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Home My WebLink AboutPermit Mechanical 2010-1-5 .. SPRINGFIELD ~j,\ ""'o;;r",:,"'". j , T'~~~~;~ON City Of Springfield 225 Fifth 81 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenler@ci.springfield.or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00001 Approval Code: 07377C 1/4/2010 4:22 pm E-mailedTo:marketing@emeraldpool.com .. -- .. . ,..,.....!\j\\\\t ~tt::;\rI~~""~ ~ ...,.........lIlI. ~""'~~. .";"~~'I"'~Owu-~ 01-~- "'O-~ _"cop\8l.- ~ -:--:E~a4). "':,_.-.. , - ~- I 0 New Construction [RJ Addition/alteration/replacement Description It I 00 1 or 2 family dwelling D Multi-family D Commercial 0 Accessory If,~,;'";;.',f:,;;f:;t.jOB:SIJE:iNF,6RMAfION'AND1LQCATf6~t~':,~'lrt!!li;";: I Job Address: 2026 S 60TH ST I City/State/ZIP: SPRINGFIELD, OR 97478 I Suite/brdg./a~t.no.: I Project Name: I First Appliance Fee IMeChan,i"C,~iI~~rm:!(~~~:sl!:~:;~';,iJi-5;'.! I Subtotal I Stat~ surcnarge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE LIO-\4 Cross Street/directions to job site: s'59tn to s 60th Tax map/parcel no.: 1802033400101 inslallingnew wood burn!ng freestanding stove Name: mark wood I Phone: I Email: Fax: 541-822-3381 tHfflGi: CCB lie. no.: i,;94"""'" iJRI< Bu,;n... N"rn'I~Ellt~Ml'l"5l1Al:ll.~~BE nt lHt YV ,,~ I . r ~ ER THIl:i t'tKlVlIlIS th.... I Contact AU~~~!~EPUUUN~I~ i\6AI4EOME-~ fl)tl .,. Address: 18(39IliHW.l:'d.WN- I' "" . - -, . --:110" I C;ty/StatelZl~!)IJbJ!,1\{,/lr,Y40~-'i~94 w. I Phone: 5416881090 Fax: I Email: I Metro lie. no.: City Ii~. no.: Upon review and approval by your local Jurisdiction, your permIt will be e-malled or faxed within one business day, with instructions on how to schedule your inspection. NOTE: This Authorllation To Begin Work expires within 180 days If a permit Is not obtained. ~~~~ .~ ~~ The local building department may determine that an Authorllation To Begin Work Is null void If It does not meet applicable land use laws ,md local ordinances. c-lro-If Total .,~ . ,,,i~ $79.00 , .'7;:'''l''':-~' $79.00 $9.48 $3.95 $92.43 ~~ \[5/ID ~'- "'...~,,;.~~;;::=-. \~ . \\o-~~. ~~ ~ 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: COM2010-00014 ISSUED: 01105/2010 APPLIED: 01105/2010 EXPIRES: 07/05/2010 VALUE: I 225 Fifth Street, Springfi~ld, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2026 S 60TH ST ASSESSOR'S PARCEL NO.: 1802033400101 Springfield TYPE OF WORK: Wnnd Stove TYPE OF USE: New PROJECT DESCRIPTION: Installing new wood burning freestanding stove in residence. Residential Owner:. WOOD MARK J Address: 2026 S 60TH ST SPRINGFIELD OR 97478 Phone Number: 541-822-3381 I CONTRACTOR INFORl~":ATlON I Contractor Type Mechanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 B,uILDING INFORMATION.' Expiration Date 10/23/2011 Phone 541-688-1090 . Lot Size: Sq Ft 1st Floor: . Sq Ft 2nd Floor: .. Sq Ft Basement: 'Sq Ft Garage/Carport Sq Ft Othe~. ~to n/a ~19Q\f.. \)\\\\\V _.F':~"" nregllu ...; .0;;;'0l 8.'" ~'1. In"!' I DEVELOPMENT INFOR~l;/(il~et ad~~ 't\'0&8 ~(".R 952.00" . '. ':'Outlca\IOlr~8. ~,O\hfOll,<<J<;bI'tI\i!\JWl~KING " .0952-0().- In CO~\9& \8~hone Front yard Setback: Overlay Dist: \n 01'0'/'011 may ante: "'o\er~~9 \\\\catlon Side I Setback: . . . ":""';'''';;;''.''C'.# Street Trees .~qd: (1090. \hI ce{'l\9f, ~on~Ped: ~::~aSr~:~~~MIT SHAll EXPIRE If MTHITEI~~~~~;~:v~~:~e: .:'~ :n~~~ ~\9~O .' Solar Se/WffiORlZED UNDER THIS PER .. --- r'-tll 'f"'lnnM~n I=OR ". vUIVIIVICI\lVLU VI' "..~', " . .. . " ANY 180 DAY PERIOD. . I PUBLIC IMPROVEMENTS I Street Improvements: # of Stories: Height of Structure Type of Heat: Water Type: R,ange Type: Energj'Paih: ,.. Sprinkled Building: # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Constrnction Type Secondary Construction Type: # of Bedrooms: Sidewalk Type: Slorm Sewer Available: Speciallnslrnction: DownspoutslDrains: Notes: I. V alua~ion D~s.criDtion I Description Type of Construction Square Footage , or Bid Amount Value Date Calcnlated Pa2e I of 2 . ..!SP-RINIOp,I"'I'~' I I Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20W-00014 ISSUED: 01105/2010 APPLIED.: 01105/2010 EXPIRES: 07/05/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Total Value of Project I, Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Numher $9.48 $3.95 $79.00 1/5/10 1/5/10 1/5/10 1201000000000000003 1201000000000000003 1201000000000000003 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 Insoeetioos I Wood Stove: After Installation. :' ~,{ . :. \, . ,. 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, and I fnrther certifytbat any and all work performed shall be done in accordance with the Ordinances oflhe 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 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I fnrther 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 ,..;."",. ';' - Page 2 of 2 225 Fifth Street Springfield, Oregon 97477 541--726-3759 Phone Job/JournalNumber COM2010-00014 COM2010-00014 COM2010-00014 Payments: Type of Payment ONLINE CHGS cReccintl . RECEIPT #: Description 15t Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 1201000000000000003 City of Springfield Official Receipt Development Services Department Public Works Department Date: 0110512010 9:06:15AM Amount Due 79.00 9.48 3.95 $92.43 Item Total: <":heckNumber Authorization Received By Batch Number Number How Received KR . '-"'., Page I of I Amount Paid ONLINE EMERALD Online SWIMMIN G POOLS $92.43 Payment Total: $92.43 1/5/2010