HomeMy WebLinkAboutPermit Mechanical 2008-9-12
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2008-01396
ISSUED: 09/12/2008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax'
541-726-3769 Inspection Line
SITE ADDRESS: 859 NORTH RIDGE AVE
ASSESSOR'S PARCEL NO,: 1703261201118
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: INSTALLATION OF A HEAT PUMP AND AIR HANDLER
Residential
Owner: SIROIS GERALD J & CAROL L
Address: 859 NORTH RIDGE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Constrnction Type
Secoudary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Lot Size:
Sq Ft I st 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
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
NOTICE: Compact:
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
-""Iff) -OC
I PUBLIC IMPROVEMENTS ..UIVIIVltl~uI:U un Ii) t\".....I",), ...
~NY 180 DAY PERIOD. ,.,
Sidewalk Type: . I,'" ';"~ '1""11,~:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Downspoutsmrains:
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
ATTENT10N: Oregon law requires you to
foRow rule8 adopted by the Oregon UUlill
"I^tifl~afll'\'" ~6"tD. Thl\ea ...le8 ~r'" ,............, t
In OAR 952-001-0010 through OAR 952-001 '
0090. You may obtain copies of the rules b ,
calling the center. (Note: the telephone
nurnbel\fw,Nle Orego!llUtlI~~on
center 18 1-800-332-2344).
Notes:
I Valuation Descriution I
Paee I of 2
Status
Issued
225 Fifth Street, Springfield, 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
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
Total Amount Paid
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01396
ISSUED: 09/1212008
APPLIED: 09/12/2008
EXPIRES: 03/12/2009
VALUE:
, Total Value of Project
Fees Pai,d I
Amount Paid Date Paid Receipt Number
$21.00 9/12108 2200800000000001386
$5,20 9/12108 2200800000000001386
$6.24 9/12108 2200800000000001386
$2.60 9/12108 2200800000000001386
$10.00 9/12/08 2200800000000001386
$15.00 9/12108 2200800000000001386
$27.00 9/12/08 2200800000000001386
$87.04
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 Relll~.i.~ed 1 rI~?~~tion11
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechauical work is complete.
By signature, I state and agree, that J have carefully examined the completed application and do hereby certify that all
. information hereon is true and correct, and 1. further certify thut any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaiuing to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Commnnity Services Division, Building Safety.
J 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 the
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
Date
Paee 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
I
E-mailedTo.:cevin@marshaJlsinc.com
Receipt # EC537928
9/12/20082:42:10 PM
.~
*1
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@ci.springfield,or,ns
I;~:~::;;;~: "C';;~1'?FE(Yff~g~,LE 1 [,. - :{~:;:;';i
I:J!~.~~ingiEooj!ng'lIppiI~.~j:AS;:':';,.;:;:~;J1'>~4,~'~_ ,>>'
I Fumace- up 10 ] 00,000 BTU I
I Furnace - ubovc 100,000 BTU I
I Electric Fumacc I
I Duct alterations and additions I
I Gas heater units! in.wall, in- I
duct, suspended, clc!
Vent, flue, liner for above I
! Air Conditioner I
111'"1 P,mp $15.001 $15,001
1 A;/ H,ndlC! $10,001 $10,001
l~qHt~~{~~fl"~l!t!!~ng~~p,rJi~i'I~.'~~, ~:?i'~~~J~'&y;", ~ 1
I Water heater I
I Gas fireplace/insert/stove I
I Gus log/log lighter I
j Gas clothes dryer I
I Gas stove/range I
I Pool or spa heater, kiln I
I Wood/pellet slove/insert I
Wood fireplace I
- " ;:,.,.,:_.r;::~"'+~-'I Chimney/liner/llue/vent w/o I
aopliance
1:~,~vi~~~I('ntui.~shjtm~~~bv~~n.~ifiioI]J 'h'.'.:!: ::;j,,~- ~~"t, ,.,~'.I
I Rang' hood I
I Clothes dryer exhaust I
Single-duct exhaust (bathrooms, I
toilet compartments, utility
rooms)
Attic/crawlspace fans I
r ~:.Mel,iiip(l~g,~: I
I upto first 4 oUllcts(enter Qty=\) I
II each additional outlet I
: I"'. ; ''';~~M~i:i''-A.~]CA:~;RE.R:~~~~~;~:i.y $2;0: i
II Minimum fee used instead of Subtotal I $52.00 I
I State Surchar~e (12% of permit fee) $6.24 I
I City Of Springfield fees ., $28.80 I
I TOTAL PERMrr H:[ $87.Q4 I
. City or Springfield fees: 10% Administration Fee; 5% Technology Fcc
~,Y1~~'~trPE,<i~'~~O~~~.-i.~", .
[] Addition/alteration/replacement
10 New construction
1-..
qA TEGQRY 'O"-CO~~TRU~TIOrr-,.
...
,,J
I [K] I or 2 family dwelling 0 Muhi.family 0 Accessory Building
I', '~"'-.:':JOB,!;lfEINF9RM~TIONAN O.L9'i.;6fioi-l ~;"F
IJob no.: IJob address: 859 NORTH RIDGE AVE
I City/Statcf/JP: SPRINGFIELD, OR 97477.2390
I Suitc/bldg./llpt.no.:
I Project name: SIRIOS
Cross street/directions to job site:
I
170326120]\18 I
"~;ri~~DE.~C:-Rrpi!QW6(w6K~~t:".~?&r:~1~~~' -~::~:"~~0:~
INSTALLATION OF A HEAT PUMP AND AIR HANDLER
I Subdivision:
ITllx mllp/p:Jrcel no.:
ILot no.:
I':~~;', ,. ,e.
IName: JERRY SIJ3.IOUS
II)hone: (54 I )746-4513
'~-::'" SITE,<&t:lTjiCT
.~;,':~;~?")f'," ~"
I F,x>
CONTRACTOR ';>;,,"'-:~",:f.,
-c""",_ _,"",~",,"---'~,#,",~, .;a..h
I CCB lie, no,: 25790
I Business Name: MARSHALLS fNC
I Contact: Cevin White
IAddress: 41]0 OLYMPIC ST
ICily/Stater!.II): SPRINGFIELD, OR 974785620
/phone:(541)7477445 !Fax: (541)74]0821
I.:mail: ccvin@marshallsinc.com
jMetrolic. no.:
! City lie. no.: CCil 25790
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 Authorization 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.
COM:~~ - 01?..9L1,p
RCPT#:,t:BCOR - 1,~7Slo
DATE'pR6CES'sED\\~"\\ 8-\0<;)1 ,.
PRocESSBDBY:~ ~
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
22;; Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
)
r.~Q~;ii
~.",
~,..
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM200S-0 1396
COM200S-0 1396
COM200S-0 1396
COM200S-0 1396
COM200S-0 1396
COM2008-0 1396
COM2008-0 1396
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200800000000001386
Date: 09/12/2008
Description
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By. Batch Number Number How Received
kr
ONLINE marshalls inc Online
Payment Total:
Page 1 of I
2:58:25PM
Amount Due
10,00
15,00
27,00
21.00
2,60
6.24
5,20
$87.04
Amount Paid
$S7,04
$87.04
911 2/200S