HomeMy WebLinkAboutPermit Mechanical 2008-11-4
Status
Issu,ed
CITY ,OF SPku"I\.Jt<mLD
Building/Combination Permit
PERMIT NO: COM2008-01617
ISSUED: 11/04/2008
APPLIED: 11/04/2008
EXPIRES: 05/04/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726.3769 Inspection Line
SITE ADDRESS: 6894 C ST
ASSESSOR'S PARCEL NO.: 1702353202800
,
Springlield TYPE OF WORK: Heating System
TYPE ,OF USE: Alteration
PROJECT DESCRIPTION: Installatin of gas piping, gas insert, gas furnace, a~d air conditioner.
Residential
Owner: RHOAD SALLI G
Address: 6894 C ST
SPRINGFIELD OR 97478
Owner: RAINWATER RAYMOND K
Address: 6894 C ST
SPRINGFIELD OR 97478
I.CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790 ~'
Expiration Date
12/23/2009
Phone
541-747-7445
I, BUILDING INFORMATION I i'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
ii,
;'n/a
"
I DEV~LOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Setback: . Overlay Dist: . Total:
Side I Setq~~ CE' # ~\I.'&"t Trees Rqd: Handicapped:
Side.2 SetJt.1M! I RMIT SHALL EXPIRE If THE WltWlI'Drive Rqd: C~mpact; .
Rearyard g-<ldISc~~ UNDER THIS PERMIT IMIDlot Coverage: ATTENTION: Oregon law requires you to
Solar Seth:j\;~'1'~O~\~;~n 1'\1:1 ,~ A.BANDONED FOR, ~o".~w rules, adopted by the Oregon UtilitY
AN~'!1186' oiw PERIOD. I PUBLIC IMPROVEMENTS l~vO~R"952-00;:OO'1 0 i~~~h"OAR"952.o01:
Street Improve~ents: . ".. '009Q,,'.YAA.may..o.lJ!ain copies of the rules by.
' . can n(ftfle cSOrfier. (Note: the telephone
nurlf.,,,, k"lteIQx.n Utility Notification
, Center is 1-800-332-2344).
Storm Sewer Availahle:.
Special Instruction:
Notes:
,.
Paee I of 3
Status'
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lin,e
I Valuation DescriDtion I
Description
$ Per Sq Ft
or multiplier.
Square Footage
or Bid Amount
Tvpe of Construction
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Appliance Not Listed
Fireplace (Listed)
Furnace - up to 100,000 htu
Gas Outlets 1-4
Amount Paid
Date Paid
$21.00
$5.40
. $6.48
$2.70
$15.00
$18.00
$15.00
$6.00
11/4108
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
11/4/08
Total Amount Paid
$89.58
I Plan Reviews ,
un OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01617
ISSUED: 11/04/2008
APPLIED: 11/04/2008
EXPIRES: 05/04/2009
VALUE:
Value
Date Calculated
Receipt Number
1200800000000001106
1200800000000001106
1200800000000001106
1200800000000001106
1200800000000001106
1200800000000001106
1200800000000001106
1200800000000001106
To Request an inspection call the 24 hour recording at 726-3769. Allinspections 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. '
,
,~efl"i,red Insrecti~n.s I
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Mechanical: When all mechanical work is complete, .
Paee2 of 3
.
Status
Iss u ed
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRIN&J:<lJi,LD
Building/Combination Permit
PERMIT NO: COM2008-0J 617
ISSUED: 11/04/2008
APPLIED: 11/04/2008
EXPIRES: 05/0412009
VALUE:
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 he 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 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
Paee 3 01'3
Date
.'
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # ECS41262
111412008 11 :30:52AM
Check on status of permit
By Phone: (541)726-3753 or Emuil: permitcentcr@ci:springfield,or,us.
Tota.l
]1 $]5.00 $]5.001
I
I
I
I
I
$15.00 $1500 I
I
I
10 New construction
[KJ Addition/alteration/replacement
I (K] ! or 2 family dwelling
o Multi.fainily
o Accessory Building
I Furnace: lip to 100,000 BTU
I Furnace. above IOO,OOO_BTU
I Electric Furnace
I Duct alterations and additions
I Gas heflter units/ in-wall, in-
duct. suspended, cte!
