HomeMy WebLinkAboutPermit Mechanical 2007-10-15
.
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:service@emeraldpool.com
Receipt # EC518602
10/12/20074:03:50 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
o New construction
I Description
[K] I or 2 family dwelling
I Furnace- up to 100,000 BTU
Furnace - above 100,000 BTU
Electric Furnace
Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
Air Handler
o Multi-family
D Accessory Building
I Job no.: 171971 I Job address: 1537 FAIRVIEW DR
City/State/ZIP: SPRINGFIELD, OR 97477-7627
Suite/bldg.lapt.no,:
Project name: Orthmann
Cross street/directions to job site: follow OR-126 ETake the exit toward Springfield
City CenterTurn right at Pioneer Pkwy WTum right at Centennial BlvdTurn right at Mill
StContinue on W Fairview Dr
Total
I Lot no,:
Subtotal I $3300 I
Minimum fee used instead of Subtotal $50.00 I
State Surcharge (8% of penn it fee) $4_00 I
City Of Springfield fees * $27.50 I
TOTAL PERMIT FEE $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
I Subdivision:
!Tax map/parcel no,: 1703273200135
Water heater
I Gas fireplace/insert/stove
8~i\\~gfti>g lighter
d b I 0 Gas clothe. dryer
follow rules adopte y t 1e reqnM. ,,""~r
Notification Center. Those rules CJJ~~->~t9Y#~~l/ge .
in OAR 952-001-0010 through Of. F e,Qi?~rI1PMh_eater, kIln
0090. You may obtain copie~ of t l'
$33001
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I
Install of wood stove insert
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w/o
I Name: Art Messman
[Phone: (541) 688-1090
I Email: service@emeraldpool.com
numDer TOr me UI\:;!:jUII
IF L..eljl\<1 j" 1..GGG~~~Z M A
ax: (541) b~~:ru~v
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
I CCB lie. no,: 11294
I Business Name:
I Contact:
IAddress:
I City/State/ZIP:
I Phone: (541 )6881090
I Email: service@emeraldpool.com
I Metro lie, no.:
I upto first 4 outlets(enterQty=l)
I each additional outlet
I Fax: (541 )6884572
I City lie. no.:
I
I
I
I
I
* City Of Springfield
,$10 Issuance Fee
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n'__ "'~,!~" .'-:'u' Oi:';, \3 Nj;'\l~DOi\\tD fori
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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 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.
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$33.00 I
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Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01551
ISSUED: 10/15/2007
APPLIED: 10/15/2007
EXPIRES: 04/15/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1537 FAIRVIEW DR
ASSESSOR'S PARCEL NO.: 1703273200135
Springfield
TYPE OF WORK: Heating System
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install wood stove insert.
Owner: ORTHMANN MARY L
Address: 14702 NE 37TH ST
VANCOUVER W A 98682
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
BUILDING INFORMATION I
Expiration Date
10/22/2009
Phone
541-688-1090
# 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 I
Street Improvements: Sidewalk Type:
Storm Sewer Available: A~n~t~inn
Special Instruction: follow rules adopt db aw requIres yoU to
Notification Center. eTh Y the Oregon Utility
Notes: In OAR 952,001-0010 t~~e rules are set forth
NOrlCE- 0090. You may obtain co ~gh OAR 952-001_
· "",w'1f tli DIes of thl:lll:lIfes L__
I HIS PERMIT SHALL EXPIRE IF n.. I number f~; thCllllttr. (/\Jote: the telephone~1'
AUTHORIZED UNDER THIS PERMr" 'on Descrintion Cent e. Oregon Utility Notification
COMMENCED OR' er IS 1'800-332'2344)
. IS ABANDONED EQRr Sq Ft Square Footage ·
Descn.180 ~pnfoJ(JiftJlBtructlon It' I' B'd A Value Date Calculated
cnwu. or mu Ip ler or I mount
Paee 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01551
ISSUED: 10/15/2007
APPLIED: 10/15/2007
EXPIRES: 04/15/2008
VALUE:
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
Minimum/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
$20.00
$5.00
$2.50
$4.00
$17.00
$33.00
10/15/07
10/15/07
10/15/07
10/15/07
10/15/07
10/15/07
Receipt Number
2200700000000001586
2200700000000001586
2200700000000001586
2200700000000001586
2200700000000001586
2200700000000001586
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 Reouired Insoections I
Wood Burning Insert: After installation.
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
Paee 2 of 2
225 Fifth Street
Springfieltl, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0155I
COM2007-01551
COM2007-01551
COM2007-01551
COM2007-0155 I
COM2007-01551
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
2200700000000001586
Description
Wood Stove/Insert
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: 10/15/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Paid By
ONLINE PERMIT CHGS
ddk
Page 1 of I
ONLINE EMERALD Online
POOL
Payment Total:
8:20:27 AM
Amount Due
33,00
17,00
20.00
2.50
4,00
5,00
$81.50
Amount Paid
$81.50
$81.50
10/15/2007