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Home My WebLink AboutPermit Mechanical 2010-2-4 City Of Springfield 225 Fifth 51 Springfield, OR 97477 Phone: 541-726-3753 Email: permitcenter@ci.springfield:or.us Residential Mechanical Authorization To Begin Work 69600-BMC-10-00021 Approval Code: 00755C 2/3/2010 3:44 pm E-mailedTo:service@emeraldpool.com -~'! I 0 New Construction IRJ Addition/alteration/replacement .>.",~("t<AtEGO~y'{QFJ:ONSjf~Li.CTlo~~i; I [R] 1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory ~.3fJOB S"TE-INf;ORMAtloNiANIYT:OCATIO'N1~~~"'~::~ Job Address: 3247 HAYDEN BRIDGE RD I Description CitylState/ZIP: SPRINGFIELD, OR 97477 I Sultelbldg.lapt.no.: , Project Name: Carlson I Cmss SUeeVdi,ec!ions !o job site: I Tax map/parcel no.: 1702193100405 . I First Appliance Fee IMec/lanj~~faeJ:6i!rF:e;s:~:;:X'~~:~F; i:;.:.~.}.':~ I Subtotal I Slate surcharge (12% of permit total) I Technology fee (5% of permit total) I TOTAL PERMIT FEE $79,00 "'\'1-:" $79,00 $9.48 $3.95 $92.43 C"l D- I Ltls ~ LjL{ "D Installation of Gas Stove Insert I Name: john Canson I Phone: 541-726-0651 I Email: Fax: 541-688-4572 I NUlllit: CCBlle, no.: 11294 ',.. I fillS ~~7~[iiaEP!p.ElrllIEVmR~ Business Nam'h~~ 5fl!iR!' ~Ntf '" tinT I Contact COMMENCED OR 1$ ABANDONED fOR I Add,m 188~)4'^V8@9IMY PERIOD. , City/State/ZIP: EUGENE, OR 97402-1694 I Phone: 5416881090 I Email: I Metro lie. no.: Fax: ~'."', AftENYION: Oregon'lawftlQU!rel~ tDI\CIIW ......Idoptect.by the Oregon UIIIIW NuUfIOdOn CeftteI. !l'h0l8 ruIeIarel8l todb ~ 0AR8&2-GOtoOO101luOU9h OAR~ OQSO. _lIlllf obt8Ift . ".'" of the ruIeI'llf tIIIInO..... '~: the::::' ...lr==~ City lie. no.: -l~ #</h~ '"' ~w ,,~- Q'V \0 &: tfJ~Q-- ~ UpQn review and approval by your local jurisdlc!lon, your perm!. will be e-malJed or faxed within one businesa 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 tocal building department may determine that an Authorization To Begin Work Is nWI void Ifit does not meet apptlcabie land use laws and locatordinances. Inspections Phone: 541-726-3769 This Authorization To Begin Work must be posted at the job site until replaced bya:Permit 'O:~-<'_ ,_~RI...g,relfi:',,~J' , 1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00146 ISSUED: 02/04/2010 APPLIED: 02/03/2010 EXPIRES: 08/04/2010. VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 3247 HAYDEN BRIDGE RD ASSESSOR'S PARCEL NO.: 1702193100405 Springfield TYPE OF WORK: Mechanical Only TYPE OF USE: New PROJECT DESCRIPTION: Installation of gas stove insert in residence. Residential ' Owner: CARLSON JOHN H Address: 3247 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Phone Number: 541-726-0651 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 BUILDING INFORMATION I Expiration Date 10/23/2011 Phone 541-688-1090 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structnre Type of Heat: 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: n/a I DEVELOPMENT INFORMATION ~ -~-REQUlRE'j)"P'ARKING Frontyard Setback: O.v~rlay Dist: Total: Side 1 Setbac~OTICE. '. ',,#Street Trees Rqd: Handicapped: Side 2 Setbac .' ~_ive Rqd: AnEN110N: Oregoarlsnt>Mulree yau to Reary:lrd Set !l:~ PERMIT SHAll EXPIRE IF TH Coverage: follow rules adopted by the Oregon UtIlity Solar SetbackWTHORIZED UNDER THIS PERM NotIlIcatlonCenter. Thoserule8Brell8lfortll ~9MMHJ~,;r Q~ ~~ _"lR^Ngg~":" IC'JP t: g~ 952~1..M1nthtftt~ O~ll52.(1()1. ANY 180 DAY PERIOD. I PUBLIC IMPROVEMENTS I 0090, You may obtain co~ oftellh8 ~ by , '. nuOlJlllflg ~ :ii:.;,Or" , 'eg(NonolUt8'lltIl8lty N~r=,:' Street Improvements: wMltiflUl'1OV' UUINIIUUII Storm Sewer Available: , Dow,Qp9fRI/l9rlil!P.O-332-2344). Special Instruction: . ~.~....~ Notes: 1 Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of2 i .,il'~" ',~: <~ . ~.~:.y '::-.l' Status Issued 225 Fifth Street, Springfield, OR 54]-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . ."., ..... Total Value of Project Fee. Paid I Fee Description + 12% State Surcharge + 5% Technology Fee ]st Appliance Amount Paid $9.48 , $3.95 $79.00 Total Amount Paid $92 43 '.,,; " . ~':";; ":', Plan Reviews I Date Paid 2/4/10 2/4/]0 2/4/]0 CITY OF SPRINGl'lELD Building/Combination Permit PERMIT NO: COM20IO~00146 ISSUED: 02/04/2010 APPLIED: 02/03/2010 EXPIRES: 08/04/2010 VALUE: Receipt Number 1201000000000000101 1201000000000000]0] 1201000000000000]0] To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be .nade the same working day, inspections requested after 7:00 a.m. will be made the following work day. I R.eOl!ir~d I,,~oec~j~~~ I Final Mechanical: When all mechanical work is complete: 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] further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws ofthe 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 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 tli~.'proj.,,+ty, and the approved set of plans will remain on the site at all times during construction. " ., Owner or Contractors Signature Paee 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2010-00146 COM2010-00146 COM20 I 0-00146 Payments: Type of Payment ONLINE CHGS cReceintl RECEIPT #: Description I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 1201000000000000101 City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/04/2010 Item Total: Check Number Authorization Rec~~ived By. Batch Number Number How Received KR . '- .-". \....,.::l' ,~, ' Page I of I ONLINE EMERALD Online SWlMMIN G POOLS Payment Total: 9:42:03AM Amount Due 79,00 9.48 3.95 $92.43 Amount Paid $92.43 $92.43 2(4120 I 0