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HomeMy WebLinkAboutPermit Mechanical 2009-9-11 ElI/Er6/2ElEl9 11:11'1 ,7263676 CITY OF SPRINGFIELD PAGE Ell CITY OF sPRr:\GdEr.n. OREG,o:\' I '_ 22S Fifth _. J,,', .L~ OR 97471. PK(541)721S-3753 . FA.lC(541)726-3689 H;;;DE~~(t~~~}?:;?," (J..~~~ I Permit n," (\q -I ~4?> a:.. [Date: C\l ntoq Mechanical Permit Application This permit is Issued:,uader OA1l9I~SO. Pennib es.pire if worle is not started withia 180 day! of i5sllaoce or if work is su.,,,,,oded for 180 days. NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT " COMMENCED OR IS ABANDONED FOR ANY 180 DAY PE~IOD. ,~ ,~\J:. , ~r\<O~ &- 6.:~~ ~!'vl\) ,~ " " " \~ ' ' ~~. 140-2545.1 (11108lCOM) , ~~~&lf?;~w.:0i':.'.':;;;{">.;;'ffi"i\'f2';3'i~,ScHEnOLE.~~(.~~e..Jii;{il ~" i ~~' ';~=:':_.l";;i~~r.ti~~. I Cjty:s,Qrl~\.'.'ejj..l I Slate: IJP _ I ZIP: q 7C/n I Up to lOOk BTU~ I I $17.00 I $ ,I I . . . <.J' '1 lOver lOOk BTUlhr. no.OO $ I ~~~~~=:;'~-:I'~"'~~ .1:'1' =::11;~1 ~f1.~:~~~~~~~R;1$~t)vm.E8:~~~j\;,~:t~:tJ;~[:~;~{:;:;)t;'.::;:.:'; ::~":no=or CQOhng systcm/" $58.00 '. S . Name:r7 {VI iJl.Q ..co. r e...cU ).p "1:::,. I I,EV8pOrull:d cooler' 'I I $13.00 I $ I I Address:C}t.J, 7<, ,~+:- J' I Vent ran with one ductI_lian.e vent I I 59.00 I s I I . 'l'! l'] 'I -f}' I q I Hood with exhaust ."d duct I I $13.00 I $ I CIty: -:;.or. N4.....,;1"/ (1:- ' State: () r. _ ZIP: [ltl77 I I f100rfumllCeihCludillg venl I I $58.00 I s I Phrmc:SzJI- 7ili;,~ 7(YI.3 I Fax: - - I Gas piping J E-mail: I One tofoUT outlet> I I $7.00 I $ I This inotallatio,,' is bClng made on ...-r-') oWPed by me or a I Additional outlets (eocb) U.OO $ I member of my immciliatc family, and IS exempt frOm licensing I Air-bandling IIOils. induding ducts requirements IDlder ORS 701.010. I Up to 10,000 CFM I I $11.00 I $ Signature: " lOver 10,000 CFM S20.0G I $ "~~~~;~~~~~~~~'~:;:"":"::('111 ~:~r:::~:r~~:~~T~Si,'!~~~#~~!,~: 17' L t It I VI) to lS trpI.500t\'I~f;'H"",...~;......... ,...""~~.. Th:'d.~ r~~rb ~ot f"rtl Address: lJiW /" ' I Up to 30 hp(1.D<\9,~Q~?-nrl1-0D1'O thrbu~p ~2-001 City: ~~i I State:o{L I ZlP:q 7CfOd I I Up 10 SO hp/1.700JlW You may obt~in ccjpiESSllDG' 9 $ules b" 'Phone:s-z/f1'i~/-&,'~ I Fu:~Y(l:!l~/-~ I Over SO hpll,7S0 Jmltlng the centerl lNqte: j!i6!dOl 91Snone 1 I I...'neraton numoer TOr tne ur~' fUll ULIIIlY l"IIUllIJl..ii;t.LlUIl E.-mail:.. J\.. ~ _ ~ I CCBlicenscno.: t'lM I Oomcstiein_:.._.,~. \;enter,IS lj8uUf"~f'$ 'Printname: JI~ II.,\ ~^<<-ffa. :;'~:t~~~'*i:i;~~~~~C~~:i';(~}~T>,~~'t;ifi';;'~Jii;'li, I Signature:c:i< j1A.-A~ and ins1allationeosts 5_ tEnter fee bQed on valuation ofmech."ical~. eto. I s ;,Mt$cell;;iiC!Ci~ii'''':~?t?; >;;;:;"'~~'~]}:'~1.i!1OU1;{:l' '~ein;';;~~~"'<'-"""""'" '''1'''' '~: {i'i-""'i I Speciolly requested inspections (perM.) I SS8.00 $ I I Regulated equipment (lHlClossed) , I $13,00 $ I I Each additiona' inspection: (I) , i' I 558.001 $ r~g~~~i7;1 I (C) Enter l2%surehatge(12 x 1MB]) $ " 'f, <C- ~;'. i -\.