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HomeMy WebLinkAboutPermit Mechanical 2008-9-9 , _~!:,r;I}!':!<3!l'I!!L.:~' j I, 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 I I I I I I 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