HomeMy WebLinkAboutPermit Mechanical 2009-4-15
_City of Springfield
Mechanical Authorization To Begin Work
E-mailedTo:deanne@midgJeys.com
Receipt # EC5501 R4
4/15/20094:23:56 PM
olR
IS
C/'
Check on status of permit
By'Phone: (541)726-3753 or Email: permitcenter@ci.springfield.or.us
10 New construction
IX] Addition/alteration/replacement
I Description
Ea.
"I
!. Total.:
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I
I
I
I
I
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[l] 1 01' 2 family dwelling
o Multi-family
o Accessory Building
I Furnace- up \0 100,000 BTU
II Furnace - above 100,000 BTU
'I Electric Furnace
I Duct alterations and additions
I Gasheatcrunits/in.wall, in-
duct, susoended. ctcl
I Vent, nut, liner for above
I Air Conditioner
1 Heal Pump
I Air Handler
I,Job 111).: I,Jobllddrcss: 2697 VIEWMONTAVE
I CiI)'/State/ZIP: SPRINGFIELD, OR 97477-7906
I Suitc/bldg./apt.no.:
I Project mime:
Cross street/directions to job site:
I Subdivision: I Lot no.: I heater I
I' . 'I I Gas fireplace/insert/stove I
lax map/parcel no.: 1703244100]23
1~~i~JW<~;t:~f;:t~,:j~',?$'~"~t~~~'iIDES'CRIp,TT6Nl0Fc1w6'Rt<~~i~~9):{~::~'i~~1 I ~afflI~ log lighter \
l;l=~~~'o;;~!'fl~et~~;n~'~;er'" .7' "..,. ,',""~- '" ",\,,^,,,,=_..~,c=M.,,,~<.. ...",,..,,:~ ,.. .,<J ;-,.Y3W;Y<"~~~ 1t;~5~?d~~l)'er I
/J. ~&ti"('I'/'}}~. 1
O~" ~I-i[f~ li~hki%_ I
"<;>, ;:1 W-1l9'a~)lrrli'")';}~J'O", $38,00 mool
~~~. '''' ''" ,,'- "If- I
~ . 'lIt: ~laoO/"..)-~ vJ,;. I''''
INam" Jean ~(.s> ',= ~~i;:~6~~~~~;:::rP""~~'~~1,'i;,,:!~,:~1
::~,,7,36~::::.E~ ..,.,.,',~=f'L01;~1J6)~,.,~"'_'''';,!Y;,.'.'0C,O,'>_ ,~I :~~~,~~::i~~;t~;{;'~~~,i!~~ ' " . ":
:~~:~::~}~'~:"~;W4~"J~~:c;~~~:(.~'}j;\;""':~<.t,"~',j111 I !i~~~:~~a~~:~~~:;:~~~:e~.~ I
I B,,;nc" Nmn" THERMAL RESOURCES INC ~J.. 0" (/,<': ,(', " I' I' )'0 I
1. . /:' -)'" Attic/craw space tans 'I)
I Con",,', Deann, Burgee "'<f},' {s> F~,~.t\ I'l~t.u-"I' 'p",ng"c",,,. ' ,;;.""""""> ~~-l'if"h'1Z'<:"""'.;Co ....~'I
IAdd""" 1678 W 7TH AVENUE ';01-for-1!d> ;:~ a-}. I (:;:'~';st4 o~~~~::~;''''_'L"~,:*",,,''_b;:-~r -r,;'.:< I
ICity/StatefLlP: EYGENE, OR 97402 e>1 <"t9-1... ~~ ] I eal:h addlllOnal outlet I
I"hon" (54])]43113] IFa" (54])6S75979 %''''/'/~~~
I ,.. .., A-, ~
Emllil: d~anne@midgleYS.l:om Vf "V,~l. SUbtotalj $3S 00 I
I Metto lic. 110.: ) City lie. no.: ' I I City Of Spnngfield First Apphance tee $79.00 I
Stale Surcharge (12% of pcnnrt fee) $/4,04 I
I City Of So ring field fees" I $5,851
I TOTAlI'EH.MIT FEE $136.89 I
.. City Of Springfield fees: 5% Technology Fee
L Cj -SOle> ~ 4-/11o I CA
Upon review and approval by your local jurisdiction, your
permit will be e-mailed or faxed within olie business day,
with instructions on how to schedule your inspection.
