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Home My WebLink AboutPermit Mechanical 2009-10-20 City of Springfield ,- Mechanical Authorization To Begin Work E-ma'i1ed To: thestovedoctor@netzero.net Check on status of permit By Phone:.541-726-3753 or Email: pennitcel1ter@ci.springfield.or.us D New Consttuction" o Addition/alteration/replacement , 69600-BMC-09-00161 I~ 10/~012009 3:38 pm Approval Code: 073306 0~~ G~' \ liiic&:~41&ll~ggs:t:EgDl1tIE~~!cy;-"~~'11 I Description J:~ Qty. I Ea. J Total I, 1..""'..'-~""'''."''''''''>F_$)'jt~,"T-'<_'''''''';'''~''''''''*'~1 G:as_~~!:l~!;p~P!llg~W'.'(;;;:$W:JY'\%~fi.__ Ul_ _'l;'~~-/Rl'~~t1#f'<-~~f;~t!k,'0iJf IGas Piping. first four p 1\ $7.00 I $7.001, IMi.j1iF",j;iF~'''',*''--~-~''''~'''''''i!!-,^,,;c'''''l;1'<;1 ...__,,__~,_..._,~~~:01j~~;'?~i~~_;:e:~~~1(\t#! ;:w~'Y.i$iL"l:t'J! I Firsl Appliance Fee I J -I $79.001, 1~(~ggANf~lli~~lgtt~~_$:w!~tf~1 I Subtotal , $86.001' IStaleSUrCharge(~2%ofpermil $10.321 total) ITeChnOIOgy fee (5% of penn it $4.301. total) I TOTAL PERMIT FEE S100.621 !I:1i~~~~CATEGo"ijYl(jF.rCONStIIUc-TION~E-il!!l}~~!Ai~ o lor 2 family dwelling D Multi-family D Commercial DACCeSSOryBUilding llll~l;~a~oB1STfErNF.ORMKfioNf';:ND:~oCA:'TiO~~~~~ Job Address: 2749 BURLINGTON AVE City/State/ZIP: SPRINGFIELD, OR 97477 SuitelbJdg.lapt.no.: Projed Name: Scruggs Job Cross Street/directioDs to job site: Between 27th street and 28th off yolanda Tn.plp.not..., '\f)O'?2..Au~, \ l:)t:V'I;o !ilk~~~~~'fI~[E~C"r:irlITiaN1P~WP~K&~~_-m Installing new gas line from meter to fireplace and then installing gas fireplace insert with venting to existing masoruy fireplace I I I Email: thestovedoctor@netzero.net I ~1:;ax7il;~ jj'':'{;''''''''''ii:l'CO'~RACTOR-, ,"",~~:~~=i!W,~!~1 , ~,_ 'J,.tJk ,I):'.LZffi:."li!JWii\7%:!L_ ,1:0.,1""", " ,,_~~~~?~:+i~rJ~__=:l<I'i:.<l;:'~~ CCBlic.no.: 162960 ; I I Business Name: lACC ENTERPRISES INC I I~~~ I I Address: 2797 BURLINGTON AVE I CitylState/ZIP: SPRINGFIELD, OR 97477 I I I I . ~ ~' \:.~C() I Name: Jim Beck I Phone: 541-747-8600 Fax: 541-747-8400 Pbone: 541-747-8600 Fax: 541-747-8400 Emllil: thcstovedoctor@iletzcro.ncl I Metrolic.DO.: City lie. DO.: Upon review and approval by your local jurisdiction, your permit will be e-mailedor 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 permrt is not obtained. The local building department may datennlne that an Authorization To Begin Work is null and void If it does not meet applicable land use laws and local ordinances ,. f~ I~\~ i:"'~ This Authorization To Begin Work must be posted at the job site until replaced by a Permit ~itrn20-09 - j?rr1 O/63<F' /Dld//(J 7 Status Issued CITY OF SPRINGFIELD Building/C~mbination Permit PERMIT NO: COM2009-01538 ISSUED: 10/21/2009 APPLIED: 10/20/2009 EXPIRES: 04/21/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541~ 726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2749 BURLINGTON AVE ASSESSOR'S PARCEL NO.: 1703244103023 Spriugfield TYPE OF WORK: Mechanical Only TYPE OF USE: New Residential PROJECT DESCRIPTION: Installing new gas line from meter to fireplace and then installing