HomeMy WebLinkAboutPermit Mechanical 2008-9-2
Status
Issued
CITY OF SPRtj~\Jt<IELD
Building/Combination Permit
PERMIT NO: COM2008-01311
ISSUED: 09/02/2008
APPLIED: 09/02/2008
EXPIRES: 03/02/2009
VALUE:
225 Fifth Street, Spring/ield, OR
541-726-3753 Phone
541-726-3676 Fa",
.541-726-3769 Inspection Line
SITE ADDRESS: 2129 L ST
ASSESSOR'S PARCEL NO,: 1703254303300
Springfield TYPE.OF WORK: Mechanical Only
TYPE OF USE: New
Residential
YROJECT DESCRIPTION: Wood bnrning insert
Owner:
Address:
SANDERS MARY JO
310 33RD ST
SPRINGFIELD OR 97478
',)'
I CONTRACTOR~NFORMATION .
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMA nON I
Expiration Date
12/2312009
Phone
541-747-7445
# ofUriits:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type "
Secondary Construction Type:.
# of Bedrooms:
# of Stories:
Height of Structu,re
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size: '
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:'
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENJn>1I=NTION: Oregon law rer'jres '{r.-.' 'n
" 'jH(lbw rUI"s~~3d9nl.\PTd b\!, ih8 U sG(ln J':li'.y
N 'f' . ewa" ,ype, II 'h
otllGatlon emer. J ;IJ:i8l'U18S ala S9 on
In OAR 95aJ'oW'nsp6'uHiDfaijis:OAR 952-001-
0090, You may obtain copies of the rules by
calling the center, (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Storm Sewer Availahle:
Special Instruction:
MOnet:
!,~~S,~ERMIT SHAll r:VDlnn __
-" 'un/LtU UNDER TH/'. '. I. '~: ':~'(;;-;J\
COMMENCED OR IS ABA'N" ~lM"tioli DescriDtion I
ANY 180 DAY PE ,",UIVtU ~dR ' ". , .
. R/90. $ Per Sq Ft Square Footage
Type of Construchon I' I' B'd A
or mu tip Ief or I mount
Notes:
Description
Value
Date Calculated
Page I of2
Status
Issued'
225 Fifth Street, Springtield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
MinimumlAdjustment Mechanical
Wood StovelInsert
Total Amount Paid
Amount Paid
$21.00
$5,20
$6,24
$2.60
$19,00
$33,00
$87,04
Total Value of Project
~~~~ PaicI I
Plan Reviews ,
Date Paid
9/2/08
9/2/08
9/2/08
9/2/08
9/2/08
9/2/08
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01311
ISSUED: 09/02/2008
APPLIED: 09/02/2008
EXPIRES: 03/02/2009
VALUE:
Receipt Number
3200800000000000615
3200800000000000615
3200800000000000615
3200800000000000615
3200800000000000615
3200800000000000615
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be m'ade the same working day, inspectionsrequested after 7:00 a.m. will be made the following
work day,
Rer~lirecI. ~n~n.e~t.i~~s .
Wood Burning Insert: After installation,
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made ofany structure without permission oftl!eCommunity Services Division, Building Safety,
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from tbe
street, that the permit card is located at the front of the property, and the approVed set of plans will remain on the site at all
times during construction:
Owner or Contractors Signature
Paee 2 of 2
Date
City of Springfield
Mechanical Authorization To Begin Work
E~mailed To: cevin@marshallsinc.com
Receipt # EC537130
9/2/200810:42:39 AM
~-~-"'.~"'''-..
~.'.~.."...'.'''-
,', '.
':.-.ff":",_;;'" ~ '
Check on status of permit
By Phone.: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.us
I'" ..,' "' -, ,'"
,~, '. '-:" -'..'. ,-
~ -::~-<fY,fE'qF.~qRK:~-~ _':tJi;i1J;~:::~~"- .;.
