HomeMy WebLinkAboutPermit Mechanical 2007-12-12
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Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01821
ISSUED: 12/12/2007
APPLIED: 12/1212007
EXPIRES: 06/1212008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1170 CUSTOM WAY
ASSESSOR'S PARCEL NO.: 1703263407700
Springlield TYPE OF WORK:
TYPE OF USE:
PROJECT DESCRIPTION: Install gas line and gas stove insert.
Owner: OEWIDMAN SARITA ANGULO
Address: 2911 SARAH LN
EUGENE OR 97408
I, CONTRACTOR INFORMATION'
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 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Frontyard Sethack:
Side 1 Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Sethacks:
Overlay Oist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements: Sidewalk Type:
Storm Sew.A-1A~\hl>>'J:': Oreg(\~ la\" rc(1,j.~co "0" :" Downspouts/Drains:
Special InJR\\lcWoW.1es adopted c;:! 8 r: 2~ c,. I :" 'II ~'~1"'""..
Notification Centor. lhl'S~ r~lrs qre scllc:lh Ih. :.:~.
Notes: In OAR 952-001-COI0 tnrouqh OAR 952-001- THIS PeRMIT SHALL EXPiflE IF Tf F ','.'C\',K
009~:. Yo~ may obtain,?opie~ ofl~e r~les by AUTHORIZED UNDER THIS 'PFRi,jIT~I~ ~~T
n~-;;;b':r f~; th~'O;~g~'~U;i1ii; N~tjf;;';ti;n. D . t;~':::tV8'tOI'iCED OR IS ABANDONED FOR
Center is 1-800-332-234,1; Vl\Ilianon eSCrIll ~ DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee 1 of 2
-u.::.-~
..~
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2007-01821
ISSUED: 12/1212007
APPLIED: 12/12/2007
EXPIRES: 06/1212008
VALUE:
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)
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$17.00
$5.00
$28.00
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
12/12/07
I2/ 12/07
1200700000000001488
1200700000000001488
1200700000000001488
1200700000000001488
1200700000000001488
1200700000000001488
1200700000000001488
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 Rec\"ired I nsnections I
Rough Gas: After line is installed and required testing and capped if not attached to an appliance.
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 co....ect, 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
Pa2e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:service@emeraldpool.com
Receipt # EC522386
12/12'20078:57:39 AM
~
Check on status of permit
By Phone: (541)726-3753 or Em.ii: permitcenter@cLspringfield.or.us
[X] Addition/alteration/replacement
CATEGORY OF CONSTRUCTION
H.... ,.. ~~"'''..'m'''''''....''..'..,..'...
I [X] 1 or 2 family dwelling 0 Multi-family D Accessory Building
.~Tl;;,,;jOB SITEIN~F<5.RMATIONA~D~I.:Qi:ATION
I Job no,: 174883 I Job address: ] 170 CUSTOM WAY
ICily/State/ZIP: SPRINGFIELD, OR 97477-3023
I Suite/bldg.lapt.no.:
I Project name: Angulo
Cross street/directions to job site: OR-126 ETake the exit toward Springfield City
::enterTurn right at Pioneer Pkwy W Turn left at Centennial BlvdTurn right al Custom Way
I Subdivision:
I Tax map/parcel no,: ]703263407700
I Lot no.:
Install of gas line and gas stove insert
I Name: Art Messman
[Phone: (541)688-\090
I Email: service@emeraldpool.com
)Fax: (54])688-4572
CONTRACTOR
I CCB lie. no.: ]] 294
I Business Name: EMERALD SWIMMING POOLS OF ORE INC
I Contact: Robin Spencer
IAddress: ]885 H]GHWAY99 N
I City/State/ZIP: EUGENE, OR 97402] 694
Phone: (54l )688] 090 II<'ax: (541 )6884572
I Email: service@emera]dpool.com
I Metro lie, no,: ICity 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,
1
$15001
1
1
1
I
I
I
I
1
I
I
I
I
I
$5001
I
I
Subtotal $20,00 I
Minimum fee used instead of Sub tot a] $50.00 I
State Surcharge (8% of perm it fee) $4.00 I
City Of Springfield fees" $2750 I
TOTALPERI\-1H FEE, $81.50 I
10% Local Admin Fee; 5% Local Technology Fee;
I Dcscription
FEE SCHEDULE
Qly.
Ea.
I Fllmace- up to ] 00,000 BTU
I Furnacc - above] 00,000 BTU
I E]ectric Furnace
1 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
I Air Handler
t}?th.~Xtu~r;~.~rning
IWalerheater
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/liner/llue/vent w/o
appliance
I E,nvironmcDtal exhaust AND ventilation
I Range hood
I Clothes dryer exhaust
I Single-duct exhaust (bathrooms,
toilet compartments, utilIty
rooms)
I Attic/craw]spacefans
I Fuel piping
I upto first 4 outJets(enter Qty=])
I each additional outlet
$15_00
11
$5001
I
I
I
I
i
.. City Of Springfield
$10 Issuance Fee
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
Total
225 Fifth Street
~pringfield, Oregon 97477
541-726-3759 Phone
4~1~"~P~~~"'-"~.~~
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Job/Journal Number
COM2007-0 1821
COM2007-01821
COM2007-0 1821
COM2007-01821
COM2007-01821
COM2007-0182I
COM2007~0 1821
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
1200700000000001488
Description
Gas Outlets 1 ~4
Fireplace (Listed)
-Mechanical [ssuance Fee-
Minimum/Adjustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 12/12/2007
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
ddk ONLINE EMERALD Online
SWIMMIN
G POOLS
OF OREE
Payment Total: .
Paid By
ONLINE PERMIT CHGS
Page I of I
9:48:37AM
Amount Due
5.00
17~00
20~00
28.00
2~50
4~00
5~00
$81.50
Amount Paid
$81.50
$81.50
12/12/2007