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Home My WebLink AboutPermit Mechanical 2009-4-23 Mechanical Anthorization To Begin Work E-maiiedTo:Stfrdml@peoplepc.com Receipt # EC550492 4/23/20096:17:27 PM s~q I (j~ City of Springfield Check on status of perin it By Phone: (541)726-3753 or Emaii: permitcenter@ci.springfield.or.us 10 New construction lliJ Addition/al\l:ration/replacement I Description Qty. Ea. Total 1~'iieatingj~oo'lin1tUppHances"i\'<.:?':~~~-,*,#;r~;Gi1~'o"", ~,i ,.",c. .,1>d.... ... "'.."'.... ...... ,,"',!,.,- -.. ~"."".r.....I",I~ '~'-'._._f1: J. . .1 Furnacc- up to 100,000 BTU I I Furnace - above] 00,000 BTU I Electric Furnace I I Duct <llterations and additions I Gas heater units/ in-wall, in- duct. suspended. clel Venl, nue, liner for above I [K] 1 or 2 family dwelling D Multi-family 0 Accessol)' Building I :0~4J;~"7::~~-,f9T.':f _:&:'02J5B~SITE:INf6RMATIOtitANiS'EOCATr(rN0:~~~~~?~~~' ,.1" _.... .', /' '. _ ',: 'u'l':.J:!"... .1.:",,' '~""\._~'~_"""_ ~ , .~._._..,.~"_.,, '",,,,,,,,~^,_,,, ,_'."''''' ~=-."~ ~_.,' ,,'".,..,~ ,,'fJI. .;;~~ IJobno.: IJobaddress: ]628 CARTERLN I City/State/ZIP: SPRINGFIELD. OR 97477-3325 I Suitc/bldg.lapt.no.: !I'rojcct name: Rupe Cross streel/directions to job site: Mohawk blvd. tu M, st. to Caner IWatcrheater I Gas tlreplilcelinsertlstove I Gas log/log lighter I Gas clothes dryer I Gus stove/range I Pool or spa heater, kiln I Wood/pellet stove/insert I Wood fireplace I Chimneyllil1L:rlfluc/vent wlo [looliam:e 1..'EritfrolllTlcnial\extiausij\ND.ventililfion~~f" ~".'?~~;~"~.!C::i~~,?f'iOF:~ .''''''''~'''''''''':''''",,,_._..,,.~,,,..-.,..,. """,co", =".=C'n "w ''''''..,:;4 e,,?'''~S. <V""", ".'..~...,~.s..I;".. $38.00 $3800 I Subdivision: I Tax map/parcel no.: 1703253215700 ILot no.: InstallingA Wood burning Fireplace Insert I i\amc: Ed & Angclia Kupc I Phone: (541) 744-2806 IEmail: IF"" I Runge hood I Clothes dryer exhaust I Single~dllcl exhaust (bathrooms, toilet compartments, utility rooms) ICCBlic.no.: 171110 I Business Name: MICKEY LAWRENCE-STAFFORD I Contact: Mickey !Address: 90090 KILLIAN LN I City/State/ZIP: ELMIRA, OR 974379604 I Pholle: (54 I )':J356012 I Fax: None I Email: Stfrdml@peoplepc.com IMl.'tro lic. no.: I City lie. no.: fans 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. upto first 4 outlets(enter Qty=l) I I I each additional outlet 1~>2~~~::!:~.~~t:~~1!]~~I~K~fB'~~Mij;{llit~'!~~~1~t:~t~~~i ' I Subtotal $38.00- I City Of Springfield Firsl Appliance fee $79.00 I I Slate Surchllrge(]2% of permit fee) $14,04 I I City OrSpringlield fl>cs" $5,85 I I TOTf\L P~I{1\lIT FEE $136,89 I .. City or Springfield fe~s: 5% Techno]ogy fee NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. Co/y} .:<'0-:' ;1 -- Dc).s ~ :7 L/_ ,:) y: _ () '7 /V/J/1 The local building department may determine that an Authorization To Begin Work is null and void if it doe~not . meet applicable land use laws and local ordinances. !\. ,,~ \.0 ~ --\:~. This Authorization To Begin Work must be posted at the job site until replaced by a Permit Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00549 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1628 CARTER LN ASSESSOR'S PARCEL NO.: 1703253215700 Springlield TYPE OF WORK: Mechanical Only TYPE OF USE: . New Residential PROJECT DESCRIPTION: Wood Iireplace insert Owner: RUPE RONALD E & ANGELA G Address: 1628 CARTER LN SPRINGFIELD OR 97477 Phone Number: 541-744-2806 I CONTRACTOR INFORMA nON I Contractor Type Mechanical Contractor MICKEY LA WRENCE STAFFORD License 171110 Expiration Date 07/12/20 I 0 Phone (541) 736-0018 BUILDING INFORMATION I # of Units: Primary Occupancy 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 I st Floor: Sq Ft 2iId Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Sidewalk Type: ATTENTIOD'I: OrP.oontsl/QD", reaulres you to f II I ownspou rams: Ut.I't o ow ru es aaop,ea oy Ine uregon II y Notification Center. Those rules are set forth Notes: NOTICE:. XPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- THIS PERM__lrT S, ,H,,~~.lD ET"I" PERMI1T IS NOT 0090. You may obtain copies of the rules by _ ,,,_ H :--. ,...QUinn tho ("onter (f\lnto' tho tpl&:lnhnnA AU I HunNILC'-EuOvOR IS ABANOONE1;:' ;~:. . . . nunlber for the Oregon Utility Noliflcation COMME 00 ValuatIOn DeSCrIDtlOn Center is 1-800-332-2344). ANY i 80 OAY PERI . Description Type 01 Construction $ Perls.ql~t squBa:dcAFootage Value or mu tip lef or I mou~t Storm Sewer Available: Special Instruction: Date Calculated Page 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Wood Stove/Insert Total Amount Paid Amount Paid $14.04 $5.85 $79.00 $38.00 $136.89 Total Value of Project Fees Paid I " ( Date Paid 4/24/09 4/24/09 4/24/09 4/24/09 I Plan. Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00549 ISSUED: 04/24/2009 APPLIED: 04/24/2009 EXPIRES: 10/24/2009 VALUE: Receipt Number 3200900000000000270 3200900000000000270 3200900000000000270 3200900000000000270 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 Rellllired Insnections I W?od Bnrning Insert: After installation. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is ti.ue 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 he made of any structnre 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 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 Pace 2 01'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00549 COM2009-00549 COM2009-00549 COM2009-00549 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description 1 st Appliance Wood Stove/Insert + 5% Technology Fee + J 2% State Surcharge Paid By ONLINE PERMIT CHGS ~-~ City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000270 Date.: 04/24/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ONLINE MICKEY L. Phone Payment Total: Page 1 of I 8:06:42AM Amount Due 79.00 38.00 5.85 14.04 $136.89 Amount Paid $136.89 $136.89 4/24/2009