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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 1>'/'("~'. I. _<::LL-;;"'~,-" -Jj;~~.i;'~3f~]l~T'yPE'OFLWORK'" .., '_ e"""" I D New Construction 0 Addition/alteration/replacement I. ,. '.~- ".CATEGORYOF.CONSTRUCTION,'_ ,.,...",. 10 I ,,2lrunlly dwol[;" D M~ltl-t"nlly D C~m"""I'1 DAcc",,,,, B"IIdI", 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 1 C"'" S,,,,Ud',,,,,o", '0 job .h" I Tn'plp"'''''", \r)oo~nROl vt>"'tCO 1 --~:~~~~~~:i%DESCRIP:TION:OI:,:,w6RK:;f.-~lf~;,~~' Install gas insert, Iinernnd gas piping ~ft~~:;l1i;""~~1 _.gsifi!'cONTACT, '.t, '<i/ ,,~ I Nllme:DonaldMiller Phone: 541-741-2004 I Emai!: Fax: '-"----" :fCONTRACfoif "'. ff.tf'~-,- I CCB Iic. no.: 161946 ____ ._. _." _ . . ~ I DusinessNllme:THERm~rES"o',IR:CES'rNel;'i!:lVlI IUVV 1...'-1\.111"".... J'......... ,.::. .~d....,., ....'1........ ....,..........t"r! h" tho (')ronnn Iltilihr 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~_ I . .. , IIUllIIJo;;;il IVI u..... ......."'~..,.. ....'....J ...........--..-.. F.mall:mlke@mldgleys_com ,...........+...... j", i_Rnn..':t':t?_?QL1il\ 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 I -I 1 , ,,_I I I I I 1 I ,',iFEESCHEOUlEr-- - l. Q'y- ';0::' -I I $7,001, , I $79,001 ,I $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 I::u. ""\0-, $7,00) ~",.':. ;j'.' ,.,'-' -'::." f~.' -,"' ~-- ",- " c.CI-1119 I&. B114\CR NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. . .~ ~~~.~ \\J~ ~v 00'- 0-. r" D n~ ~CP't v.? 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