HomeMy WebLinkAboutPermit Mechanical 2008-7-29
Status
Issued
CITY OF SPJ:tll'''t..FIELD .
Building/Combination Permit
PERMIT NO: COM2008-01134
ISSUED: 07/29/2008
APPLIED' 07/29/2008
EXPIRES. 01/29/2009
VALUE
225 F,fth Street, Spnngfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspeclIon Lme
SITE ADDRESS 259 S 35TH ST
ASSESSOR'S PARCEL NO 1702314205013
Sprmgfield TYPE OF WORK MechamcalOnly
TYPE OF USE
New
ReSIdentIal
PROJECT DESCRIPTION InstallalIon of two wood mserts and hners
Owner ADAMS BRYAN A
Address 261 S 35TH ST
SPRINGFIELD OR 97478
Phone Number 541-55~-8003
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
THERMAL RESOVRCES INC
LIcense
161946
ExpIration Date
10/29/2008
Phone
541-343-1131
BUILDING INFORMATION I
# of VOlts
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 BuIldmg
Lot SIZe
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Ga, agelCarport
Sq Ft Other
Occupant Load
n/a
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback
S,de I Setback
S,de 2 Setback
Rearyard Setback
Solar Setbacks
Total.res yOU to
.......").(1\\\
" oregOf\ I a'" nand.caflpejJlIIW
,-""'1\0" ,~o c J\'" " rth
Al ",,, ador,sd loy Comp'!..~t ~p\ \0 "
'ollow rules t'l T\WSd rJlo, OJ 0""-001-
I Cef\ C 1 , CAn v;)'-
Notl\\catlOf\ 001-0010 \\,r(lug , o\\\1e ruleS by
._ (\lI.R, 952- ..."n r.noles . ._~nn"
I PUBLIC IMPROVEMEN1G>.rO '(o~;~o.de~ter (NOluell~:~~ NO\I\\Catlof\
~alllf\g ~legOf\ '4)
numbBldlNvl.1\( Yl'_'b00-332-234 .
center \
Downspouts/Dra,ns
Overlay Dlst
# Street Trees Rqd
Paved Dnve Rqd
% or Lot Coverage
SII eet Improvements
Storm Sewer At)!JJld{;E:
Spec..] JnstrucT.I:I.)S PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Notes COMMENCED OR IS ABANDONED FOR
AI\/V iOri "'1\\1 n~""","""",
..................
I. Valuation Descri?tion I
DeSCription
Tvpe of ConstructIOn
$ Per Sq Ft
or mullIpher
Square Footage
or BId Amount
Value
Date Calculated
Paee I of 2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO' COM2008-01134
ISSUED' 07/29/2008
APPLIED. 07/29/2008
EXPIRES: 01/29/2009
VALUE:
225 FIfth Street, Sprmgfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
Total Value of ProJect
Fees ~a,ld I
Fee DescriptIOn
"",Mechamcallssuance Fee......
+ 100/0 AdmlDlstratlve Fee
+ 12% State Surcharge
+ 5% Technology Fee
Wood Stovellnsert
Amount PaId
Date Pa,d
$20 00
$660
$792
$330
$66 00
7/29108
7/29108
7/29/08
7/29/08
7129108
ReceIpt Number
3200800000000000530
3200800000000000530
3200800000000000530
3200800000000000530
3200800000000000530
Total Amount PaId
$10382
I Plan RevIews I
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, mspections requested after 7:00 a.m WIll be made the followmg
work day.
I Rellui red r nsnec\-inns .
