HomeMy WebLinkAboutPermit Mechanical 2007-12-26
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CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO' COM2007-01923
ISSUED. 12/26/2007
APPLIED. 12/26/2007
EXPIRES: 06/26/2008
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 6195 THURSTON RD
ASSESSOR'S PARCEL NO 1702342100802
Spnngfield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ReSIdentIal
PROJECT DESCRIPTION Woodstove/msert
Owner BENVIE JAMES F " & SHARON K
Address 6195 THURSTON RD
SPRINGFIELD OR 97478
Phone Numher 541-726-2854
I CONTRACTOR INFORMA TION I
Contractor Type
Mechamcal
Contractor
THERMAL RESOURCES INC
License
161946
ExpiratIon Date
10/2912008
Phone
541-343-1131
,BUILDING INFORMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupaucy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled Buddmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
SIde 1 Setback
SIde 2 Setback
Rearyard Setbdck
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
Notes
I PUBLIC IMPROVEMENTS'
S I " TENt/rlM' f.'I. I
treet mprovements follow ru11a:~~:b aw requIres you to
Storm Sewer AvaIlable Notlfloatl<l)o~!!l'tIlll't~~lllle Oregon Ulifrty
Spec..1 InstructIOn In OAR 952-001-0010 e rules are set forth
: ':TICE: 0090. You may obtalOt~rough OAR 952,001_
- "I" P Calling the oent oples of the rules by
'" JERMIT SHALL EXPIRE IF THE WORK number for the ~r (Note the telephone
,rtJ~'~'.:'::-c [;[\;:';:" -'fll,)l~;l'D PJU:- ....filer IS ;:;;o~~t.t:. \~;I.''''''"un
','OMMHJCED OR IS ABAN~,__, ~ DescrmtlOn I 2-2344).
rlNY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multlpher or BId Amount
Type of ConstructIOn
Value
Ddte Calculated
DeSCrIptIOn
Paee 1 of2
Status
Iss u ed
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01923
ISSUED. 12/26/2007
APPLIED. 12/26/2007
EXPIRES' 06/26/2008
VALUE
225 FIfth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn LlDe
Total Value of ProJect
Fee" Paid I
II...
Fee DescriptIOn
-MechaDlcal Issuance Fee-
+ 10% AdmlDlstratlve Fee
+ 5% Technology Fee
+ 8% State Surcharge
MIDlmum/AdJustment MechaDlcal
Wond Stove/Insert
Amount Pdld
Date PaId
Receipt Number
$20 00
$500
$250
$400
$1700
$33 00
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
12/26/07
3200700000000000824
3200700000000000824
3200700000000000824
3200700000000000824
3200700000000000824
3200700000000000824
Total Amount PaId
$8150
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 followmg
work day.
I ReCluired Jnspe~tlOn~ I
Wood BurnlOg Insert After IOstallatlOn
By sIgnature, I state and agree, that I have carefully examlDed the completed apphcatlOn and do hereby cerlIfy that all
IOtormalIon hereon IS true and correct, and I further cerlIfy that any and dll work performed shall be done 10 accordance WIth
the OrdlDances of the CIty of Spnngfield and the Laws of the State ot Oregon pertalOlDg to the work descnbed herelD, and
that NO OCCUPANCY Will be made of any structure WIthout permISSIon of the CommuDlty ServIces DIVISIOn, BuIldlDg Safety
I further certify that only contrdctors dnd employees who are ID comphance WIth ORS 701005 wIll be used on thIS project
I further dgree to ensure that aliI equlI ed IDspectlOns are requested at the proper lIme, that each dddress IS readable fl om the
street, that the permIt card IS located at the front of the property, and the approved set ot pia us Will remdlD on the sIte at all
times durmg constructIOn
Owner or Contractors Signature
Date
Page 2 of2
City of Springfield
MechanIcal AuthOrizatIOn To Begin Work
E-malled ro deanne@m.dgleys com
Receipt # EC5229R6
12/26/2007 1 22 25 PM
l~
Check on status of permit
By Phone (541)726-3753 or Emall permlteenter@elsprmgfieldorus
I ~ ] or 2 fdmlly dwellmg
D Multi famIly
D Accessol) Blllldmg
II
I I DescnptlOn
I Hta!~DgJ~oo~mg appliances
I I Furnace up to 100000 BTU
II furnace above 100000 BTU
[I Electm.. fum[lce
I Duct alteratIOns and addltlOns
I Gasheaterumts/m-wal1m.