~ I (D)Scismicfee.l%(,OI ~[AJ) S-e- I I (E) TeehnolosrFcc (5% of [A)) " $~::'--, ,-:. ~ 3. q5' , I TOTAL fees ond nrcborp;. (A through E): I $,1'~;q,"i[:d ."i'... ''';~ ~.q5 / _~~.,RIf\lQIilI!il}!lIj., . ~, , ~~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01343 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11I2010 VALUE: 225 Fiftb Street, Springfield, OR 54I-726~3753 Phone 'I 541-726-3676 Fax " 541-726-3769 Inspect\on Line SITE ADDRESS: :'947 B ST ASSESSOR'S PARCEL NO.: 1703354200100 Springtield TVPE OF WORK: Wood Stove TVPE OF USE: New PROJECT DESCRIPTION: Installing freestanding woodstove in residence Residential Owner: HARGREAVES TIMOTHY Address: 947 B sr' SPRINGfIELD OR 97477 Phone Number: 541-746-7043 I CON~RACTOR INFORMATION I Contractor Type Mecbanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 BUlLDl,NG INFORMA nON I Expiration Date 10/22/2009 Phone 541-688-1090 # 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 1st Floor: Sq Ft 2."d Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON I , REQUIRED PARKING Frontyard Setback: Overlay Dist: Total: Side 1 Setb'\~JTlCE' , . # Street Trees Rqd: ATTENTION: OregoJ;lr~if~8B~,i~ you to Side 2 Setback:~' Paved Drive Rqd: follow rules adoptea(';J'}'1!\~Ceregon Utility Rearyard sJtH~'cJf:'ER.MIT SHALL EXPIRE IF THE %'GIFll1Ot Coverage: Notification Center. Those rules are set forth Solar Setba~RH~?:~\~~~ ~~D:~\~~~:~;5:~~I~~Sf, NOT . ~v~~R 1~5}:,~~: .~~,~~, :~~f'~~~ ~~,~v~~~~~O~; ANY 180 'DAY PERIOD. . I PUBLIC IMPROVEMENTS I calling the center. (Note: the telephone Street Improvements: nUlSia~wlllk Ty.,Qregon Utility Notification Centef IS 1-800-332.2344). Storm Sewer Available: DownspoutsiDrains: Special Instruction: Notes: I V al~ation Description I Description Type of Construction S Per Sq' Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspecti'!,n Line Fee Description + 12% State Surcbarge + 5% Technology Fee 1st Appliance Total Amount Paid Amount Paid $9.48 $3.95 $79,00 $92.43 Total Value of Project F~e~ Paid I I Plan Reviews I Date Paid 9111109 9111 109 9111 109 CITY OF SPRINGFIELD Building/Combination Permit' PERMIT NO: COM2009-01343 ISSUED: 09/11/2009 APPLIED: 09/11/2009 EXPIRES: 03/11/2010 VALUE: Receipt Number 2200900000000001033 2200900000000001033 2200900000000001033 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. , Wood Stove: After Installation. I Reollired I nsnections I By signature, I state a~d agree, that I have carefully examined the completed application and do hereby certify tbat all information hereon is trne and correct, and 1 fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the 'City of Springfield aud the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANC:Y will be made of any structure without permission or the Community Services Division, Building Safety. 