HomeMy WebLinkAboutPermit Mechanical 2008-1-2
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Status
Issued
CITY OF SPKll'on.J1<H.LD
Building/Combination Permit
PERMIT NO: COM2008-000II
ISSUED, 01/02/2008
APPLIED: 01102/2008
EXPIRES: 07/02/2008
VALUE
225 FIfth Street, Sprmgfield, OR
541.726-3753 Phone
541-726.3676 Fax
541.726.3769 InspectIOn Lme
SITE ADDRESS 1550 YOLANDA AVE
ASSESSOR'S PARCEL NO I 70324340011 I
Spnngfield TYPE OF WORK Mechamcal Only
TYPE OF USE
New
ReSldenlIdl
PROJECT DESCRIPTION Install wood stove msert and ventmg
Owner CARLSON JOANN
Address 1550 YOLANDA AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
THERMAL RESOURCES INC
License
161946
ExpiratIOn Date
10/29/2008
Phone
541.343.1131
BUILDING INFORMATION I
# ofUmts
Pnmary Occupancy Group
Secondary Occupancy Group
Pnmary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
# of Stones
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Spnnkled BUlldmg
Lot SIze
Sq Ft I st Floor
Sq Ft 2nd Floor
Sq Ft Bdsement
Sq Ft Gardge/Carport
Sq Ft Other
Occupant Load
...-r
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Sethack
Side 1 Setback
SIde 2 Setbdck
Redryard Setback
Solar Setbacks
OverldY DlSt
# Street Trees Rqd
Paved Dnve Rqd
% of Lot Coverage
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Improvements SldeWdlk Type
Storm Sew~IO.:r&li'&e ATTENTlON;..QfAA9.IlJWMH!res yoU to
S I I \\'3 "'" follow rules aaopte8 by the Oregon UIlIIty
peCIa nsfr 'reRMIT SHALL EXPIRE IF T - NotificatIOn Center Those rules are setforth
Notes AUTHORIZED UNDER THIS PERM~E WORK In OAR 952.001-0010 through OAR 952.()01-
~9,~1~~NpED OR IS ABANDON~~ NOT OO;~I,nY~~h~~~~t~:al(~~~f-le~~ ~f.t~~!~le_s by
.", , v Uti r t-'tIiIUU I lIulTlOl-r for the Oregon UlIl;ty N;t.~i:iti;n
ValualIon DescrmtIon Center IS 1-800-332-2344).
$ Per Sq Ft Square Footage
or multIplier or BId Amount
DescnptlOn
Type of Conslt uclIon
Value
Date Calculated
Page 1 nf2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0001 I
ISSUED, 01/02/2008
APPLIED' 01/02/2008
EXPIRES' 07/02/2008
VALUE'
225 FIlth Street, Spnngfield. OR
541-726.3753 Phone
541-726.3676 Fax
541.726-3769 InspectIOn Lme
Total Valne ofProlect
Fees PallJ I
Fee DescnptlOn
-Mechdmcallssuance Fee-
+ 100/0 AdmllllstratIve Fee
+ 12% State Snrcharge
+ 5% Technology Fee
Apphance Vent
Mlmmum/AdJustment Mechamcal
Wood Stove/Insert
Amount PaId
Date PaId
ReceIpt Number
$20 00
$500
$600
$250
$700
$10 00
$33 00
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
1/2/08
3200800000000000005
3200800000000000005
3200800000000000005
3200800000000000005
3200800000000000005
3200800000000000005
3200800000000000005
Total Amount PaId
$83 50
I Plan ReVIews I
To Request an mspection call the 24 hour recordmg 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 Reolllred r nsnecllons I
Rongh Mechamcal Pnor to Cover
Fmal Mechamcdl When all mechamcal work .s complete
By SIgnature, I state and agree, that r have carefully exammed the completed apphcahon and do hereby certify that all
mformatlOn hereon IS hue and correct, and I further certIfy that any and all work performed sh.lll be done IR accordance with
the Ordmances of the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and
thdt NO OCCUPANCY wIll be made of any structure without permISSIon of the Commumty Services DIVISIOn, BUlldmg Safety
I fnrther certify thdt only contractors and employees who are III comphance with ORS 701 005 wIll be u.ed on thiS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper hme, 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 remam on the SIte at all
tImes dunng construction
Owner or Contractors Signature
Date
P d2e 2 ot 2
II
I (DescriptIOn
I Heatmglcoohng ..ppbam.~
I 1 rumm:.e up 10 100000 BTU
II Furnace - above 100,000 BTU
II Electm..fumace
I I Duct alterations and addltlOns
I Gas heater unlts! In wall tn-
! duct susp~nded etcl
I I Vent flue hncr tor abo\e
II Air CondItIOner
Il-IeatPump
I Air Handler
I Other fuel burnmg appliance.-.
