HomeMy WebLinkAboutPermit Mechanical 2008-10-20
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Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01548
ISSUED: 10/20/2008
APPLIED: 10/20/2008
EXPIRES: 04/20/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Li~.e
SITE ADDRESS: 6840 D CT
ASSESSOR'S PARCEL NO.: 1702352313500
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: Alteration
PROJECT DESCRIPTION: INSTALL PELLET INSERT AND LINER
Residential
Owner: LAMB MICHAEL V
Address: 6840 D ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION .1
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES INC
License
161946
Expiration Date
10/29/2008
Phone
541-343-1131
BUILDING INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Gronp:
Primary Construction Typ~
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lnt Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occnpant Load:
nla
I DEVELOPMENT INFORMATION 1
Frontyard Sethack:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved D'rive Rqd:
0/0 of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
w'::,\" ,
I PUBLIC IMPROVEMENTS 1
Street Improvements:
Sidewalk Type:
Storm Sewer Available:
Speciallnstrnction:
NOTICE:
Notes: THIS PERMIT SHALL EXPIRE IF THEWORK
.~~~.~~~~ "Mnt:D TI-II~ PI=RMIT IS. NOT
COMMENCED OR IS ABANDONf%Y~tion Description I
ANY 180 DAY PERIOD.
$ Per Sq Ft Square Footage
or multiplier or Bid Amount
Tvpe of Construction
DownsE.outs/Drains:
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
Notification Center, Those rules are set forth
In OAR 952.()()1.Q010 through OAR 952.()()1.
008a. -,1.'10, UI"~I" ..... ~'1' or.. ,.1.:...:. ;1 the rtllee I:lV
calling the center. (Note: the telephone
IliImber for the Oregon Utility Notification
Center Is Hloo-332-2344).
Value Date Calculated
. Description
Pa2e I of2
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01548
ISSUED: 10/20/2008
APPLIED: 10/20/2008
EXPIRES: 04/20/2009
VALUE:
225 Fifth Street, Springtield: OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
-Mechanical Issuance Fee-,
+ 10% Administrative Fee'
+ 12% State Surcharge
+ 5% Technology Fee
Minimum/Adjustment Mechanical
Pellet Stovellnsert
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
$6.24
$2.60
$18.00
$34.00
10/20/08
10/20/08
10/20/08
10/20/08
10/20/08
10120/08
2200800000000001528
2200800000000001528
2200800000000001528
2200800000000001528
2200800000000001528
2200800000000001528
Total Amount Paid
$87.04
I Plan Reviews I
To Request an inspection call the 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 Insnections I
Rough Mecbanical: Prior to Cover
Final Mechanical: When all mechanical work is ~omplete.
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 Springtield 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 Safely.
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 th'at 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
Date
Pa2e 2 of2
Receipt # EC540249
10117/20083:25:41 PM
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Mechanical Authorization To Begin Work
E-mailedTo:deanne@midgleys.com
Check 011 status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
qty of Springfield
-~TY~(O~WORI<
[K] Addition/alteration/replacement
"1i:~io"
I D New construction
.;.y';:;'S:.~/~~~C~TEG~6RY;6F,,~~g~stRl.JC}ION:: <
1[K] ]_~r2 family dwelling 0 Multi.family 0 Accessory Building
.~, ,JOB ~rfE'liif.ORMAf[6N AN[)L6CATION,;tt,:t
IJob no.: IJob'address: 6840 0 CT
1 City/Stale/ZIP: SPRINGFIELD, OR 97478.716,5
I Suite/bldg.lapt.no.:
I Project name:
Cross streetJdirl.'ctiollS 10 job site:
I Subdivision: I Lot no.:
ITa:< map/parcel no.: 1702352313500
,~-~;:t-~~%"i' D~~_~~.I~fi9NI9~W9~WKl';;.
Install pellet inscrtand liner
,,~
~~i.":~;r.SltE'CO~!Aqt;::::t_{~.- :'; ~~~: "} ,~~~~'
I Name: Michael Lamb
IPhone: (541)513-0798
!Email:
IF..,
,."" ':;}C9~r~9.T6Jt~,<~~:{~'~
ICCR lie. no.: 16]946
I Business Name: THERMAL RESOURCES INC
I Contact: Deanne Burger
IAddress:1678 W 7TH AVENUE
I City/Stllll'!LIP: EUGENE. OR 97402
IPhone: (541)3431131 !Fax: (54])6875979
I Email: deannc@midglcys.com
I Metro lie. no.: ICily lie. no.:
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 schedule 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 'Iand use laws and local' ordinances.
~~J'
I Description J Qty. 'Iotal I
!fFca{fnig~olin'g~u.~~iia~~~cs::P~:":t" f~,. I
I Fumace- up to ] 00,000 BTU 1
1 Furnace - above 100,000 BTU I
1 Electric Furnace 1
1 Duct alterations and additions 1
I Gas heater unitsl in-wall, in- I
duct. suspended. etcl
1 Vent, nue, liner for above 1
1 Air Conditioner 1
1 Heat Pump 1
I Air Handler 1
1,.Of~-~}tieLb,~hii~~' ~lp!!~ces~t<~~.~ t~~ ~~~~b~~- ::;::~.;.l ~:~~l
I Water heater I
1 Gas lirep]ace/insert/stove 1
I Gas log! log lighter I
I Gas dothes dl)'er 1
1 Gas stove/range 1
1 Pool or spa heater, kiln 1
I Wood/pellet stoveJinsert $34.001 $34.001
I Wood fireplace I I
I ;:~~'lnne~J1incr;nue/vcnt w/o 1 . .I ._~,. '. J I
r'~n~i~Y01'eni!tLe'xh1E~t ANP. vJ'n~lat,iolr~ {~~.;{:"( ""?-~1:i'~'f--. "":1
I Range hood I I I
I Clothes dryer exhaust I I I
I Single-duct exhaust (buthrooms, I I
toilet compartments, utility
rooms)
1 Auie/craw]space fans 1 I
L~;ijcl pi~Lng' J,.'~ ~ .=~ ~ ; :: I
.1 upto first 4 outlets(enter Qty=l) I I
1 each additional outlet 1
I'" L't/'"M:ECHi\NIC.A~PEF{~TFE~S#.~: ,"i'.~ ~'>I
I Subtotal I $34.00 I
1 Minimum fee used instead of Subtotal 1 $52.001
1 Stilte Surcharge (12% of permit fee) 1 $6.24 !
1 City Of Springfield fees .1 $28.80 1
I TOTAL P.:RMIT FEE I $8704 I
... City Of Springfield fees: 10% Administration Fee; 5% Technology Fee
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COM:r0m~- DI SL1 1-
RCPT#?.8-CQ~-15d5\
DATE PROCESSED:lD.\:+n 108
PROCESSED BY::\< PO 0 p 0/
This Authorization To Begin Work must be posted af the job site until replaced by a Permit.
225 Fifth Strcet
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2008-0 1548
COM2008-0 1548
COM2008-0 1548
COM2008-0 1548
COM2008-0 1548
COM2008-0 1548
Payments:
Type of Payment
ONLINE CHGS
cReceiot!
RECEIPT #:
iiiM
2200800000000001528
Description
Pellet Stove/lnsert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
,
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Serviccs Department
Public Works Department
Date: 10/20/2008
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
KR
Page I of 1
ONLINE THERMAL Online
RESOURCE
S
Payment Total:
8:41 :33AM
Amount Due
34.00
18.00
21.00
2.60
6.24
5.20
$87.04
Amount Paid
$87.04
$87.04
10/20/2008