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
\~~
\^\V'
~'~
~~
The local building department may determine that an
Authorization To Begin Work is null and void if it does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00506 '
ISSUED: 04/16/2009
APPLIED: 04/15/2009
EXPIRES: 10/16/2009
VALUE:
Status
, Issued
225 ,Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2697 VIEWMONT AVE
ASSESSOR'S PARCEL NO.: 1703244100123
Springtield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path: "11';-;
Sprinkled BUildil)l\IO-10 ~I} nla
.' 0,-,. '" /,,_
, -
4'0 I DEVELOPMENT IN-EQiiMACP,i,ON,-rO
, J,:y, ~/> " , [!<. ~1",",,', ,-"~"'" REQUIRED PARKING
-1'U Z5' A ..~. /J" <$'% .10<- 800 fi(1)1" 901,,POI) ~
Front yard SetbaS18 ~o. <<'J$>,,: Overlay Dist:'?Jo" P 0 0~ "00' l'toy"/Pl; Total:
Side 1 Setbac"':11-: ~4,t, ~~'o/Il' # Streel Trees R<Jforfi> 0" %~ 100-?0.s" 0" "9<;J!andicappcd:
Side 2 Sctback: y 7& ~4'c. (oC'O cS'..s.: Paved Drive Rqd;:"'l)l 0" :?Ifi>" "0 a "'ov. 1'<//" Or" (<'o.'ljpact:
Rearyard Selback: '00 (('Oo.U4'o. '4//~. % of Lot Coverage: fi>r/,s. Orfi> ,q,o 0/)/$ P-? o.s <$'I;POI) ~<; (;
Solar Setbacks: '-1')-- ~ ~J$> ~-rA ' I-a,POI) :-'", 0'0 '<II?" 0' ~x 0
AA';_ /,~ ' ~" 7,<1", 00 _ 0-;:0",. :-"0- S.~~/~/~
"/0~'76'-1',z;;: 1-4tuaLIC IMPROVEMENTS I -U'~-.?::'I}~"I"';;%~'UOI:/}
,vo. 1~~71i1 J~ , 'ii''Ii'J ~I,i' _ 01). Oy
~~O ::; IJ' '1'0.9, SIdewalK. T/jy~iOI)"
OJ$> 1'0/, 'if" DownspoutslDrains:
PROJECT DESCRIPTION: Inslall wood insert and liner,
Owner: PATTERSON RONALD D
Address: 407 STONE GATE DR
NICHOLASVILLE KY 40356
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
License
161946
Contractor
THERMAL RESOURCES INC
~UILDING INFORMA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Description I
Description
$ Per Sq FI
or mulliplier
Sqnare Footage
or Bid Amount
Type of Construction
Paee 1 of 2
Expiration Date
10/29/2010
Phone
541-343-1131
LOI Size:
Sq Ft I Sl Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarporl
Sq FI Other:
Occnpant Load:
Value
Date Calculated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00506
ISSUED: 04/16/2009
APPLIED: 04/15/2009
EXPIRES: 10/16/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Tolal Valne of Project
Fe~~ P~id I,
Fee Description
+ ]2% State Surcharge
+ 5% Technology Fee
1st Appliance
Wood Stove/Insert
Amonnt Paid
Date Paid
Receipt Number
$14.04
$5.85
$79.00
$38.00
4/16/09
4/16/09
4/16/09
4/16/09
3200900000000000248
3200900000000000248
3200900000000000248
3200900000000000248
Total Amount Paid
$136.89
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 Insn~ctions ,
Wood Bnrning Insert: After installation.
By signatnre, I state and agree, thai I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I fnrther 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
th~lt NO OCCUPANCY will be made or any structure without permission orthe 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 pruper 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 of 2
225 Fifth Street
Springfield, Oregon 97477
54f~726-3759 Phone
Job/Journal Number
COM2009-00506
COM2009-00506
COM2009-00506
COM2009-00506
Payments:
Type of Payment
ONLINE CHGS
cRcceinll
wt'
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3200900000000000248
Date: 04/16/2009
Description
I st Appliance
Wood Stove/Insert
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Page I of I
KR
ONLINE Thermal Online
Resources
Payment Total:
8:34:22AM
Amount Due
79,00
38,00
5,85
14,04
$136.89
Amount Paid
$136,89
$136,89
4/1 6/2009