HomeMy WebLinkAboutPermit Mechanical 2008-6-13
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CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO
ISSUED
APPLIED'
EXPIRES:
VALUE:
COM2008-00855
06/13/2008
06/13/2008
12/13/2008
225 Fifth Slreel, SprmgfieJd, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspecllOn Lme
SITE ADDRESS 1363 WINDSOR CT
ASSESSOR'S PARCEL NO 1703342200827
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ReSidential
PROJECT DESCRIPTION Inslall gas log and gas plpmg
Owner FLINT GREGORY JOHN & WYNN SUSAN
Address 1363 WINDSOR CRT
SPRINGFIELD OR 97477
Phone Nnmber 541-344-2257
I CONTRACTOR INFORMATION.
Contractor Type
Mecbamcal
Contractor
THERMAL RESOURCES INC
LIcense
161946
ExpIration Date
10/29/2008
Phone
541-343- 113 I
BUILDING INFORMATION I
# ot Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary Conslrucllon Type
Secondary ConslructlOn Type
# of Bedrooms
# of SlorIes
HeIght of Slruclure
Type of Heal
Waler Type
Range Type
Energy Palh
SprInkled BUlldmg
Lot SIZe
Sq FI IsI Floor
Sq FI 2nd Floor
Sq Ft Basement
Sq Ft GaragelCarport
Sq Ft Other
Occupant Load
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback
SIde 1 Setback
S,de 2 Selback
Rearyard Setback
Solar Setbacks
Overlay Dlst
# Street Trees Rqd
Paved DrIve Rqd
0/0 of Lot Coverage
REQUIRED PARKING
Total
HandIcapped
Compact
I PUBLIC IMPROVEMENTS I
Street Imp.ovements
S,dewalk Type
ATTENTION Oreq)'n law reqlll\es you to
follow rules adopte(\'~9't'i\'euO l!~~wsJ\lhty
Notlflcallon Center. Those rules are set forth
" In OAR 952-001-0010 through OAR 952-001-
Notes OnCE: 0090. You may obtain copies of the rules by
n~l~ DCDnlllT :~ ~ ^,t~ :X;--f~: If 7iic ..."....... __!:~:~~ ~~., ~?r'ttor ~MntP fhp.tflflphone
AUTHORIZED UNDER THIS PERMIT IL"';'~1i.. number fOlthe Oregon Ullhty Noliflcatlon
COMMENCED . D WlU atlOn Descrml:HHl. ter IS 1-800-332-2344).
OR IS ABANDONED FOI'I 1
D ANY I 180 DAY PJ:RIf)n t I $ Per Sq Ft Square Footage
escnp IOn 'T'vtr~ .oreons rue Ion I I B d A
or fiU tip ler or I mount
Slorm Sewer AvaIlable
SpecIal InstructIOn
Value
Date Calculated
Paee 1 of 2
-~~
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-00855
ISSUED' 06/13/2008
APPLIED. 06/13/2008
EXPIRES: 12/13/2008
VALUE:
225 FIfth Slreet, SprIngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 luspecllOn Lme
Total Value of Project
Fees PaId'
Fee DescrIptIOn
-Mechamcal Issuance Fee-
+ 10% Admmlstrallve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Gas Outlets 1-4
MlmmumlAd1ustment Mechdmcal
MIscellaneous Mechdmcdl
Amounl PaId
Date PaId
RecClpt Number
$20 00
$500
$600
$250
$500
$35 00
$10 00
6/13/08
6/13/08
6/13/08
6/13/08
6/13/08
6/13/08
6/13108
3200800000000000404
3200800000000000404
3200800000000000404
3200800000000000404
3200800000000000404
3200800000000000404
3200800000000000404
Total Amount PaId
$83 50
I Plan ReVIews .1
To Request an mspectlOn call the 24 hour recordmg at 726-3769. All inspections requested before 7'00
a m. will be made the same workmg day, mspectlOns requested after 7:00 a.m. will be made the followmg
work day.
