HomeMy WebLinkAboutPermit Mechanical 2008-8-13
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CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2008-01212
ISSUED. 08/1312008
APPLIED: 08/13/2008
EXPIRES: 02/13/2009
VALUE:
Status
Issued
225 Fifth Street, SprlDgfield, OR
541-726-3753 Pbone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6222 THURSTON RD
ASSESSOR'S PARCEL NO 1702342100300
Springfield TYPE OF WORK Heatmg System
TYPE OF USE
AlteratIOn
ResidentIal
PROJECT DESCRIPTION InstallatIOn ot ndtural gas furndce
Owner
Address
RENNIE GORDON G & SANDRA J
6222 THURSTON RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Meehdnlcal
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
ExptratlOn Date
12/23/2009
Phone
541-747-7445
# of UOItS
Prlmdry Occupancy Group
Second.,ry Oecupdncy Group
Primary ConstructIOn Type
Seconddry ConstructIOn Type
# of Bedrooms
# of Stories
Helgbt of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled BUlldmg
Lot SlLe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
FrontYdl d Setback
S,de I Setback
SIde 2 Setb.lck
Rearyard Setback
Soldr Setbacks
Overlay Dlst
# Street Trees Rqd
Paved D"ve Rqd.
% of Lot Coverage
Total
HandIcapped
Compdct
I PUBLIC IMPROVEMENTS I
Street Improvements SIdewalk Type
Storm sewbT.Uitl'ilil\i\!'J Oregon law requires you to Downspouts/DralDs
SpeCIal Insffi~'Cl'i'oHJles adopted by the Oregon Utility
Notification Center Those rules are set forth
Notes 10 OAR 952-001-0010 through OAR 952-001-
0090 You may obtalO copies of the rules by !JOTICE:
~~::..,~ 1I,~ ~~.-.~::. ~.w-'- 'h_ '~I~rh".tlo ~: I:: :'1;::-::.lIT rlJ^~1 CVOIO\: II: TI-ll: ~RK
number for the Oregon Utility Npullcallun . I,UTHORIZED UNDER THIS PERMIT IS NOT
Center IS 1_800_332_234bNaluatlOn DeSCrtDtlOn tOMMENCED OR IS ABANDONED FOR
DeserlptlOn Type of ConstructIOn $ Per Sq Ft Square IWN!i\~O DAY p~ml~' Ddte Calculated
or multIphe, or B,d Amount
Page I of2
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO' COM2008-01212
ISSUED. 08/13/2008
APPLIED: 08/13/2008
EXPIRES: 02/13/2009
VALUE'
225 F,fth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of Project
Fees PaId I
Fee DescriptIOn
-Mechdnlcdl Issudnce Fee-
+ 10% AdmmlstrdtIve Fee
+ 12% State Sureharge
+ 5% Technology Fee
Furnace - up 10 100,000 btn
MIUlmum/Adju.tment MeebanlCal
Amount PaId
Date PaId
ReceIpt Number
$2100
$520
$624
$260
$1500
$3700
8/13/08
8/13/08
8/13108
8/13/08
8/13/08
8/13/08
2200800000000001241
2200800000000001241
2200800000000001241
2200800000000001241
2200800000000001241
2200800000000001241
Total Amount PaId
$87 04
I Plan Reviews I
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspectIOns requested before 7:00
a m Will be made the same workmg day, mspectlOns requested after 7:00 a.m. Will be made the followmg
work day.
