HomeMy WebLinkAboutPermit Electrical 2007-8-7
Status
Issued
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: cOM2007-01162
ISSUED: 08/07/2007
APPLIED: 08/07/2007
EXPIRES: 02/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1022 T ST
ASSESSOR'S PARCEL NO.: 1703261401323
Springfield
TYPE OF WORK: Electrical Work Only
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install gas insert, gas piping and liner
Owner: WILSON RANDY RAY & SANDRA D
Address: 1022 T ST
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
I..!..UlLDING ll'<jt<uRMATION 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 Garage/Carport
Sq Ft Other:
Occupant Load:
n/a
I DEVELOPMENT INFORMATION'
Frontyard Setback:
Side 1 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: ATTESiFtffl'f.lbT~p.e:
fol/ow CilIA!:: ~ gOn law requires yo t
Storm Sew~ff"1YI~)Jable: Notifical/8~sp?rut'fSmrl\'ip~he Oregon U u. ,0
Special InstruUction!E: in OAR 952_genter. Those rules are set tlllty
THIS PERMIT SHA 0090. You m~1-001? through OAR 952_~C;th
Notes: AUTHORIZED UND5L EXPIRE IF THE WORK calling the c~n~btam copies ofthe rules b1-
connnnc\/"r-O J - R THIS P1=RAAfT If': i '"1 nUmhAr f-:, 'I-: _ :r. . (Note: the tplt:lnh~n. y
ANY 180 DAY PE~;~~BANDONW~i~;i~n Description , Cent~~js 1 ~~OuO~3~~~%~:ihcati~~
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
'.
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2007-01162
ISSUED: 08/07/2007
APPLIED: 08/07/2007
EXPIRES: 02/07/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paidi'll
Fee Description
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
Fireplace (Listed)
Gas Outlets 1-4
Minimum/Adjustment Mechanical
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$2.50
$4.00
$17.00
$5.00
$28.00
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
8/7/07
3200700000000000536
3200700000000000536
3200700000000000536
3200700000000000536
3200700000000000536
3200700000000000536
3200700000000000536
Total Amount Paid
$81.50
I Plan Reviews ~
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 Insoections I
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 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 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
Pa2e 2 of 2
City of Springfield
Mechanical Authorization To Begin Work
E-maiIedTo:deanne@midgleys.com
Receipt # EC515110
8/7/2007 11 :54:52 AM
Check on status of permit
By Phone: (541)726-3753 or EmaiI: permitcenter@ci.springfield.or.us
D New construction
[K] Addition/alteration/replacement
I Furnace- up to 100,000 BTU
I Furnace - above 100,000 BTU
I Electric Furnace
I Duct alterations and additions
I Gas heater units/ in-wall, in-
duct, suspended, etc/
I Vent, flue, liner for above
I Air Conditioner
I Heat Pump
I Air Handler
I
I
I
I
I
$15.001
[i] 1 or 2 family dwelling
D Multi-family
D Accessory Building
Job no.: 17869 IJObaddress: 1022 TST
I City/State/ZIP: SPRINGFIELD, OR 97477-2342
I Suite/bldg.lapt.no.:
I Project name: Sandy Wilson
Cross street/directions to job site: OR 126, Exit toward Pioneer Parkway E, right on
Q, left on 10th, right on T Street
Install gas insert, gas piping and liner
Water heater
I Gas fireplace/insert/stove
Gas log/ log lighter
Gas clothes dryer
I Gas stove/range
Pool or spa heater, kiln
Wood/pellet stove/insert
I Wood fireplace
Chimney/liner/flue/vent w/o
$15.00
I Subdivision: I Lot no.:
Tax map/parcel no.: 1703261401323
I Name: Sandy Wilson
Phone: (541) 746-7899
Email:
I Fax:
Range hood
I Clothes dryer exhaust
Single-duct exhaust (bathrooms,
toilet compartments, utility
rooms)
Attic/crawlspace fans
CCB lie. no.: 161946
I Business Name: THERMAL RESOURCES INC
I Contact: Deanne Barger
IAddress: 1678 W 7TH AVENUE
I City/State/ZIP: EUGENE, OR 97402
I Phone: (541 )3431131 I Fax: (541 )6875979
I Email: deanne@midgleys.com
I Metro lie. no.: I City lie. no,:
I upto first 4 outlets(enter Qty=1)
I each additional outlet
II
I
$5001
I
$500
NOTE: This Authorization To Begin Work expires within 180
days if a permit is not obtained.
Subtotal I $20.00 J
I Minimum fee used instead of Subtotal i $50.001
I State Surcharge (8% of permit fee) I $4.00 I
I City Of Springfield fees * I $27.50 I
I TOTAL PERMIT FEE I $81.50 I
. 2:;, E' f Sr- ...of.t-Jj I::. :"o_~1. .";...:.. ~ O~, j;v :..v~~, .~~.,.l. Jogy Fee;
C\)U~uance Fee ~ CJ't), _ 0 \ l (n ;..." .
RCPT#' ~2..(j'1)" - 53(,
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.
The local 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.
DATE PROCESSED: X- - rn - b'
PROCESSEDBY:'~\ YV\ .
This Authorization To Begin Work must be posted at the job site until rePlace~Ja Permit.
225 Fin... Street
"
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2007-01162
COM2007-01162
COM2007-01162
COM2007-01162
COM2007-01162
COM2007-01162
COM2007-01162
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
3200700000000000536
Date: 08/07/2007
Description
Gas Outlets 1-4
Fireplace (Listed)
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
ONLINE PERMIT CHGS
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
NJM
ONLINE THERMAL Online
Payment Total:
Page 1 of I
1 :58:23PM
Amount Due
5,00
17,00
28.00
20.00
2,50
4.00
5,00
$81.50
Amount Paid
$81,50
$81.50
8/7/2007