HomeMy WebLinkAboutPermit Mechanical 2009-1-20
Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00086
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phoue
541-726-3676 Fax
541-726-3769 Iuspection Line
SITE ADDRESS: 353 72ND ST
ASSESSOR'S PARCEL NO.: .1702353105000
Spriugfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install wood stove iusert
Owner: CHENOWETH GREG & MARY'CLARE
Address: PO BOX 734
EVERETT WA 98206
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
\
Expiration Date
12/23/2009
Phone
541-747-7445
# of Uuits:
Primary Occupancy Group:
Secondary Occupaucy Group:
Primary Constructiou Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Rauge Type:
Energy Path:'
Sprinkled Building:
Lot Size:
Sq Fn st Floor:
Sq Ft 2nd Floor:
Sq Ft ~asement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
.n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
- I - --_!_-.- ,,,..,,.....
, "-\1 I C.1'Il1.IVI~. .....'vtJ...... ..... . --.-.- - - .. .
NOTICE: , I PUBLIC ]MPROVEMENT~'lIow rules adopted by the Oregon Utility
TUIC DCRMIT SHA N ff ..t'n" r"f~~5hose rules are set forth
Street Improvements, LL EXPIRE IF THE WORK . 0 Ilc'~ine"'"1 :th hOAR 952-001-
A JTH~ZED UNO In OAR 952-00 - '. roug
Storm Sewer,! 'iI': ER THIS PERMIT IS NOT 0090, 1t<U'llJllPpotsrl!lralnll"es of the rules by
Special Instr~ Jl~~YI: CEO OR IS ABANDONED FOR calling the center. (Note: the telephone
ANY 180 DAY PERIOD. ., number for the Oregon Utility Notification
Notes: Center is 1-800-332-2344).
I yaluation Descri?tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
:',~
Value
Date Calculated
Paee] of2
Status
Issued
225 Fifth Street, Springfield; OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Iuspection Liue
Fee Descriotion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Amount Paid
$9.48
$3.95
$79.00
$92.43
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
1/20/09
1/20/09
1/20/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: 'COM2009-00086
ISSUED: 01/20/2009
APPLIED: 01/20/2009
EXPIRES: 07/20/2009
VALUE:
Receipt Number
2200900000000000071
2io0900000000000071
2200900000000000071
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 reqnested a-fter 7:00 a.m. will be made the following
work day.
I Relluired Insnections ,
Wood Burning lusert: After iustallation.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
informaiion hereou is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of th'e City of Springfield and the Laws of the State of Oregon pertaining to the work described herei~, and
that NO OCCUPANCY will be made of any structure without permissiou of the Community Services Divisiou, 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 ofthe property, aud the approved set of plans will remain on/he site at all
times during constructio~.
. Owner or Contractors Siguature
Paee 2 of2
Date
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:Janice@marshallsinc.com
Receipt # EC545395
1120/200912:46:16 PM
Check on status of permit
. By Phone: (541)726-3753 or Email: perm!tcenter@ci.springfield.or.us
I D New construction
o Additiol1/a]~erationlrepJacement
I Description
IlliJ 1 or 2 family dwelling
o Multi-family
D Accessory Building
I Fumace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I EJectricFumace
I Duct alterations and additions
I Gas heater unitsl in-wall, in-
duct suspended. etef
1 Vent, flue, liner for above
Air Conditioner
I Heat Pump
Air Bandler
I
I
I
I
I
I
I
I
IJob no.: . IJob address: 353 72NDST
ICity/StatelZlP: SPRINGFIELD, OR 97478.7236
I Suitelbldg.lapt.no.:
I Project name: WING
Cross street/directions to job site: MAIN TO 72ND 5T PASSED C 5T ,
I Water heater
I. Gas fireplace/insertlstove
Gas log! log lighter
I Gas clothes,dryer
I Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fire'place
Chimney/lin-erlfltie/vent w/o
I
I
I
I
I
$38.00
I
I
I
I
I
I
$38.001
I
I
I Subdivision:
ITax map/parcel no.: ]702353105000
I Lot no.:
I Name: Nick Wing
I Phone: (54]}741-1958
I Email:
I Fax:
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or fa.xed within one business day,
with Instructions on how to schedufe your inspection.
I Rang' hood I I
I CSlolhesddry~IT10N' 01 egoR la':, rCl'ftllre! yOu tu
I mgl,- ~;rAAI~ltf~il!l!~oms
to;loI co f\IM~'\s M~11f' al10 Jted by tle Oregc n Utility
moms) otrflcation Centl f. Thn." n rI". Aro <et forth
I Att;d,mlns~:la'~./ii,g52-001-C)1 0 thro_Jqh OAFj >)!'j~-n.n1-
1~!']i.i!iI!\!!!lS!.9,!!zQl.1ly,,pqll)!h2ctiPl~~101!tneJftifeS!blll
II uPtofirst4M,'i\IW~\!tJrulyQl')ntpr. (Not~: the telephone
I I each add,t~~\'~tlfe~:~I~~"J' "~U" ~L!f~ILJ_NOIlI'Catlon I
I 1:i!!.~-'~MECH.fNI~~J~~~~tl1\t[s;i';~'~~1
I I Subtotal I $3800 I
I I Minimum fee used instead of Sub tala] I $79,00 I
I State Surcharge (12% of penn it fee) $9.48 I
I City Of Springfield fees * I $3.951
I TOTAL PERMIT FEE I $92.43
* City Of Springfield fees: 5% Techno]ogy Fee
ICCB Ii<, no.: 25NCTIGE:
I Business Name: gl~T SHALL EXPIRE IF THE WORK
ICootact: Jan;"A~THORIZED UNDER THIS PERMIT IS NOT
IAddress: 4"0<WIWM~CED OR IS ABANDONED FOR
I Oty/StateJZIP: ~fl~qIMQ;J\!w 'PPIlim~_ .
I Phon" (541)7477445 . I Fax: (541)7410821
I Email: Janice@marsha]]sinc.com
I Metro lie. no.: I City lie; no.: CCB 25790
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 J)oCIo'Yl ^~Il ^
meet applicable,land use laws and local ordinances. COM: 1'1 kn - ()\\ U \.U
RCPT#. {oCbCY! - 'l \
Th', "'th",,,,oo To B'9'0 VVo~ m,,' "p"'" "'h' .~-::z;~-
\
225 Fifth Street
Springfield, Oregon 97477
541-,726-3759 Phone
Job/Journal Number
COM2009-00086
COM2009~00086
COM2009-00086
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000000071
Date: 01120/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
kr
ONLINE marshalls inc Online
Payment Total:
Page 10f 1
1:32:31PM
Amount Due
79,00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
1/20/2009