HomeMy WebLinkAboutBuilding Mechanical 2008-9-16
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01423
ISSUED: 09/16/2008
APPLIED: 09/16/2008
EXPIRES: 03/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectio~ Line
SITE ADDRESS: 1083 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703264412600
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Addition
. PROJECT DESCRIPTION: INSTALLATION OF A HEAT PUMP AND AIR HANDLER
Residential
Owner:
Address:
WILLIAM N BELL OREGON LIVING TRUST
80428 DELIGHT VALLEY SCHOOL RD
COTTAGE GROVE OR 97424
I CONTRACTOR INFORMATION ,I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INmR,V!~TION 1
Expiration Date
12/2312009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of I-!eat:
"
Water Type:
Range T~pe:
Energy Path-:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq FtBasement:
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: -
T<ital:
Handicapped: -
NOnCE: Compact:
THIS PERMIT SHAll EXPIRE If THE WORK
AIITHORIZED UNDER THIS PER~IT ~ ~OT
I PUBLIC IMPROVEMENT9.l)MMENCEO OR 1::1 A""I1U~""'" f .
, ,,'NY; 1RO DAV PERIOD. -'
, " S,i1ew:ilk Type: . _ _, ,
. . .,,~ .' . . . ... '. . .
Overlay Dist:
# Street Trees Rqd: .
Paved DrJve Rqd:
% of Lot:Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Downspouts/Drains:
-Type of Construction
ATTENTION: o.*" laW...... you to
fOlIow nIIes adopted by the Oregon UtIIlty
nounoaoon..,.;u,." ;~'",,",I.lQ-.lf_';";,J... -i,,-
I Valuation Descriltltion I In OAR lJ52.OO1-G010Uvough OAR 952-001.
~- 0090. You may ObtaIn coplee of the rules !If
- Square Footage oaIIlng the center. (Note: the telephone
or Bid Amount Il\IIIIb8r (oYU\e<Oregon ~~~
Center It 1 800 832 .
Notes:
Description
$" Per Sq Ft
or multiplier
Paee 1 of 2
S.tatus
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01423
ISSUED: 09/16/2008
APPLIED: 09/16/2008
EXPIRES: 03/1612009
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
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
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$10.00
$15.00
$27.00
9/16/08
9/16/08
9/16/08 .
9/16/08
9!l6/08
9/16/08
9/16/08
2200800000000001408
.2200800000000001408
2200800000000001408
2200800000000001408
2200800000000001408
2200800000000001408
2200800000000001408
Total Amount Paid
$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. '
Re['~ired Insqections I
Rough Mechanical: Prior to Cover
Final M~chanical: When all mechanical work is complete.
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 of any structure without permission of the Community 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 an 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. .
Mechanical Authorization To Begin Work
E-mailed To: cevin@marshallsinc;com.
Receipt # EC538114
9/16/20082:41 :37 PM
qtyof Springfield
Check on.s!atus of permit .
,
By Phone: (541)726"3753 or Em.ii: permitcenter@c~.'springfield.or.us
! 0 New construction
o Addition/alteration/replacement
Description
Qty.
Ea.
I Fumace~; up to 100,000 BTU
I Furnace '.above ] 00,000 BTU
I EleCtric Furnace
Duq al~erationsand additions
Gas heater unitsl in-wall, in-
duct. sllsPJ.:nded. clcl
I Vent, flue, liner for aboY\:
I Air <;::onditioncr
J Heat Pump
I Air Handler
$\500
$\0,00
I
I
I
I
I
I
I
$\5001
$10001
lliJ I or 2 family dwelling
o ~ulti-fumi]y
D Accessory Building
IJob no.: (Job address: 1083 CENTENNIAL BLVD
ICity/Stllte/ZIIJ: SPRINGFIELD. OR 97477-3251'
I Suite/bItJg./apt.no.:
I Project R:lme: BELL
Cross street/directions to job site:
I Water heater
I Gas. fireplace/insert/stove
I Gas log/ log lighter
I Gas c1othe.s dryer
I Gus stove/range
I Pool or spa healer, kiln
I Wood/pc!let stovelinsert
Wood I1replace .
Chimney/linerlfluc/venl w/o
I Subdivision: I Lot M.:
ITu map/parce~ no.: 1703264412600
~IEAT PUMPAND AIR HANDLER.
I Name: SHIRLEY BELL
jPhone: (541)5\4-7567
IEmail:
IF"" .
I
.11
I Range hood
Clothesdl)'er exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspacefans
I'
ICCR Iie..no.: 25790
I Business Name: MARS HALLS INC
Contact: Cevin White
IAddress: 4\]0 OLYMPIC ST
ICily/State/ZIP: SPRINGFIELD, OR 974785620
IPhoa" (54\)7477445 IF"" (54\)741082\
I Email: cevin@marshallsinc.com
I Metro Iie..no.: I City lie. no.: CCB 25790
I upto fir~t 4 outlets(emer QI}"=I)
I each additional outlet
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..
Subtotal I
Minimum fee used instead of Subtotal
State Surchurgc(12% of permit fee)
City OfSpiingfield fees *
I TOTAL PERMIT HE $87,04 I
* City Of Springfield fees: ] 0% Administration Fee; 5% Technology Fcc
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'itdoes riot
meet applicable land use I~ws'and local.ordinances.
COM: flD.()K - f) 1.0:J3
RCPT#:J,Q m'K - \ 40'6
DATE PROCESSED: q II L 0 I ()'/,
P~OCESSED BY:.f( ~ (1J)~ J>
This Authorization To Begin Work must be 'posted at the job site until replaced by a Permit.
City of Springfield Official Receipt
Development Services Department
Public Works Department
225.Fifth Street
,
Springficld, Oregon 97477
541~726-3759 Phone
Job/Journal Number
COM2008-0 1423
COM2008-0 1423
COM2008-0 1423
COM2008-0 1423
COM2008-0 1423
COM2008-0 1423
COM2008-0 1423
Payments:
Type of Payment
ONLINE CHGS
cRcccintl
RECEIPT #:
Date: 09/16/2008
2:50:40PM
2200800000000001408
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
Amount Due
10.00
15.00
27.00
21.00
2.60
6.24
5.20
$87.04
Paid By
ONLINE PERMIT CHGS
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
Amount Pltid
KR
ONLINE MARSHAL Online
LSINC
$87.04
Payment Total:
$87.04
Page 1 of I
9/16/2008