HomeMy WebLinkAboutPermit Mechanical 2006-11-29
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.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01516
ISSUED: 11/29/2006
APPLIED: 11/29/2006
EXPIRES: OS/29/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 882 NORTH RIDGE AVE
ASSESSOR'S PARCEL NO.: 1703261201015
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install propane insert with gas piping.
Owner: RICE DONALD ELBERT SR & D L
Address: 882 NORTH RIDGE ST
SPRINGFIELD OR 97477
Phone Numher: 541-747-2756
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MARSHALLS INC
License
25790
BUILDING INFORMATION I
Expiration Date
12123/2009
Phone
541-747-7445
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Constrnction 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
REQUIRED PARKING
Front yard Sethack:
Side I Sethack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
NoteNOTlCE:
I Hlti i"tKMII tiHALL l:XPIHl: IF TH~ \\,UI;I\
AUTHORIZED UNDER THIS PERMIT It'\!aluation Descriotion I
COMMENCED OR IS ABANDONED FO$lPer Sq Ft Square Footage
Desc~~vor80 DAfWfllfdtl'.nstruction or multiplier or Bid Amount
Value
Date Calculated
Pa!!e I of 3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01516
ISSUED: 11/29/2006
APPLIED: 11/29/2006
EXPIRES: OS/29/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Valne of Project
Fpp. tiWLI
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Gas Fireplace
LP Gas Tank & Piping
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$10.00
$4.50
$2.25
$3.60
$15.00
$12.00
$18.00
11/29/06
11/29106
11/29/06
11/29/06
11/29/06
11/29/06
11/29/06
Receipt Number
1200600000000001699
1200600000000001699
1200600000000001699
1200600000000001699
1200600000000001699
1200600000000001699
1200600000000001699
Total Amount Paid
$65.35
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection 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.
IRp~
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Gas Service: After line is installed and line has been connected to a minimum of one appliance including required
testing. Presure test done at this point.
Final Gas: When all gas work is complete.
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Pa!!e 2 of3
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01516
ISSUED: 11/29/2006
APPLIED: 11/29/2006
EXPIRES: OS/29/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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 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
Date
Pa!!e 3 of 3
225 Fifth 'Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2006-01516
COM2006-01516
COM2006-0 1516
COM2006-01516
COM2006-0 1516
COM2006-01516
COM2006-01516
Payments:
Type of Paymeut
. _'~" No.,IILD., ' ,:,
'*r:1 "
"'ti .
..."',..'c,.......".',.
<:;Aof Springfield Official Receipt
_Iopment Services Department
Public Works Department
RECEIPT #:
1200600000000001699
Date: 11 /29/2006
2:48:34PM
Description'
LP Gas Tank & Piping
Gas Fireplace
M inimuml Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
12.00
15.00
18.00
10.00
2.25
3.60
4.50
$65.35
Paid By
Item Total:
t...:heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
$65.35
$65.35
ONLINE CHGS ONLINE PERMIT CHGS
cReceinl1
ONLINE Marshall's Online
Payment Total:
Page I of I
11/29/2006
,
City of Springfield
tIlhanical Authorization To Begin wor_
E-mailedTo:tresha@marshallsinc.com
Receipt # EC506624
11/29/200612:13:23 PM
~
Check on status of permit:
Contact: http://www.ci.springfield.or.usldsdlBuilding/index.htm
o Accessory Building
II
1 Description
Heating/cooling appliances
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FEE SCHEDULE
I Qty. I
.:11.
Total
TYPE OF WORK
10 New construction
[i] Additionlalteratiorv'replacement
CATEGORY OF CONSTRUCTION
I [i] 1 or 2 family dwelling
o Multi-family
Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
I Fax:
I
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I
I
I
I
nol offered online at this jurisdiction I
I
I
$15,001
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I
Range hood I
Clothes dryer exhaust I
I Single-duct exhaust (bathrooms, I
toilet compartments, utility
rooms)
I Auic/crawlspace fans [
I Fuel piping I
I upto first 4 outlels(enter Qty=l)
I I each additional outlet I
I I MECHANICAL PERMIT FEES I
I I Sublotnl $15,00
I I Minimum Fce $45.00 I
I State Surch~e (8% of~nnil feel $3.60 I
I Ci!'.: OfS~ringfield fees' $16.15 I
I TOTALPI:RMIT FEE $65.35 I
. City or Springfield 10% Local Admin Fee; 5% Local Technology Fee;
$10 Issuance Fee
Duct alterations and additions
Gas heater units! in-....'tl.II, in-
duct susoended_ elcl
Vent, flue, liner for above
JOB SITE INFORMATION AND LOCATION
IJobno.: IJobaddress: 882 NORTHRIDGEAVE
I Cily/StateJZlP, SPRINGFIELD. OR 97477-2390
I Sultelbldg.!apt.no.:
I Proje<:t name: RICE
Cross street/directions 10 job slle: OFF HAYDEN BRIDGE, TURN ON 10TH AND
rHE TURN ON NORTHRIDGE
Electric Furnace
not offered online at this jurisdiction
Air Conditioner
Heat Pump
Air Handler
Other ruel burning appliances
!Subdivision: I LoI DO.:
j'lin. map/parcel no.: 170326]201015
I DESCRIPTION OF WORK
INSTALL PROPANE INSERT. INCLUDING GAS PIPING.
Water heater
Gas fireplace/insert/stove
Gas log! log lighter
$15,00
Gas clothes dryer
Gas stove/range
Pool or spa heater. kiln
I
I Name: PON RICE
i PhoDe: (541)747-2756
jEmail:
SITE CONTACT
Wood/pellet stove/insert
Wood fireplace
Chimneyllinerlflue/vent w/o
aooliance
Environmental exhaust AND ventilation
CONTRACTOR
I ceo Iic.no.: 25790
I Business Name: MARSHALI.S INC
I Contact: Tresha Oconnor
IAdd...", 4110 Ol.YMPIC ST
I Clty/StateJZlP, SPRINGFIELD. OR 974785620
I Phone: 5417477445 IF8.1: 5417410821
I Email: trcsha@marsha]lsinc.com
I Metro lie no.: I City lie no.:
Upon review and approval by your local Jurisdiction, your
permit will be e-malled 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 and void If It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.