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HomeMy WebLinkAboutPermit Mechanical 2009-12-10 ;P ~I.,NGF IELD~ ~-''''.~ t'."", """,.( ?tf-:~(, \~ ' , 10.. ',"" "\ OReGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permilcenler@ci.springfield.or.us If' ID ,"" .,"". "."...'-,.,..,~ .w"t:.;,t".,., .".,,,,,~., ".'.... "'01 "r7~f~::'IY:PE.OF..!WORK;lJ; :*~~~?-'~~~;< :;~)'!?;t'i'y{~~l'tfC/::{ 1~:?#i lRl Addition/alteration/replacement New Construction ..".'. . <~ -:/';" . .Cf!, TEGORy:.OF CQtclS:TRuci'foN ':~:j; ,..~'!~:. ", [ZJ o Multi-family D Commercial o Accessory 1 or 2 family dwelling . ,t~"'.:' JOB'siTE INj:(YRMATioN'ANbX6cAfION:S'f;~,.;< ., Job Address: 2588 17TH 5T City/State/ZIP: SPRINGFIELD, OR 97477 SuiteJbldg.fapt.no,: Project Name: Wasson I Cross S'reeUdirec'ion, to job ,ite: I Tax mapfparcel no,: 1703243400130 I; .:':'1'>';'.,' ."~~"~':,r5ESC8:IPTlorf6EWORK~J:..:~~r~'*i~:J~-;:'>.~",,;o'1 Install wood insert and liner I.... ',.. " 'J' I Name: Lisa Wasson '.' ',;.} S,IJEC9NfA'CL<~~"~'=:!~";-" " ',,~ ~' ::;;1;;', Phone: 541-988-1461 Fax: Email: ,,' :.z... , ~,:r.fi:CON:fRACTOR CCB lie, no.: 161946 Business Name: THERMAL RESOURCES INC Contact: Address: 1678 W 7TH AV CitylStatelZIP: EUGENE, OR 97402 Phone: 5413431131 Fax: 5416875979 Email: mike@midgleys.com , Metro lie. no,; City lie. no.; Upon review and approval by your local Jurisdiction, your pennit will, be a-mailed or faxed wit~ln on; business day, with instructions on how to schedule your Inspection. 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 Begin Work Is null and void if it does not meet applicable land use laws and local ordinancos. (Om2j7J1-()17~7 / / J-j; () Ie) 7 /7 /7~- [11. 17ft! Residential Mechanical Authorization To Begin Work 69600-BMC-09-00212 Approval Code: 029619 12/10/2009.9:44 am E-mailedTo:deanne@midgleys.com 'ce'l , I 'I $79.00 I IF~:~::t~iTitiI/c~~~~~::Ji~;J3~~~.:~9~HgDU~~"it~";,';~;~~~;~~~\.' :~ I Description I Qty. lEa, Total IMIr1lmu'$~Fges.' ';~:~~;~<'~I;'~~?;;;'~;" n ,'f~~ I First Appliance Fee J J IM9C.t!~~ic~I:~ermit;F~es:.~:(;:tL;:~;"'i' :";., '~ --"~\:.. I Subtotal I Slate surcharge (12% of permit total) I Technology fee (5% of permit tolal) I TOTAL PERMIT FEE -:,,'l.lj $79.00 $9.48 $3,95 $92.43 ~\QQ\ ~'\ ~ ~w:. ~ ~ r~_~:~ '(; \0 ,N - " 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: COM2009-01761 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2588 17TB ST ASSESSOR'S PARCEL NO,: 1703243400130 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Install woodstove insert and liner Owner: WASSON JEFFREY A & LISA M Address: 2588 17TB ST SPRINGFIELD OR 97477 Phone Number: 541-958-1461 I CONTRACTOR INFORMATION I Contractor Type Mechanicnl Contractor TBERMAL RESOURCES INC License 161946 Expiration Date 10/2912010 Phone 541-343-1131 BUILDING INFORi\1A TION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Beight of Structure Type of Beat: 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: nhl I DEVELOPMENT INFORMATION I Front yard .setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: IYo of Lot Coverage: REQUIRED PARKING Total: Bandicapped: Compact: Notes: NOTICE: '_'" ,on"ites you to I PUBLIC IMPROVEMENTS IATTENT',ON~~~~fevcibY the 6rego~~\~rth 'ollow ~u es ThOse rules are 2-001- . ~og~~~;~~'~ thr~~i~~ ~~~e9;u\es by 0090 V8'8ffill.Y~~ote' the telepho~e caliing the cen~~~~on Utility NotilicatiOn numbef IOf 1he\S . -800-332-230\4). centef · Street Improvements: Storm Sc\-\'er Available: Special Instruction: Description .:; ;;;: ~:;-I~V;;-;- ~; ;~~L ;:~~;-;:-.:- :, l;:, 'J..'ftf.1! .UTHOBiZED UNDER THISI f\ERI~Hillilrm1crilJtion I 'OMfV1ENCED OR IS ABANiJum:u run ',11''' 1 Rl1flicW Dt:QI(\n $ Per Sq Ft Square Footage '. vpe 0 "onstr-uctlOil" . or multiplier or Bid Amount Value Date Calculated I'age I on Status Issued CITY OF SPRINGFIELD' Building/Combina tionPermit PERMIT NO: COM2009-01761 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES; 06/10/2010 VALUE; 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Valne of Project Fees Paid' Fee Dcscl'i'ption + 12o!tl Stilte Surcharge + SIX, Technology Fee 1st Appliance Amonnt Paid Va te Pa id Receipt Number $9.48 $3,95' $79,00 12/10/09 12/10/09 12/10/09 32009000000000(080) 32009000000(000080) 3200900000000000801 Total Amonnt Paid $92.43 I 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.. Rep},dred I ~sn~ctions I Wood Bnrning Insert: After installation, . By signatnre, I state and agree, that) have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I fnrther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Law,~ of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any strnctnr,'withont permission of the Community Services Vivision, Bnilding Safety, I fnrther ccrtify that only contractors and employees who arc in compliance with ORS 701.005 will be nsed on tbis project. I further agree to ensure that all required inspections arc requested at the proper time, that each 'address is readable from the street, that the permit card is located at the froIlt ofthc'propertYl and the approved set of plans will remain on the site at'all times during construction. Owner or Contractors Signature Vate Pa2e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/.Journal Number COM2009-0 1761 COM2009-0 1761 COM2009-0 1761 Payments: Type of Payment ONLINE CHGS cRcccintl RECEIPT #: Description 151 Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS ;~;ti ..." .' 3200900000000000801 City of Springfield Official Receipt Development Services. Department Public Works Department Date: 12/10/2009 10:51:06AM Amount Due 79.00 3.95 9.48 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM Page 1 of 1 Amount Paid ONLINE THERMAL Online RESOURCE S $92.43 Payment Total: $92.43 12/1 0/2009