,i_11I11 IiiiiiiIII
Rough Mechamcal Pnor to Cover
Fmal Mechamcal When aU mechamcal work IS complete
By sIgnature, I state and agree, that I have carefully exammed the completed apphcatlOn and do hereby cerlIfy that aU
mformatlOn hereon IS true and correct, and I further certdy that any and aU work pertormed shaU be done m accordance WIth
the Ordmances of the CIty of Sprmgfield and the Laws of the State of Oregon pertammg to the work descllbed herem, and
that NO OCCVP ANCY wIll be made of any structure WIthout permIssIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
I further certIfy that only contractors and employees who are m comphance WIth ORS 701 005 WIU be used on thIS proJect
Ilurther agree to ensure that all reqUIred mspectlOns are requested at the proper lIme, 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 WIU remam on the SIte at all
hmes dunng constructIOn
Owner 01 Contl3ctOls Slgndture
Date
Paee 2 of2
CIty of SprIngfield
Mechamcal AuthorIzatIOn To Begm Work
E-ma,led To deanne@mldgleys com
ReceIpt # EC534955
7129/20082 34 45 PM
~
Check on status of permit
By Phone (541)726-3753 or EmaIl permltcenter@clsprmgfield orus
TYPE OF WORK0=S ~
FEE SCHEOULE~
Qty
) 0 New constructlcm
I~~
CATEGORY OF CONSTRUCTION
IDc!lcnptJon
I H(.8tJ~g1co1?Jmg'llpphall(,t.,
I Furnace up to 100 000 BTU
I Furnace - above] 00 000 BTU
I Clectflc Fumace
J Duct alteratIOns and addlllOns
I Gas heater umts/ In-wall, In
duct suspendLd. ctcl
I Vent, flue lmer for above
I Air Condltioner
Illeatpump
I Air Handler
I Other fuel burnJnjt!;!pphanc~~::s "
IWaterhe1.ter
I Gas fireplace/msert/stove
i Gu!> log! log lighter
I Gas clothes dryer
I Gas stove/range
I Pool or spa heater kiln
I Wood/pellet stove/msert
Wood fireplace
I Chlmney/lmerlflue/vent w/o
aoohance
I Envlronnu.ntal exhaust AND ventilation
I Range hood
Clothes dryer exhaust
I Smgle dULt exhaust (bathrooms,
tOIlet compartments, utIlity
rooms)
I AttJc/crawlspacefans
! Fuel p'pmg + f
lupto lirst 4 outlets(enter Qty=l)
I each addlllonal outlet
I
I
I
I
I
'" City Of Spnngfleld fees
Fee $10 Issuance Fee
2
[il Addltlon/alleratlOnlreplacement
Eo
I (X] I or 2 famIly d\\ ell mg 0 MultI-famIly 0 Accessory Bulldmg
I ~JOB SITE INFORMATION AND LOCATlON3~~lc~Jt
! Job no 23534 I Job Jddress 259 S 35TH ST
I Clty/StdterL.IP SPRINGFIELD, OR 97478-6321
I SUltelbldg hpt no
I Project name Bryan Addm:.
Cro~s stre<.t/dm,,'CtWR~ to Job sIte
I SubdiVISion
JTax map/parccl no
I
110t no
1702314205013
- DESCRIPTION OF WORK
, ~
I
I
I
$33001
I
I
Install two wood msellS and liners
SITE CONTACT
I Ndme Bryan Adams
\ Phonc (541) 554 8003
I Effi..1
I
IF"
CONTRACTOR
I
I
I
I
I
I
Subtotal I $6600 I
State SurchdrgL (12% 01 permIt lee) $792 (
ClIY or Sprmglleld tees'" I $2990 I
TOTAl PFRMITFI<..E J $103 82 I
10% Local Admm Fee 5% Local Technology
ICCBlJc no 161946
I "USIOCS'! N tmc 'THERMAl RESOURCES INC
I Contact Deanne Burger
IAddn....... 1678 W 7TH AVENUE
I C1t)/Slllte/ZIP eUGENE, OR 97402
IPhon, (541)3431131 IF" (541)6875979
J I-.m III deannL@mldgleyscom
Il\1ctro 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 mstructlons on how to schedule your mspectlOn
COM ~jf"- 0\ LS L(
1
RCPT# 'S2.tn') <;5'" 53 ()
DATEPROCESSED 7hrrJol
PRoc~fj
ThiS Authorlzal1on To Begin Work must be posted at the Job site until replaced by a Permit
NOTE ThiS AuthOrization To Begm Work expires wlthm 180
days If a permit IS not obtained
The local bUlldmg department may detennlne that an
AuthorizatIOn To Begm Work IS null and VOid If It does not
meet applicable land use laws and local ordmances
I
Total I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
$6600 I
225 FIfth Street
Sprmgfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 I 134
COM2008-0 I 134
COM2008-0 I 134
COM2008-0 1134
COM2008-01l34
Payments
Type of Payment
ONLINE CHGS
cRecemtl
RECEIPT #.
Description
Wood Stove/lnsert
-Mechamcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmmlstralIve Fee
Pa,d By
ONLINE Pl::RMIT CHGS
~jij
CIty of Sprmgfield OffiCIal ReceIpt
Development Services Department
PublIc Works Department
3200800000000000530
Date' 07/29/2008
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How ReceIVed
nJm
ONLINE
thermal Onlme
Payment Total
Page I of I
3 00 33PM
Amount Due
6600
2000
330
792
660
$10382
Amount Paid
$103 82
$10382
7/29/2008