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HomeMy WebLinkAboutPermit Mechanical 2009-8-20 City of Springfield Mechanical Authorization To Begin Work E-mailed To: mightymouse541@hotmaitcom 69600-BMC-09-00090 SnOn009 5:35 pm Approval Code: 192640 }"'YJ\ fA) C/' Check on status of permit By Phone: 541-726-3753 or Email: permitcenter@ci.springfield.or.us 1~~~~~~~~~tiIfEicfFlVi6Rkf'~~~~~~~~~1 I D New Construction 0 Addition/alteration/replacement I~Yi1L,,\~l;:!'J'~W'i\'~cATEGORY!OF;coN5'fRUCTION~~,,~~~~1 10 I" 2 '~;Iy dw,n;,. D Moll;,'","ly D C,mm,,,;,1 DA""'''y Solidi,. 1 1~~~~OB"SiTE~NF.ORMATiONfAN6YlfOCATION'i...~~l~A~~1 Job Address: 4424 DAISY ST City/StatelZIP: SPRINGFIELD, OR 97478 Suite/bldg.lapt.no.: Project Name: viking instrt#l CrouStreet/directioos to job site: IT"rn,plp""ID'., \f'J~ nd..AM.... I I.,. .~= .......=.. '"'~ .~~. ~..~... ~.._..~Ji!:l~-"""""'}~--I ;c~~~~"VL~~~~DES'CRIF;TION:O'F:!WORR;~~~~~.g~ remove old wood insert and install new wood insert and new flex chimney liner 1~~~di~~Jl:~~1SITEiCO.NTAc;-1;~~!'i~IttJ~~:r~~~ I Name: Steve Holley I Pbone: 541.285.7734 Fax: I Email: 1~'i'.k~~f;b"l.1l~ONTRACJ.oR~~~~~~:i.~f' I CCB Ii~ no.: 177142 I Business Name: MDK CONSTRUCTION LLC I Contact: I Address: 565 HUGHES ST I City/Statr/ZIP: EUGENE, OR 97402 I Phone: 541-556-9422 Fax: I Email: I Metrolic.no.: Citylic.no.: I 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 permit is not obtained, 'The local building department may de~rTnlne that an Authorization To Begin Work is null and void If it does not meet applicable land use I~ws and local ordinances 1~l!..~~litEE'scHE6u-~E~;2~-';;;;;:~1 I Description J Qty. I Ea. I Total , lo.tbef~i}lu~"'ap.Pi!~W~tj$~~$~$~~]!E IChimneY/liner/flUe!vent J I L $17.00 J $17.00. .,....-~,._"._-".c~'~ ,,- '. ".-A". ."=...._.~,.~.,,.~~_.., -:oF.~ ..' .....-, !\-I!.I?-.I!!!~.m.E.e~:-5;;n.,~,r~~~.~~~l}gi.tlt.-{~'ft-,~.",,~~.~ I First Appliance Fee 'J I $79.00, ~l~~~@~!~}J:PER.'lit:f!~,S~~~~~~t:f:.~~~ I Subtotal $96.001 1 State surcnarge (12% of penn it SII.521' total) 1 Technology fee (5% of penn it $4,80 I' total) I TOTAL PERMIT FEE SIIz,3z1 ~~ ~. ~~.~ t~y .\Y- This Authorization To Begin Work must be posted at the job site until replaced by a Permit ., 'I Corn 2{lZJ9 0-;)1-07 {)Id.3 / jJm Status Issued CITYOF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01231 ISSUED: 08/21/2009 APPLIED: 08/21/2009 EXPIRES: 02/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726.3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 4424 DAISY ST ASSESSOR'S PARCEL NO.: 1702323404420 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: PROJECT DESCRIPTION: Installation of wood insert and chimney liner. Residential Owner: PHIBBS DONNA Address: 6099 FERN HILL LOOP SPRINGFIELD OR 97478 1 CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor MDK CONSTRUCTION, LLC . License 177142 Expiration Date 11/04/2010 Phone 541-556-9422 I, BUILDING INFORMATlONJ # of Units: Primary Occupancy Croup: 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;t Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street 1mpro, ,y.ements;, .0 ' '-'V I IVI,l' r I fnlln ... '_ . egon aw requires you t Storm ~ewer.lAvailahle;jOPted by the Ore U" .a . ~ot'tl,...~";int"'l C . gon tJllty Special, nst~\nctlOn: enter. Those rules are t f NOTICE.' In U",H 952-001-0010 throu se orth Notes.0090. You may obtain co ,gh OAR 952-001_ THIS PERMIT " . ~~::!!~~J t.he center. (Not~l:et~~ft~~::~~~:_by AUTHOR/Zm /~~~~~ ~~[:;R.EIF THE WORK . -'c';~t'''o. U""fjon Utility Notifl"auon ~ :';:'::;,;c,NCED OR IS . ,,"u C 'inlvII I /:5 NOT er IS 1-800-332-2344). Valuation Desc"iD1io~), DAY PERIOtBANDONED FOR $ Per Sq Ft Square Footage or mnltiplier or Bid Amount Sidewalk Type: ., '. Downspouts/Drains: Description Type of Construction Value Date Calculated Paee I of 2 _$~~'fi~Iii:\~P,,,, ,.. c. ~. ,,' Status Iss u ed 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspecti(jn Line Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appli.nce Heat Pump Amount Paid $11.52 $4.80 $79.00 $17.00 Total Amouut Paid $112.32 Tot.1 Value of Project Fee. Paid ~ Plan Reviews I Date Paid 8/21109 8/2 1109 8/2 1109 8/2 1109 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01231 ISSUED: 08/21/2009 APPLIED: 08/21/2009 EXPIRES: 02/21/2010 VALUE: Receipt Number ,. 3200900000000000598 3200900000000000598 3200900000000000598 3200900000000000598 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. Reouire( . . ~Dections I 11,,111 11111 I. ...,1111 I Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that I h.ve carefully examined the completed application and do herehy certify that all iuformation hereon is true .nd correct, and 1 further certify that any and all work performed sh.lI: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, .nd th.t NO OCCUPANCY will be made of any structure without permission of the Community Servites Division, Building Safety. 1 further certify that only contractors and employees who .re in compliance with ORS 701.005 will be used on this project. I further .gree to ensure that.1I required inspections are requested at the proper time, th.t e.ch .ddress is readableJrom the street, that the permit card is located .t the front of the property, and the approved set of plans wilJ remain on the site at all times during construction. . Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01231 COM2009-01231 COM2009-01231 COM2009-0l231 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description .lst Appliance Heat Pump + 5% ,\echnology Fee ,+ 12% State Surchar,ge Paid By ONLINE PERMIT CHGS , , a.r'.'!'I!"~F.'!tU>"",..."".....,.." .,:,' :)~~,~ . IIii: ~., "'IJIIIJ' '" -c..-,....,."...,....,.""'.. ..".",. --' City of Spri~gfield Official Receipt Developmeljlt Services Department Public Works Department 3200900000000000598 Date: 08/21/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njrn ONLINE mdk const Online Payment Total: Page 1 of I 10:SO:03AM Amount Due 79.00 17,00 4.80 11.52 $112.32 Amount Paid $112.32 $112.32 8/21/2009