HomeMy WebLinkAboutPermit Mechanical 2010-2-1
D New Construction
IKl Addition/alteration/replacement
C,IV. 1~11
Residential Mechanical Authorization To Begin Work
69600-BMC-10-00019
Approval Code: 085362 1/31/2010 12:36 pm
E,mailed To: deanne@midgleys,com
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I Description
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'l'" OREGON
City Of Springfield
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753.
Email: permitcenter@cj.springfield.or.us
[K] 1 or 2 family dwelling
D Multi-family D. Commercial
o Accessory
I First Appliance Fee
Il';"~' ':;, :--:'7';;01'--:'; J6BSITEiIN~ORMATI(jN:A,;rD!i!0Cl\ti0N~:
Job Address: 2280 19TH ST
I Subtotal
I State surcharge (12% of permit
total)
I Technology fee (5% of permit total)
I TOTAL PERMIT FEE
$79,00
$9.48
City/State/ZIP: SPRINGFIELD. OR 97477
Suite/bldg.fapt.no. :
$3.95
$92.43
'.
Project Name: Dan Nicholson
Cross Street/directions to Job site:
Tax map/parcel no.:
1703252113800
Install wood stove and venting
Name: Dan Nicholson
Phon'e: 541-747-9831
Fax:
I Email:
CCB lie. no.: 161946
Business Name: THERMAL RESOURCES INC
Contact:
Address: 1678 W7TH AV
City/State/ZIP: EUGENE, OR 97402
Emai1: mike@midgleys.com
I Metro lie. no.:
qity Ii~. no.:
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Phone: 5413431131
Fax: 54168.75979
Upon reviow and approval by your local jurisdiction, your permit wilt be e.mailed or faxed
within one business day, with instructions on how to sc~edule your. Inspection.
NOTE: This Authorization To Begin Work expires within 180 days if a permit is nol 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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. Inspectio'ns Phone: 541.726.3769
This,Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00129
ISSUED: 02/01/2010
APPLIED: 02/01/2010
EXPIRES: 08/01/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InsJleetion Line
SITE ADDRESS: 2280 19TH ST
ASSESSOR'S PARCEL NO.: 1703252113800
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install wood stove and venting
Owner: NICHOLSON DANIEL C
Address: 2280 19TH ST
SPRINGFIELD OR 97477
I CON!RACTOR I~FORMATlON ,
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES 1NC
License
161946
Expiration Date
10/29/2010
Phone
541-343-1131
BUILDING INFORMATION I
# of Units:
Primary Oecupancy Group:
Secondary Occnpancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Strncture
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other: ,
Occupant Load:
n/a
I DEVELOPMENT INFORM A TlON 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:
,"'" K".,,:>.. "'< . ~.
Total: ,
Handicapped:
Compact;
Notes:
NOTICE:
THIS PFRMIl.Sl;!~11 l:VDID~ ,.. T:.If.""rnl~
,c,UTHORIZED UNDER THIS fJ;;QM'I Il: ~1r:tT .. I
")i4!ViP~CED OR IS ABANC,Z!lY7L~It'V'escflDtlOn
'. . f' "Y PERIOD, $ Per Sq Ft Squar'e'Footage
Tvpe of ConstructIon I ' I' B'd A
?r mu tip ler or I mount
',. . ~"-I"'I!ul";vrttyuIIU:lWltJ\,,u"ll:'IllIIYuu,u
I PUBLIC IMPROVEM"Dules adopted by the Oregon Utility
NotificationsImWIiIlJIy9~Il:rules are set forth
In OAR 952-o01-0010ttirough OAR 952-001-
0090. You ~"~Bilt~ the rules by
calling the center. (Note: the telephone
number for the oregon Utility Notification
Center is 1-800-332-2344).
Street Improvements:
Storm Sewer Available:
Special Instruction:
Description
Value
Date Calculated
Pa2e I of 2
_~,~~~~~~tTJ,~~~
!
I;
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone'
541~726-3676 Fax
541-726-3769 Inspection Line
Fec,Description
+ 12% State Surcharge
+ 5'Yo Technology Fee
1st Appliance
Amount Paid
$9.48
$3.95
, '$79.00
Total Amount Paid
$92.43
.~ .,."
'.
Total Value of Project
Fees Paid I
PIlln Reviews I
:61:", 't.; j
Date Paid
2/1/10
2/1/10
2/1/10
ell }' VI' ~n~ll~lJ1'lELD
Building/Combination Permit
PERMIT NO: COM2010-00129
ISSUED: 02/01/2010
APPLIED: 02/01/2010
EXPIRES: 08/01/2010
VALUE:
Receipt Number.
3201000000000000032
3201000000000000032
3201000000000000032
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.
Reo~ired Insre~ti~~s'
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 further eertify that any and all work performed shall be done in aeeordanee with
the Ordinances of the City of Springtield and the Laws of the State of Oregon pertaining to the work deseribed 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 or Contractors Signature
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Paee 2 Of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM20 1 0-00 129
COM20 1 0-00 129
COM20 1 0-00 129
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
15t Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
ONLINE PERMIT CHGS
iZji'
City of Springfield Official Receipt
Development Services Department
Public Works Department
3201000000000000032
Date: 02/01/2010
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Item Total:
t:heck Number Authorization
Received By Batch Number Number How Received
nJm
, >_..~.
,
Pa,ge ] of]
ONLINE
thermal In Person
Payment Total:
:;;~ \ ,.
, '
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8:09:52AM
Amount Due
79,00
9.48
3,95
$92.43
Amount Paid
$92.43
$92.43
2/1/2010