HomeMy WebLinkAboutPermit Mechanical 2008-7-15
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01057
ISSUED' 07/15/2008
APPLIED' 07/15/2008
EXPIRES' 01115/2009
VALUE:
225 F,fth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspectlOn Lme
SITE ADDRESS 3900 OREGON AVE
ASSESSOR'S PARCEL NO 1702314104200
Spnngfield TYPE OF WORK Heatmg System
TYPE OF USE AlteratIOn
ResIdentIal
PROJECT DESCRIPTION Gas furnace WIth AIC
Owner ROSS MANDRELL L & P L
Address 3900 OREGON ST
SPRINGFIELD OR 97477
I CONTRACTOR ~NFO~ATION I
Contractor Type
MechdUlcal
Contractor
MARSHALLS INC
LIcense
25790
BUILDING INFORMA,TION I
ExpIratIon Date
12/23/2009
Phone
541-747-7445
# of UUltS
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled Bmldmg
Lot S,ze
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT I~FORMATION I
Front yard Setback
SIde 1 Setback
SIde 2 Setbdck
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd,
P dved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compdct
IPUBLIC IMPROVEMENTS I
Street Improvements
SIdewalk Type
Downspouts/Drams
Storm Sewer AvaIlable
SpeCIal InstructIon
ATTENTION Oregon law rer" c' ,~, .~
Notes follow rules adopted by the
Notfflcatlon Center Those rl" - '_'
J.. :.\:-:;:: ::~ ,:,,:,~,:,~I..~- ~
NOTICE:
I: . . IfllS PERMIT SHALL EXPIRE IF THE WORK
f ValuatIon Descr~ptJO'J' 'ITHORIZED UNDER THIS PERMIT IS NOT
'j '$ Pe~ Sq Ft Squar~~MM~CED OR IS ABANDONED FOR
or multIplIer or But'\A1;bo"Um OAY PERI~tlue Date Calculated
, -
0090 You may obtain caple' "
calling the center (Note , .
number for the Oregon Ul1
DescnptlOn ClIlt\)lf (\$ d:.Jlig&Jctloli..
Page 1 01 2
Status
Issued
CITY OF ;'S.t'Kll"GFIELD '
Building/Combination Permit
PERMIT NO' COM2008-01057
ISSUED. 07/15/2008
APPLIED. 07/15/2008
EXPIRES 01115/2009
VALUE.
225 FIlth Street, Sprmglield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fe~s !'ald ,.
Fee DescnptlOn
-MechaDlcallssuance Fee-
+ 100/0 AdmlOlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
BOIler/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
MlOlmum/AdJustment MechaDlcal
Amount PaId
Date P dId
Re<elpt Number
$20 00
$500
$600
$250
$1400
$1400
$22 00
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
7/15/08
2200800000000001079
2200800000000001079
2200800000000001079
2200800000000001079
2200800000000001079
2200800000000001079
2200800000000001079
Total Amount PaId
$83 50
I Plan ReVIews I
To Request an inspectIOn call the 24 hour recording at 726-3769. All inspectIOns requested before 7:00
a.m. will be made the same working day, inspectIOns requested after 7 00 a.m WIll be made the follOWing
work day.
