The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-12-3 ~ P ~I~G_~~'L~,D, ~B'" ..O"r ,hj , , .i!i.. ~........~ 11. ,-,to' OREGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield.or.us tq./ng Residential Mechanical Authorization To Begin Work 69600-BMC-09-00203 Approval Code: 073384 12/3/2009 2:59 pm E,mailed To: deanne@midgleys,com ~~",,~~4:~~ifEEiSCHEDBTiE~-~~~~1 ~~-=.~~~~",,"",l$",,~'''U'D'''__''~'"__'O'~_.''_ .=,._ ~.'" ,_..~l&o~.:.d1 Description J Qty. J Ea..1 Total I M'i"7.~''''''''.'_''_,""'''--'''''''j",''''i'fi'"",,,,,,,,,,,,,,,,,,,->,,..,,,.t-''''''-'''''''''''1 _~I~_~I]I~I.f:'9S_~i~x~L~~~~:~~~~~~~~.t.t~1!'iH;&~i First Appliance Fee I $79.00 I IM'~(th~-'6..i~i:Ff~!Yiilf]=~~~~~~~~JtlW~ifi~ml I Subtotal $79,00 I I State surcharge (12% of permit $9.481 total) I Technology fee (5% of permit tOlal) $3,95 I I TOTAL PERMIT FEE ,,,,li4_~;';', ,~,,'. .......,,~.?~:43 I '-':""'''''<.;t.<l~':ii",,.~twW$;1l<~''1f~.~~~''-''''--''''''''''L';';''.''''''''''~.' - . . :~~~:r~~-#~~. ~;rg~t.l'i!di!iV""",'J->ffi.;,"_'1~1',,(~lIiiT2IJREL0F,;i\IVORK-iJ'lt!~1>t!'!I:~~~~'ii;.'flf'.q, D New Construction IX] Addition/alteration/replacement l;l'~~"II";;;$iii'i1i.'l'!:f~'MM""CAl:EG'ORY/OErCONSTRi:ifCTioN""~""y"\~#'!>'Ii<'!,'W!llJllt iI"~_~~""~"",'____'"_"''''''''L ..'"..,..'.., ..).;ml;$':!.~Ill~\"""w [Z] 1 or 2 family dwelling 0 Multi-family D Commercial 0 Accessory ~~~!J6B':,SI:rE!INF..fff{Nf~Ti6N)ANP)l!QCAT)~N~-jIf~~~ Job Address: 461 71ST ST CityfState/ZIP: SPRINGFIELD, OR 97478 Suitelbldg./apt.no.: Project Name: Jan Drury Cross Streetfdirections to Job site: ~ SCANNED Tax mapfparcel no.: 1702352402600 1ll,;",~~~~~:t~1lt!~lIi~,s..~RIj5.TIQ.f:I19i'.~Wb8K<:1~"~~ Install pellet slove and venting !''"",.w.''''':~~:]!\.''P!''';~<M'~~>(SiT'EYc5NTAC1''''''-~r:2~-~":}1\''!I'''''i''''- lYJl~~~1:l'\~~...Q~~~~~._-,_,.__~._~_..__,,_~;.I~a,1:::~~~~:!t Name: Jan Drurv Phone: 541-747-2575 Fax: Email: .",.-,jj';'.~i:..."'iBIR_~_,,""">' ''-'''''''''~'''-''>''"'''''''W!!l\~'iii;,Wi'J1}~~.\;::i'li:<<t'''''~ ,;:gi;&,'(lC?'~"1!'~~a~.<~C;:"QNT:@c::Jl08\i\w.l/I1A,~~.~i<l1~ cce Iic. no.: 161946 Business Name: THERMAL RESOURCES INC Contact: Address: 1678 W 7TH AV City/State/ZIP: EUGENE, OR 97402 Phone: 5413431131 Fax: 5416875979 Email: mike@midgleys.com Metro lie. no.: City lic. no.: Upon review and approval by your local jurisdiction. your permit will be e-mailod or faxed within one business day, with instructions on how to schedule your inspecllon. COmZ-t7DP,~ O/7dY :-1'''---/ /d /0 3/a 9 ~w oed ~ ~~~.\0 \0:1" \$)V C\ ' :,\.0 \~S~~ ~ NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtained. The local building department may determine thai an Authorization To Begl,:! Work is null void If It does not meol applicable land use laws and local ordinances. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced by a Permit _e/J'RI"!!3".'.m.'.'iij'I),C ....1.,.' fair, l'Jli 'I I ""'1'. " ",... ""'-'ij . , ." ,';.,J' ' ,': ";''''''',4'_;,,,0, '"_",, . CITY OF SPRINGFIELD' Building/Combination Permit " Status Issued PERMIT NO: COM2009-01728 ISSUED: 12/04/2009 APPLIED: 12/03/2009 EXPIRES: 06/04/2010 VALUE: 225 Fifth Street. Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 461 71ST ST ASSESSOR'S PARCEL NO,: 1702352402600 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Install pellet stove and venting Owner: DRURY JESS A & JAN Address: 461 N 71ST ST SPRINGFIELD OR 97478 Phone Nnmber: 541-747-2575 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor THERMAL RESOURCES INC License 161946 Expiration Date 10/29120 I 0 Phone 541-343-1131 BUILDING INFORMATION I # of Units: Primary Occnpancy Gronp: Secondary Occnpancy Gronp: Primary Constrnction 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 I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING FrontYllrd Setbllck: Side I Setback: Side 2 Setbllek: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: Total: Handicllpped: Compact: '. . I PUBLICIMPROVF.MENLS.I , !__!lMiIiMlN: Oregon law requIres you to Slreet Improvements: .> fonow rules ad~ell':tl~ lfM:>€lregon Utility Slorm Sewer Available: ' ' Notification Cenl,l:r...IhQll~.wkl,li,l\r!l.set forth Speciallnstrnction: In OAR 952-D01-O'O'fll'ffi'rougnClil..R952-001- NOTICE', 0090, You may obtain copies of the rules by HE WORK calling the center. (Note: the telephone Notes: THIS PERMIT SHAll EXPIRE IF T number for the Oregon Utility Notification A' ...... '....r-.l-yr-r' IIT"nCD TWI~ PFRMIT IS NOT ~AntA' hI 1..R()n-')'),?..~I),'U\; ,~uO;l' ;;IE"r'I-C-E-D .OR-Ie: ABANDONtul ruh I ' " ,'V" \ U Valuation Descriution "V < qi) DM PERIOD, ' $ Per Sq Ft Squllre Footage or multiplier or Bid Amount Tvpe of Construction Value Date ClIlcnlated Description Paee I 01'2 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ,; . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01728 ISSUED: 12/04/2009 APPLIED: 12/03/2009 EXPIRES: 06/04/2010 VALUE: , Status Issued Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3,95 $79,00 ] 2/4/09 1214/09 ]2/4/09 3200900000000000789 3200900000000000789 3200900000000000789 Total Amount Paid $92.43 Plan Reviews , '.\:. 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 ReolJired Insn~dions. Rough Mechanical: Prior to Cover Final Mechllnical: When all mechaniclll work is complete. Bv signature, I state and agree. that I hllve cllrefully examined the completed llpplication and do hereby certify thllt all informlltion hereon is true and correct, and I further certify that any and all work performed shall be done in accordance ,,,,ith the Ordinllnces of the City of Springlield and the LllWS of thc State or Oregon pertllining to the work describcd herein, and that NO OCCUPANCY will be mllde of any structure without permission of the Communi!)' Services Division. Building Safe!)'. I furth'er certify thllt only contrllctors and employees who lire in complillnce with ORS 701.005 will be used on this project. I further agree to ensure thllt 1111 required inspections are reqnested at the proper time, that each address is readllbIe from the street, thllt the permit card is located at the front of the property, and the approved set of plllns will remain on the site lit all times during construction. Owner or Contractors Signature Date Pllee 2 of2 225 Fifth Street , ,. Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1728 COM2009,O 1728 COM2009-0 1728 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Description 151 Appliance + 5% Technology Fee + ] 2% State Surcharge Paid By ONLINE PERMIT CHGS SPRINQFlELD . ,,1.1 .J.-;~,..,., 1IIlL' , '. , " c " ,,",','" _.". -~'" ' City of Springfield Official Receipt Development Services Department Public Works Department 3200900000000000789 Date: 12/04/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm ONLINE thennal Online resources Payment Total: Page 1 of I 8:03:IIAM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 12/4/2009