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Home My WebLink AboutPermit Mechanical 2008-11-20 Status Issued CITY OF SPRINGFIELD Building/CoJ!lbination Permit PERMIT NO: COM2008-01688 ISSUED: 11120/2008 APPLIED: 11/20/2008 EXPIRES: OS/20/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6190 FOREST RIDGE DR ASSESSOR'S PARCEL NO.: 1702343408300 Springfield TYPE OF WORK: Heating System TYPE OF USE: Alteration PROJECT DESCRIPTION: Replacing lower gas furnace and ar conditioner Residential Owner: WORSTELL JOHN P & WENDY G Address: 6190 FOREST RIDGE DR SPRINGFIELD OR,97478 J CONTRACTOR ~NFORMATION.' Contractor Type Mechanical Contractor MARS HALLS INC . License 25790 Expiration Date 12/23/2009 Phone 541-747-7445 BUILDING INFORMATION' # 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 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: " ,{.:~:.:i .' . ,"~, I ~UBLlC IMPROVEMENTS I, ' Street 1m .. nits: ' A!Vim1lrttt;,Qrftgon law requires you to 'l"'l:tll"~. . followurules aCfop'fed by the Oregon Utility Storm SeWfHm'lfl~Mn SHALL EXPIRE IF THE WORK Notifl)atitMpoollUD.rilih6lSe rules are set forth Special Ins!ffl1flWRIZED UNDER THIS PERMIT IS NOT In OAR 952-001-0010through OAR 952.001. COMMENCED OR IS ABANDONED FOR . 0090.. You may obtain Copi~s of the rules by Notes: Y 180 DAY PERIOD . ' . calling the center. (Note. the telephone AN . ,,' number for the Oregon Utility Notification I V aluation D~scriDtion I 'WC'iIILGI I~ l.gVV-~.;J'-'\J"''''J. Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO,: COM2008-01688 ISSUED: 11/20/2008 APPLIED: 1112012008 EXPIRES: 0512012009 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 Appliance Not Listed Furnace - up to 100,000 htu Minimum/Adjustment Mechanical Amount Paid Date Paid Receipt,Number $21.00 $5.20 $6.24 $2.60 $15.00 $15.00 $22.00 11120/08 11120/08 11120/08 11/20/08 11120/08 11120/08 11120/08 2200800000000001665 2200800000000001665 2200800000000001665 2200800000000001665 2200800000000001665 2200800000000001665 2200800000000001665 Total Amount Paid $87.04 I Plan Reviews I To Request an inspection call the 24hour recording at 726-3769. Ail inspections requested befor,e 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 Reouired TnsnectionsJ Rough Mechanical: Prior to Cover Final Mechanical: 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 structnre 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 perinit card is located at the front.ofthe property, and the approved set of plans will'remain on the site at all . times during construction. Owner or Contractors Signature Date Paee 2 of2 City of Springfield Mechanical Anthorization To Begin Work E-mailedTo:janice@marshallsinc.com Receipt # EC5423R3 11/20/20089:14:04 AM Check on sta~us of permit By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I D New construction [X] Addition/alteration/replacement I Description I [K] ] or 2 family dwelling o Multi-family o Accessory Building .' I Furna~c- up 10 100,000 BTU I I Furriace - above 100,000 BTU I I Electric Furnace I I-Duct alterations and additions I I Gas heater units/ in+wall, in. I duct. suspended. etef I Vent, flue, liner for above I I Air Conditioner I. I Heat Pump 1 I Air HandJer I $15.00 $15.00 IJob no.: IJob addl"Css: 6190 FOREST RIDGE DR I City/State/ZIP: SPRINGFIELD, OR 97478-7742 I Suitelbldg./apt.no.: I Project name: Cross street/directions to job site: 63rd to Mountain Gate sub division $15.00 $15.00 I Water heater I Gas fireplace/inseitlstove I Gas log! log lighter I Gas c101hes dryer I Gas stove/range I Pool or spa heater,kiln Wood/pellet stove/insert 1 Wood fi,epl!\' 'toN I 'UN: l regon la' v requh'e~ you to Chimney/1i~Wlfllll'A<<fillI_ llU' 'Pll:U rJY rl:: VIl::Yfn Vltlll)' I Name: Wendy . __ I .~~l~~n_c:.,_~g!!,~t~!ll?Il.c~~!:I!,;~_,;!!!~;~~~!~,~,~r..~t~~ I 1 Phone: (541) 349-12981 HI~ t'tHMII ~t1A1.1. t:J\t'IHt It I Mt VVUMI\ I ~~~\'f,0~!nlritj!)AfI\tl}5!f(1~'&:lnro~9n;OAR952:'()01' I. '. .AU I HUK. IL.tU UNUtK I MI~ t'.tHIVIII Ii) I~U'. 1 1 Range ho<9090. You may ~b.. tain copies oftn l rules by E'~:~: . ...... . (,"IilM ME.NG"C.='==Ul:\NUUNtU-tUIiIl\~~",,;.>t1 1 Clothes drye,c:aUmg me ce~er. (NO~: tne tellpnone I i:i:~=.sA'~Y l'8o-D~vmio~"-"~'~""--" - '''EG~II ~~~~:~~~~a:~~;:~~~e v~~~~ ~2~1a~~~ltcallon I 1 rooms) J I Business Name: MARSHALLS INC ' 1 A . / 1 ' I I ItIC craw space lans I Cont,act: Janice Flora I VFuei'PiP__ing~~~~Wt'Jil~~~~~~{:L'~;:;;'i!l':;jl IAddress: 4110 OLYMPIC ST I I e~~~o ~r~;4 o~tlet~(e~t;r;~:::I) !~~*0'0P2 I~ 0Jb(;,~..f>'TX:>0.~0""._'0 1 City/State/ZIP: SPRINGFIELD, OR 974785620 I each additional oUllet . 1 Phone: (541 )7477445 I."x: (541)7410821 I !Email: janice@marshallsinc.com I I Metro lie, no.: I City lie. 00.: CCB 25790 I I Subdivision: ILot no.: map/parcel no.: 1702343408300 Replacing lower gas furnace and air conditioner 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 $30.00 I Minimum fee used instead of Subtotal $52.00 I State Surcharge (12% of penn it fee) $6.24 I City OfSpringlleld fees'" I $28,80 I L TOTAL PERMIT FEE I $87,04 I ... City Of Springfield fees 10% Administration Fee; 5% Technology Fee 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 a,nd local ordinances. . COM: .:4 tlCfl- 01 \ 0 @) ~ RCPT#:~CO<;':- ILDloS DATE PROCESSED: \ \ \2.D\Of\ PROCESSED By:~Q J ~ 9/ This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-.726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1688 COM2008-0 1688 COM2008-0 1688 COM2008-0 1688 COM2008-0 1688 COM2008-0 1688 COM2008-0 1688 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: 2200800000000001665 Date: 11/20/2008 Description Furnace - up to 100,000 btu Appliance Not Listed Minimum/Adjustment Mechanical -Mechanical Issuance Fec- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: l.:heck Number Authorization Received By Batch Number Number How Received KR ONLINE MARSHAL Online LS INC Payment Total: Page I of I 9:41:38AM , Amount Due 15.00 15,00 22,00 21.00 2,60 6.24 5.20 $87.04 Amount Paid $87.04 $87,04 11/20/2008