HomeMy WebLinkAboutPermit Mechanical 2008-9-9
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01370
ISSUED: 09/0912008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726c3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3306 BALDY VIEW LN
ASSESSOR'S PARCEL NO,: 1703220001001
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: ,New
Residential
PROJECT DESCRIPTION: Install propane fireplace and venti
Owner: PEAGEHEALTH
Address: PO BOX 1479
EUGENE OR 97440
I, CONTRACTOR INFORMA nON I
Contractor Type
Contractor
, License
Expiration Date Phone
BUILDING INFORMATION'
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION'
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
%of Lot Coverage:
fATTENTION: aiR,.,,.,,, ",..
N;i;fl;a;i~';~:nd~~kl'PI'JB(!;ICiiMP,RONiiYIENTS I
I OA ler - u ,
Street Improvements: On090 R 952-0010010 ;h'"r~'~'gILh'''O)3 ~re set forth
v "'-''-' I ,Pc-......
, " .ou may obtair- , ,_.._. ' ':", ~5c-001_
StOf'." Sewer A~aIlable: callmg the center. ;t\~~~:I.~,~~ (~r{he rUi<es by .
Special InstructIOn: number for the 0' ,"'-'C, ,h" le/;'Dhone
C ~. I e0....'!. Ui.iUty hI; 1';::''''~ -.
enter IS "'-80'~ '"1,' c' . _ .J III.....ctLlon
C-,o,;;- ,",< 'I)
- o::..u'-i'. .
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
Notes:
mrrre~ Type:
TA%"~AMt~S'l1~L EXPIRE IF THE'WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD,
I Vahlation Desc~IDtion I
Description
TYl,e of Construction
, $ Per Sq Ft
or multiplier
Square Fooiage
or Bid Amount
Value
Date Calculated
Paee I of 2
SI!;IltIIiolQ.,I!U-Q"
-1~ >,'"" " . ,,,",,'"
~\;
Status
Issued
225 Fifth, Street, Springfield, OR
541-726-3753 Phone '
'541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
--'Mechanical Issuance Fee-,
+ 10% Administrative Fee
+ 12%State Surcharge
+ 5% Technology Fee
Fireplace (Listed)
MinimumlAdjnstment Mechanical
Total Amount Paid
,
Amonnt Paid
$21.00
$5.20
$6,24
$2,60
$18.00
$34.00
$87.04
Total Value of Project
Fees Paid I
Plan Reviews I
Date Paid
919/08
919108
919108
919108
919/08
919/08,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01370
ISSUED: 09/09/2008
APPLIED: 09/09/2008
EXPIRES: 03/09/2009
VALUE:
Receipt Number
3200800000000000642
3200800000000000642
3200800000000000642
3200800000000000642
3200800000000000642
3200800000000000642
To Request an inspection callthe 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 following
work day.
I, Reouired Insn~ctions I
Rough Mechanical: Prior to Cover
Finill Mechanical: When aU mechanical work'is complete.
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
Paee 2 01'2
Date
City of Springfield
Mechanical Authorization To Begin Work
E_mailedTo: deanne@midgleys,com
Receipt # EC537650
9/9/2008 11 :37:46 AM
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
[K] Addition/alteration/replacement
I
I
"'I
SUbtotalj $\8.00 I
Minimum fee used instC<ld of Subtotal $52.00 I
State Surcharge (12% o[permit fee) $6.24 I
City Of Springfield fees" I $28.80 I
~ ,TOTAL PI<:RMIT FEE I $87.04 I
.. CilyOfSpiingfieldfees: lO%Administration Fee; 5% Technology Fee
D New construction
I Description
I [K] I or 2 family dwelli.ng
I Furnace- up to 100,000 BTU
I Furnace-above 100,0008TU
IE-Iectric Furnace
I Duct alterations and additii:in.~
I Gas heater linits/in-wall, in-
duct, suspended, clef
I Vent, nue, liner for above
I Air Conditioner
I ikat Pump
I Airl'landler
D Multi-ramily
o A~cessory Building
I Job no:: 23458 I Job address: 3306 BALDY VIEW LN
I city/StateIZIP: SPRINGFIELD, OR 97477~9400
1 Suite/bldg.lapt.no.:
"I Project name: Century Designs
Cm~~ ~treetJdirections to jo~ site:
, .
I Subdivision:
I Tax map/parcel no.: 1703220001001
I Water heater
I Gas fireplace/insert/stove $18.00
I GllS log/log lighter
I Gas clothes dryer
I Gas stovc/range
I Pool or spa heater, kiln
I Wood/pellel stovelinsert
I Wood fireplace
I Chirnney/linerlflue/v~'nt w/o
appliance
1~~'ll'~:!~~~!~.t1ITtei~~;at;i&i~vl1l~ti.l?~~,~!'JJV1t2&~~"~i
I Range hood
I Clothes dryer exhaust
I Single-duclexhiliisl (bathrooms,
toilet compartments, utIlity
rooms) ,
i Attic/cra\vlspace fans
ILot no.:
Install propane fireplace and venting
1 Name: Century Designs
I Phone: (541) 968,9694
IEmail:
I Fox:
lie. no.: 16]946
1 Business Name: THERMAL RESOURCES INC
I Con,tact: Deanne Barger
IAddress: 1678 W 7TH AVENUE'
j City/State/ZIP: EUGENE, OR 97402'
I Phone: (541)3431131 IFox: (541)6875979
I Email: deanne@midgleys.com
I Metro lie. no.: I City lie. no.:
I upto first 4 outlets(enter Qty=])
I each additional outlet
Upon review arid approval by your local jurisdiction, your
permit will be e~mailed or fax.ed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
COM: "VITJ 1?"' - 0 I .3 7 0
-,
RCPTli. ~;':)Obg>-- &'7A
DATE PROCESSED: q Ie::; 1/) y
( --.:-r ;"
PROCESSEDBY'/LZ/'Lr./ f!~
'I J
This Authorization To Begin Work m~st be posted at the job site until replaced by a Permit
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:
I
$18,001
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-01370
COM2008-0 1370
COM2008-0 1370
COM2008~01370
COM2008-01370
COM2008-0 1370
Payments:
. Type of Payment
ONLINE CHGS
cReccintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
, Public Works Department
3200800000000000642
Date: 09/09/2008
1:46:13PM
Item Total:
Check Number Authorization
Received By Batch Number. Number. How Received
Amount Due
18,00
34,00
21.00
2,60
'6.24
5.20
$87,04
Description
Fireplace (Listed)
Minimum! Adjustment Mechanical
~Mechanicallssuance Fee~
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Amount Paid
NJM
ONLINE THERMAL Online
Payment Total:
$87,04
$87,U4
.
Page, I of I
9/9/2008