HomeMy WebLinkAboutPermit Mechanical 2007-11-29
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2007-01746
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 546 5TH ST
ASSESSOR'S PARCEL NO.: 1703352405500
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: InstaH gas log set and gas piping
Owner: BESWICK JULIA ANN & RICHARD
Address: 546 N 5TH ST
SPRINGFIELD OR 97477
Phone Number: 541-726-5480
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES INC
License
161946
Expiration Date
10/29/2008
Phone
541-343-1131
BUILDING INFORMATION I
# 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:
Street Improvements:
Storm sewe~IJJlra~:
Special Ins&{tJfldrifRM/T SH
AUTHORIZE ALL EXPIR
Notes: COMMENCED UNDER THIS / IF THE WORK
ANY 1.0(1 "'l' D OR If:: 1I0l!'I,,~ERMIT /,l::: A/"T
-.. vii r fJERI -oI,vUU/V D F' e
00. V UR t' D . t'
alua IOn escn IOn
I PUBLIC IMPROVEM..,~t~T,'ON: Oregon Jaw requires y t
. . u es adopt~Si.Q au 0
!'JOtlf/cation ~!<1fnr~11tt~~~e Oregon Utility
In OAR 952-OJJJvOO,ffithl e ru:'es are set forth
0090. You may bt~ ~AR 952-001_
calling the ce~er.a'(JoP/es of the rules by
number for the Or~gono~:. ~he te'~r:>hone
Center is 1-800.33~~~~~'tICation
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa!!:e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01746
ISSUED: 11/29/2007
APPLIED: 11/29/2007
EXPIRES: OS/29/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Gas Outlets 1-4
Miscellaneous Mechanical
Amount Paid Date Paid Receipt Number
$20.00 11/29/07 3200700000000000783
$5.00 11/29/07 3200700000000000783
$2.50 11/29/07 3200700000000000783
$4.00 11/29/07 3200700000000000783
$5.00 11/29/07 3200700000000000783
$45.00 11/29/07 3200700000000000783
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 Reauired InsDections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
Final Gas: When all gas work is complete.
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 shalJ 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 alJ
times during construction.
Owner or Contractors Signature
Date
Pa2e 2 of2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:deanne@midgleys.com
Receipt # EC521538
11/28/2007 8:35:39 PM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
TYPE OF WORK
. .CATEGORYOFCONSTRUCTION
W 1 or 2 family dwelling
D Multi-family
D Accessory Building
, JOB~ITE.I~FORMATldN AND LOCATION
IJob no.: 20019 IJob address: 546 5TH ST
I City/State/ZIP: SPRINGFIELD, OR 97477-4622
I Suite/bldg.lapt.no.:
I Project name: Richard Beswick
~ Cross street/directions to job site: Pioneer Parkway, continue on S 2nd, left at S 0,
I ight at S 4th, left at Park, right at S 5th
I Subdivision: I Lot no.:
I Tax map/parcel no.: 1703352405500
I' DESCRIPTION OFVvORK!!".'
Install gas log set and gas piping
I .
I Name: Richard Beswick
[Phone: (541) 726-5480
[Email:
. SITE CONTACT
IFax:
""""w; <,:;;'"
.', . .'.".'CONTRACTOR
[CCB lie. no.: 161946
[Business Name: THERMAL RESOURCES INC
Contact: Deanne Barger
Address: 1678 W 7TH AVENUE
City/State/ZIP: EUGENE, OR 97402
Phone: (541)3431131
I Fax: (541)6875979
Email: deanne@midgleys.com
Metro lie. no.:
I City lie. no.:
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.
Heat Pump
I Air Handler
Other fuel ~ur~ing I!Pplia!l~es
Water heater
I Gas fireplace/insert/stove
I 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 fireplace
I Chimney/linerlflue/vent w/o
appliance
I Environmental exhaust AND ventilation
I Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
Fuel piping
I upto first 4 outlets( enter Qty= I)
I each additional outlet
I
I
I
I
I
I
* City Of Springfield
$10 Issuance Fee
II
I Description
I Heating/cooling appliances .
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
Air Conditioner
$10.00
$10,00
. $5.00
$5,00
. MECHANICAL PERMIT FG.~S
Subtotal $15.00
Minimum fee used instead of Subtotal $50.00
State Surcharge (8% of permit fee) I $4.00
City Of Springfield fees *1 $27.50
TOTAL PERMIT FEE I $81.50
10% Local Admin Fee; 5% Local Technology Fee;
COM: ;:) ("J() I - n 1'7 4Cf?
RCPT#: 32 (JUf - 7 8' ~
\
DATBPR~, :\.'\ -l-~-Ol
PROCES: r j A f\A....-,
-- .. /
This Authorization To Begin Work must be posted at the job site~il replaced by a Permit.
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.
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2007-0] 746
COM2007-0] 746
COM2007-0 1746
COM2007-0] 746
COM2007-0]746
COM2007-0] 746
Payments:
Type of Payment
ONLINE CHGS
cReceint I
RECEIPT #:
Description
Gas Outlets ]-4
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ ] 0% Administrative Fee
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
3200700000000000783
Date: 11/29/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE THERMAL Online
Payment Total:
Page ] of]
8:29:29AM
Amount Due
5.00
45.00
20,00
2,50
4.00
5,00
$81.50
Amount Paid
$8].50
$81.50
] ]/29/2007