HomeMy WebLinkAboutPermit Mechanical 2006-12-12Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541 -7 26-37 69 Inspection Line
Cg-fub 9o r
Building/Combination Permit
PERMIT NO: COM2006-01585ISSUED: 1211212006
APPLIEDz 1211212006EXPIRES: 0611212007
VALUE:
SITE ADDRESS: 855 22ND ST
ASSESSOR'SPARCELNO.: 1703361208500 n
N otif icatiopftlfip.fl$Ase rlde5fffi set f o rt I Residentiat
PROJECT DESCRIPTION: Install wood stove and chimneyin OAR 952-001-0010 through OAR 952-001
0090. You rnay obtain copies of the rules
Owner:
Address:
Contractor Type
Mechanical
NOLLEN PAMELA R
855 22ND ST
SPRINGFIELD OR 97477
numberforthe Oregon
Center is 1 -800-332-2344)
Contractor
THERMAL RESOURCES INC
License
161946
Expiration Date
10t29t2008
1-953-3301
Phone
541-343-l l3r
CONTRACTOR INFORMATION
BUILDING INI
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
AUTHORIZED UNDER THI
overlav Dist: noMMENCED oR ls ABA# Street Trees Rod:uu
Paveo Dri"e nqat AruY 180 DAY PERI0D
Yo ofLot Coverage:
ffe[ffit$$$+',."
[99$Er,tsT
# of Stories:
Ileight of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
IT SHALL EXP
Compact:
nla
Sidewalk Type:
Downspouts/Drains:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Valuation Description
Description Type of Construction
Page I of2
Value Date Calculated
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-726-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01585ISSUED: 1211212006APPLIEDz 1211212006
EXPIRESz 0611212007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0oh Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Minimum/Adjustment Mechanical
Wood Stove/Insert
Total Amount Paid
Amount Paid
$10.00
$4.50
$2.2s
$3.60
$1s.00
$30.00
$65.35
Total Value of Project
Date Paid
t2n2/06
t2n2t06
t2n2/06
t2n2t06
t2n2t06
12fi2t06
Receipt Number
r20060000000000r744
1200600000000001744
120060000000000t744
1200600000000001744
120060000000000r744
120060000000000r744
PIan Reviews
To Request an inspection call the24 hour recording at 726-3769. All inspection 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.
Final Mechanical: When all mechanical work is complete.
Rough Mechanical: Prior to Cover
Reouired fnsnections
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 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
Pase 2 of 2
Date
-r ees raro l
City of Springfield
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 schedulo 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.
Mechanical Authorization To Begin Work
E-mailed To: Deanne@midgleys.com
Check on status of permit:
Contact: http://rvrvw.ci.springfi eld.or:us/dsd/Buildin g/index.htm
Receipt # 8C506908
1218/2006 3:36:36 PM
I 0% Local Admin Fee; 5Yo Local Technology Fee;
$l 0 Issuance Fee
Tl New construction |tl Addition/alteration/replacement
I
1 or 2 family dwelling f uutti-famity T Accessory Buitding
Jobaddress: 855 22NDSTJob no.t 14272
City/StatelZlP: SPRINGFIELD, OR 97 477 -441 I
Suite/bldg./apt.no.:
Project name: Pamela Nollen
Cross street/directions to job site:
Subdivision:Lot no.:
Name: Pamela Nollen
Tax map/parcel no.: 1703361208500
Phone: (54 1) 953-3301 Fax:
Email:
CCB lic.no.: 161946
Business Name: THERMAL RESOURCES INC
Contact: Deanne Barger
Address: 1 678 W TTH AVEN UE
City/StatelZlP: EUGENE, OR 97402
Fax:.5416875979Phone: 5413431131
Email: Psanne(Dmidgleys.com
Metro lic no.:City lic no.:
Qty.Ea.Total
Fumace- up to 100,000 BTU
Fumace - above I 00,000 BTU
not offered online at this jurisdictionElectric Fumace
Duct alterations and additions
Gas heater units/ in-wall, in-
duct. susDended. etc/
Vent, flue, liner for above
Air Conditioner
Heat Pump
Air Handler not offered online at this jurisdiction
Water heater
. Other fuel burning appliances
Gas fi replace/insert/stove
Gas log/ log lighter
Cas clothes dryer
Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
$30.00 $30.00Wood fireplace I
Chimney/l iner/fl ue/vent w/o
appliance
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
upto first 4 outlets(enter QW=l )
Fuel oioine
each additional outlet
$30,00Subtotal
Minimum Fee s45.00
State Surcharge (8% ofpermit fee)$3.60
City Of Springfield fees *$16.75
TOTALPERMIT FEE s65.35
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
TYPE OF WORK
CATEGORY OF CONSTRUCTION
JOB SITE INFORMATION AND LOCATION
DESGRIPTION OF WORK
Install Wood Stove & Chimney
SITE CONTACT
CONTRAGTOR
FEE SCHEDULE
Description
Heating/cooling appliances
Enviroumental erhaust AND vertilation
MECHAT'||CAL PERlttlT FEES
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Cirr. of Springfield Oflicial Receipt
[ ,lopment Services Department
Pubtic Works Department
RECEIPT #: 1200600000000001744 Date: 1211212006 E:50:31AM
Job/Journal Number
coM2006-0158s
coM2006-0r585
coM2006-01585
coM2006-01585
coM2006-0158s
coM2006-01585
Description
-Mechanical Issuance Fee-
Wood Stove/Insert
Minimum/Adjustment Mechanical
+ 5olo Technology Fee
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
10.00
30.00
I 5.00
2.25
3.60
4.50
Item Total:$65.35
Payments:
Type of Payment Paid By Received By
Check Number
Batch Number
Authorization
Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS ddk ONLINE Thermal In Person
Resources
Payment Total:
$65.3 5
$65.35
cReceintl Page I of I 12t1212006