HomeMy WebLinkAboutPermit Mechanical 2009-8-14
Mechanical Authorization To Begin Work
E~mailed To: deannc@midgleys.com
69600-BMC-09-00073
8113/2009 3:54 pm
Approval Code: 0759]4
Check on status of permit
By Phone: 541-726M3753 or Email: pennitcenter@ci.springficld.or.us
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I D New Construction 0 Addition/alteration/replacement
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I, --."::J08sriidN-FORMATlON-ANO.LOCATION '
I Job Address: 2347 RODNEY CT .'
I City/State/ZIP; SPRINGFIELD, OR 97477
I Suitelbldg.lllpt.no.:
I Projttt Name: Donald Miller
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1 --~:~~~~~~:i%DESCRIP:TION:OI:,:,w6RK:;f.-~lf~;,~~'
Install gas insert, Iinernnd gas piping
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_.gsifi!'cONTACT,
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I Nllme:DonaldMiller
Phone: 541-741-2004
I Emai!:
Fax:
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I CCB Iic. no.: 161946 ____ ._. _." _ . . ~
I DusinessNllme:THERm~rES"o',IR:CES'rNel;'i!:lVlI IUVV 1...'-1\.111"".... J'......... ,.::.
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I Contllct: hl~t'ifi~~tin~ (;pnt~r_ Thn~p. rules are set forth
I Add,,,,, 1678 W TIJ!IA~AR 952-001-0010 through OAR 952-001-
I C;,yIS,,'.Z'P, EudENE:,IOR 1{,4b2 may obtam copies 01 me rUles oy
I Phone: 541-343-1131 call~ng l!le ~tHI:flx:54J~~87=:~~i~~~ ,,~~~~r~I~~I:I~_
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I Metrolic, no.: Cilylic. 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
pennit 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 lacid ordinances
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,',iFEESCHEOUlEr-- -
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$7,001,
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$79,001
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$8' 00 I
$10.321
$-1.301'
$100.621
I Description
ICn~ Fuel pipinF. " .--
IGasPiping- first four
11\1!lIimumJ?ee~:~6:'t
I Firsl Appliance Fee
1M ECIIA:\'lCA_L PERMIT, FEES
ISubtolal
ISI~le surcharge (12% of pen nil
tOlnl)
ITechnOIOgy fee (5% ofpennit
tota!)
!TOTAL PERMIT HE
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$7,00)
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
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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: COM2009-01179
ISSUED: 08/14/2009
APPLIED: 08/14/2009
EXPIRES: 02/14/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE'ADDRESS: 2347 RODNEY CT
ASSESSOR'S PARCEL NO.: 1703272203300
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE: New '
Residential
PROJECT DESCRIPTION: Install gas insert, liner ad gas piping
Owner:
Address:
MILLER DONALD L & TONA A
2347 RODNEY COURT
SPRINGFIELD OR 97477
Phone Numher: 541-741-2004
I CONTRACT.OR .INFORMA TION I
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES INC
License
161946
Expiration Date . Phone
10/29/2010 541-343-1131
BUILDING INF?RMA TION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secoudary 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 Garage/Carport
Sq Ft Other:
Occnpant Load:
n/a
AIIt:NIIUN: uregullltlV" .-......-,' ..,,~ w
follow rules adopted by tl,DEMEbOPMElNT lNFORMM~OJll~1
Notification Center. Those rules are set 10rm . - - - --. REQUIRED PARKING
Frontyard SetbdckOlAR 952-00f -001 0 through OAPo~'j,~i~?15ist: . THIS PERMIT SHALL EW.l1~I!F THE WORK
Side I Setback: 0090.. You may obtain caples oft~~sW~~tT~ees Rqd: AUTHORIZED UNDER THffi.fi'di~~lllkd8 NOT
Side 2 Setback: callmg the centel. (Note. the teP,\'~k'it.ririve Rqd: COMMENCED OR /S AB~AU1.0-'am FOR
b r for the Oregon Utility NO""~mlul' ANY 180 DAY r'-'WUJ'
R. earyard SetbacIflum e, % of Lot Coverage: PER/OD
Center IS 1-800-332-2344). "
Solar Setbacks:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer Available:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
I Valuation Descriotion J
Description .
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
-~f~!,,~~ffl~~l-; '.
~~,
~,
Status
Issued
225 Fifth Street, Springfield, OR
541-726.3753 Phone
541.726.3676 Fax
54l.726.3769Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
I st Appliance
Gas Outlets 1-4
Amount Paid
$10.32
$4.30
$79.00
$7.00
Total Amount Paid
$100.62
Total Value of Project
Fees Paid I
I Plan Reviews I
Date Paid
8/14/09
8/14/09
8/14/09
8/14/09
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01179
ISSUED: 08/14/2009
APPLIED: 08/14/2009
EXPIRES: 02/14/2010
VALUE:
Receipt Number
1200900000000000924
1200900000000000924
1200900000000000924
1200900000000000924
To Request an inspection call the 24 hour r~cording 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 InsoectionsJ
Rough Mechanical: Prior to Cover
Final Mecbanical: Wben all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify tbat all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance witb
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 00 this project.
.1 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 of 2
Date
22~ Fifth Street
Sp~ingfield, Oregon 97477
541-726-3759 Phone
"
Job/Journal Number
COM2009-0 1179
COM2009-0 1179
COM2009-0 1179
COM2009-0 1179
Payments:
Type of Payment
ONLINE CHGS
cRcceintl
RECEIPT #:
Description
1st Appliance
Gas Outlets 1-4
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
aP.!'.."N..~.~~.' . .....
:I!.to~ ... ..,
.f&:- ..
1200900000000000924
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 08/14/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
KR
Page I of I
ONLINE THERMAl.: Online
RESOURCE
S
Payment Total:
9:00:36AM
Amount Due
79.00
7,00
4.30
10,32
$100.62
Amount Paid
$100.62
$100.62
8/1412009