fee
Fn eplace (LIsted)
Gas Outlets 1-4
Mlmmum/AdJustment Mechamcal
Amount PaId Date PaId ReceIpt Number
$20 00 7/14/08 3200800000000000490
$500 7/14/08 3200800000000000490
$600 7/14/08 3200800000000000490
$250 7/14/08 3200800000000000490
$1700 7/14/08 3200800000000000490
$500 7/14/08 3200800000000000490
$28 00 7/14/08 3200800000000000490
Total Amount PaId
$83 50
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All mspectlOns requested before 7.00
a,m, will be made the same workmg day, inspectIOns requested after 7'00 a,m, will be made the followmg
work day
I Re'j',Jlred r nsnechons I
Rough Gas After hne IS mstalled and reqUIred testmg and capped If not attached to an apphance
Rough MechanIcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I state and agree, that I have carelully exammed the completed apphcatlOn and do hereby certify that dl1
mformatlOn hereon IS true dnd correct, and I further certIfy that any and all work performed shdll be done m accordance WIth
the Ordmances of the City of Spnngfield and the Laws 01 the State at Oregon pertdmmg to the work descnbed herem, and
that NO OCCUP ANCY wIll be made of any structure WIthout permiSSIon 01 the Commumty ServIces DIVISIOn, Buddmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 will be used 00 this project
I lurther 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 property, and the approved set of plaDs wIll remam on the sIte at all
tImes dunng constructIOn
Owner 01 Contractors SlgDature
Date
Pa2e 2 01 2
City of Sprmgfield
Mechamcal AuthoTlzahon To Begm Work
E-malled To J3mce@marshallsmc com
Receipt # EC533R36
7/11/20083 12 47 PM
~
Check on status of permit
By Phone (541)726-3753 or Emall permltcenter@clsprmgfieldorus
o Nc\\constructlOll
---"TYPE OF WOKK
~ AddItIon/alteratIOn/replacement
II
CATEGORY OF CONSTRUCTION
I DescriptIOn
Ilcatlllg;cooJJJlg ~llpplla lIees
',- - FEE SCHEDULE
Qly
Ed
Total
lliJ 1 or 2 famIly dwelllllg
o Multi family
D Accessory BUlldmg
rurnace up to 100 000 BTU
Furnace above [00000 BTU
I &ubdlVISIOR
I fIX mdp/parcel no
ILot no
ElecLflC furnace
Duct alteratIOns and addItIons
Gas heater Units! m-wall, lll-
duct susoended ctel
Vent flue lmer for above
Air ConditIOner
lIeat Pump
Air HandJer
Other fuel ~bur1L~i 1tpphan~es~"'~
Water heater
Gas fireplace/msert/stove
Ga~ log! log lighter
Gas clothes dryer
Gas stove/r doge
I
I
I
I
I
$15 00 I
I
'JOB SITE INF9RMATION:A.ND LOCATION
IJobno IJobaddrells 810 S69THST
ICJtv/State/7IP SPRINGrII:LD OR 97478.7377
I SUlte/bldg /apt no
PI"OJect namL freeman
Cross lltrut/dlrLchonll to Job site
Mam to South 69th
1802022310800
DESCRIPTION OF WORK
Gas pipe to t\\O BBQ stubs and one Fireplace Install Gas hreplaLe
$1500
I Name Mdrk Frelmdn
IPhone (541)521-1582
I Em,nl
I
ll<llX
Pool or spa heater, kiln
Wood/pellet stove/msert
Wood fireplace
Chlmney/lmer/flue/vent w/o
apollance
lnvll'Oiimcntal exh<lullt AND ventilatIOR+:_
SITE CONTACT
I CCB he no 25790
I Busmess N Imc MAR~HALLS INC
I Contact Jdlllee flora
IAddres!o 4110 OLYMPIC ST
I Clly/StateJZIP SPRINGFIELD, OR 974785620
IPhone (541)7477445 l}<ax
lmarl Janlce@marshallsmecom
I Metro he no
(541)7410821
I
I
I
I
I
I Fuel plpmg
I upto first 4 outlets( enter Qty= I)
II each additIOnal outlet
I I:.~:.
II '
II
I
I
L
... City Ot Sprmgfteld fees
Fee $10 Issuance Fee
Range hood
Clothes dryer exhaust
~ mgle duct exhaust (bathrooms,
tolllt compartments, utllltv
rooms)
AtlIc/crawlspacefans
I
I
$5001
I
':J "MECHt\f':I!PAL p'~R.1VI1! J:EES ]
Subtotal $2000 I
MmllTIUm fee used lIlstead of Subtotal $5000 \
~tate Surcharge (12% of permIt fee) $600 I
CIty OfSpnngfield fees'" $2750
TO IAL Pl.RMIl H'" $83 50 I
10% Local Admm Fee, 5% Local Technology
11
$5001
~CONTFlACTOR
I City he no CCB 25790
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bUSiness day,
With mstructlons on how to schedule your inspection
NOTE ThiS AuthOrization To Begin Work expires Within 180
days If a permit IS not obtained
DATE PROCES~"m.
PROCESS~ D 1: 1 () .JJ>1
/ V ------ ~
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
? rT"YJ g--- - 0 \ () 4- '-f
COM' v-
RCPT #, S 2- (y{) s--- ~ L-tOJ 0
7/1"i~Or
The local bUilding department may determme that an
AuthOrization To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordinances
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
......RINjlF!....~
J 1
j-A~ "It '
~. :
~ ~
City of Sprmgfield Offic131 Receipt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-0 I 044
COM2008-0 I 044
COM2008-0 I 044
COM2008-0 I 044
COM2008-0 1 044
COM2008-0 I 044
COM2008-0 I 044
Payments
Type of Payment
ONLINE CHGS
cRecclOtl
RECEIPT #,
3200800000000000490
Date, 07/14/2008
Descnptlon
Gas Outlets 1-4
Fireplace (LIsted)
-Mechanical Issuance Fee-
Mmlmum/AdJustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Admmlstratlve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
Check Number Authorization
Received By Batlh Number Number How Received
NJM
ONLINE MARSHAL Onlme
LS
PdymeDt Total
Page I of 1
74947AM
Amount Due
500
1700
2000
2800
250
600
500
$83 50
Amount Paid
$83 50
$83 50
7/14/2008