1 further certify that ';'nly 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 construc~ion. Owner or Contractors Signature Paee 2 of2 Date 225 Fifth Street Springfield, Oregon ~7477 541-726-3759 Phone" !i Job/Journal Number COM2009-0 1343 COM2009-0 1343 COM2009-0 1343 Payments: Type of Payment Check cReceintl I, RECEIPT #: De'scription 1 st Appliance '" 5% Technology Fee ,-t; 12% State Surcharge Paid By EMEIl.ALD SWIMMING POOUS City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001033 Date: 09/11/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received KR By Mail 74135 Payment Total: Page 1 of 1 9:21:40AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 9/11/2009 09/11/09 FR1 09:37 FAX 5417263689 CITY OF SPRINGFIELD IgJ 001 ********************* *.* TX REPORT *.. ****************~**** TRANSMISSION OK TX/RX NO CONNECTION TEL CONNECTION ID ST, TIME lISAGE T PGS, SENT RES liLT 1534 94310203 09/11 09:35 01'46 4 OK CITY O~ SPRINGFIELD Building/Com~ination Permit . Stat~s Issued i 225 Ififth Street, Spri~gfield, OR 541-726-3753 Phone 541-126-3676 Fax 541-126-3769 Inspection Line, '. Jl PERMIT NO: COM::009-01343 ISSUED: 09/111 W09 APPLIED; 09/11/ tO09 EXPIRES: 03/11/ WIO VALUE: '. , SITE ADDRESS: !i 947 B ST Springfield TYPE OF WORK: Wood Stn 'e ASSESSOR'S PARCEL NO.: 1703354200100 : TYPE OF USE: New PRO~ECT DESauPTION: InstalJing freestanding wiondstnve in residence i i Residential ownbr: , I Addie.., I I I I i Conin-actor Type Mec~anical HARGREA YES TIMOTJ'lY 941 B ST. SPRINGFIELD OR 97417 Phone Numb ~r: 541-746-1043' I CONTRACTOR ~FORMATlON } Contractor License EMERALD SWflV1MINC POOLS OF ORE IN '11294 BUILDING INFORMA,~lON . Expiration D de 10/22/2009 Phone 541-688-1090 i # ofUllits: Prinlary Occupancy. Group: Secolldary Occupancy Group: prinJary Construction Type I ' Sccondary Construction Type: # of ~edrooms: # of Stories: flelgh! ofStrueturc Type nf Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Flo Jr: Sq Ft 2nd fl.IOI': Sq Ft Basem ont: Sq Ft Garug, 'Carport Sq Ft Otbcr: Occupant L( ad: ! i I I Fron~ard Setback: Ovcrlay Dist: S~de ~ Setb~~T:CE: # Street Trees Rqd: SIde F Setba~' _'.. Pavcd Drive Rqd: Rea~ard Seffll~it~M'T SHALL EXPIRE IF THE WRt Coverage: ,Sola~ Setba~~~~!;I,~.E. t;:~D,~R.~~I.~!E~!I~~~S_ NOT I DEVELOPMENT INFORMATION I RE( UIRED PARKING Tot~: ATTENTION: O!'ego~lllVIrB~I!~~~ you to follow lI.'les ado:JtecfiJf P.'!N:lregon UTility Ncl;jication Center. Thas( rules are set forth in OAR 952-001-001 0 thro Jgh OAR 952-001- " '