HomeMy WebLinkAboutPermit Mechanical 2009-11-10
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00181
Approval Code: 048032 11/10/2009 1:51 pm
E,mailed To: puhala22@comcast.net
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1001 or 2 family dwelling .... 0 ~:. MUlti-family':: ,p Commercial 0 Accessory
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I Job Address: 7~54 _~ ST i,
I City/State/ZJP: SPRIN<GFIE'LO', O.R '~747~ " \; "
I SuitefbldgJapt.no.:
1 Project Name: ALLEN WEATHERFORD
I Cross 5lreetldirectio:,-, to j~b ~~: "
I Tax map/parcel no.: 1702353107300
IfJP~~~l:fESC~ip,ti9r.jrOFi~ORK~i~"~;~~~;~~.;!'I~
I First Appliance Fee
IMeenani_~Lpiirmit.t:ees~~.~,'. .
I Subtotal
I State surcharge (12% of permit
tolal)
I Technology fee (5% of permit lotal)
I TOTAL PERMIT FEE
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$79,00 I
$9.48
$3.95
$92.43 I
CC1-1 l>>44
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INSTALL OF PELLET INSERT
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I Name: CLARANCE WEATHERFORD .i'
I Phone: 541-729-6588 ;1' . Fax:
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r CCB lie. no.: 172640
I Busir1~'N'eF~:O HOT CONSTRUCTION LLC I.' 5..'_!.~.~,,;:;,!.:.~:..,:
I Conif4~IS PERMIT SHAll EXP1RE'IFTHEWO~~
I Add,\lJJJ(j~ZED UNDER THIS Pl:HMlr Ib flU I ..'
I clty/~~JH!/,\'!~b~~cMl}y~ii'21-10I-lMOONeD Fa;:;.,),:'
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Phone: 5418709795 " ,1 Fax:
I Email:
I Metro lie. no.:
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ATTENTION' Ore
follow rules ~do ?on law requIres you to
Notification Cent~ e~ by the Oregon Utility
I OAR 952-001-0010 t~se rules are setforth
)090. You may obtai rough OAR 952-00,.
calling the Center (~op'es of the rules by
nUmber for the Or~gonO~fil~e ~e/~l?h~e
Center is 1-800-332-l~~fjcauon
City lie. no.:
Upon review and approval by your local Jurisdiction, your (pennJt will be e-malled or faxed
within one buslne.. day, with In&tnlctlons on how to schedule your Inspection.
NOTE: This Authorization To Begin Woril expires within 1~O days If a pennlt II not obtaIned.
The local building department may detennlne that an Authorization To Begin Woril Is null and
void If It does not meet applicable land use laws and local ordinances.
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Inspeclions Phone: 541-726-3769
~t : This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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Status
Issued'
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225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 Inspection Line
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Ul y OF SPRINbl'lELD'
Building/Combination Permit
PERMIT NO: COM2009-01644
ISSUED: 11/10/2009
APPLIED: 11/10/2009
EXPIRES: 05/10/2010
VALUE:
SITE ADDRESS: ',\ 7~54 C ST
ASSESSOR'S PARCEL'NO,: ' 17.02353]07300
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Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install pellet stove in residence.
Phone Number: 541-729-6588
Owner: WEATHERFORD CLARENCE ALLEN JR & REB
Address: 7154 CST.',:', 'c'" ' ,,' '/.
SPRINGFIELD OR'97478
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Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor
RED HOT CONSTRUCTION
Phone
54]-870-9795
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# of Units: ,,"
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
License
] 72640
Expiration Date
10/18/2010
~UILD~NG INFORMATION I '
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# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building: n/a
Lot Size:
Sq Ft ]st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ",'.. ' ~__..
Occupant Load:
" , I DEVELOPMENT INFORMATION'
" , ) I . ,. ..,."," , " \~" dON: Oregon IH<i~ y~ING
F~o!iQI<I' \'f:SHAll EXPI.REIFlII..QlKOverlay Dist: ~~~~~a~~;~:~~~e~h~lttk&lPregon Uti/fly
S~d;1[gtlt ED UNDER THIS PERMrrm NOT# Street ~rees Rqd: In OAR 952-o01'0010thrftl.!H!~If.'$tforllt
Stde~L81;.. ANDONED FOR Paved Dnve Rqd: g090. You may obtain cCH~lmhll952-OOt.
ReafYilMrsSil~ OR IS AS .' ' % of Lot Coverage: Calling the cente~ (N teth 0 the rules br
Solaf,S'#b~QsDAY PERIOD." numbe~for the. or~go~ ~ii/i; ~:~
I PUBLIC IMPROVEMENTS I -''-..It.. .. '-UV\l_-~I.
Street Improvements:
Storm Sewer Available:,
Special Instruction: '
Notes:
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Description
Type of Construction
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Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
Value
Date Calculated
Paee I of2
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Status Issued ,''; ,.,
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225 Fifth Street, Springfield, O~;;: :.(,il;;'.','
541-726-3753 Phone\':.::-::' --,' ....".
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541-726-3676 Fax' ;' , -
541-726-3769 1!l.~pection,Line
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Fee Descrip,tion';, ' : ....
+ 12% State SU.i-charge;,;:
+ 5% Technology Fee ;
1st Appliance
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Total Amount Paid
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Amount Paid
$9.48
$3.95
$79.00
" $92.43
Total Value of Project
Fe~s P..~i.l!J
Date Paid
I Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01644
ISSUED: 11/10/2009
APPLIED: 11110/2009
EXPIRES: 05/10/2010
VALUE:
Receipt Numher
11/10/09
11110/09
11110/09
1200900000000001251-
1200900000000001251
1200900000000001251
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. "
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Pellet Insert: 'After installation
R,ecjuired Insnections I
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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, andI 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 ~iIJ he made of any structnre 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 inspections are requested at the proper time, that each 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 cOIistruction.. ~
Owner or Contractors Signature......"...._
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Page 2 of2
Date
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225, Fifth Street;~:;'::ii,;,~.' ';,; ,:,; '.
Springfield, ,Oregon: 97.47-7,';,;"':,;;:,};,
541-726-3759 Phone" ' ,;"-;;,,,.
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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',RECEI~1;;#: ' _,1200900000000001251
Date: 11/10/2009
2:05:59PM
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Job/journal Number::;> ~.Qescfiptio;<
COM2009-0I644 ..~'. '. "1st Appliance
COM2009.0I644 ./;':"",:.:1- 5% Technology Fee
CO M2009-0] 644:X! ";,;~}~T2%' State Surcharge
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Payments:
Type of Payment
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number .-Iow Received
Amount Due
79.00
3.95
9.48
$92-43
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Amount Paid
ONLINE CHGS ONLINE PERMIT_CHGS., '
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ONLINE RED HOT Online
CONSTR.
Payment Total:
$92.43
$92.43
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cReceiot I Page I of I 11/10/2009
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