I duct suspended. ctef
I I Vent flue Imer for above
I I Air CondJ\lOner
I Heat Pump
I AIr Handler
I Other fuel burmng appliances
Water heater
FEE SCHEDULE
f 0 New constructIOn
TYPE OF ,"",ORK
o AddJuon/alteratlon/replacement
<.>Iy
Ea Total
CAT~EGORY OF~CONSTRUCTION~ ~
I Subdlvl.'>,on
ITax m'lp/pdrcel no ]702342100802
DESCRIPTION OF WORK
ILot no
Gas fireplace/lnsert/slOve
Gas log/log lighter
GdS clothes dryer
Gas slOve/range
Pool orspa healer, I'-.I]n
Wood/pel]tt :.tove!msert
Wood fireplace
ChmmeY/]lner/flut/vent wlo
appl1ance
Environmental exhaust AND VClltdatW-R
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
$3300 $3300 I
I
I
I
I
I
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I
I
~ ~~OB SITE INFORMATION AND LOCATION
IJob no 20987 IJob address 6]95 TIIURSTON RD
I City/State/LIP SPRINGFIEI D OR 97478-5425
I Suilelbldg /apt no
I Project name Sharon I3envle
Cross ~treet/dlreetlOns to Job !olte
]nstall wood msert and ventmg
SITE CONTACT
I NlIm{' Sharon BenVle
I Phone (541) 726~2854
IEma11
I~"
Range hood
Clothes dl)er exhau!ot
SlIlgle duct exhau~t (bathrooms
tOI]et compartments utll1ty
rooms)
AUlClcra\\lspacefans
Fuel plpmg
upto first 4 out]ets(enter Qty=l)
lach addItIOnal outlet
CONTRACTOR
ICCB he no 161946
I BU'ime!os N Ime THERMAL RESOURCES ]NC
I Contact Deanne Bdrgcr
IAddress 1678 W 7T1I AVENUE
IOty/StltelZlP EUGENE OR 97402
IPhone (541)3431131 I~ax (541)6875979
/....mad dcanne@mldg]eys com
Metro he no I City he no
MECHANICAL PERMIT FEES
Upon review and approval by your local JUrisdictIOn, your
permit will be e~malled or faxed wlthm one bUSiness day,
With instructions on how to schedule your mspectlon
Subtot'll $3300
MlIllmum fee used lIl:.tead of Subtotdl $5000
Mate Surchar.!!:e (8% ofpenmt tee) $400 I
Clt\ OfSprmgfield fees * $2750 I
rOTALPI-RJ\llII<U $8150
10% Local Admlll Fee )% Local Technology Fee
L--
* City OrSpnngfield
$10 Issuance Fee
NOTE This Authorrzatlon To Begm Work expIres wlthm 180
days if a permit IS not obtained
~ rn--.... I _ 0 Ie; d. 2.,
COM........... uu -
-''''TV(''' 32.Lf
RCPT# ::''::-v I
DAJE(ReSED, Q~
PROCES~Y \
) )
ThiS AuthOrization To Begin Work must be posted at the Job site until replace -by a Permit
The local bUlldmg department may determme that an
AuthOrization To Begm Work IS null and VOId If It does not
meet applicable land use laws and local ordmances
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
~qINGFlELO ,
Jii:.1tI
CIty of Springfield OffiCIal ReceIpt
Development ServIces Department
PublIc Works Department
Job/JourQal Number
COM2007-0 1923
COM2007-0 1923
COM2007-0 1923
COM2007-0 1923
COM2007-0 1923
COM2007-0 1923
Payments
Type of Payment
ONLINE CHGS
cRecelntl
RECEIPT #.
3200700000000000824
Date' 12/26/2007
DescriptIOn
-Mechamcallssuance Fee-
Wood Stovellnsert
Mlmmum/AdJustment Mechanical
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Item Total
l.:heck Number AuthOrization
Received By Batch Number Number How Received
Pa,d By
ONLINE PERMIT CHGS
NJM
Page 1 of 1
ONLINE THERMAL Online
Payment Total
24031PM
Amount Due
2000
3300
1700
250
400
500
$8150
Amount Paid
$8150
$8] 50
12/26/2007