HomeMy WebLinkAboutPermit Mechanical 2009-10-28
I'
,
!:", .i' ';;;~,:;!l;.':ti);,,:t::;%')\;,ij::!';: '.
"City Of Springfiel~'o
. 22S'Fffth 51. ."
',' Springfield, OR 97477. u
.c: Phone: 541~726-:3753-": .
~o~.~,~:~~J~~~fG1~:~'~~~'~~~.!;~~~-j{~t~~i,.s.~tj.ngfieId.or.~~ '.
t
'Residential Mechanical Authorization To Begin Work
69600-BMC-09-00170
Approval Code: 03732C 10/2812009 2:10 pm
E-mailedTo:marketing@emeraldpool.com
o New Con.st~uctiO~{i!-;-:.~'~ -: ~~::~t,.
.IRJ A~dition/alteraljOn/repjaCement
00 1 or 2 family dWelU~g , :.:' 0' :.~Ul~~fa~iii:!:;:.lD 'S,on\n;'~.rCiar 0 Accessory
I~OB!SiTE1INlfoRMATIOtii:ANj)J[QCAfIONL~~.il!fj
I Job Address: 271~ ":~T~ ST..:: ". ;,
I City/StatelZlP: SPR!~,gfIE~~/~~J9'!1f!,~(:~:~~:~)~~~~~g~;J" .. -
.1 SUite/b'd~.J~Ptno;:'.:~~~:'f;r':;.r?~;?:; ':. . ..
\1 prOjectNam8:,;"':"'_':~: ;,' '~:,,;':'.:;' . .1-: !.
I ~;on'oS~~~~di'eeti~~~';;J6J~!;r~a~rM~~r~~{'~~),ge:~y fro"; N 3': n~rth .
Tax maplparcel no.: . 1703233410300
installing new gas fireplace insert,.
" :: ,-t". '..
~ J
:":.:....
.., -:"!.
I Name: Bob Goeser
I Phone: 541~747;4784
I Email:
- .
.,
Fax: ~.,
o
IlI'Jl ...1 o.!",,;~~.~c:qtlII@'I~~~Iffl~~t:~'~~Jl'g.~
. 1,..;;fJt...I..C j. .... " It '
CCB he. no.' \1f~:'.. " " '. "" F......~ 1IIt\D1t
I ,~ PERMITSILLL C>",PIRF: I I r:_ r,'_ u
Bu.ines. Na'!l1J'1flUffi;Sm'~mli'F~tJlftSRp~Mrr IS NOT
Contact, COMMENCED OR IS;ABANDONEI) FOR
Add,..., 18a/;\AlcYHiLlill,,QAY PERIOD..'
I City/State/ZIP: EUGENE, OR 97402-1694
I Phone: 5416881090
I Email:
I Metro lie. no.:
"
'; Fax';
.,' .
,
City lie. no.:
,. '. .
Upon review Bnd appf'(Jval by your local Jurisdiction, your permit wlll be a-mailed or fued
within one business day, with InstructiOns on how to schedule your InspecUon.
NOTE: This Authorization To Begin Work expires within 180 days If a permit Is not obtaIned.
l'he local building department may detennlne that an Authorization To Begin Wor1t Is null and
void If It does not meet applicable land use laws and ~~~~~ ordlnances.~
"~~r~.;" '"
L:.,:, .;~,::'~~'
..' ~ ~
I Description
Total
I First Appliance Fee J.I J $79.00
lNl:e~~.a_~!c~I;~efltl_i~'tte~~1:~3~~1:."$~~_ii
I Subtotal $79.00
I State surcharge (12% of permit $9.48
total)
I Technology fee (5% of permit total) $3.95
I TOTAL PERMIT FEE $92.43
LC1- \~~~
~L~ \D\~<ol01
ATTENTION: Oregon law requIres you to
follow rules adopted by the Oregon Utility
~otification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-80D-332-2344).
'~.~
'~.l~~
~ '
~
_. .__ , "Inspections Phone: 541,726,3769
~.;;;..:..:.!.. ~~l~. ~~~~ri~.a~.n _To Begin Work must be posted at the job site until replaced by a Permit
iF; .~i ~,/;; . ~,
1 .
.'i: ,
.:. 'I '.
