HomeMy WebLinkAboutPermit Mechanical 2009-10-26
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JI., OREGON
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541.726-3753
Email: permitcenler@ci.spring~eld.or.us
1Rl1 or 2 family dwelling
o Multi-family
o Commercial
o Accessory
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00166
Approval Code: 179768 10/24/2009 5:43 pm
E,mailed To: mdkconstructionllc@gmail.com
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Chimney/liner/fluefvent 1 $17.00 $17.00
New Construction
1KI Addition/alteration/replacement
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Job Address: 344 CAMBRIDGE ST
I CitylStatelZlP: SPRINGFIELD, OR 97477
, Sulte/bldg.laptno.:
I Project Name: bustamante
I Cross SI,eeUd;rections to job s;te, hayden bndg.
I First Appliance Fee
$79,00 I
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$96.00 I
$11,521'
$4.80 I
$112.32 I
Tax map/parcel no.:
1703233404200
installation of one pellet stove with flex liner pipe running up the existing chimney
Name: anamaria bustamante
Phone: 541-579-5799
I Email: marybee03@hotmail.com
Fax:
cca Iic. no.: 177142
I Business Name: MDK-CONSTRUCTION LLC
I Contact:
I Address: 565 HUGHES ST
I CitylStatelZlP: EUGENE, OR 97402
Phone: 5415569422
Fax:
Email:
I Metro lie. no.:
Thl! IOCill building depilrtment may determine thilt In Authori:z:atlon To
void If It does not meet applicable land use laws Ind local ordlnanceli.
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Upon review and approval by your local Jurlsdlctlon, your permit will be e-maUed or faxed
within one business day, with Instructions on how to lichedule your Inspection.
NOTE; This Authorlzatlon To Begin Work expires within 180 days If a permit is not obtained.
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Inspections Phone: 541-726,3769
This Authorization To Begin Work must be posted at the job site untiJ replaced by !i Permit
Status
Issued
CITY OF SPRINl.l'lJ!,LD
Building/Combination Permit
PERMIT NO: COM2009-01560
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/26/2010
VALUE:
225 Fiftb Street, Springfield, OR
541-726,3753 Pbone
541-726,3676 Fax
541-726,3769 Inspection Line
SITE ADDRESS: 344 CAMBRIDGE ST
ASSESSOR'S PARCEL NO.: 1703233404200
Springlield TYPE OF WORK: Mecbanical Only
TYPE OF USE: New
PROJECT DESCRIPTION: Installation of pellet stove witb nex liner pipe running up tbe existing cbimney
Residential
Owner: BUSTAMANTE ANAMARIA
Address: 344 CAMBRIDGE ST
SPRINGFIELD OR 97477
Pbone Number: 541-579-5799
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MDK CONSTRUCTION, LLC
License
177142
Expiration Date
11104/2010
Phone
541,556-9422
B.UILDlNG INFORMATION I
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Heigbt of Structure
Type of Heat: .
Water Type:
Range Type:
Energy Patb:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Otber:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: '
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
I PUBLIC IMPROVEMENTS'
Sidewalk Type:
ATTENTION: Oregon lav.: requires you to
follow ruJ!l9'!ll!~lj/Yf~tJlJ:Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952,001.
0090. You may obtain copies of the rules by
callinflthe center. (!'Jote: the telephone
!,UIVIIVltl%tU Uti I;:' !\b!\I~UUI~ttt .'.'- :-:Toer lor me uregon Utility NOlit.iCatlOn
W ,Rn DAY PERIOD. I Valuation Descriotion Center is 1-800-332-2344)..
Storm Sewer Available:
Special tm!rrfC~
Notes: THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or.Bid Amount
Value
Date Calculated
Page I of2
_s;~~ilIN.~~'~~"~;1
Status
Issued
CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2009-01560
ISSUED: 10/26/2009
APPLIED: 10/26/2009
EXPIRES: 04/26/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P~id I
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Appliance Vent
Amount Paid
Date Paid
Receipt Number
$11.52
$4,80
$79,00
$17,00
10/26/09
10/26/09
10/26/09
10/26/09
3200900000000000725
3200900000000000725
3200900000000000725
3200900000000000725
Total Amount Paid
$112,32
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.
I Reouired Tnsnedinns I
Pellet Insert: After installation
By signature, I 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 shall 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.hercin, and
that NO OCCUPANCY will he 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 on this project,
I further agree to ensure that all required inspeciions are requested at the proper time, that eacb 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
Paee 2 01'2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009,O 1560
COM2009-0 1560
COM2009,O 1560
COM2009-0 1560
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
1st Appliance
Appliance Vent
+ 5% Technology Fee
+ 12.% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt .
Development Services Department
Public Works Department
3200900000000000725
Date: 10/26/2009
7:40:28AM
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
nJm ONLINE mdk const In Person
Payment Total:
Amount Due
79.00
17.00
4.80
11.52
$112,32
Amount Paid
$112.32
$112,32
Page I of I
. 10/26/2009