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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 C iO /J/( Residential Mechanical Authorization To Begin Work 69600-BMC-10-00048 Approval Code: 074646 3/12/2010 8:36 am E-mailedTo:deanne@midgleys.com " ',~":......,,,_::.:. ,:".::"::.' VV~'.'..'" .".,:',..";: c".'" ,~ D New Construction [R] Addition/alteration/replacement .. ,: . ,-- . ,,:i"'CATEGORy'OF'CONSTRUCTlON ~ '- '" -" - [ ~ [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 ,r .' . . Cross Street/directions to job site: Tax map/parcel no.: 1703251205800 ':;.;;,:<':_:'_:j7'''~~ DElicRIj;;noNOF WORK"'+, . . . ,:':'j Install wood stove and venting ,. ,'." - .:: -':;'--:* '.:SITE'CONT,;.cT: . '. .r....'.- "',,1 Name: Don Johnson Phone: 541.746.7769 Fax: Email: .", ,.. /", 'COt>JTRAqOR' , ..' :'.,' CCB Iic. no.: 161946 Business Name: THERMAL RESOURCES INC Contact: Address: 1678 W 7TH AV City/State/ZIP: EUGENE, OR 97402 Phone: 5413431131 " 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. lamDl'D .- 0031 ( r\m '3......IL..../O Description MiJlirih.iITlF~e{}" ',. First Appliance Fee Mechanical,PerniifFees': Subtotal State surcharge (12% of permit total Technology fee (5% of permitlotal) TOTAL PERMIT FEE ~ ~\) 2J~ ~~ $79.00 $9.48 $3.95 $92.43 ~~~~~. \)Y" (}\." \Q~ 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 rrrr "F. 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 ~ 'I."}.~""";"':"')-;''''l.. 'I ~: c, ". r~; T " 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. :;,,~""-r;. ,..- .~"" , :: .d.':.'! ,...,. p. Owner or Contractors Signature Date Paee 2 of 2 " it 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone sn.~Q..!'J~..._.....~... .... Wirl' . ......~. : .,.... ' .., ..~......'."....,'..,..,...., .-.. "~ City of Springfield Official Receipt Development Services Department Public Works Department ':". 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 j'.'HJ'; , '1ft'! ff-I,I, ,1. ."tll '. ,;i'!rjf. .:. cReccintl Page I of I 3/1212010