.:ir. j i~ t.., " . ~
'r'.:'.J'- f ~:
Status Issued ' ,
" ' : . .:.,:.!/:. 0',
225 Fifth Street,Spdngfjeld;()J{;i;/,:,,).'
541-726-3753 PhoriJ'>fY;)::":"\~ /;1:':;
541-726-3676 F~,,!:j~<'" "
. 5,41-726-37~9Ii1spe.c!ionLine
:. . .:,'-':'_':':.2:;..,::,':" ....'..
Of:' "',: 'r.:::~' .;,.;; ~;.,~";'. ,-
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01585
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
, '.
SITE ADDRESS:, ,.2715 5THST~: :". Springfield TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.:' 1703233410300
':' :?~:." TYPE OF USE: New Residential
PROJECT DESCRlPTION:,';iI';~taUiiig new gas fireplace insert in residence.
. ~ '.1::;Y~:::L~'-~N;:~/." ;;tr'~'f'i:t),:,~~': ~
GOESER JAMES M & CHRISTIE E
:A71~~?T~> '.-'C"
SPRINGFIELU"OR:97477 .
Owner:
"..,. Address:
. ~- :.,
Phone Number:
541-747-4784
I CONTRAC!ORINFORMATlON ,
Contractor TXIl,e,' "j"jj.Contractor License
Mechanical 1:',;,"'" EMERALD SWIMMING POOLS OF ORE IN 11294
; '.1 '
,;:i.
~l . ,
~: . ~~: k
, i.. ~
# of Units: .
Primary Occupancy Gronp:
Secondary Occupancy Gronp:
Primary Construction Type
Secondary Constrnction Type: :r;;;
# ofBedrooms:::;.....'!:...,;_t._. ::?~.-!~~ ~f..' ~
.~; tl".' . ';
; ')'
.
Expiration Date
10123/2011
Phone
541-688-1090
I, B,UlLDlNG INFORMATION'
# of Stories:
Height of Structure
Type of Heat:
" Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
; '\.
N;O! '.' :'. ...' :,....., ,'., I DEVELOPMENT INFORMATION I
neB:" ". ,. "11 .c,,",ON: Oregon~~~G
F ty d S tThH1S. PERMIT SHAl( EXPIRE IF TLMr.u'^"'.... t. foll.o.w r~'e8 adopted 1M Oregon Utility
~on ar e ~'(r ""_IJ'lJII\'IS . Notlflcalion Center. Th ~'l'Dles ar set forth
SIde 1 Sethack\ HORIZED U, NDE, R" THIS ,PERMI" fS'M)1rees Rqd: In OAR 952-001-0010 t 8n W'&JI~52-001-
Side 2 Sethack:OMMENGEO OI1)~.;ABANDONED ffl'R'd Drive Rqd: 0090. You may obtain ~ &~the rules b
Rearyard setllA!=)(:l~O:,DAy'.pER-,oO." ,root Lot Coverage: calling the center. (Note: the telephone y
Solar Setbacks:~:" ','-""- ",' -", number for the Oregon Utility Notification
B_..f.. ;~ ~ ~~';"....,-~,-,.j"t'"tJ.
!f . ~;
Street Improvements:
,
,.'
1';..
. .
rh ~I "0 I":
.r ,,.
Storm Sewer Availahle:
Special Instruction:
Notes:
. ,
4:: ,:h
.i-" ....,,'
.<.~: '~
.;; . !',.;'f.",:
":
" . ",",It -~. ,f., _ ,
~,{f,),-~ -'1:! :;~' .~.'
Description
Type of Construction
" .:"
~~~ {~.
, i
I PVBLlC ~MPROVEMENTS I
Sidewalk Type:, '
Downspouts/D!"ains:
'"
I V ~luation Descriution I
$ p'er Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
c,
Page J of2
... ~ I'
;
Status Js~~ed'c' ,
, " \, ".:' ",' '3,.~ , ':
.' 225 Fifth Street;iSpr!ngfield,(>R;(;,
541-726-3753Phone ",X'. "\Y'1!7':',:,:.
541-726-3676 Fax.. ", ;'<.::( "
541-726-3769 Inspection Line.
",
.....,
Fee Description
+ 12% State Su~charge
+ 5% Technology Fee
1st Appliance..' ".." . ~
r':~:f!'./r'.,
Total Amount Paid
;, ,
"'~v"r"i"
.,. 'r"~.' l"]',,::f';, .,,~,.-'
"
;~ :~f'
'.
