HomeMy WebLinkAboutPermit Mechanical 2007-12-10
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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
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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:
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$15,001
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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
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* 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