HomeMy WebLinkAboutPermit Miscellaneous 2007-11-20
.
.ITY OF ~rKJj'\jld<lJ!,LD .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANNED
Building/Combination Permit
PERMIT NO: COM2007-01711
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
Status
Issued
SITE ADDRESS: lOll DIXIE DR
ASSESSOR'S PARCEL NO.: 1802052407700
Springfield TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Gas furnace change out.
Owner:
Address:
CHAPMAN RONALD E & MIRIAM A
1011 DIXIE ST
SPRINGFIELD OR 97477
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 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 GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setba~k:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Se""Y1\.~I"'!!Nl Oregon law requires you to
SpeciallnlitftllClio!!les adopted by the Oregon lJtilily NOrICE'.
Notification Center. Those rules are set ;orih
Notes: In OAR 952-001-001 0 through OAR ,::';<-0';1- THIS PERMIT SHALL EXPIRE IF THE WORK
0090. You may obtain cOllies ot the ruin.' h'l AIITl-lnOI7l:n f1h1nc-n T"'" "'~M"~ .. ,,__
calling me cemer. lNote: HIe tell i':' _ . I:UlVlllENCED OR-'.S 'A'B-A"N- . -....." .v ..u.
number for the Oregon Utility No .,V.aluation Description. DONED FOR
Center is 1-800-302-2344). 80 DAY PERIOD.
S Per Sq Ft Square Footage
or multiplier or Bid Amount
Downspouts/Drains:
Description
Tvpe of Construction
Value
Date Calculated
Pa!!e I of2
.
_ITY OF ~rtuNGFIELD '
Building/Combination Permit
PERMIT NO: COM2007-01711
ISSUED: 11/20/2007
APPLIED: 11/20/2007
EXPIRES: OS/20/2008
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
~
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Appliance Vent
Furnace - up to 100,000 btu
Minimum/Adjustment Mechanical
Amount Paid Date Paid Receipt Number
$20.00 11/20/07 2200700000000001729
$5.00 11/20/07 2200700000000001729
$2.50 11/20/07 2200700000000001729
$4.00 11/20/07 2200700000000001729
$7.00 11/20/07 2200700000000001729
$14.00 11/20/07 2200700000000001729
$29.00 11/20/07 2200700000000001729
Total Amount Paid
$81.50
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~,'r~
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Rough Mechanical: Prior to Cover
Final Mech~nical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the cO'!lpleted 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 2 of 2
~.~.-......
1m
. .
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC520858
111201200712:00:19 PM
J:ity of Springfield
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
I D New construction
TYPE OF WORK
[KJ Addition/alteration/replacement
I.
Description
Heating/cooling appliances
FEE SCHEDULE ,
Qty.
Ea.
Tolal
CATEGORY OF CONSTRUCTION
[XlI or 2 family dwelling
D Multi.family
D Accessory Building
furnace- up to 100.000 BTU
Furnace - above 100,000 BTU
Electtic Furnace
Duct alterations and additions
Gas heater units/ in-wall, in-
dUCl susoended. elcJ
Vent, nue, liner for above
Air Conditioner
Heat Pump
Air Handler
Other fuel burning appliances
Water heater
Gas fireplace/insert/slove
Gas log! log lighter
Gas clothes dryer
Gas stove/range
I Pool or spa heater, kiln
I Wood/pellet stove/insert
I Wood fireplace
I Chimneyllinerlnue/vent w/o
aooliance
I Envlronmenlal exhaust AND ventilation
I Range hood
I Clothes dryer exhaust
I Single-ducl exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I Fuel piping
upto first 4 outlets(enter Qty"'l)
I each additional outlet
$]4.00
$14.00
IJOb no.:
I CltylStatelZlP: SPRINGFIELD. OR 97478.9505
I Suittlbldg./apt.no.:
I Project name: CHAPMAN
JOB SITE INFORMATION AND LOCATION
IJob add....: 10] I DIXIE DR
$7.00
$7.00
Cross sl~t1direcllons to job sile:
I Subdivision.: I Lot no.:
ITa); map/parcel no.: 1802052401700
I DESCRIPTION OFWORK
GAS FURNACE CHANGE-OUT(NG).
SITE CONTACT
I Name: RON CHAPMAN
I Phone: (541) 726-5407
I Email:
IF..:
CONTRACTOR
I CCO lie. no.: 25790
Business Name: MARS HALLS (NC
I Conlael: Cevin White
IAdd....: 4]IOOLYMPICST
I CitylStatelZlP: SPRINGF]ELD. OR 974785620
IPhone: (541)7477445 IF..: (541)7410821
1 [mall: cevin@mllrshallsinc.com
I Mtlro lie. no.: I Cily 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.
I
I
I
I
I
]
. City Of Springfield
SIO Issuance Fee
MECHANICAL PERMIT FEES
Subtotal S21.00
Minimum fee used instead of Subtotal S50,OO
State Surchame (8% of penn it fee) $4.00
Ci~ Of S~rin~rield fees; S27.50
TOTAL PERMIT n:E S8] .50
10% Local Admin Fee; 5% Local Technology Fee;
NOTE: This Authorization To Begin Work expires within 180
days If a pennlt Is not obtained.
The local building department may detennlne that an
Authorization To Begin Work 18 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.
. J:al"~
~,
225 Fifth Street
SpJjngfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0 1711
COM2007-0 1711
COM2007-0 1711
COM2007-01711
COM2007-01711
COM2007-01711
COM2007-01711
Payments:
Type of Payment
Ci_ Springfield Official Receipt
D.opment Services Department
Public Works Department
RECEIPT #:
Date: 11/20/2007
2:52:04PM
2200700000000001729
Description
Furnace - up to 100,000 btu
Appliance Vent
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Amount Due
14.00
7.00
29.00
20.00
2.50
4.00
5.00
$81.50
Paid By
Item Total:
L'heck Number Authorization
Received By Batch Number Number How Received
Amount Paid
ddk
$81.50
ONLINE CHGS ONLINE PERMIT CHGS
cReceinl1
ONLINE MARSHAL Online
L'S INC.
Payment Total:
$81.50
Page I of I
11/20/2007