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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 Page 1 of 1 9/22/2008