HomeMy WebLinkAboutPermit Mechanical 2009-1-21
Status
Issued.
, :.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00089
ISSUED: 01/21/2009
APPLIED: 01/21/2009
EXPIRES: 07121/2009
VALUE:
225 Fifth Street, Spriugfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3968 JASPER RD
ASSESSOR'S PARCEL NO.: 1802061409800
Springlield TYPE OF WORK: Heating System
TYPE OF USE: New
. Residential
PROJECT DESCRIPTION: Replace gas furnace - no heat situation
Owuer: GRENZ TERRY T & MELINDA S
Address: 3968 JASPER RD
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION i
Contractor Type
Mechauica]
Contractor
MARSHALLS INC
License
25790
. BUILDING INFORMATION I
Expiration Date
12/23/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secoudary Occupaucy 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 INFORMATION I
II
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Froutyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setba~ks:
ft' ,
.,.l,.t
I PUBLIC ]MPROVEMENTS ,
Street ImprovNn19~E:
Storm Sewer IfJIfial5iiiRMIT SHALL EXPIRE IF THE WORK
Special InstruMb1Jl:j0RIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
. , ,
Sidewalk Type:
Downspoutsmrains:
ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
.!_ ro ^ n.n!:'.... f"lf\-t n"-I n th..,...\,,.,h n.llr.Q ac:."J_n"1...
Notes:
Description
Type of Construction
I . . . 10090. You may obtain copies of the rules by
ValuatIOn DeSCriptIOn calling the center. (Note: the telephone
number for the Oregon Utility Notification
$ Per S_q ~t . Squa.re Footage Center i(!al~00-332-2:tJ\.4l,.calculated
or mulhpher or BId Amount .
Paee I 01'2
Status
Iss u ed
CITY, OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-00089
ISSUED: 01/21/2009
APPLIED: 01121/2009
EXPIRES: 07/21/2009
VALUE:
225 Fifth Street, Springfield, OR .
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspectiou Line
Total Value of Project
/. Fees Paid I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total A;"ouut' Paid
Amount Paid
Date Paid
Receipt'Number
$9.48
$3.95
$79.00.
1/21/09
1/21/09
1/21/09
2200900000000000073
2200900000000000073
2200900000000000073
$92.43
I Plan Reyiews 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.
Reollired Insnections ~
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, tbat I baye carefully examined the completed application and do hereby certify tbat all
iuformation hereon is true aud correct, and I further certify that any and all work performed shall be done in accordancewith
the Ordinauces of the City of Springfield aud the Laws of the State of Oregou pertaiuing to the work described hereiu, and
that NO OCCUPANCY will be made of auy structure without permission of the Commuuity Services Division, Building Safety.
I further certify that ouly coutractors and employees who are in compliance with ORS 701.005 will be used ou 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 frout of the property, aud the approved set of plans will remain ou the site at all
times during construction,
Owner or Contractors Signature
Date
Page 2 of2
City pf Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Janice@ri1arshalIsinc.com
Receipt # ,EC545430
1/20/20094:22:40 PM
Check on status of permit
By Phone: (54\)726-3753 or Email: permitcenter@ci.springfield.or.us
Total
I Water heater
I 9as fireplace/insert/stove
I Gas log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet, stove/insert
Wood fireplace
Chi,"?n.eyllinerlflue/veot w/o I I I
ap'p'hance .
I tl;~nviron~re~tlll~xf[a~ust-~b~ven~ilano'6n~~-B~~s#.,.:1
I~::;;~~;~"~"~~"-;~~"'" "i'" 18i'#ls"lW'ii I
[ Clolh<Alif€wr~@N: OreQC n law re ulres yo~ to I
Sing'lo1~t'Sal!l!PClplte I by the regon tility
I' I :~~Wt1'flm!ltT!l'h e~'l'iter. 'hose rul s are se~forth I
I AII:\iX~~'fan;UUI-~~1~1"'UU\J"I~_"".:tUU._I~ I
1-1ffA..;J:iJt'i$J'<<:J4..J!'I~Qfl. ~L~W:90JJ.~)~U '''''l.,;i.'''W''',fIiIl
I O''' "E:-"...v:,*~('I"'~~~:~~~" .
