HomeMy WebLinkAboutPermit Mechanical 2009-10-29
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. City Of Springfield
.225 Fifth St
., Springfield,OR 97477
Phone:' 541.726.3753
Emai!: penTli~nt~r@ci.spriry~field.or.us
Residential Mechanical Authorization To Begin Work
69600-BMC-09-00171
Approval Code: 014133 10/29/2009 2:52 pm
E-mailedTo:deanne@midgleys.com
D' New Construction. .
".,{.>~J. :~""~ ,Addition/al~e~tion/replacement
,
[Xl 1 or 2 family dweliing ,'; D . Multi-family D Commercial D Accessory
~'!'\f.fQB1SfjE[Nf:ORNi~i"jQN'AirDJtrifcATION::\~~?i:~
Job Address: 7451 S'ST
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City/StateIZIP: SPRINGFIElD,OR 97478
Suite/bldg./apt.no.: .
Project Name: Katy Reeves
Cross Street1directi?~s'to J~bJslie:.
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Tax map/parcel no.: 1702354200132
Install pellet insert and venting
I Name: Katy Reeves
I Phone: 541.520.7587.'
I Email: '
. Fax:
I CCBUe, no,' 1~QTlGE: TU" wnRK
I " j'T3l1All ;:nrlf'l II:: "~
I Bus;nOSSNam\~\ir,ft-:~~I\-\tt.'b'nH~ PFRMITIS NOT
I Contact, ~~~~~;~Mr.Fn OR I.S ABANDONED FOR .
I Add'os", 1678 'ANY "Ml0 DAY PERIOD.
I City/StatelZIP: EUGENE, OR 97402
I Phone: 5413431131 . Fax: 5416875979
I Email: mike@midgleys.com-
I Metro lic. no.: City lic. no.: j
Upon review and approval by your local Juriacllctlon, your permit Will be e.mailed or faxed
within one business day, ~ In~n.Jctions on how to schedule your Inspection.
NOTE: This Authorization To Begin Work exptrn within 180 days If a permit Is not obtained.
,
The iocal building department may determine that an Authorization To Begin Work 15 null and
void If It does not meet appUcable land US~ laws and local ordinances.
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I Description
$79.00
Total
~irs1 Appliance Fee
I Sublotal
I State surcharge (12% of permit
lotal)
I Technology fee (5% of perm'it total)
I tOTAL PERMIT FEE
$79.00
$9.481
$3,95 I
$92.43 I
C9- \593
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ATTENTION: Oregon law requIres you.t.o
follow rules adopted by the Oregon Utility
Notilication Center. Those ruhleos :~ ::~:g~~
In OAR 952-001-0010 throug
0090. You may obtain copies of the rules by
calling the center. (Note:, t.he tel~~hone
number lor the Oregon Utility NotdtcaUon
Center is 1-800-332-2344).
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Inspections Phone: 541,726,3769
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
"
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01593
ISSUED: 10/29/2009
APPLIED: 10/29/2009
EXPIRES: 04/29/2010
VALUE:
225 Fifth Street, Springfield, OR,"
541-726-3753 Pboue ,', j ';'
541-726-3676 Fax ,C, '"
541-726-3769 Inspection Line
SITE ADDRESS: 7451 B ST .,
ASSESSOR'S PARCEL NO:'- 1702354200132
Springfield TYPE OF WORK: Pellet Stove
. TYPE OF USE: New
PROJECT DESCRIPTION: In~t~.l! pellet insert and venting in residence.
Residential
Owner:
Address:
REEVES KATHERINE
7451 B ST",
SPRINGFIELD OR 97478
Phone Number: 541-520-7587
I CONTRACTOR INFORMA~ION ,
Contractor Type
Mecbauical
Contractor
k< THERMAL RESOURCES INC
License
161946
Expiration Date
10/29/2010
Phone
541-343-1131
BUI~.nINc,; INFORMA nON.