/waterheatcr
Gas fireplace/msert/slOve
I Gas log/log hghter
I Gas clothes dryer
I GOl" stove/range
I Pool or spa healer kiln
I Wood/pellet stovehn~ert
I Wood fireplace
I Chmmey/lmerlnue/vcnt w/o
applmm.e
I Envln)llmental exhaust AND lenhlatlOD I
I RangL hood
I Clothes dryer exhaust I
I Single dll,,\ exhaust (bathroom" I
100ILtcompartments utIlity
rooms)
I Attlc/crawlspaLcfans I
I FuLl plpmg I
I UplD first 4 outlets( enter Qt) =]) I
II each addlllOnal outlet I
I I MECHANICAL PERMIT FEES I
I I SUbtOtl1 I $3300 I
I J Minimum fe(. uSt-d Instead of Subtotal $5000 I
I State Surchlrge (]2% of pcnnlllce) $600 I
I Cltv Of SprmgfiehJ fees" $27 50 I
I TOTAL PERMIT FEE $8350
* CIty Of~pflngfield ]0% Local Admin ~ee )% Local lechnology he
$10 Issuance Fcc
<
,
CIty of SprmgfieJd
MeehaDlcal AuthorizatIOn To Begm Work
E.maIled To deanne@mldgleys com
Receipt # RC523208
1/2/2008 1 39 59 PM
l~
Check on status of permit
By Phone (541)726.3753 or Emall permltcenter@clsprmgfieldorus
IDNewconstructlOn
TYPE OF WORK.
o AddItion/alteratIOn/replacement
FEE SCHEDULE~
Qt)
CATEGORY OF CONSTRUCTION
I [KJ 1 or 2 ramll) dv.ellmg
D MultI lamlly
o Accessol) BUlldmg
JOB SITE INFORMATION AND LOCATION
I Joboo 21506 IJobaddress 1550 YOLANDA AVE
! City/St Ite/71P SPRINGFIELD OR 97477 1639
I SuJtelbldg !apt no
I Project nllme Joann Carlson
Cros~ s(reetldlrectlOn~ to Job Mlt
I ~ubdlvlslOn
11d~ map/parcel no ]703243400] II
DESCRIPTION OF WORK
I Lot no
Install wood Insert and ventmg
SITE CONTACT
I Ndmc Joann Carlson
IPhoQC (541)744 lOt 1
I Emall
I
IFax
CONTRACTOR
ICCB hI.. 110 161946
I BUSiness Ndmt. 11 1l:RMAL RESOURCES INC
I Con'del Dednne Bdrgcr
IAddress 1678 W 7TH AVFNUE
ICJtY/MaterllP CUGCNE OR 97402
IPhnn, (54])343]]3] ltax (541)6875979
I Em:ul deanne@mldgleyswm
f!\lctro he no ICily he no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed wlthm one bus mess day,
WIth mstructlons on how to schedule your inspection
NOTE ThIS AuthOrization To Begm Work expires Within 180
days if a permit is not obtained
COM' ,;:) CfO 6 - 000 I I
RCPTII' S? tm lr - 0
DATEPROCESSEO I /~ -OiS'
PIli (BSSEDB j~
~~ I \
ThiS AuthOrization To Begin Work must be posted at the Job site until rep ac~permlt
The local bUlrdmg department may deterrmne that an
Authonzation To Begin WOrk IS null and VOid If It does not
meet applicable land use laws and local ordmances
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$33001
$3300
1,25 Flnh Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Sprmgfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008.00011
COM2008.000 II
COM2008.00011
COM2008.00011
COM2008.00011
COM2008.00011
COM2008.00011
Payments
Type of Payment
ONLINE CHGS
CRCCLlotl
RECEIPT #
3200800000000000005
Date. 01/02/2008
Description
-Mechamcallssuance Fee-
Wood Stove/Insert
Apphance Vent
MInlmum/AdJustment Mechamcal
+ 12% State Surcharge
-t 5% Technology Fee
+ 10% AdminIstratIve Fee
Paid By
ONLINE PERMIT CHGS
Item Total
t.:heck Number AuthorizatIOn
Received By Batch Number Number How Received
NJM
ONLINE THERMAL Online
Payment Total
Page I of I
2 39 55PM
Amount Due
2000
3300
700
1000
600
250
500
$83 50
Amount Paid
$83 50
$83 50
11212008