I upto . ~ ~.~.II;iii~' I U. . . . -n I
11..:~:~..d;;~~~dP!!'l..M:h 29:13~;~.:t~~"11
&j?JZE.ii:JftS,";,fEf,lif:;" .MEqH~Nlc;~~:PER.MIJiF,.E;~S ..' c~
I (~:..=,*~-a ..--. .... . _k'-S:~;otal .. $170~'1
I I Minimum fee used instead of Subtotal I $79,00 I
, 1 State Surcharge (12% of permit fee) $9.481
1 City ofSDringfield fees *1 $3.95 1
I 'I'O"I:.\L PERMIT FEE $92.43 I
.. City Of Springfield' fees: 5%Technology Fee
New construction
/KJ Addition/alteration/replacement
I Description
1 or 2 family dwelling . . 0 Multi.family
I Furnace. up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct. suspended. ctc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Handler
$17.001
I
I
I
I
I
I
I
o Accessory Building
I~r_ '.~~r~f!r;:!lli!1..0_~!\TIi:1li!ANbll!C>"ii~fn5"~~~~\l"':t%i'i;l;~1
I Job no.: I Job address: 3968 JASPER RD I
1 Ci'y/Sla'elZIP: SPRINGFIELD, OR 97478-6583 I
ISuitelbldg.lapt.no.: I
I Project name: GRENZ I
Cross street/directions to job site: SOUTH 42ND , WEST ON JASPER RD APPROX
! BLOCKS
I
ITax map/pllreel no.: 18.02061409800 I
~_1ilJ:'-""'.4~~pESCRIRTIONroi':O'WORKt1JGY""-"'~~",,<0",-~iiI~1li,'~~1
Jk" ,,~~~'ji.,", """ ' c" $,,,,,~,,==,,~~~j "..&~~~Cf~~_._,..
REPLACE GAS FURNACE NO HEAT SITUATION
ISubdivision:
I Lot no.:
I Name: TODD GRENZ
[Phone: (541)747-9290
IEmail:
IF",:
I CCO lie. no.: 25790
I Business Name: ~~C ,. .
I Contact: JaniceFlO~'
IAddress: 41100LY . ~sfi:nM1iSiiili.i. tM'11i1: II" I HI: WUKI\
ICily/Slate/ZIP: SP ~_ ,l?tIhJMIM~H I HI::; Pt:HMIII::; NUl
IPhone: (541)74774J;U.I~lMENGI:U UK 1~J\~a.~llU~D fUR
I Emaii: Janice@tnats~!;nHt\l, Uf\T t'l:liluu.
I Metro lie. no.: I City lie. no.: CCB 25790
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.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
The local building department may determine thatan
Authorization To Begin Work is null and void iilt does not
meet applicable land use laws and local ordinances.
COM' ~- ron~q
RCPT#:?s';1tCA- '13
DATE PROCESSED:'~ I' !
PROCESSED BY:~tiv-
O'O'J
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
$17 00 I
I
I
I
I
I
I
I
I
225 Fifth Street
Springfield, Oregon 97477 .
541-726-~759 Phone
Job/Journal Number
COM2009-00089
C0M2009-00089
COM2009-00089
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
. + 12% State Surcharge
Paid By';
ONLINE PERMIT CHGS
" /:~ '; ';
, ,
I . ~ .
I,
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000073
Date: 01/21/2009 .
;. 8:48:27AM
Item Total:
<';heck Number Authorization
Received By Batch Number Number How Received
, Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
kr
ONLINE Marshalls Online
INC
Payment Total:
$92.43
$92.43
Page I of I
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