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HomeMy WebLinkAboutPermit Mechanical 2009-12-10 ..S,P~I~~~~t!tiD""'" '"'~"~""~ ,'-' i ~: {~~j ,. ,t~,,,, OReGON City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541.726-3753 Email: permitcenler@ci.springfield.or.us (,q. i 1&0 , Residential Mechanical Authorization To Begin Work 69600-BMC-09-00211 Approval Code: 005731 12/10/2009 9:30 am E-mailedTo:deanne@midgleys.com I'J ~~ . ,:~':;>'::;f~ig:~~~~~1iq~;r~'~':1TX~E;O~Vt6RIC:<t~r~'t;:~{~::5~~~.!:r;~~~f~~ I 0 New Construction [K] Addition/alteration/replacement I ~ " or 2 family dwell;:~ CA ~G~:~~~;;Cd~S;o:~:~:~~ . D Accesso~ I: . ,JOB SITEINF"ORMATION,ANO:i:ifcATION ',.'; it', " I Job Address: 2867 WAYSIDE LOOP I CityfState/ZIP: SPRINGFIELD, OR 97477 I Suitelbldg.lapt.no,: Project Name: David Wilson 1;""r"'\Lwq.4'.4"'i"-'-=-""""-'~" :"-'-"'''~'-'--"j'. "Y ~~~~'~.:" . ~;!'~~1r:~..,tlt~1I;~~F;E:E:: ~CHE:D,UtE: '>~.' ;>7'" :'~:r.'~'4' ).; I Description j Qty. I I!VIJniili.l!~Fees'l:( ;'-~'i~Srh~J_:'-\.:~,' ~:::,: '~~. I. I First Appliance Fee l 11VI.~nimical:Perrij!f~~~s. ~~;/ ,,';~'~" ~.:;::. '1 I Subtotal I Stale surcharge (12% of permit totaH I Technology fee (5% of permit total) I TOTAL PERMIT FEE Ea, Total ':.J $79,00 $79.00 $9.48 $3.95 $92.43 Cross Street/directions to job site: Tax map/parcel no,: 1703224102100 , . '. , .~ ':~:~:_?;i-i): QgsG~lptf9N.:Q,F ;WQR~~3r' :~<~ ~~~v;~~' .':;.< I~~~~,-: Install pellet insert and liner ! ' }'~>>:,(i~i?'~.;~~'SITE 'C3:fNTAcj~:,~S~~}?":~", .:;~'k~,~.;~:~.r~~;;.}~:i Name: David Wilson I Phone: 541-554-8606 I Email: I I Fax: , ,,":.,'" ",..' , fgONTR,A:CTOR, "'t;:;,~' . "~--,~. ',"3;-i'"~ '.."_ ...""-,,,-.." eeB fie. no.: 161946 Business Name: THERMAL RESOURCES INC Contact: Address: 1678 W 7TH AV CityfState/ZIP: EUGENE, OR 97402 Phone: 5413431131 Fax: 5416875979 Email: mike@midgleys.com Metro lie. no.: City lie, no,: 60J/12,(;V 9 -()/7~ 0 )d!/C-/(Yl jI;/J"-" '. ~.f:Q "...Q-) o:~ 'if ~':V \90/' .O~ \~ \\9 ~ ~S~ ~ 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 inspection. NOTE: This Authorization To Begin Work expireli within 160 days if a permit is not obtainod, The local building department may determine that an Authorization To Begin Work Is null void if it does not meet 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 SIi!AIN(l~lttLD -'1, " ',' , .,. 1t, Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01760 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: 2867 Wayside Lp ASSESSOR'S PARCEL NO,: 1703224102100 Springlleld TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PRO,IECT DESCRIPTION: Install pellet insert and liner Owner: WILSON SHELLEY A & DAVID A Address: 2867 WAYSIDE LP SPRINGFIELD OR 97477 Phone Numher: 541-554-8606 I CONTRACTOR INFORMA TlO~ I Contractor Type Mech~lnical Contractor THERMAL RESOURCES INC License 161946 Expiration Date 10/29/20 I 0 Phone 541-343-1 \3] BUILDING ]NFORMATlON I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Ra'nge Tyj,e: 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 ]NFORMATlON I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overhl)' Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: ". Sr9~('''' low (An11trAA you to A,') ,,",mo. . Ut Illy I PUBLIC IMPROVEM!!t" ules adopted by the Oregon tll rth . " C ter Those rules are se 0 NolllcatlOn -O~-M'%'!~Rl\l9h OAR 952-001- ~~~R ~;u2 rtIllI,M\~li\s;mi,R9.p:1 the rules by llin the center. (Note: (fie tele~hone :mb~r lor the Oregon Utility Notlllcatlon Center is 1_800-332-2344). Storm Sewer Avlana"le: . ''''I'!''E' Special Instruction: v . THIS PERMIT SHAll EXPIR: IF THE WORK .'IUTHORIZED UNDER THIS PERMIT IS NOT ::mnfi/lr:filrr:n no 1<: Ml8~lnnfilr:n r:no Notes: ANY 180 DAY PERIOD, I Valuation pescriution I Descriplion Tn,e of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calcnlated Paee ] 012 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01760 ISSUED: 12/10/2009 APPLIED: 12/10/2009 EXPIRES: 06/1012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees ,P~id I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Aniouut Paid Date Paid Receipt Number $9.48 $3.95 $79.00 12/10/09 12/10/09 12/10/09 3200900000000000800 3200900000000000800 3200900000000000800 Total Amount 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. Reouired I"Sllectio"s I Pellet Insert: After installation ~ " ~. i' By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and ~,II \\-'ork performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State or 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. 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 construction. Owner 01' Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield,. Oregon 97477 541-726-3759 Phone Job/Journlll Number COM2009-0 1760 COM2009-0 1760 COM2009-0 1760 Payments: Type of Paymcont ONLINE CHGS cRcceintl RECEIPT #: Description 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By ONLINE PERMIT CHGS 3200900000000000800 City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/10/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM Page 1 of I ONLINE Thermal Online Resources Payment Total: lO:40:45AM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $92.43 $92.43 12/1 0/2009