HomeMy WebLinkAboutPermit Mechanical 2008-12-5
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01740
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/05/2009
VALUE:
SITE ADDRESS: 7995 S C ST
ASSESSOR'S PARCEL NO.: 1702363003601
Springlield TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Woodstove Insert Installation
Owner: HELMS MICHAEL P
Address:' 7995S C ST
SPRINGFIELD OR 97478
TYPE OF USE: New
Residential
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor License
MOUNTAIN MEADOW HOMES LLC 173350
BUILDING INFORMATION.
# of Units:
Primary Occnpancy Group:
Secondary Occupancy Group:.
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structnre
Type,of Heat:
Wate'f Type:
Range Type:
Energy Path:
Sprinkled Bnilding:
Expiration Date
12/08/2008
Phone
541-729-7508
n/a
Lot Size:
Sq Ftlst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CaJ'port
Sq Ft Other:
Occupant Load:
1 DEVELOPMENT INFORMATION ~
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: .
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of. Lot Coverage:
i
REQUIRED PARKING
Total:
Handicapped:
Compact:
NOTICE: ~ PUBLI@~PROVEMENTS ~ : regon aw requ res you, .0
T~IC: PI=~~IT SHAll EXPIRE I 'fIle \.,' foll.ow r~les adopted by the Oregon Utility
Street Imptb\l\!'nI.lf1l . T IS NOT ' Notlsllftffoo1Of9lm. Those rules are setforth
AUTHl!R ED UNDER THIS PERMI. In OAR 952-Q01-0019 through OAR 952-001-
Stor~ se~O~~D OR IS ABANDONED FOR ;. 009l9."'I'OU1ffl1ly>llWiWcopies of the rules by
SpeCIal InsA'N'Y '{'go DAY PERIOD. calling the center. (Note: the telephone
, number for the Oregon Utility Notification
Center is 1-800-332-2344).
Notes:
I Valuatioh Description I
Description
Type of Construction
$ Per Sq Ft '
or multiplier
,
Sq nare Footage
or Bid'Amount
Date Calcnlated
Paee 1 of2
Value
Status
Issued
225 Fifth Street, Springfield, OR
541~726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issnance Fee-
+ 10% Administrative Fee
+ 12% State Snrcharge
+ 5% Technology Fee
MinimumlAdjustment Mechanical
Wood StovelInsert
Total Amount Paid
Amount Paid
$21.00
$5.20
$6.24
$2.60
$18.00
$3~.00
$87.04
CITY OF SPRINGFIELD
Building/Combination Permit
,PERMIT NO: COM2008-01740
ISSUED: 12/05/2008
APPLIED: 12/05/2008
EXPIRES: 06/0512009
VALUE:
Total Value of Project
Fees Paid ~.
I Plan. Reyiews ~
Date Paid
Receipt Number
12/5/08
1215/08
12/5/08
1215/08
1215108
12/5/08
2200800000000001712
2200800000000001712
2200800000000001712
2200800000000001712
2200800000000001712
2200800000000001712
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 afte,r 7:00 a.m. will be made the following
work day.
Wood Stove: After Installation.
L,Relluired InsDections I
F~naI Mechanical: When all mechanical work is c9mplete.
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 IJurther c.ertify 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 strncture without permission of the Community Services Division, Building Safety.
I fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther 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.lhe front of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signatnre
Page 2 01'2
Date,
City of Springfield
Mechanical Aut~orization To Begin Work
E-mailedTo:d~ctorofstoves@yahoo.com
Receipt # ECS43157
t2l4/2008 10:12:06 PM
Check on status of permit
By Phone: (541)726-3753 or ~mail: permitcenter@ci.springfield.or.us
City/State/ZIP: SPRINGFIELD, OR 97478-8400
Suite/bl~g.lapt.no.:
Projeclllllme: Helms
Cross street/directions to job site: 79th to S. C
Duct alterations and additions
Gas heater unitsl in~wall, in-
duct sus ended etel .
Vent, flue, liner for above
Air Conditioner
, CCB lie. no.: 17
Business Name:
Heat Pump
Air.Handler
Subdivision:
Lot no.:
Contact: Kenneth Wallstrom
Address: 24363 SUTTLE RD
City/State/ZIP: VENETA, OR 974879407
Phone: (541 )7297508
Fax:" None
Email: doclorofstoves@yahoo.com
!\'lctro lie. no.:
1',
Subtotal $34.00
Minimum fee used instead of Subtotal $52.00
State Surcharge (12% of permit fee) $6.24
CitY or Springfield fees * $28.80
TOTAL PERMIT FEE $87.04
* City or Springfield fees: 10% Administration Fee; 5% Tc-chnology Fee
City lie. no.: .
Upon review and approval by YOUl.local jurisdiction, your
permit will be e-mailed or faxed within one business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To'Begin Work expires within 180
days if a permit Is not obtained.
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at t
. ,
I.
-cOM:~DOB - Oog
RCPT #: dCV08':' n I 6-
DATEPROCFSSED:J 1J.6 \00
...1":.,"".::4 .
Ef.~ssaal1l b rmit.
" ,
....~~t. -
22$ Fifth Strcct
Springfield, Oregon 97477
54\-726-3759 Phone
City of Springfield Official Receipt
Deyelopmcnt Scrvices Department
Public Works Department
RECEIPT #:
2200800000000001712
Date: 12/05/2008
10:10:08AM
Job/Journal Number
COM2008-0 1740
COM2008-01740
COM2008-01740
COM2008-01740
COM2008-01740
COM2008-01740
Payments:
Type of Payment
ONLINE CHGS
cReceintl
Description
Wood Stove/Insert
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
Paid By
ONLINE PERMIT CHGS
Received By
KR
Page 1 of I
ONLINE MOUNTAI Online
N
MEADOW
Payment Total:
Check Number
Batch Number
Item Total:
Authorization
Number How Received
Amount Due
34,00
2.60
6.24
5,20
21.00
18,00
$87.04
Amount Paid
$87,04
$87.04
12/5/2008