J ReoUlred Insnectlons i
Rough Gas After hne IS IDstalled and requIred testlDg and capped If not attacbed to an apphance
Rough Mechamcal Prior to Cover
Fmal MecbanlCdl When all mecbaOlcal work IS complete
By slgnatUI e, I stdte and agree, that I have carefully examlDed the completed apphcatlOn and do hereby certIfy that all
mformatlOn hereon IS true and correct, and I further certIfy that any and all work performed shdll be done ID accorddnce WIth
the OrdlDances of tbe CIty of SprIngfield and the Laws of the Stale of Oregon pertamlDg to Ibe work described berelD, and
thdt NO OCCUPANCY WIll be made of any structure wltbout permISSion of the CommuUlty ServIces DIVISIOn, BUIIdlDg Safety
I fUI tber certIfy that only contractors and employees wbo dre m comphance wltb ORS 701 005 wIll be used on thiS prOjeCI
I furtber agree to ensure Ibal all requIred IDspectlOns are requcsted at the proper tIme, tbdt eacb address IS redddble from the
street, thdt the permit card IS located at the front of the property, and Ibe approved set of plans Will remam on tbe site at all
times dunng constructIOn
Owner or Contractors Signature
Date
Pal!e 2 of 2
CIty of Sprmgfield
Mechamcal AuthorizatIOn To Begm Work
E-malled To cevlD@marshallslDc com
Receipt # EC536044
8/13/20082 39 13 PM
i~
Cbeck on status of permIt
By Phone (541)726-3753 or Emall permlteenter@cl springfield or us
TYPE OF WORK
I D New constnH..tlOn
[X] AddlllOnlalteratlOn/n.placcmcnt
CATEGORY OF CONSTRUCTION
lliJ ] or 2 family dwelling
o Multi family
D Acl,.(.ssory BUIlding
JOB SITE INFORMATION AND LOCATION
I Job no I Job address 6222 THURSTON RD
ICily/State/ZIP SPRINGI ILLD, OR 97478-7056
I SUlte/bldg lapt no
I Project name RENNIE
fcrO!l~ street/dlrtchon!l to Job site HrAD [A5T ON] RANKLIN AND CONTINUE
o SPRINGI Ifl D ON MAIN UNTIL 581 H ST MAKE A LEFT OR NORTH ON 58TH
IGH I ON TIIURS TON
I SubdivIsIOn I Lot no
ITax map/parcel no 1702342100300
I OESCRIPTION OF WORK
INS fALLAIION OF A NG I URNACL
SITE CONTACT
IN.tme
I Phone
IFma"
I
I CeB he no 25790
I BU!lmess Ndmc MARSIIAI LS INC
I Contact Cevln WhIte
IAddress 41 J 0 OLYMPIC ST
I CIt)/StateIZIP ~PRINGF-IEI D, OR 974785620
I Phone (541)7477445 I hx (541)7410821
l}o mall cLvm@mnrshallsmccom
I Metro he no I City he no CCB 25790
GORDON & SANDRA RLNNIE
(541) 746-6626
I Fax
CONTRACTOR
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 Authonzatlon To Begin Work expires within 180
days If a permit IS not obtained
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
I FEE SCHEDULE
Descnptlon I Qty I
I Hlatlng/coollng appliances
I Furnace- up to 100,000 B I U
I Furnace - above 100,000 BTU
I Elt:ctnc Furnace
I Duct alleratlOns dIld additIOns
Gas heater unUs/lO-wall, 10-
duct. susoendcd. dc/
Vent, nue, llOer tor abO\.e
I Au ConditIOner
II kat Pump
Aiflldlldler
I Other fuel burning appliances
I Watcrhedtcr
I Gas fireplacehnsert/stove
I Gas log/log lighter
I Gas clothes dryer
I Gas stovelrange
I Pool or spa heatlf kiln
I Wood/pellet stove/lOsert
I Wood fireplace
I Chlmnl}/Imcrlfluc/vent wlo
aonhance
I LIlVlrunmentallxhaust ANI> venhlatlOn
I Range hood
I Clothes dryer exhaust
I ~mgle-duct exhaust (bathrooms
tOlkt Lomparlmcnts utility
rooms)
I Attic/crawlspace fans
I Fucl piping
I upto first 4 outlcts(enter Qt)=I)
I edch dddltlOnal outlet
I MECHANICAL PERMIT FEES
I Subtotal $1 5 00
I Mllllmum fee used lllstead of~ubtotal $5200
) Slate SurchargL (12% of permIt fee) $624
I CIty Of~pnngfield fees * I $2880
I TOIALPERMIl .~~ I $8704
'" City OfSpnngfield fees 10% Admmlstratlon Fee, 5% Technology Fl.c
Ea lotal
$15001 $1500
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I
I
I
I
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ThiS AuthoTlzatlon To Begin Work must be posted at the Job site until replaced by a Permit
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~~
-.:- -
City of Spnngfield OfficIal ReceIpt
Development ServIces Department
Public Works Department
Job/Journal Number
COM2008-0 1212
COM2008-0 1212
COM2008-0 I 2 I 2
COM2008-0 I 2 I 2
COM2008-012l2
COM2008-01212
Payments
Type of rayment
ONLINE CHGS
cReCClOtJ
RECEIPT #.
2200800000000001241
Date: 08/13/2008
DescriptIon
rurnace - up 10 100,000 btu
MInimum/AdJustment Meehanlcal
-Meehal1leal Issuance Fee-
+ 5% Technology Fee
+ 12% State Sureharge
+ 10% AdmlDlstratlve Fee
raId By
ONLINE PERMIT CHGS
Item Total
Check Number AuthOrizatIOn
ReceIved By Batch Number Number How Received
ddk
ONLINE MARSHAL Online
L'S INC
Payment Total
Page I of 1
2 51 19PM
Amount Due
1500
3700
2100
260
624
520
$87 04
Amount Paid
$87 04
$H7 04
8113/2008