HomeMy WebLinkAboutBuilding Mechanical 2008-9-22
Status
Issued
CITY OF SPRINGFIELD .
Building/Combination Permit
PERMIT NO: COM2008-01450
ISSUED: 09/22/2008
APPLIED: 09/22/2008
EXPIRES: 03/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1110 55TH ST
ASSESSOR'S PARCEL NO.: 1702284300400
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Addition
PROJECT DESCRIPTION: INSTALLATION OF A PROPANE BURNING INSERT AND GAS PIPING
\'
Residential
. Owner: WOLFF SARAH L
Address: 1110 55TH ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
257901:
Expiration Date
12/23/2009
Phone
541,747-7445
I.. BUILDING I~FORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
~econdary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rang~ Type:
Energy Path:
Sprinkled Building:
Lot Size:
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 1
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:'
Paved Drive Rqd:
% of Lot Coverage:
. -'Total:'
Handfcapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
NOTICE: .
THIS PERMIT SHAll EXPIRE IF THE WORK
AIITJ.lnDI7i:n IIMnco ";~~~ ~~~J.~~: ~~ ~~~T
I PUBLIC IMPROVEMENTS ~OMMENCED OR IS ABANDONED FOR
AN~Si~MAY!~tl:IO,~~ '.
. ._",--"------
i: Downspoutsillrains:
Description
Type of Construction
,
:ATTENTlON: Oregon law requires you to
'nulll" !Illes ad~ed ~ the Oregon UtIlity
Notification Center. I hose rules lIIe llUllUI UI
I Valuation DescriDtion I III OAR 952.001-0010 through OAR 952-001-
!. 0090. You may obtain copies of the rules br
$ Per Sq Ft Square Footag~ calling thQmnter. (Note: the telephone
or mnltiplier or Bid AmountllUlTlber for'tfIl1'Oregon u\lHff R~
Center Is 1-800-332-2344).
Notes:.
Paee 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
r
Fee Description
.....Mechanical Issuance Fee.....
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Fireplace (Listed)
Gas Outlets 1-4 .
Minimum/Adjustment Mechanical
Amonnt Paid
$21.00
$5:20
$6.24
$2.60
$18.00
$6.00
$28.00
Total Amount Paid
$87.04
CITY OF SPRINGFIELD
Building/Combination Permit
, ..
PERMIT NO: COM2008-01450
ISSUED: 09/22/2008
A'PPLlED: 09/22/2008
EXPIRES: 03/22/2009
VALUE:
"
Total Value of Project
Fees Paid I
I Plan Reviews ~
Date Paid
9/22/08
9/22/08
9/22/08
9/22/08
9/22/08 .
9122/08
9/22/08
Receipt Nnmber
2200800000000001430
2200800000000001430
2200800000000001430
2200800000000001430
2200800000000001430
2200800000000001430
2200800000000001430
To Request an inspection call the 24 hour recording at 726-3769. AJI 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.
Renuired Insne,dion,s I
Rongh Gas: After line is installed and required testing and capped if not attac~ed to an appliance.
Rough Mechahical: Prio~ to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the eompleted 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 pe'rtaining 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 all required inspections are reqnested 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 dUf.ing construction. . ;i
Owner or COil tractors Signature
Paee 2 01"2
Date
_ City of Springfield
1
~~~9~~
Mechanical Authorization To Begin Work
E-mailed To: cevin@marshallsinc;com
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
I D New con~tr~ction
.lliJ Addition/alteration/replacement
l~'-c
I [Xl I or 2 family dwelling
o Accessol)' Building
I FUfnace- .up to 100,000 BTU
I Furnace - ,~bove ] 00;000 BTU
I Electric F~rnace
I Duct alterations and additions
I Gas heateY unitsl in~wall, in.
duct. susn'ended. ctel
I Vent, tlue,ii liner for above
I Air.Condj'tioner
I Heat P~lmp
I Air Handlh
D Multi-family
I Job no.: I Job address: I]] 0 55TH ST
I City/StatelZIP: SPRINGFIELD, OR 97478.6845
I Suite/bldg./apt.no.:
II)roject name: GARCIA
Cross street/directions to job site:
Receipt # RC53S469
9/22/2008 I :10:16 PM
Qly.
Tot:i1
E..
I Subdivision:
ITax mllp/pared 110.: 1702284300400
I Lot no.:
I Waterhea~er
I Gas fircphH:e/inserUstove
I Gas log/log lighter
I Gas c1oth~s dryer
I Gas stove/range
I Pool or sp~ heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimney/liner/flue/vent w/o
appliance
ILE~i.!fOii!i~n!aj,'~xE}lUSr;1~I?:Venti~~t,;~n~ ;~;~~jj,:-~:~~~;~,,~~
I Range hood
I Clothes dfyer exhaust
I Single.du~. t exhaust (bathrooms,
toilet compartments, utility
rooms) ,
I Attic/cniwlspace fans
INSTALLATION OF A PROPANE BURNING INSERTAND GAS
I Name: TOM GARCIA
IIJhone: (541) 953-3381
IEmail:
I Fox:
jCCBIiC. no,: 25790
I Business Name: MARSHALLS INC
I Contact:, Cevil1 White
IAddress: 4110 OLYMPIC ST
I City/State/ZIP: S~RI~GFIELD, OR 974785620
Iphooe: (541)7477445 IF." (541)7410821
I Email: cevin@marshallsinc.com
I Metro lie. 110.: I City lie. no.: CCB 25790
I upto first 4.'c outlets( enter Qty= 1)
each additional outlet
11
$18,00
I
$18001
I
I
I
I
I
I
I
I
* City Of Springfield fees:
Subtotal I $24.00 I
Minimum fee used instead ofSubtot<ll $52.00 I
State,Surcharge (12% ofpenilit fee) I $6,24 I
City Of Springfield fees * I $28.80 I
TOTAL PERMIT FEE I $87.04 I
10% Administration Fee; 5% Technology Fee
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 sch~dule 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 ord!nances.
~
II '"\[)Oo - OlL\<D
COM:" f', -
Rcrt#))01Y)R-1 Lj3.i)
DATE PROCESSED:~ \ !JOt 0'1
PR~ESSEDBy.KQDO oW
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
225 Fifth Street
Springfield, OregoD 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0l450
COM2008-0 1450
COM2008-0 1450
'COM2008-0l450
COM2008-01450
COM2008-0 1450
COM2008-0 1450
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001430
Date: 09/22/2008
1:41:52PM
Description
Fireplace (Listed)
, Gas Outlets 1-4
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
.J
Amount Due
18,00
6.00
21,00
28,00
2,60
624
520
$87.04
~tem Total:
t:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
KR
ONLINE MARSHAL Online
LS INC
$87,04
Payment Total:
$87.U4
, 'r
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9/22/2008