HomeMy WebLinkAboutPermit Mechanical 2009-12-28
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Residential Mechanical Authorization To Begin Work
69600-BMC-09-00231
Approval Code: 092103 12/28/2009 12:28 pm
E.mailed To: puhala22@comcast.net
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I Description Total
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541.726~3753
Email: permitcenler@ci.springfield.or.us
o New Construction
00 Addition/alteration/replacement
I ':" .kit:'mC{6R'i;6F:(;ONSTRU.cfIQN~1f~~1f:~;;;:~~
[Z] 1 or 2 family dwelling 0 Multi.family 0 Commercial 0 Accessory
1'.''::.'';1,,;\''',.,0'JOB~SITE-;INIf6~MATf6NWNb;iT<:lcA iI0N~",~,~~~
Job Address: 1393 L 5T
City/statefZIP: SPRINGFIELD, OR 97477
Suitelbldg.lapt.no.:
Project Name: ANNA RAINEY
Cross Street/directions to job site:
Tax map/parcel no.:
1703253306300
INSTALL FREESTAND PELLET STOVE
I Name; MARIO PUHALA
Phone: 541-870-9795
Fax:
Email:
CCB lie. no.: 172640
Business Name: RED HOT CONSTRUCTION LLC
Contact:
Address: PO BOX 25341
City/State/ZIP: EUGENE, OR 97402
Phone: 5418709795
Fax:
Email:
Metro lie. no.:
City lie. no.;
:;
Upon review and approval by your local jurisdiCtion, your permit will be e-mailed or faxed
within one 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 that an Authorization To Begin Work is null- and
void if it does not meet applicable land use laws and local ordinances.
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I First Appliance Fee
Subtotal
Slate surcharge (12% of permit
total)
I Technology fee (5% of permitlolal)
I TOTAL PERMIT FEE
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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
$79.00 I
$79.00 !I
$9.481
$3.95
$92.43
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2009-01840
ISSUED: 12/28/2009
APPLIED: 12/28/2009
EXPIRES: 06/2812010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
SITE ADDRESS: 1393 L ST
ASSESSOR'S PARCEL NO.: 1703253306300
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install freestanding pellet stove
Owner: FEDERAL HOME LOAN MORTGAGE CORP
Address: 400 COUNTRYWIDE WAY SV-35
SIMI VALLEY CA 93065
I. CONTRACTOR INFORMA :rION .
Contractor Tvpe
Mechanical
Contractor
RED HOT CONSTRUCTION
License
172640
Expiration Date
10/18/2010
Phone
541-870-9795
BUILDING INFORMATION 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:
Range Type:
Eii',irgy,P3th:
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 INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
ATTEIDoWrispouts/Drains: requires you to
follow rules ac:opted by the Oregon Utility
Notification Center. Those rules are set forth
NOTICE: in OAR 952-001-0010 through OAR 952-001-
TI..HC: Dcn'''T~"." _.._._ _ 0090. You may obtain copies olthe rules by
'\ . -..........." .......... I-/\J In. ..- '~:: ~"."_':--::'. l",.CUllIl\d lllt: l..>t::llliCI. \1\lUlt::l. Lll~ ~l:;Ht:""IIUIIt:t
UTHORIZEO UNDEh' THISI rVllu'lililfnroescrintion tumber for the Oregon Utility Notification
'1r,'l"~[ri!'r-" >I::>" "^I\'!' ... Center is 1-800-332-2344)
. ~' . 1\ .~ ,On I,JU!\!l:UJ.UI-i .
. $ Per Sq' Ft Square Footage
Type of Construction or multiplier or Bid Amount Value Date Calculated
Storm Sewer Available:
j Special Instruction:
Notes:
Description
Page 1 00
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01840
ISSUED: 12/28/2009
APPLIED: 12/28/2009
EXPIRES: 06/28/2010
VALUE: '
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541- 726-3769 Inspection Line
Total Value of Project
Fe~s Paid'
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid fi
"
Date Paid
Receipt Number
$9.48
$3.95
$79.00
12/28/09
12/28/09
12/28/09
2200900000000001434
2200900000000001434
2200900000000001434
Total Amonnt Paid
$92.43
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 w,orking day, inspections requested after 7:00 a.m. will be made the following
work day.
I, R~r"iredlnsnecfio~,s I
Freestanding Pellet Stove: After installation.
By signature, I state and agree, that I have carefullye;iamined'the completed application and do hereby certify that all
information hereon is true and correct, and I furtber'certify that any and all work performed shalf 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 the Community Services Division, Building Safety.
I fnrther 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 or Contractors Signature
Date
I'age 2 of 2
...
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1840
COM2009-0 1840
COM2009-0 1840
Payments:
Type of Payment
ONLINE CHGS
cReceinll
RECEIPT #:
Description
I sl Appliance
+ 5% Technology Fce
+ 12% State Surcharge
raid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001434
Date: 12/28/2009
.'
Item Total:
C,heck Number Authorization
Received By Batch Number Number How Received
njm
ONLINE red hot const Online
Payment Total:,
Page I of I
3:20:50PM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
12/28/2009