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HomeMy WebLinkAboutPermit Mechanical 2009-10-26 Residential Mechanical Authorization To Begin Work 69600-BMC-09-00167 Approval Code: 01789C 10/26/2009 5:12 pm E-mailedTo:marketing@emeraldpool.com "~""<i1"~""~*""',!;j\!1';'{;i;;;(EEE'SCHEbiliLE';""i,,g."L,~(<'if];>_'ii;;;1 ~a~~~:2l~~~)ict,,>.!_"_,~:\._':.,",~~,:,,;...'_.};;t?:.t:~};~~~~m~~.kt:~l~'j2 SPRINGFll:LD" ~JII~~1'::. .,- ~~:, , .,< ;,$;;,f.....i("" , " '~~""'ORE-GOH City Of Springfield :.;. 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfiefd.or.us I 0 New Construction IX] Addition/alteration/replacement ~i_~~~I.F=GO~y~]J:C;QN$IJjR]l:9ltIQB~~~~~'?.:.Il lR]1 or 2 family dwelling D Multi.family "0 Commercial 0 Accessory _~~a.ISffifEliFi~l\1~illt0t-ii'AND1if~ti)l>.ii1IWN~~1il'IIl Job Address: 2211 BEVERLY ST City/State/ZIP: SPRINGfiELD, OR 97477 Suite/bldg./apt.no.: Project Name: Cross Street/directions to job site: :. ~a~ map/parcel no.: 1703272207506 Installing new Gas insert , I Name: Michelle & Todd Glenz Phone: 541-915-2389 Fax; Email: marke_ting@emeraldpool.com CCB lie. no.: 11294 Business Name: EMERALD SWIMMING POOLS OF OR INC Contact: Address: 1885 HIGHWAY 99 N I City/State/ZIP: EUGENE, OR 97402.1694 I Phone: 5416881090 I Ernai!: I Metro lie. no.: Fax:. City lie. 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 Wol1t expires within 180 days if a permit]s 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 taws and local ordinances. W/n'zOD f -05? y /o);;;r7/oq /J~ Description First Appliance Fee Total $79.00 $79,00 $9.48 State surcharge (12% of permit total) Technology fee (5% of permit total) $3,95 $92.43 c.,q'/5("Y, ~ror:9' ~~o/ ~~ ~~. .0'\ fQ9;; Ilj .:;: ~ \Q,(t Inspections Phone: 541-726-3769 This AuthorizationTo Begin Work must be posted at the job site until replaced by a Permit TOTAL PERMIT FEE Status Issued .. . .~;'." CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01566 ISSUED: 10/27/2009 APPLIED: 10/27/2009 EXPIRES: 04/27/2010 VALUE: .~. ." ;:" 225 Fifth Street, Springfield, OR: :: 541-726-3753 P~one; ,.' . 541-726-3676 Fax 541-726-3769Inspectioripne SITE ADDRESS: 2211 BEVERLY ST ASSESSOR'S PARCEL NO,: 1703272207506 Springlield TYPE OF WORK: Pellet Stove :.'. ,'". . . PROJECT DESCRIPTION:, G~~ Insert installation TYPE OF USE: New Residential Owner: Address: GLENZ TODD R & MISHELL 2211 BEVERLY ST' SPRINGFIELD OR 97477 Phone Number: 541-9152389 ., I CONTRACTOR INFORMATION I , Contractor Type Mechanical ..:Contractor License '. EMERALD SWIMMING POOLS OF ORE IN 11294 ~U1LDING INFORMA T1<?:, I Expiration Date I 0/23120 II Phone 541-688-1090 1..' # of Units: Primary Occupaney 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 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: '. . Solar Setbacks:' ,,, Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I ~U.BLlC IMPROVEMENTS I Sidewalk Type: NTL<'IM'a&""~aw requires yru'D Am I'IOW On raW~:Ore('or, l_!!,:lr,,' ' " follow rules ad pte y I I" .J ' Notification Center, Those rules are s"et to, \h Notes: . - . " In OAR 952-001-0010 through OAR 9;)2~001- ~;~~.~~~~'nIT ~HALL EXPIRE IF ::~; ~?t~~ . 009~:;,:O~~~~~~~ai\,~~!:::rh~\I~~:~~~~ebY "UTHORIZEO UNDER THI::i n:.ri c:nQ} . . X'mb:r tor the Oregon Utility Nollllcallon '~OMMENCEb.OR IS ABAN90NE'Qal~~'tIon DescnotlOn'J' Center is 1-800-332-2344). D 'I' ANY 1 Rn DAVcPERtIODt;, .. $ Per Sq Ft Square Footage eSCrtp IOn Type <if ons ruc IOn I . I' B'd A Value Date Calculated or mu tip lef or I mount Street Improvements: ,"\ ~ Storm Sewer Available: Special Instruction: "';<" .;. Page I of 2 --:- ~~-~,!~~~~;~~~:1i,:~>,jl~", < '-.. ',' _':~T; -'v Status ' Iss~ed 225 Fifth Street;SpringfieId, OR.; 541-726-3753 Phone ' 541-726-3676 Fax' 541-726-37691nspection Line ,'-' .~:~ ,t'..:, ,.. Fee Description + 12% State Surcharge + 5% TechnoIogy Fee 1st AppIiance TotaI Amount Paid PeUet Insert: After instaUation ~, " Amount Paid co $9.48 $3.95 $79.00 $92.43 Total VaIue of Project Fees Paid I . , I Plan Reviews I Date Paid R..eou.j~ed ~n~rectio~\.I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01566 ISSUED: 10/27/2009 APPLIED: 10/27/2009 EXPIRES: 04/27/2010 VALUE: Receipt Number 10/27/09 10/27/09 10/27/09 3200900000000000730 3200900000000000730 3200900000000000730 By signature, I state and agree, that I have carefuUy examined the completed appIication and do hereby certify that all information hereon is true and correct, and I further certify tbat any and aU work performed shaU be done in accordance with the Ordinances of the City of SpringfieId and the Laws of the Stale of Oregon pertaining to the work described herein, and that NO OCCUPANCY wilI be made of any structure without permission of the Community Services Division, BuiIding Safety. I further certify that only contractors and empIoyees who are iu compIiance with ORS701.005 wilI be used on this project. I further agree to ensure that aU required inspections are requested at the proper time, that each address is readahle from the street, that the permit card is Iocated at the front of the property, aud the approved set of pIans wilI remain on the site at aU times during construction. Owner or Contractors Signature , , ., Page 2 of2 Date 225.Fifth ~treetc".. ,\ ,. ", . .~. - " .,"".,- . -' ,-" '-.' . Springfield, Oregoti9ii:t77;,:,[";" . 541-726-3759 Phone ". c," ';. City of Springfield Official Receipt Development Services Department Public Works Department " RECEI~T,#::, 3200900000000000730 ".'<- ,,-:' -",""'-'" Job/Journal Number'~;" "pesc~ipti~~ ... .~',~ <: f COM2009-0 1566 . . I st Appliance ' COM2009-0 1566 ','+ 5% Technology Fee C0M2009-01566 '+12% StateSuicharge .' ." ""'..' 'A :' \' "..- '. ~ Payments: Type of Payment Paid By ONLINE CHGS ONLINF; PERMIJ.,9.HGS ,'.; :'~'> ':...:i~ .:.:p' .( ,', , .' ) cReceintl ...... ;1; , '. Date: 10/27/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE emerald Online swim Payment Total: " ., .Page I of I 7:37:3IAM . Amount Due 79.00 3.95 9,48 $92.43 Amount Paid $92.~3 $92.43 10/27/2009