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Home My WebLink AboutPermit Mechanical 2009-10-30 ..J I ,;1,"''-' " ' ,City Of Springfield ,';.225 Fifth St ";$pringfield, OR 97477 Phone:' 541.726-3753 Email:.permitcent~.r@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-09-00172 Approval Code,: 056004 10/29/2009 3:14 pm E~mailed To: deanne@midgleys.com IMl,~~J,~QAT~~!ilRYlQF[cQ~S]j-R1:J1:::rioil:Jf~'~ii\'i~ill;~ I [g] 1 or 2 family dweUjng: ~'D Multi-family D Commercial D Accessory 1-~OBIsITE1fN!;ORMAfIONTAND1ITQcMiQN~~~ I Job Address: 2266 DAPHNE ST . , I City/State/ZIP: SPRiNGFIELD, OR 97477 I Suite/bldg./aptno.: I Project Name: Colleen Evers I Cross Stre.UdireCti~;~ '" job sit~: ' I Tax map/parcel no.: 1703244201901 Appliance Fee $79,00 I I D New Construction '. ,: ~ Addition/alteration/replacement Description ,..l -':':','\','. I Subtotal I State surcharge (12% of permit total) . , I Technology fee (5% of permit total) I TOTAL PERMIT FEE $79.00 $9,48 $3.95 $92.43 Cq - 150Y ~ lO/3D/Di Install wood insert and liner I Name: Colleen Evers, I Phone: 541-746-0208: I Email: Fax: I cca IIc. no.:'1\119~TI"[' ~ 11 '"' . ." . . Bus;ness Nam~:iYj~~~~,r~ EWIR'i ~r: TU~ U'OaJl Contact: AUTHORIZED IINQFR THIS PERMlflS NOT" I Address: 167800MM.fNCED OR IS ABANDONED FOR..",p I c;tyIStatelZIP:~Il&Nb~IJA'(2PERIOD. I Phone: 5413431131 Fax:'5416875979 I Emall: mike@midgleys.com I Metro lie. no.: .'.\r. ;:-~.: ~;.;. "', .. . ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952~001.001 0 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 1-800-332-2344). City lie. no.: Upon review and approval by your local JurisdictIon, your pennlt will be e.mailed or faxed within one business day, ~h Instructions on how to schedule your inspection. . NOTE: Thl5 Authorization To begin WorX expires within 180 days If a pennlt Is not obtained. l\J~ &-- ~W t:' The local building department may detennine that an Authorization To Begin Work is null and _.'",...--~.._--_..:-- ~ ;(;-D ~ \\)rt o Inspections Phone: 541-726,3769 This Authorization To Begin Work must be posted at the job site tintil replaced by a Permit --- CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01594 ISSUED: 10/30/2009 APPLIED: 10/29/2009 EXPIRES: 04/30/2010 VALUE: i: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2266 DAPHNE ST ASSESSOR'S PARCEL NO.: 1703244201901 Springfield TYPE OF WORK: Wood Stove TYPE OF USE:. New Residential PROJECT DESCRIPTION: Install wood insert and liner in residence Owner: EVERS COLLEEN R Address: 2266 DAPHNE SPRINGFIELD OR 97477 Phone Number: 541-746~0208 I CONTRACTOR INFORMATION I Contractor Type Mecbanical Contractor THERMAL RESOURCES INC License 161946 Expiration Date 10/29/2010 Phone 541-343-1131 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: ,Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: "eight of Structure Type of "eat: 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' , ',-' AlTENTION: Orego~~~If~~;&QWG Frontyard SetIN~TICE: ' ""'Overlay Dist:' follow rules adopted1llld~e Oregon Utility Side 1 SetbackiHIS PERMIT SHAlt EXPIRE lF~pWl ees Rqd: Notification Center. T~R4~m set lorth Side 2 Setback~~THORIZED UNDER THIS PER a ' e Rqd: In OAR 952-001-0010 l!1rl1Hfll~t. h 95~-oO.: Rearyard Setb . , 0 overage: 0090. You may obtain copias 01 t e ru as ~, , Solar Setbacks MMENCED OR IS ABANDONED, '- " calling the center. (Nota:'the telephone ANY 1 !In nAY pJ:Rlnn .'.: IlUI1'Mr lor the Oregon .~I~ NotIficaIIgJI I ~UBL.IC IMPROVEMENTS. Center 18 1~-ll.wt,. Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downsp~uts/Drains: Notes: I yalu,ation Descriution I " Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee I <if2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01594 ISSUED: 10/30/2009 APPLIED: 10/29/2009 EXPIRES: 04/30/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcbarge + 5% Tecbnology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 10/30/09 10/30/09 10/30/09 1200900000000001213 1200900000000001213 1200900000000001213 Total Amouut Paid $92.43 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 Reouiredlnsnectinns. Wood Burning Insert: After installation. By signature, 1 state aud agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true aud correct, aud I furtiier:c~rtify that any and all work performed shall be done in accordance with the Ordinances of the City of Spriugfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made 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 used on this project. I further agree to ensure that all required inspections are requested at the proper time, that eacb address is readable fro'm the street, that tbe permit card is located at the front of the property, and tbe approved set of plans will remain on the site at all times during cons~ruction. Owner or Contractors Signatnre Date Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone " Job/Journal Number COM2009-0 1594 COM2009-0 1594 COM2009-0 1594 Payments: Type of Payment ONLINE CHGS cReceiotl RECEIPT #: Description I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ~P,,~';'~ ~.,BLD,_, 'jiI",," .. Ijr" \ ^',.... . "....... ,,'. . .. , ~" . -,' ,~-- ~ ',' ,~"'--_.."" ., " 1200900000000001213 City of Springfield Official Receipt Development Services Department Public Works Department Date: 10/30/2009 8:58:25AM Amount Due 79,00 3,95 9.48 $92.43 Item Total: <":heck Number Authorization Received By Batch Number Number How Received KR Page I of I Amount Paid ONLINE THERMAL Online RESOURCE S $92.43 Payment Total: $92.43 10/30/2009 Fl(E cap lane county !ry.ogo srr-{r tr213b-b5 6lv - ** A c0PY 0F THE MANUFACIUREB:!-INSTALLATI0N INSTRUCTI0NS ' _ OMUST ACCOMPANY YOUR APPLICATION T 5 74L o Y 1 l I <* A00RESS NA}IE OF FOR INSTALLATIOI{ NAME and,/or LJ r'l I b. i-s {.. tl.9 f o t144..uC, I *^ol t T .1,f.^*a{ io r t See NF?A 2ll PHIJIEEMENrIS q{ BEuEas€ stae' C4+ qpa.l ry 5 Patf26 4 qf e:(r$.n,!A Ftza?rrt1a *",-fftfl,-?EicE tr'iABfALi.tiq tttaecr. c.a,LtEP. rtuAL wt+trl ntstaLLED. cfisTRucTIoil: A. The unit is risted uv: [-lur- [rcoo Xo.n",tn"*1.$,!ltfTElFll-Qt*gC' B. The noor protection is /4;n66", thick and wirl bc:f-li:i::::'-|11,'l]:l:f (Uff.f UOn) r-lstone or r---'l0therLJ urict I I(oescribe)--r-q' c. The warr protection wirr ue,[lif!::3',ill'*ilf E'tone 0r bri ck 0. Type of crrimer: [ifactorv chimnev I l0tner(descrile) .sn'o,.,H"cif4r"", E. Type of vent connector: [f,t/@ .nt.n., [-leoga(or heav'ier) galv' sht' mtl' F. tiill be usins:fleuntl l[l;@ron ,z [-lott'"t, see attached NOTE: llot a1l un'its are approved for corner instal'lations or reduced "--cieatances wlth wall protection' outslde Alr Inlet:Provlde !n outslde alr inlet, a minimum of 3"0 to supp'ly air.forsE::: ^- pi'iii.'tr"l-iiiluition' ttris'inlet shall be closab'le (damper) rtom ilre uriioinq-inieriot' The air inlet supply duct shall be incombustible ani continuous fronr the interior inlet to the exterior or irt" uriialng The inlet shal'l be located through iiii-ruil in.i" ttre rtooi) or floor within 24" of the stove or fi rep l ace. ErEVArlOry 2 loTicE T0 BurLotls - lhr,L rir 8ur!orrc oaatcra! i^r cdfratao ^ Frr.r 'rtraar roN, I ) rxt:t orrvrror ^ro t!!Atao ta!a rr rc^r toi! xcl at iarr or t{( Jos roe_ r.t rurtotri usa ouarE aorstruclror lrD atlorrr rv^rL- rrLr to rxt 6urLDrxc risrtaiois, ero 2) rxt aoiirrucrroN 3h^(L !t cox-,laltD rt CoxpLrrNat vrti rxa FarrTfo orlvrrcS lxo s2tCrtrcltrOrs It ^xaroto ourrrc rroat3!rNo, rro ]) rxt colirrucrrox !i^Lt iot !a Gxlrctq roortrl0, or Atttato lror titl( oalyrrcs lro tt!^taD spacratc^ttort, erriour rutioaltrrror aror tit 0ut!otB (}atctr!. Dy rf,rs oaarcr r^rci vrti Sr^ra Bur(orrc Coot. oi orh.. IF YOUR INSTALLATION DIFFERS FROM THESE^EXAMPLES' ihot,'ffi n"pinn-nrlo rrrvniioH 0F YouR INSTALLATI0N LAND MANAGEMENT DIV. / PUBLIC I{0RKS DEPT' t 1?5 E' 8th Ave" Eug' 0R 97401 (s03)687-4061 @