.\1
'J. '1
~,;1- ~
..t.. ;'
:>.
. Amount Paid
$9.48 '
,t',;
$3.95 .
$79.00
$92.43
,;
Total Value of Project
Fp;~s Paid'
Date Paid
Plan Reviews I
CITY OF SPRINGFIELD
. Building/Combination Permit
PERMIT NO: COM2009-01585
ISSUED: 10/28/2009
APPLIED: 10/28/2009
EXPIRES: 04/28/2010
VALUE:
10/28109
10/28109
10/28109
Receipt.Numher
1200900000000001205
1200900000000001205
1200900000000001205
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be rriade th'e same working day, inspections requested after 7:00 a.m. will be made the following
:;: .
work day: '.!, ; ,
.." ""'-1f~:;r _.~:~" .
~rOl~i~e~ ~n~n.,ection.s ,
I" ;.
Rongh Mechanical: Prior to Cover
"
Final Mechanical: When all ~echanical work is complete:
~: ;1 I,
By signature, I state"md agree, that I have carefully examined the completed application and do hereby certify that all
information hen;on is true and correct, and I fnrther certify that any and all work performed shall he done in accordance with
the Ordinances'tfth'~ city of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will he mad~ of any'structure without permission of the Community Services Division, Building Safety.
1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be tised on this project.
I further agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the'iront of the property, and the approved set of plans will remain on the site at all
times duringcoI,l.strl!ct.i~J' ... .,.tj :ttl
r ~' ,.~
! "
~' , I '
. Owner or Conti'iicio'rs Signatnre"
. , ,~; '"
. . ~'l.. ~.~
;., r
"
,~
_ .j ~If
"
,
l' .
/. ~ \ .; ~
.if ; \:.!.
"1: J, '.' ! : "~: :;
.., '0
,)
Page 2 ofl
Date
. .,;~})~,....:..~(~:~!jl
225.Fifth Street!::,:": " .
SpringfieIa;'Or~~rin)97477,,, j.c,:,'
54;1-726-3759 Phori~'X";\"!:'F/:~!~;,:.
".
1f1;~ii:.
."
",. /' ,',
'''.'",,'.......M'';' '.'
City of Springfield Official Receipt
Development Services Department
Public Works Department
)U:CEIJ,'Il ' )200900000000001205
. . 0,0: "-, ',' .; "':'~"~"..-,;';::'\'t'- ~'i
Job/J ournal N umberi;.,~:,!):. De-scriptiori::~t:"'1J-~\:,i0;~:'i';.
. . );:;....;, 'T "_,,.,;>.,-,\..,,;,1':'/'/~.':~~\:::,t:,,_-
COM2009-01585, y'."';<;;I,stApphance. ",' :,
- ,:;:-;. ',:,:, "?". .'. ~ - -,
C0M2009-01585/:,.'" "\+'5% Technology Fee
COM:W09,0 1585 !,:;{fi: ';;';'.12% State Surcharge
: ,~.'. ....:. ~'1?t{;i:;\i~~1:;:\f:.~:i;:'~<~~~l;~,~}S~~;~2i, ,'.
Payments:
Type of Payment .Paid By .
ONLINE CHGSONLINE.PERMIT CHGS ,'-"
C' 'ic1~~t;~:;#;i'i~~4F
:': ~y 1~-;
,r ~ ~ tf
. ~!1: f~h.
, '
: . =. .
....~f-;;;..;[~..f,~, -~.:" . .~~
,. ~ i' i <I .. '.
.':lj'C,..;
.. " ,. .;i ~,~~
~-~..... ~. '__-:;:-'_h"_'__'--",'7""' ..
: ;;
J; i?
",' \
~\ ' -, ':. .".... ,
H..-\. t >
,
"
Date: 10/28/2009
Item Total~
Check Number Authorization
Received By Batch Number Number How.Received
KR
ONLINE EMERALD Online
'SWIMMIN
G POOLS
2:31:13PM
Amount Due
'79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
.,
"
,-' !'\;\i
r ': 1
, '.
.' ,
~r. 1
, ,
.
"
.~ '.
,. ~- ,Q .,
j: r
! ,
~k }; "
.1 ,
<.
.
1)
..! , ;-L~
\' l' '1~
, ,
cReceint 1 , Page I of I 1012812009
<'
Payment Total:
,'-)
'.J
~"t .'
r ;,,:>