HomeMy WebLinkAboutPermit Building 2007-11-8
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SCANt!ED
_ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2007-01659
ISSUED: 11108/2007
APPLIED: 11108/2007
EXPIRES: 05/08/2008
VALUE:
Status
Issued
SITE ADDRESS: 1055 DARLENE AVE
ASSESSOR'S PARCEL NO,: 1703272203600
Springfield
TYPE OF WORK: Wood Stove
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Install wood stove and chimney with liner
Owner: BARNES GARY D JR & CHEA
Address: 1055 DARLENE AVE
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
THERMAL RESOURCES INC
License
161946
Expiration Date
10/29/2008
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 Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
nla
I DEVELOPMENT INFORMATION I
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
Total: '
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspoutsffirains:
Special m~!.J: Oregon law'requlres you to
follow rules adopted by the Oregon Utility
NotesNotification Center, Those rules are set forth
In. ~!lB 952-001-0010 through OAB 952-001. '1:' ...._
X......... IVU IIlay VUlalllliUfJleti Ullne r'.':-: :~. t.., T~,::,....
calling the center, . (Not,e:,the teler+Vliluation DescriDtioJffs PERMIT SHALL EXPIRE IF T
number for the, Oregcll dhl"\' ~j,)tI:."__,.v" Mu'rHORIZED UNDE HE WORK
Center IS 1-80J-30_ 2.::4,), $ Per S Ft S uaA'1>nntmoe R THIS PERMIT~S OT
Description Tvpe of Construction It,ql' q B;~:ill.,T;rL9t~ CEO OR '~I@ANDONE..oat aTculated
or mu .p ler or '"lnmYMB DAY PERIOD, ITr
Pa~e I of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
MinimumlAdjustment Mechanical
Wood Stovellnsert
Total Amount Paid
.
Total Value of Project
Fpp~ Pai&J
Amount Paid
Date Paid
-=ITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2007-01659
ISSUED: 11108/2007
APPLIED: 11108/2007
EXPIRES: 05/08/2008
VALUE:
Receipt Number
1200700000000001382
1200700000000001382
1200700000000001382
1200700000000001382
, 120070000000000\382
1200700000000001382
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be ~ade the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Wood Stove: After Installation,
$20,00
$5,00
$2,50
$4,00
$17,00
$33,00
1118/07
11/8107
1118/07
11/8107
11/8/07
1118/07
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 Springfield 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 frout of the property, and the approved set of plans will remain on the site at all
times during construction.
Owner or Contractors Signature
$81.50
I Plan Reviews I
Pa~e 2 of2
Date
C.ity of Springfield
. '
Mechanical Authorization To Begin work.
E-mailedTo:deanne@midgleys.com
Receipt # EC520249
11/812007 1 :38:58 PM
~
Check on status of permit
By Phone: (541)726-3753 or Email: permitcenter@ci.springlield.or.us
TYPE OF WORK
II
II Description
IlIeating/cooling appliances
I I Furnace- up to 100,000 BTU
11 Furnace - above 100,000 BTU
" 'II Electric Furnace
I I Duct alterations and additions
I Gas heater unitsl in-\WIl, in-
I duel susoended, elcl
I I Vent, flue, liner for above
I I Air Conditioner
I f1eal Pump
I Air Handler
Olh'er fuel burning appliances
FEE SCHEDULE
I Qty, I
Ea,
Total
D New construction
o Additionlalterationfreplacement
CATEGORY OF CONSTRUCTION
IlK] I or 2 family dwelling 0 Multi-family 0 Accessory Building
I' JOB SITE INFORMATION AND LOCATION'
lJob no.: 20284 IJob address: 1055 DARLENE AVE
ICUylStalelZlP: SPRINGFIELD, OR 97477-1947
I Suitelbldg./apl.no.:
I Project name: Gary Barnes
Cross streetldlrecllons to job slle:
I Subdivision:
ITu map/parcel no.:
ILoI no,:
Water heater
Gas fireplace/insert/stove
Gas log/log lighter
Gas c10lhesdryer
Gas stove/range
Pool or spa heater. kiln
Wood/pellet Slovelinsen
Wood fireplace
Chimneyninerlfluelvenl wlo
apoliance
Envlronmentul exhaust AJ"lD ventilation
Range hood
Clothes dryer exhaust
Single-duct exhaust (bathrooms.
toilet companments. utility
rooms)
Attic/crawlspace fans
Fuel piping
upto first 4 outlets(enter Qty=I)
each additional oullet
$33,00
$33,00
1703272203600
DESCRIPTION OF WORK
Install wood stove and chimney with liner
SITE CONTACT
I Name: Gary Barnes
I Phone: (541)517-2358
I Emall:
I
I Fax:
CONTRACTOR
ICCD lie. no.: 161946
j Dusln~ Name: THERMAL RESOURCES INC
I Contact: Deanne Barger
IAddress: 1678 W 7TH AVENUE
CUy/Sta'elZIP: EUGENE, OR 97402
I Phone: (541 )3431131 I FR>: (541 )6875979
I Email: deanne@midgleys.com
I Metro lie. no.: I City lie. no.:
MECHANICAL PERMIT FEES
Upon review and approval by your local Jurisdiction, your
permit will be e-malled or faxed within one business day,
with Inatructlons on how to 8chedule your Inspection.
I
I
I
I
. City Of Springfield
$10 Issuance Fee
Subtotal $33.00
Minimum fee used instead ofSuhtotal $50.00
State Surchante {8% of~nnit feel $4.00
Ci~ Of SprinlJfield fees' $27.50
TOTAL PERMIT FEE _ $81.50
10% Local Admin Fee; 5% Local T~hnology Fee;
NOTE: This Authorization To Begin Work expires within 180
daya If a pennlt la not obtained.
The local building department may detennlne that an
Authorization To Begin Work Is null and void if It does not
meet applicable land use laws and local ordinances.
This Authorization To Begin Work must be posted at the job site until replaced by a Permit.
225 FiftbStreet
Spri!!gfield, Oregon 97477
541-726-3759 Pbone
. L:"~
Ilk,
C~ Springfield Official Receipt
DiW'opment Services Department
Public Works Department
RECEIPT #:
1200700000000001382
Date: 11/08/2007
2:23:S7PM
Job/Journal Number
COM2007-01659
COM2007-0 1659
COM2007-0 1659
COM2007-0 1659
COM2007-0 1659
COM2007-0 1659
Description
Wood Stovellnserl
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
33,00
17,00
20,00
2,50
4,00
5,00
$81.50
Payments:
Type of Payment
Amount Paid
ONLINE CHGS ONLINE PERMIT CHGS
ddk
ONLINE THERMAL Online
RESOURCE
S INC,
$81.50
Payment Total:
$81.50
cReceinl1
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