I D New construction
o Addition/alteration/replncement
k, ''1V'_~~7: CATS9BRY'OF C"9~ST~~:C'TjON'~-~~~.:- , :~ -.(~~')~;~='~
I [K] lor 2 family dwelling 0 Multi.family 0 Accessory Building
Ii. t.. 'SITE.'lli~.()~rv1e.T~9~A~eJhQ.9'~TJ1it!~;:f::~;;>€~~~~..f:\:~;1
IJobno.: jJobaddress: 2]29 LST I
I Cit}"/Stater.lIP: SPRINGFIELD, OR 97477-4368 I
\ Suitelbldg.lapt.no.: I
I.)roject name: SANDERS I
Cross street/directions 10 job site:
ISubdh'ision:
I Tax map/plIrccl no.:
I Lot no.:
1703254303300
IJ .~ . , "'l.,bESCRIP-TION;OFlwORK i;;\-"L:.?#':;;~ ..' ;7TIt':4;'::::~,;~)-' '''''1
-,. ","..' .~,.-" , , ....... "":.',,".,.,, -c. . "..,::':'Sl;;,:CC')k. . " ,'. -..... '... >'."'J'~~""'" ~ '. .
INSTALLAr]QN OF A WOOD BURN]NG INSERT
~.-~., "'. ". ""'-","
-_,..~:~~,:?ITErCON.!~gT);.; -
I Name: MARY JOSANDERS
!11hone: (541) 606-9160
jEmail:
I~"
IFo"
-',,"'
~- \' ,:.i:i:,.:-;;t;:
'!i:7;] C;(:jNTMc,tpR#f~rc4~ ~:i:~';,[ ~
ICCB)ic. no.: 25790
I Business Name: MARSHALl.S INC
I Contact: Cevin White
IAddress: 4110 OLYMPIC ST
I City/S'atcrLIP: SPRINGFIELD. OR 974785620
I Phone: (54] )7477445 I Fo" (54] )74] OS21
I Email: cevin@m.ushallsinc.com
I Metro lie. no.: I City lie. no.: CCB 25790
Upon review and approval by your local jurisdiction, your
permit will be e.mailed or faxed within 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 obtained.
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I~';$-t~,,: ,~. ,,~~,f{~.L',:"<.~~'E_~'~~CH~b~~Et~;:. '="',:_;::~
I Description I Qty. I Ell.
l;f(Cji~~g1~<!~~~~~T.~rp:i~~A,~S:;S!,'~~:J~
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater unitsl in-wall, in-
duct. suspended. etef
I Vent, flue, liner for above
I Air Conditioner .
I Heat Pump
I Air Handler
Il9~(~~_~,:!i.~~:~~~L~,~g2!.~p'-liU~!C,e.i~::ftr';,ht~7-;~-:~~.; ':;'P:
I Walerh~ater I
I Gas fireplace/insert/stove I
I Gos ]og! log light" I
I Gas dothes dryer" I
I Gas Slave/range I
I Pool or spa heater, kiln
j Wood/pellet stove/insert
I Wood fireplace
I Chimney/linerJflue/vent w/o
aooliancc
1'~~7:;::Ohtl ci~a:u;tANi?i€,tiloti~nl ~}I;:' ,,' '\:'if,';'.
Clothes dryer exhaust I
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
~~;;;:;:I;~OZ~~",,;;,:~;:- '"' ,:~, ;;>~:7:
I upto first 4 outlets( enter Qty=l) I I
I each additional outlet I
1~~!'f:_,';:t::;t?~i~~~ECH'A,~I~~gffRMIT~E~S: 'i'~1"~(.:.: ,~.: .q
Subtotal I $34.00 I
I Minimum fee used instead ofSubtOlal $52.00 I
i State Surcharge (12% of permit fee) $6.24
I City Of Springfield fees *'1 $28,80
I TOTAL PERMIT FEE" $87.04 I
* City Of Springfield fees: 10% Administration Fee; 5% Technology Ft'c
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Totul
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$34.00
1
$34.001
COM.~OD6 ~ 013\\
RCPT#: '],:Z-o-o~ - (PIS
DATEPROCESSE~ 9/Q;;./o;l
PROCES~------
( V
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
The local building department may determine that an
Authorization To Begin Work is null and void if It does not
meet applicable ~and use laws and local ordinances.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 13 ] I
COM2008-0 1311
COM2008-0 1311
COM2008-0 1311
COM2008-0 1311
COM2008-0 1311
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
'City of Springfield Official Receipt
Development Services Department
Public Works Department
3200800000000000615
I :39:20PM
Date: 09/02/2008
Description
-Mechanical Issuance Fee-
Wood Stove/lnsert
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Amount Due
21.00
33,00
19.00
2,60
6.24
5,20
$87,04
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Paid
.NJM
ONLINE OEC537130 Online
Payment Total:
$87,04
$87.04
Page I of I
91212008