HomeMy WebLinkAboutPermit Mechanical 2008-12-12
Status
Issued
CITY OF SPRINGFIELD C
Building/Combination Permit
PERMIT NO: COM2008-01768
ISSUED: 12/12/2008
APPLIED: 12/12/2008
EXPIRES: 06/12/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 641 66TH ST
ASSESSOR'S PARCEL NO.: 1702341403807
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New
Residential
'PROJECT DESCRlPTION: Install electrical fnrnace/heat pump
Owner: NESBIT JAMES
Address: 641 66TH ST
SPRlNGFIELD OR 97478
I CONTRACTOR INFORMATlO~ I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12/2312009
Phone
541-747-7445
. # of Units:
Primary Occnpancy 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, GaragelCarport
Sq Ft Other:
Occupant Load:
nla
, I DEVELOPMENT INFORMA TI~I NTI0N: Oregon law requires you to
NOTICE: follow rules adoptedl.~UGQ~~
nm:: ~RMIT SHALL EXPIRE IF THE WORK , Notification Center. iSfiles are set forth
F~ontyard ~'e'tlfa~l. . 0 UNDER THIS PERMIT I~'\"Y D.st: In OAR 952-001-00 10 f~: h O~ 952-00 1-
SIde I Settlltl,[H RIZE reet Trees Rqd: an ue'
S'd 2 S J>c\"MENCED OR IS ABANDONED FO d D' R d' 0090.. You may obtai co .Of e rules by
· e etlJlll:H" ve rive q . calling the center. m ~%e telephone
Rearyard ~~O DAY PERIOD. % of Lot Coverage: number lor the Oregon Utility Notification
Solar Setbacks: Center is 1-800-332-2344).
I :UBLIC I~PROVEMENTS I
Street Improvements:
Storm Sewe,"Available:
Special Instruction:
Sidewalk Type:
DownspoutsfDrains:
Notes:
I Valuation Descriotion I
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
. Date Calculated .
Paee 1 of.2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Iss u ed
PERMIT NO: COM2008-01768
ISSUED: 12/12/2008
APPLIED: 12/12/2008
EXPIRES: 06/12/2009 ,
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753' Phone
541-726-3676,Fax
541-726-3769,1nspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Furnace - up to 100,000 btu
Heat Pump ,
Minimum/Adjustmeut Mechanical
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24 -
$2.60
$15.00
$15.00
$22.00
12/12/08
12/12108
12/12/08
12/12108
12/12/08
12/12/08
lil12108
2200800000000001740
2200800000000001740
2200800000000001740
2200800000000001740
2200800000000001740
2200800000000001740
2200800000000001740
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.
I ~~'1,"ired 1~,~f!ectio~U
Rough Mecbanieal: Prior to Cover
Final ~echanical: 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 .1 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 complianc~ with ORS 701.005 will be used,on tbis project.
I fnrther 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 Sigilature
Date
Pa2e 2 of 2
'--City of Springfield
Mechanical Allthorization To Begin Work
.
E-mailedTo:Lindsey@marshallsinc.com
Receipt # RC543603
12/12/200811:36:52AM
Check on,status of permit.
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
'10 New construction
[2U Addition/alteration/replacement
I Description
Qty,
Ea.
I ['K:h or2 family dwelling
DMulti-family
o Accessory Building
) Furnace~ up 10 100,000 BTV
I Furnac~ - above 100,000 BTU
I Electricfumace
I Du~t alterations and additions
I Gas heateruilitsl h)-wall, in-
duct susuended. elef
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
$]5.00
I
I
$]5001
I
I
I
I
$]5001
I
IJob no.: IJob address: 641 66TH ST
[City/Stater.lIP: SPRINGFIELD, OR 97478-7187
I Suite/bldg.lapt.no.:
I Project name: NESBIT
Cross street/directions to job site:
I
iI
$15:00
I Water heater
I Gas fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
1 Pool or spa heater, kiln
1 Wuod/pellet stove/insert
I Wood fireplace
I Chimneylliner/flue/~ent w./o
I
I
I
I
I
I
I
1 Subdivision;
Tax map/parcel no.: 170234 I 40~ 807
ILot no.;
FURNACE, HEAT PUMP
I Name: JAM"ES NESBIT
Iphon" (541) 741-4490
I Em:til:
IFax:.
I
I Range hood I
. 1 1 Clothe _ .:" 'O'l: ...." IColt.. I ~ "-t./;, '0'0) 1 u lu
Sing] ,-ilt 1 Mrlo ,;I :ay..th;; :r;;;;;:; , ,
toi]etN;!filMitff3,J'lt nter. Those ru es are s tforth
roomln OAR Qfi?nn1.nn1:l througl .
Attic~a<Y&fm8Y ob~qln cop'i~~ of the r _Ies ~"
lif;o;li!:Pli$1illifii;Ltt18ICimQr;t((l/9t81it!1~j@1ij15>>'Gnim
I opto fi.llU~.tBJ; lJl.So~r,gon Util\lY NotlllT1iOII -
I ear;h additional o~nlUr II Itou~t~l.
1@:I~~.aris;~fi4,~EcHA~L~~b4:,~]1~~1};1rEE~j~~i1~!~
I Subtotal I $30,00
I . Minimum fee used instead of Subtotal I $52.00 I
I State Surcharge (12% of permit fee) $6.24
I City Of Springfield fees" I $28.80 I
I TOTAL PERMIT FEE I $87.04 I
.. City of Springfield fees: 10% Administration Fee; 5% Technology Fee
ICCB ];0, no,: 2~WIS -PER~IT SHALL EXPIRE IF THE WUtll\
IBosio'ssNam".~~1mlllllnER THIS PERMIII~ NUl
ICoolact: L!ND~2MME'NCED OR IS ABANDONED fOR
IAddress; 4110 0' .
I City/State/ZIP: PRINGFIELD, OR 974785620
Phol1e: (54 I )7477445 1 Fax:" (541)7410821
I [mail: Lindsey@marshallsinc.com
"I Metro lie. no.: I Cityiic. no.: CCB 25790
Upon review arid approval by your local jurisdiction, yo~r
permit will be e-mailed or faxed within one business day,
with instructions oil 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 a'nd YOi.d if it does not
meet applicable land use'laws and local ordinances.
COM.~5- O\1196
RCPT#:~~()---;{;;>r.I'1LjO
DATE PROCESSED: I? \ i 2. \ DB. .
PROCESSED BY' V - \JL<~-
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 Fifth Street
Spriogfield, Oregon 97477
541-726-3759 Phone
,
H
0....= "_', '.'.. .",>" -r-_.
City of Spriogfield Official Receipt
Developmeot Services Department
Public Works Department
Job/Journal Number
COM2008-01768
COM2008-01768
COM2008-0 1768
COM2008-0 1768
COM2008-0 1768
COM2008-01768'
COM2008-01768
Payments:
Type-of Payme~t
ONLINE CHGS
cReceintl
RECEIPT #:
Date: 12/12/2008
2200800000000001740
Description
Furnace - up to 100,000 btu
Heat Pump
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
<:heck Number Authorization
. Received By Batch Number Number How Received
KR
ONLINE MARSHAL Online
LSINC
Payment Total:
Page I of I
11 :53:33AM
. Amount Due
15,00
15,00
21.00
, 22,00
2,60
6.24
5,20
$87,04
Amount Paid
$87,04
$87.04
1211212008