I ReoUlred T ~~')~~ti~~s I
Rough MechaDlcal PrIor to Cover
Rough Gas After hne IS IOstalled and required testmg and capped It not attached to an apphance
Fmal Mechamcdl When all mechanIcal work IS complete
By SIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby certify that all
mfOl matlon hereon IS true and correct, and 1 further certify that any and all work performed shall be done 10 accordance WIth
the Ordmances of the CIty of Sprmglield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structnre wlthont permISSIon of the CommuDlty ServIces DIVISIOn, Blllldmg Safety
I further certify that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used 011 thIS project
I further agree to ellsure that all requlI ed 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 plans wIll remam on the SIte at all
hmes durmg constructIon
Owner or Contractors Signature
Date
Pace 2 of2
CIty of Sprmgfield
Mechamcal AuthorIzatIOn To Begm Work
E-maIled To Jamce@marshaJlsmc com
Check on status of perm ,t
By Phone (541)726-3753 or EmaIl permltcenter@clspnngfield orus
TYPE OF WORK
I D Ne\\ constructIOn
[K] AdditIon/alteratIOn/replacement
CATEGORY OF CONSTRUCTION
[2J 1 or 2 fdmlly d\\dhng
D Muhl~fanll]Y
D Accessory BUIldmg
JOB SITE INFO~MAT'ON AND LOCATION~"'",,"",,::;:~h"~"~ '
Job no IJob dddress 3900 OREGON AVe
Co'j/Sta'eIZIP SPRINGFlnD, OR 97478-6462
SUlte/bldg lapt no
Project name Ross
Cross strelt/dlrechons to Job sIte
Mam to south 40th to Oregon st
Subdl\"ISlon
ILot no
rax map/parcel no 1702314104200
DESCRIPTION OF WORK
INSTALL GAS IURNACE WITHAC
SITE CONTACT
Ndme PAT ROSS
Phone (541)746-3797
IFax
I:<.mJII
CONTRACTOR"
CCB lie no 25790
Busmess Name MARS HALLS INC
Contact Jamce Hora
Address 41100LYMPICST
Clt)/Statc/L.IP SPRINGnr::LD, OR 974785620
Phone (541)7477445 I fax (541)7410821
"~mall JaJllce@marshallsmc com
Metro he no
I City lie no CCB 25790
Upon review and approval by your local JUriSdictIon, your
permit Will be e-marled or faxed wlthm 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 obtarned
The local bUlldrng department may determine that an
AuthOrization To Begin Work IS null and vord If It does not
meet applicable land use laws and local ordrnances
ReceIpt # Y:C534004
7/1512008 II 52 02 AM
FEE SCHEDULE
Qty
!DlscnptlOn
I Hlatlllglco~lIng app~ance..
I Furndr..r..- up 10 100000 B ru
I Furnace ~ above 100000 BTU
I Eler..lnr.. Furnace
I Dua alteratlons and additions
I Gas heater umts/ m-wall 10-
duct suspended etc/
I Vent, flue, Imer for above
I Air ConditIOner
I Heat Pump
I Air Handler
I Other fuel burnlOg JppltJIIces
I W<lKrht.ater
I Gas fireplacehnsertlstove
I Gas log! log lighter
I Ga~ clothes dryer
I Gas stove/range
I Pool or spa healer, kiln
I Wood/pellet slovehnsert
I Wood fireplace
I Chlmney/lmer/flue/vent wlo
aoollance
I EnVlronmentalnhau!lt AND ,entJlatlOn
I Range hood
I Clothes dryer exhaust
I Smgle duct exhdust (bathrooms,
tOIlet compartments, utility
rooms)
I Attlc/crdwlspace fans
Ea
I
Total I
I
$14001
I
I
I
I
I
$1400
I
I
$14001
I
$1400
I
I
I
I
I
I
I
Subtotdl $28 00 I
Minimum tee used lllstead of Subtotal $5000 I
State l)urcharge (12% ofpemut fee) $600 I
City OfSprmgficld fcell .. I $2750 !
TOTAL PERMII FloE I $8350 I
10% Locd\ Admm Ft.c, 5% Local Technology
I upto first 4 outlets( enter Qty:: I)
I cd<.h addJlJOnal outlet
I :'::;~"MECHANICAL~PERMIT FEES
i
I
I
l
.. CIty Of Spnngfield fees
Fce $10 Issuance Fee
ThiS AuthOrization To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Spl'mgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OfficIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-0 I 057
COM2008-0 I 057
COM2008-01057
COM2008-0 I 057
COM2008-0 I 057
COM2008-0 I 057
COM2008-0 1057
Payments
Type of Payment
ONLINE CHGS
LRecemtl
RECEIPT #"
2200800000000001079
Date: 07/15/2008
Descnptlon
BOller/Comp Up To 100,000 btu
Furnace - up to 100,000 btu
Mmlmum/AdJustment Mechamcal
-MechaOlcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstratIve Fee
P.,d By
ONLINE PERMIT CHGS
Item Total
Check Number AuthoruatlOn
Received By Batch Number Number How Received
DDK
ONLINE MARSHAL Onlme
LSINC
Payment Total
Page 1 of 1
12 13 OIPM
Amount Due
1400
1400
22 00
2000
2 SO
600
500
$83 50
Amount Paid
$83 50
$83 50
711 5/2008