HomeMy WebLinkAboutPermit Mechanical 2008-7-16
Status
Issued
CITY OF SPRlNliJ<1ELD .
Building/Combination Permit
PERMIT NO: COM2008-01066
ISSUED: 07/16/2008
APPLIED 07/16/2008
EXPIRES: 01/16/2009
VALUE'
225 Fifth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIon Lme
SITE ADDRESS 1791 S 58TH ST
ASSESSOR'S PARCEL NO 1802033208400
SPRlNGFIETYPE OF WORK Heatmg System
TYPE OF USE
AlteratIon
ResIdentIal
PROJECT DESCRlPTION Install AIC umt
Owner
Address
LUNA CATERINA I
1791 S 58TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Tvpe
Mechamcal
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
ExpiratIOn Date
12/2312009
Phone
541-747-7445
# of Umts
Pnmary Occupancy Group
Secondary Occupdncy Group
Pnmary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprmkled BuIldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Gardge/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Front yard Sethack
S,de I Setback
SIde 2 Setbdck
Rea. yard Setback
Solar Setbdcks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
REQUIRED PARKING
Total
Handlcdpped
Compact
IPUBLIC IMPROVE]"'''j' ,,, I
Street Improvements
Sidewalk Type
Storm Sewer Available DownspoutslDrams
SpeCIaIInA'ff@NlbN Oregon law requires you to
Notes follow rules adopted by the Oregon Utility
Notification Center Those rules are set forth
Ir~ r'\ ^ ~ ('r:~ "1~ !H'l.~" ..I-......;,Jh f"I^C (\!::I) ,:v'\~ ~lnTI~I:.
0090 You may obtam caples of thE! r.J.I)e~ DY" I t11~ IIERMIT SHALL EXPIRE IF THE WORK
callmg the center (Note the tel~11l.atIon Descnut~~RIZED UNDER THIS PERMIT IS NOT
number for thre Oregon UtllitY3~~tl~cl:~O~q Ft slj'JU~~libSlijiD OR IS ARANDONED FnR
DescnptlOn Of\lt!e oIfSd<l~~~;llif );'r multIpher ol\Bill Kn!olNtf PERIOD 'Value lJate Calcnlated
Page I of2
Status
Iss u ed
CITY OF ~rK11'1\J1'1ELD'
Building/Combination Permit
PERMIT NO, COM2008-01066
ISSUED. 07/16/2008
APPLIED: 07/16/2008
EXPIRES 01/16/2009
VALUE,
225 fIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
Total Valne of Project
Fees ,P~id .1
Fee DescriptIOn
-Mechamcal Issuance Fee-
+ 10% AdmlmstratlVe Fee
+ 12% Stdte Surcharge
+ 5% Technology Fee
BOIler/Comp Up To 100,000 btu
MlDlmum/Adjustment Mechamcal
Amount Pa,d
Date Pa,d
Receipt Number
$20 00
$500
$600
$250
$1400
$36 00
7/16/08
7/16/08
7/16/08
7/16/08
7/16/08
7'16/08
2200800000000001090
2200800000000001090
2200800000000001090
2200800000000001090
2200800000000001090
2200800000000001090
Total Amount Paid
$83 50
Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769 All inspections requested before 7:00
a 10 will be made the same working day, mspechons requested after 700 a,m, will be made the followmg
work day
LReoUlred II'lslll~chono .
lir,u'llliiliiiiriililil
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When all mechamcal work IS complete
By sIgnature, I stdte aud agree, that I have carefully exammed the completed apphcdtlOn and do hereby cerllfy that all
mformalIon hereou IS true and correct, and I further cerlIty that any and all work performed shall be done m accordance with
the Ordmances of the CIty 01 Sprmgfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
that NO OCCUPANCY wIll be made of any structure without pel m.sslOn of the Commumty ServIces DlVlslOn, Buddmg Safety
I lurther cerlIfy that only contractors and employees who al em comphance wIth ORS 701 005 w,ll be used on th,s 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 property, and the appl oved set of plans Will remam on the sIte at all
times dunng constructIOn
Owner or Contractors SIgnature
Date
Page 2 01 2
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Toldl I
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$14001
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+ I
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Sobtotal $1400 I
MlnllnUm fl.!. used In::,tedd of Subtotdl $5000 I
State Surchargr. (12% ofpcrmlt fee) $600 J
City Of Spnngfield fees * $27 50 I
TOTAL PERMIT FrE $83 50 I
10% r Dcal Admm Fee 5 '-6 LOCdl Technology
CIty of Sprmgfield
.
