HomeMy WebLinkAboutPermit Mechanical 2007-8-21
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01241
ISSUED: 08/21/2007
APPLIED: 08/21/2007
EXPIRES: 02/21/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 581 S 34TH ST
ASSESSOR'S PARCEL NO.: 1702313405000
Springfield
TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: Install gas fireplace and propane piping with tank.
Residential
Owner: TENNEFOSS SHIRLEY A
Address: 581 S 34TH ST
SPRINGFIELD OR 97478
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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
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'
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special"^~t'PMTI~: Oregon law requires you.~o
follow rules adopted by the Oregon UtilIty
N t Notification Center. Those rules are set forth
o eSin OAR 952-001-0010 through OAR 952-001- NOTICE-
[,3"'( --.x' -tt-j- --r'^^ ....Hh.. rlJloo hy . . -
~~iingth'~' de~te;""'(Note:.t.he tel~~ one. . I r:lb 'l:HMIT SHALL EXPIRE IF THE WORK
number fOr the Oregon Utility Notift atlOn Descn RIZED UNDER THIS PERMIT IS NOT
Center is 1-800-332-~344). $ Per Sq Ft S CO~~~NCED OR IS ABANDONED FOR
Description Type of ConstructIOn or multiplier o~~ ~T1~Y PERIOD. Value Date Calculated
Pa\?:e 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fireplace (Listed)
LP Gas Tank & Piping
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$17.00
$14.00
$19.00
8/21/07
8/21/07
8/21/07
8/21/07
8/21/07
8/21/07
8/21/07
Total Amount Paid
$81.50
I Plan Reviews I
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01241
ISSUED: 08/21/2007
APPLIED: 08/21/2007
EXPIRES: 02/21/2008
VALUE:
Receipt Number
2200700000000001330
2200700000000001330
2200700000000001330
2200700000000001330
2200700000000001330
2200700000000001330
2200700000000001330
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.
Reouired Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: 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 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
Pae:e 2 of 2
Date
1
I
$5001
I
MECHANICAL PERMIT FEES 1
Subtotal I $2000 I
Minimum fee used instead of Subtotal $5000 I
State Surcharge (8% of permit lee) $400 I
City Of Springfield fees · $2750 I
TOTAL PI-:RMIT FEE $8150 I
10% Local Admin Fee: 5% l.ocal Technology Fec:
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:cevin@marshallsinc.com
Receipt # EC515751
8/21/200710:03:08 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
FEE SCHEDULE
Qly.
Ell.
o New construction
I Description
I Heating/cooling appliances
I Furnace- up to 100,000 13TU
I Furnace - above 100,000 13TU
I Electric Furnace
1 Duct alterations and additions
I Gas heater Unlts/ in-wall, in-
duct. suspended, ctc/
1 Vent, nue, liner for above
1 Air Conditioner
1 Heat Pump
I A Ir Handler
I Other fuel burning applilmces
1 Water heater
1 Gas lireplacclinsert/stove
Gas log/ log lighter
I
$15001
1
1
I
I
1
I
I
IX] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
[KJ 1 or 2 family dwelling
o Accessory Building
o Multi-family
JOB SITE INFORMATION AND LOCATION
I Job no.: I Job llddress: 581 S 34TH ST
I City/Stllte/ZIP: SPRINGFIELD, OR 97478-6315
I Suite/bldgJapl.no.:
I Project nllme: TENNEFOSS
Cross streelldirectjol1s to job sitc: EAST ON MAIN S1' SOUTH ON 32ND. EAST
IN VIRIGINIA ST. SOUTH ON S 34TH
I Subdivision: I Lot no,:
I TllX mllp/pllrccl no.: 1702313405000
I DESCRIPTION OF WORK
INSTALLATION OF GAS FIREPLACE AND PROPANE PIPING WITH TANK.
Gas clothes dryer
I Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/Insert
SITE CONTACT
Wood fireplace
I Chimney/liner/tlue/vcnt w/o
appliance
I Environmental exhaust AND ventilation
1 Range hood
Clothes drycr exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
I Attic/crawlspace fans
I Fuel piping
I upto lirst 4 outlcts(cnter Qty=l)
each additional outlet
$5.00
I Name: SHIRLEY TENNEFOSS
I Phone: (541)741-7843
I Emlli/:
1
I CCB lie. 110.: 25790
I Busillcss Nllrnc: MARSIIAI.LS INC
I Conlllcl: Ccvin White
IAddress: 4110 OLYMPIC ST
I City/State/ZIP: SPRINGFIELD. OR 974785620
I Pholle: (541)7477445 I Fax: (541)7410821
II-:mail: cevin@marshallsinc.col11
I Metro lie. 110.: I City lie. no.:
I Fax:
CONTRACTOR
II
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* City Of Springlidd
$10 Issuance Fee
UpOll review alld approval by your local jurisdiction, your
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 and void if it does not
meet applicable land use Jaws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
I
Total I
I
1
I
I
I
I
I
I
1
I
I
I
$15001
1
1
1
1
1
1
I
1
I
1
225 Fifth Street
Springfieid, Oregon 97477
541.726-3759 Phone
Job/Journal Number
COM2007-01241
COM2007-01241
COM2007-01241
COM2007-0 1241
COM2007-01241
COM2007-01241
COM2007-01241
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001330
Description
LP Gas Tank & Piping
Fireplace (Listed)
Minimum! Adjustment Mechanical
~Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/21/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of 1
ONLINE Marshall's Online
Inc
Payment Total:
3:03:46PM
Amount Due
14.00
17.00
19.00
20.00
2.50
4.00
5.00
$81.50
Amount Paid
$81.50
$81.50
8/21/2007