I VCTlt, flue,- liner for above
I Air Conditioner
I,HeatPump
Air Handler
IJob no.: IJob address: 6894 C.ST
I City/StatelZlP: SPRINGFIELD, OR 97478-7376
I Sui(e!bldg.lapt.no.:
I Project name: RAINWATER
Cross street/directions to job site:
OF GAS PIPiNG, GAS
GAS FURNACE, AND AIR
Water heater
I Gas fireplace/insert/stove
I Gas Jog/log lighter
1 Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace I I I
I Chimn'Y/lin,,;n~wl't 0 II .1, j
appliance AIII:N lOt,: regon aw reQ'1]reS you 0
I"'~'~C?C%' ".ru"""'J("O<>"~o,". "."-'emOI/;meiVreCl0l1;,l!IJ1"ty
"",,nvlronnu~n....J1~RltU!f( 'P.I,."ClKlfllH.,.U..,""_.....Ji ..,.".~, ,~'d"'~AI
1"'illIR'" v-..""'''''h..~''d''"--t~~~i;:~~~;~;~~0.' ;i~'~:<'T:i IV;;';~~~;~;I' a; ;;'-;'~~~\ 'I ~h
ange 00
1- "O'^..' ,......ili.Dfn 0F^ ".)1_
I .~ " 'V'''VV'''''~t'''W-"
C.lothes dryerlf . ~~ ~ '/ ~~~<::.',in :0('i,:,: 0~ th~ n_d~~ by
Smgle-duct-exfl"us ijtliro s '
I tollet compartme~ 109 'me enter. (I Jote: the telephon 3
rooms) number for he Oreo( ,n Utilltv ~otlfjcati<.n
I Attic/craw]space faos Center is t-SqO,332'23,14).
I
]1
$18.00
$]8.00
I Subdivision:
I Tax mllp/parcel no.:
ILot no.:
1702353202800
I
IPhooe: (54]~!~'VlW1=' I Fox: I
11=~:!~~,t~~~8PJJ~,?,~AII.. E~eJR~!~.TH~ ~~~~~,~.~""",,-;II
_1'A "''i''*-;'181!"/.t)D,IZ~~\J,IMr:AAJlI1Mftnl'HRM IT; JS01~"'"!;~."', .~,,'t!';} ,l!:"
ICCB]k,no:~fl.mNC;:~ 0R Ie::. 4RANnONED FOR I
I Busioess N.:\i,lttW~"&\~pti5l:Rlnn I
I Contact: Cevin White ' I
IAddress: 4110 OLYMPIC ST I
I City/State/ZIP: SPIUNGFIELD, OR 974785620 I
IPhune: (541)7477445 IF.x: (54])741082] I
I EmaiJ: cevin@marshallsinc.com I Subtotal $54,00
1M . Ic. ]. II State Surcharge (l2% of penn if fee) $6481
elro he. no.: Ily Ie. no.:. CCB 25790 '
City Of Springfield fees. $29.10 I
I TOTAL pERMIT rEE $89.58 I
. City Of Springfield fees: ] 0% AdminislrationFee; 5% Technology Fee
RAY & SALLI RAINWATER
I upto l1rst4 outlets(enter Qty=l)
additional outlet
$6001
Upon review and approval by your local jurisdiction, your
permit will be a-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.
The local building department may determine that an
Authorization To Begin Work is null an,d voj~ if It does not
meet applicable land use laws and local ordinances.
COM: .dQ\'1f - {[')II 0 It
RCPT #" \.~f)()f>- i I b u
DATE PROCESSED: J1l.ill!)'V,
PROCESSED BY:i2. go Q X
L
This Authorization To Begin Work must be posted al the job site until replaced by a Permit.
225 ~ifth Street
Springfield, Oregon 97477
54F726-3759 Phone
Job/Journal Number
COM2008-0 1617
COM2008-0 1617
COM2008-0 1617
COM2008.01617
COM2008-0 1617
COM2008-0 1617
COM2008.0 1617
COM2008-0 1617
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
Furnace - up to 100,000 btu
Gas Outlets 1-4
Fireplace (Listed)
Appliance Not Listed
'..~Mechanical Issuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
1200800000000001106
Date: 11/04/2008
Item Total:
. Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE marshalls Online
Payment Total:
Page 1 of 1
11:53:35AM
Amount Due
15.00
6.00.
18,00
15,00
21.00
2,70
6.48
5.40
$89.58
Amount Paid
$89.58
. $89,58
11/4/2008