HomeMy WebLinkAboutPermit Mechanical 2010-3-12
City Of Springfield
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Email: permitcenter@ci.springfleld.or.us
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Residential Mechanical Authorization To Begin Work
69600-BMC-10-00048
Approval Code: 074646 3/12/2010 8:36 am
E-mailedTo:deanne@midgleys.com
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D New Construction
[R] Addition/alteration/replacement
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,-- . ,,:i"'CATEGORy'OF'CONSTRUCTlON ~
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[Z) 1 or 2 family dwelling
o Multi-family 0 Commercial
D Accessory
". .. _' . JOB SITEIINFORMA TIO;'I AND LOCATION " ' Y' -,:- '- I
Job Address: 2118 FIRTH AVE
City/State/ZIP: SPRINGFIELD, OR 97477
Suite/bldg.lapt.no.:
Project Name: Don Johnson
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Cross Street/directions to job site:
Tax map/parcel no.:
1703251205800
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Install wood stove and venting
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Name: Don Johnson
Phone: 541.746.7769
Fax:
Email:
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'COt>JTRAqOR' ,
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CCB Iic. no.: 161946
Business Name: THERMAL RESOURCES INC
Contact:
Address: 1678 W 7TH AV
City/State/ZIP: EUGENE, OR 97402
Phone: 5413431131
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Fax: 5416875979
Email: mike@midgleys.com
Metro lic. no.:
City Iic. 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 detennine 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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Description
MiJlirih.iITlF~e{}" ',.
First Appliance Fee
Mechanical,PerniifFees':
Subtotal
State surcharge (12% of permit
total
Technology fee (5% of permitlotal)
TOTAL PERMIT FEE
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$79.00
$9.48
$3.95
$92.43
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Inspections Phone: 541-726-3769
This Auth~rization To Begin Work must be posted at the job site until replaced by a Permit
CITY OF SPRINGFIELD
Building/Combination Permit
Status
Issued
PERMIT NO: COM2010-00311
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/12/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 2118 FIRTH AVE
ASSESSOR'S PARCEL NO.: 1703251205800
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install woodstove and venting
Owner:
Address:
JOHNSON DONALD T & RUTH E
2118 FIRTH AVE
SPRINGFIELD OR 97477
I CON'FRACTOR INFORMATION ,
Contractor Type
Mechanical
Contractor License
THERMAL RESOURCES INC 161946
BUILDING INFORMATION ~
Expiration Date
10/2912010
Phone
541-343-1131
# 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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION ,
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 PUBLICIMPROVEMENTS ~
Street Improvements: Sidewalk Type:
. 10
Storm Sewer Available: ,. rOQuires 'IOU -rl DownspoutslDrains:
Speciallnst"!uctiOli:rB<:,,0t1 ;2'~\\6 Oregon \JIll \ X\1
ATrr:N t, . J, ~'. _\~ ~i\30 O'j ,{8 set 0
N t''''.'cw n:'B5 ,""';0(' T"05e ruleos ~R 952"OO~' "OnCE:
o es. " ~~ Celio l"rough"" \ 5 b'l
\{()l\'~~~~,;,:;..oO~"OO~O.. ~~ 'es oU\18IU e -IS PERMIT SHALL EXPIRE IF
III ~(; 'IoU may u'i'''tNole'. I e lilice1l1U" . It NDER THIS PERMIT IS NOT
OO~ailirig 1\18 Gelil~;egoli \Jlili\\} N~). I Valuation Description l:ED OR IS ABANDONED FOR
umbel lor 1\18. ~..800.332.234 . ". 'V PERIOD
n . cenler 15 . $ Per Sq Ft Square Footage .
DescnptlOn Type of ConstructIOn or multiplier ,; or Bid Amount Value Date Calculated
Paee 1 of 2
Status
Issued
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00311
ISSUED: 03/12/2010
APPLIED: 03/12/2010
EXPIRES: 09/12/2010
VALUE:
. ."j
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I .
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
3/12/10
3/12110
3/12110
2201000000000000237
2201000000000000237
2201000000000000237
Total Amount Paid
$92.43
Plan Reviews ~
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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 Insnections .
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 certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springlield 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 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.
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Owner or Contractors Signature
Date
Paee 2 of 2
" it
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
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RECEIPT #: 2201000000000000237 Date: 03/12/2010 9:22:07 AM
Job/Journal Number Description .. Amount Due
COM2010-00311 I st Appliance 79.00
COM20 I 0-00311 + 12% State Surcharge 9.48
COM2010-00311 + 5% Technology Fee 3.95
Item Total: $92.43
Payments: Check Number Authorization
Type of Payment Paid By Received By Batch Number Number How Received Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS n3m ONLINE thennal In Person $92.43
Payment Total: $92.43
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