giis fireplace insert with venting to existing masonry fireplace. Owner: SCRUGGS LAURA R & JEFFERY D Address: 2749 BURLINGTON AVE SPRINGFIELD OR 97477 Phone Number: 541-747-8600 ~:; I CONTRACTOR INFORMATION' Contractor, Type Mechanical Contractor ' JACC ENTERPRISES License 162960 " t Expirati,~n Date 01/28/2011 Phone 541-747-8600 BUILDING INFORMATION' # 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 l'st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garag~/Carport Sq Ft Other: Occupa,nt Load: n/a Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Ii !i REQUIRED PARKING " :: Total: 'I . Handicapped: Compact: I DEVELOPMENT INFORMATION' I PUBLIC IMPROVEMENTS I. ., . ii . ATTENTION: ~~~~BI/<1lf~qulres you.t.o follow rules aDoIl\MJWt~AA-Qm~ol! Utility Notification Center. Those ruhleb.: :~!g~~ In OAR 952-OO1-0010thrOug.. . Notes: 0090 You may obtain copies ~fthe rules by NOTICE: caliing the center. (Note: th!'telephone , _ - _ .. 'law,~. t1ntifil'Atinn I HI~ t-'tKMI r SHAll EXPIRE IF l~\ llai.lllf. IUI u'''' ....~,,_.. . 23<<);"" AUTHORIZED UNDER THIS PERM~~on Desc~iDtion 1 Center 181-800-332-:! .. COMMENCED OR IS ABANDONED f~~r Sq Ft Square Footage " Description 180 DJWtfll!KlOOtruction It' I' Value . or mu Ip ler or Bid Amount Street Improvements: Storm Sewer Available: Speciallnstruction: Date Calculated ..... Paee 1 of2 _@~N~!1!~~, . ! . 0", '", ~. it:: ,: ~';:. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line " CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01538 .. ISSUED: 10/21/2009 APPLIED: 10/20/2009 EXPIRES: 04/21/2010 VALUE: Status Issued Total Value of Project F~e~ Paid I Fee Description + 12% State Surcharge + 5% Technology Fee Ist Appliance Gas Outlets 1-4 Amount Paid bate Paid Receipt Number $10.32 $4,30 $79.00 $7.00 10/21/09 10/21109 10/21109 10/21109 3200900000000000716 3200900000000000716 3200900000000000716 3200900000000000716 Total Amount Paid $100.62 I Plan Reviews I 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. Reo?ired. rnsr~~~i?ns ~ Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, 1 state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shalf be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaiuing to the work described hereiu, and that NO OCCUPANCY will be made of any structnre without permission of the Community Services Division, Building Safety. I further certify th'at 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 Date Pa2e 2 of2 225 Fifth Street Springfield, Oregon 97477. 541-726-3759 Phone Job/Journal Number ; COM2009-01538 COM2009-01538 COM2009-01538 COM2009-01538 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description ..1 st.Appliance Gas Outlets 1-4 .,+ 5% Technology Fee .+ 12% State Sur,charge Paid By ONLINE PERMIT CHGS City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000716 Date: 10/21/2009 7:13:27AM Item Total: <":heck Number Authorization Received By Batch Number Number How Received Amount Due 79.00 7.00 4.30 10.32 $100.62 Amount Paid njm ONLINE jacc Online enterprise Paym~nt Total: $100.62 $100.62 .4,..._._ ,.----.- "'~ Page 1 of 1 10/21/2009