,
#'of Stories:
Height of Structure
Type of "eat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
"Lot Size:
Sq Ft 1st Floor:
,Sq Ft 2ud Floor:
Sq Ft Basement:
Sq Fi Garage/Carport
Sq Ft Otber:
Occupant Loa~'-
# of Units: "
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Constructiou Type:
# of Bedrooms:
n/a
. I DEVELOPMENT INFORMA TfONl=IllT10N: Oregon law requires you,~o
N01ICE. .' PIRE'\~ Irll: ~Hl"''' ., e,,~'-~ules adopted lWiMTH{'WPGJ.ltijj!l(,,'G
TI:IIS PERMIT SHAll EX , I~ NnT Notification Center. Thoserutesare's~8t\Il
Frontyard Setb~'rHORIZED UND~R THIS PERM)t<(tl,lly Dlst: in OAR 952-001-0010tl1l'$ll!Jh OAR 952-001-
Side 1 Setback: COMMENCED OR IS ABANDONE9~t Trees Rqd: 0090. You may obtaln,tppilliCiI>fhe:rules by
Side 2 Setback: RIDD' Paved Drive Rqd: , calling the center. (NmmJlIielJelephone
Rearyard Setba{iJ:1Y 180 DAY f:'E ",' % of Lot Coverage, number for the Oregon Utility Notification
Solar Setbacks: - ..' Center is 1-800-332-2344).
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer A vaiJable:
Special Instruction:
Sidewalk Type: '
.
Downspouts/Drains:
"
Notes:
, , ,
I Valuation Descriotion I
d. I .
Description
Tvpe of Construction
$ Per Sq.Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
.- ".-'1.'
Status Iss'ued< --'c ','--
~' . :; .
225 Fiftb Street;,Springfield, OR
541-726-3753 Pbone,' ;',
541-726'3676 Fa~ ' "
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01593
ISSUED: 10/2912009
APPLIED: 10/29/2009
, EXPIRES: 04/29/2010
VALUE:
';
Total Value of Project
Fees Paid I
.~:. . . -
Amount Paid
Date Paid
Receipt Number
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
$9.48
$3.95
, $79.00
10/29/09
10/29/09
10/29/09
2200900000000001236
2200900000000001236
2200900000000001236
, "
Total Amount Paid
$92.43
t:
"
"
,
, '
Plan Reviews I
To Request an inspection call !he 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 , Re'luired Insoections I
Pellet Insert: After installation
By signature, I state and agree, that I bave carefnlly examined the completed application and do hereby certify that all
information hereon is trne 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 herein, and
that NO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety,
I further certify tbat only contractors and employees wbo are in compliance with ORS 701.005 will be used on this project.
1 further agree to ensure that all required inspections are requ'ested at the proper time, that each address is readable from the
street, that the permit card is located at the front of/he property, and the approved set of plans will remain on tbe site at all
times during construction. '
Owner or Contractors Signature
Date
i-I . "
Paee 2 of 2
."
2~5 Fifth Street'
Springfield, Oreg~1l97,477
541-726-3759 Phone'
)
Job/Journal Number'
COM2009-01593
C0M2009-0 1593
COM2009-0 1593 ',,_ ,
Payments:
Type of Payment
,-. ;.,";
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a~.~",.",.,
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT#: .2200900000000001236
Date: 10/29/2009
3:12:12PM
Des~ripti~n .: \;( .:;~: -',
;,1 st Appliance "t
, +'5% Technology Fee
'.+ 12% State Surcharge
. "..i
,,'
ONLINE CHGS ONLINE PERMIT CHGS
Paid By
cRcceint I
. -' \ ,":'j~.~~::.~.:Y :
.,,', .>-/:~'." .
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Amount Due
79,00
3,95
9.48
$92.43
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
KR
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t':-
Page I of I
Amount Paid
ONLINE THERMAL Online
RESOURCE
S
$92.43
Payment Total:
$92,43
10/29/2009