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HomeMy WebLinkAboutPermit Mechanical 2007-12-10 _~~g~I,EU) .jii,.,'" "...', WIr- 'Ii : . , '<. . .>>.PM......... >> Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01811 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2577 35TH ST ASSESSOR'S PARCEL NO.: 1702194204200 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Install gas insert, liner and gas piping. Owner: GRA Y ROBERT S & KIMBERLY M Address: 2577 N 35TH ST SPRINGFIELD OR 97477 Phone Number: 541-736-5141 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor THERMAL RESOURCES INC License 161946 Expiration Date 10/29/2008 Phone 54]-343-] 131 BUILDING ]NFORMA T10N ~ # 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 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: 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 ATTENTICWdJN,Il\l.ClfIvlaw requires you to follow rules adopted i:lY-Ihe Oregon Utility Storm Sewer Availahle: NotificalionI1J'-\j1nspolilsLDraln~s are set forth Special Inst~pction: ~ in OAR 952,OO~-001 0 through OAR 952-001- ',L Ill-I:: 0090. You may obtain copies of the rules by Notes: THIS PERMIT SH calling the center. (Note: the telephone AUT/10RI7r:-n I '\'~~~ EXPIRE IF T/.Jr:- 1A/""" number for the Oregon Utility Notification L;UMMENCED -..~~" IMI~ PE',v I IS 'i.... verner I:; ,-ouu-"""-",,..../. ANY 180 DAY OR IS ABANDONl~ab,J;j ~Qh Descriotion I PERIOD. "!r{ $ Per Sq Ft . Square Footage or multiplier or Bid Amount Street Improvements: Description Type of Construction Value Date Calculated Pa2e I of2 -iiii: i'i Status Iss u ed CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01811 ISSUED: 12/10/2007 APPLIED: 12/10/2007 EXPIRES: 06/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 54]-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 Gas Outlets 1-4 MinimumlAdjustment Mechanical Pellet StovelJnsert Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $5.00 $12.00 $33.00 12/10/07 12/10/07 12/10/07 12/10/07 12/10107 12110/07 12/10/07 3200700000000000798 3200700000000000798 3200700000000000798 3200700000000000798 3200700000000000798 3200700000000000798 3200700000000000798 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 Reouirerllnsnections I Rough Cas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. 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 he 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 Pa2e 2 of 2 Mechanical Authorization To Begin Work E-mailedTo:deanne@midgleys.com Receipt # EC522251 12/10/2007 ]:41:09 PM City of Springfield GPllJ.~. NG.RN ~',...... I . &1 Check on status of perm it By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us I Tolal I I I I 1 I I I I I I II I : ~:~:~~;:~Olirig appliances I I Furnace- up to 100,000 BTU II Furnace - above 100,000 BTU I I Electric Furnace 1 Ducl alterations and additions Gas heater units! in-wall, in- I duct. suspended. elef I I Vent, flue, liner for above I I Air Conditioner I Heat Pump Air Handler Q"tJ!?i'ime1 bU~I~illg :applj1iilc~ Water heater I Gas fireplace/insert/slove I Gas log! Jog 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/linerli1ue/venl wlo appliance I D New construction Qty, [X] Addition/alteration/replacement I I IKJ 1 or 2 family dwelling o Multi-family o Accessory Building ejOB$ITETiNFORMATION AN[)120CATION ~..... .,....,..,',.,~~~.~..,..~......" ,....... ".'. ','" "."" , . ",. ...." IJOb no.: 20339 IJob address: 2577 35TH ST I City/Stale/ZIP: SPRINGFIELD. OR 97477-1889 I Suitc/bldg.lapt.no.: I Project name: Rob Gray Cross streeUdirections to job site: I II I I I I I I I I $15,001 I I I I I I I I Subdivision: ITax map/parcel no.: p' Install gas insert, liner and gas piping !Lot no.: $15,00 1702194204200 I Name: Rob Gray IPholle: (541) 736-5141 I Email: Ie I Fax: I Range hood Clothes dryer exhaust . Single-duct exhaust (bathrooms, toilet compartments, utility rooms) I CCB lie. no.: 161946 \ Business Name: THERMAL RESOURCES INC I Contact: DeaJme Barger IAddress: 1678 W 7TH AVENUE I City/StatcIZIP: EUGENE. OR 97402 IPholle: (541)3431131 I Email: deaJ1l1e@midgley:;.com l!\leero lie. no.: fans r upto first 4 outlets(enter Qty=!) I each additional outlet IJ $5,001 I $5,00 I Fax: (541)6875979 I I I I I * City Of Springfield co~;jJm1 ~ (J/!/I RCPT #. ::, ?..00( ..-' r '1 8" DATE~~ED: !r:o/lJ7 PR~ This Authorization To Begin Work must be posted at the job site uttil Snbtotal $20,00 I Minimum fee used instead of Subtotal $50.00 I State Surcharge (8% of permit fee) $4.00 I City Of Springfield fees * $27.50 I TOTAL PERMIT FEE I $81.50 I ]0% Loca] Admin Fee; 5% Loca] '''echnology Fee: 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. 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. ~ed by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -0181 I COM2007-01811 COM2007-0l811 COM2007-0l811 COM2007-0181l COM2007-0181 1 COM2007-0181l Payments: Type of Payment ONLINE CHGS cRecelotl RECEIPT #: Date: 12/10/2007 3200700000000000798 Description Gas Outlets 1-4 Pellet Stove/lnsen -Mechanical Issuance Fee- Minimum! Adjustment Mechanical + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By ONLINE PERMIT CHGS Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE THERMAL Online Payment Total: Page I of 1 , 2:52:52PM Amount Due 5,00 33,00 20,00 12,00 2,50 4,00 5,00 $81.50 Amount Paid $81.50 $81.50 1211 0/2007