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Home My WebLink AboutPermit Mechanical 2010-2-11 City Of Springfield 225 Fifth St Springfi~ld, OR 97477 Phone: 541~726-3753 Email: permitcenter@ci.springfield.or.us D New Construction lRl Addition/alteration/replacement 1"';;~~;,]\?~'9';"~:mtC~;tg~9"RY,Qi;ic~riSJR1JC;f:IQN~~"1:ii!~~ 1Kl1 or 2 family dwelling 0 Multi-family 0 Commercial 0 Accessory lr;,1;!f~;\;:ftl~~i~~f~"j0B::sItElrN~~RM[i.i:jON?AN51~oc~'j:j0N~~e;~~r~ Job Address: 2524 35TH 5T City/State/ZIP: SPRINGFIELD, OR 97477 Sultelbldg.laptno.: Project Name: Steve Anderson Cross Street/directions to job site: Tax map/parcel no,: 1702194200500 Install gas insert, venting and gas piping Name: Steven Anderson Phone: 541--461-6967 Fax: Ernail: cee lie. no.: 161946 . Business Name: THERMAL RESOURCE:S INC Contact: J Address: 1678 W 7TH AV I City/StatefZIP: EUGENE,OR 97402 I Phone: 5413431 131 I Email: mike@midgteys.com , Metro lic. no:: I Fax: 5416875979 City Iic. no.: Upon review and approval by your loc<.ll jurisdiction. your pennit 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. Residential Mechanical Authorization To Begin Work 69600-BMC-10-00029 Approval Code: 048231 2/1.1/2010 4:58 pm .\~'? (JIG E-mailedTo:deanne@midgleys.com I Description I Gas Piping - first four I First Appliance Fee ,J' I $79.00 I IM~~,~.~~n^~~]iH~;rrffiitI~~~~~~~_~~I~~~rr~~~~~~1 I Subtotal $86.00 I 'State s'urcharge (12% of permit $10,321 total) I Technology fee (5% of permit total) $4.30 I I TOTAL PERMIT FEE $100,62 I The l<Jcal 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, ~ o..,\\) ~ \\):c COm2<J/O - aJ/~ /7 p" ;;JI; 02-// 6 \~.\D ,J}~~ ,\-~ Inspections Phone: 541-726-3769 This Authorization To Begin WorK must be posted afthe job site until replaced by a Permit , Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00193 ISSUED: 02/12/2010 APpLIED: 02/12/2010 EXPIRES: 08/12/2010 VALUE: 225 Fifth Street, Springtield, OR . 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line SITE ADDRESS: 2524 35TH ST ASSESSOR'S PARCEL NO.: 1702194200500 Springfield TYPE OF WORK: Mechanical Only TYPEOF USE: New Residential PROJECT DESCRIPTION: Install gas insert, venting and gas piping Owner: ANDERSON STEVEN L Address: 2524 35TH ST SPRINGFIELD OR 97477 ".... , CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor THERMAL RESOURCES INC License 161946 Expiration Date 10/29/2010 Phone 541-343-1131 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: Energy Path: Sprinkled Building: Lot Size: Sq F'-ht Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setba~k: Solar Setbacks: gv_erlay Dist: # Street T.rees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ AnENTlON: oreab'/f~~W~s y~,~.~ follow rules adOP1D~~~lSWjAHr.s:t ;~Jh N tiflcatlon Center. Those rules are se In oOAR 952..Q01..Q010 through OAR .952-001- 0090 You may obtain .copies of the rules by . . cal'llng the center. (Note: the tel~~ho~e .' '';; __ \.''"~....... II.'^+lfll"?tlnn I lll'G ,J. "'::J'" '. " THIS PERMIT SHALL EXPIRE IF ThI;JlVjJ~~ D . t'" ter is 1-800-332-2344). . . .4UTHORIZED UNDER THIS PERMI~lOn escrm lOll . . . . C;.oMMEN~D_Q[l)S Ap,ANDONED ~Qar Sq Ft Square Footage DescnPAllJ~ 180 llA'f'PtRitm.ructlOn or multiplier or Bid Amount Value Street Improvements: , Storm Sewer Available: Special Instruction: Notes: MnTr('!:. Date Calculated Pa~e I of 2 I,j,l .'; ...~j, ,,;' '~~",., .' CITY' OF SPRINGFIELD Building/Combination Permit PERMIt NO: COM2010-00193 ISSUED: 02/12/2010 APPLIED: 02/1212010 EXPIRES: '. 0811212010 VALUE: ,,-',', ," Status Issued 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 I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Gas Outlets 1-4. Amount Paid Date Paid $10.32 $4.30 $79,00 $7.00:.':::' .,.,;: -, 2/12/10 2/12/10 2/12/10 2/12/10 Receipt NU,mber 3201000000000000046 3201000000000000046 3201000000000000046 3201000000000000046 Total Amount Paid $100.62' ' '.. 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. Reou!.red In~n,ectio~,s , Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Final Gas: When all gas work is complete. By signature, 1 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:,certify that any and all work performed shaH- be done in accordance with the Ordinances of rhe City of Springfield and the La;;;~.ot.'the-State of Oregon pel"!aining to the w6rk descl'ibed herein, and that NO OCCUPANCY will be made of any structure without'permission of the Community Servi~es 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 Date Paee 2 01'2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM20 I 0-00 193 COM20 I 0-00 193 COM2010-00193 COM2010-00193 Payments: Type of Payment ONLINE CHGS cReceinll RECEIPT #: Description "Gas Outlets 1-4 I st Appliance + 12% State Surcharge + 5% Technology Fee Paid By ONLINE PERMIT CHGS 320100.0000000000046 City of Springfield Official Receipt Development Services Department Public Works Department Date: 02/12/2010 8:08:58AM Amount Due 7,00 79.00 1032 430 $100.62 Item Total: Check Number Authorization Received By Batch Number Number How Received NJM ""'~'~' "" .t" ,. . Page I of I Amount Paid ONLINE THERMAL Online RESOURCE S $100.62 Payment Total: $100,62 2/12/2010