MechaDlcal AuthorizatIOn To Begm Work
E-malled To jamce@marshallsmc com
ReceIpt # EC534079
7/16/200891623AM
~
Check on status of permIt
By Phone (541)726-3753 or EmaIl permltccnter@clsprIngfield orus
TYPE OF WORK
II
I I DescriptIOn
r lIeatlng/coollng apphaDce~
II Fornace- op to 100,000 BTU
II FUfIldl.C - above 100,000 BTU
7'/ J Electnc Furnace
I I Duct alteratIOns and additions
Gas heater umts/ lfl-\\all In-
I dud. susoended ete!
I Vent, flue lmer for above
I I Air ConditIOner
! Heat Pump
I Alrllandler
I Other fuel burnmg apph.U1ces
I Walerheater
I Gas fireplal.c/msertlstove
) Gas log/log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or Spd heater kiln
I Wood/pellet stove/msert
J Wood fireplace
I Chlmney/lmer/flue/vent w/o
appliance
I Environmental exhaust AND venhlatlOn ~'
I Range hood
I Clothes dryer exhaust
I ~mglL dw..l exhaust (bathrooms,
tOllct compartments, utility
rooms)
I Attlc/crawlspdce fans
I ~UFtp'lplDg
I upto first 4 outlets(entcr Qty=l)
I ) each dddltJonal outlet
I I . : MECHANICAL PERMIT FEES
II
I:
I
I
;. CIty OfSpflllgfield fees
Fee $10 Issuance Fee
$1400
FEE SCHEDULE
Qty
I D NLW constructIOn
lliJ Addition/alteration/replacement
lea
CATEGORY OF CONSTRUCTION
I [K] 1 or 2 family d\\elhng
o Mullt-famlly
o Accessory BUlldmg
J06- SITE INFORMATION AND LOCiT/ON
IJobno IJobaddress 1791 S58THST
IOty/State/.llP SPRINGFIELD, OR 97478
I SlIlte/bldg /apt no
I ProJect name LUlld
Cross !ltreeUdlrectlOns to Job site
Bob Straub Parlrnay to DdlSY to 58th
I SubdivIsion
11'lX map/parcel no
I
I Lot no
1802033208400
DESCRIPTION OF. WORK
Install AC Ulllt
SITE CONTACT
Name Catrmd Luna
Phone (503)709 3381
Emall
IFax
-CONTRACTOR ,
CCB he no 25790
I Busmel>s Name MARS HALLS INC
I COllt,H:t Janice Fiord
Add'e" 4110 OLYMPIC ST
C1ty/StatelZIP SPRINGfIELD OR 974785620
Phone (541)7477445 IFax (541)7410821
Em.HI 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-maJled or faxed within one business day,
with Instructions on how to schedule your inspection
NOTE ThiS Authorization To Begm Work expires within 180
days If a permit IS not obtamed
The local bUilding department may determine that an
Authorization To 8egm Work IS null and vOid If It does not
meet applicable land use laws and local ordmances
ThiS Authorization To Begin Work must be posted at the Job site until replaced by a Permit
225 Flfth,Street
Sprmgfield, Oregon 97477
541-'726-3759 Phone
~.PRII~O.':'_
:1 i...
c lit
-.:: .
. .
-~ ~ ~
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 I 066
COM200S-0 1 066
COM200S-0 I 066
COM200S-0] 066
COM200S-0] 066
COM200S-0] 066
Payments
Type of Payment
ONLiNE CHGS
r.,Recellltl
RECEIPT #:
2200800000000001090
Date: 07/16/2008
De~cnptlOn
BOller/Comp Up To 100,000 btu
Mmlmum/ Adjustment Mechamcal
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlStratlve Fee
Paid By
ONLiNE PERMIT CHGS
Item Total
Check Number AuthonZdtlon
Retelved By Batch Number Number How Received
ddk
ONLiNE MARSHAL Onhne
LS INC
Payment Total
Page] of]
9 41 26AM
Amount Due
]400
3600
2000
250
600
500
$83 5U
Amount Paid
$S3 50
$83 50
7/16/200S