I Rec!.'Jlred 'nsnechons I
Rough Gas After lIne IS mstdlled and reqUIred testmg and capped If not attached to an applIance
Rough MechaUlcal PrIor to Cover
Fmal Mechamcal When all mechaUlcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby certify Ihat all
mformatlon hereon IS true and correct, and I further certify that any and all work performed shall be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and Ihe Laws of Ihe State of Oregon pertammg to the work descrIbed herem, and
that NO OCCUPANCY wIll be made of any structure WIthout permissIOn 01 the Commumty ServIces DIVISIOn, BUlldmg Safety
I further certify that only contraclors and employees who are m complIance WIth ORS 701 005 Will be used on thIS project
I further agree to ensure that all reqUIred mspectlOns are requested at the proper time, that each address IS I eadable from the
street, thaI the pel mlt card IS located at the front of tbe property, and the approved set of plans wIll remam on the site at all
times durmg constructIOn
Owner or Contractors Signature
Date
Paee 2 of2
CIty of Sprmgfield
MechaUlcal AuthorizatIOn To Begm Work
E-maded To deanne@mldgleys com
ReceIpt # RC532090
6/1312008 7 31 58 AM
~
Check on status of permit
By Pbone (541)726.3753 or Emall permltcenler@cl sprmgfield or us
10 New con~tructlOn
O~WORK
o AddItIOn/alteration/replacement
-~CATEGORY OFCONSTRUCTION:;;'C:
<"'" "'~_ h ~ ~h,,,,,, h
I ~ I or 2 famIly dwellmg 0 MultI-family 0 Accessory Bulldmg
I
JOB SITE INFORMATION AND LOCATION
~ _ b ~~ _wd_
IJobRo 23187 I Job address ]363 WINDSORCT
ICily/State/ZIP SPRINGFIELD OR 97477-8107
j SUltelbldg lapt no
i Project name Greg Flmt
1,-
Cross street/dlrecllons to Job site
I SubdlvlMon
Ilax map/p'lrcel no
I
I lot no
1703342200827
DESCI31P:rl~t(c5~wOR~~~~~~~'-,
Install gas log set and gas plpmg
-~ SITE CONTACTwlri0-
I Name Greg Flmt
Phone {54)) 344 2257
Emall
I Fa,
'-~~~~ONTRACTO~~
leeR he no 161946
I BUSiness Name THERMAL RESOURCES INC
I Contact Deanne Barger
IAddress 1678W7THAVENUE
/Oty/StatcIZJP EUGENE OR 97402
IPhone (541)3431131 IFax (541)6875979
Ilmall deanne@mldgleys com
I Metro he no I Oty he no
Upon review and approval by your local JUrisdiction, your
permit Will be e-malled or faxed within one bUSiness day,
with instructions on how to schedule your Inspection
NOTE This Authorization To 8egm Work expires wlthm 180
days If a permit IS not obtained
The local bUilding department may determine that an
AuthOrization To 8egm Work IS null and vOid If It does not
meet apphcable land use laws and local ordmances
I
Total I
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$10001
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I upto first 4 outlets( enter Qty= 1) I) $S 001 $5 00 I
i each addmonal outlet j
~ MECHANICAL<PERMjt,FEES, " ~'I
Subtotal $1500 I
Minimum fee used Instead of Subtotal $5000 I
State Surcharge (12% of permIt fee) $600 I
City OfSpnngfield fees. $2750 I
TOTAL PERMIT FEE $83 50 I
10% Local Admm Fee 5% Local Technology Fee
I'~ ,
"'~e~~r1PtJon
1'lcatlll~cQoJI'Ugjppirances
I Furnace up to 100000 BTU
I Furnace - above 100 000 BTU
I Electnc Furnace
I Duct alteratIons and addItIOns
I Gas heater Units/ m.wall in-
duct. sU~Dended, elc/
I Vent flue Imer for above
I AIr CondItIOner
I Heat Pump
I AIfHandler
19ther fuel, burnmg~applllinE~f"'':S.F '%~
I Water heater
I Gas fireplace/msert/stove
I Gas Jog! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater kIln
I Wood/pellet stove/msert
Wood fireplace
Chlmneyl1merlflue/vent w/o
aoollance
E!,!':lron]!~taxex~~a~~tA~D ventll~tlO(~~- ~
j Range hood
I Clothes dryer exhaust
I Smglc duct exhaust (bathrooms
tOIlet compartments utIlity
rooms)
I Attlc/cmwlspacefans
SCHEDULE
I Qtl
$10001
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... City OfSpnngfield
$10 Issuance he
"'
COM';) r;u K - m655
RCPTII' ?'z.. 6D 5" - "+01'
()!l!
I
..--,,- ,
ThiS AuthOrization To Begin Work must be posted at t . e Job ~nfll replaced by a Permit
225 Fifth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
CIty of Sprmgfield OffiCIal Receipt
Development Services Department
PnblIc Works Department
Job/Journal Number
COM2008-00855
COM2008-00855
COM2008-00855
COM2008-00855
COM2008-00855
COM2008-00855
COM2008-00855
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #.
3200800000000000404
Date: 06/13/2008
DescriptIOn
MIscellaneous MechanIcal
-MechanIcal Issuance Fee-
Gas Outlets 1-4
MInImum/AdJustment MechanIcal
+ 5% Technology Fee
+ 12% 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 Onlme
Payment Total
Page I of I
7 40 33AM
Amount Due
1000
2000
500
3500
250
600
500
$83 50
Amount Paid
$83 50
$83 50
6/13/2008