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HomeMy WebLinkAboutPermit Correspondence 2006-1-13 . \ "AS' :;'1 January 13, 2006 John and Michele Campbell 6769 Bluebelle Court Springfield, Oregon 97478 225 FIFTH STREET . SPRINGFIELD, OR 97477 (541) 726-3753 FAX (541) 726-3689 www.ci.springfield.or.us Enclosed is a copy of the revised mechanical permit for the installation of a pellet insert at 6769 Bluebelle Court, Springfield, Oregon. When you or your contractor obtained your permits, we neglected to properly complete the permit. I have added your phone number on th,e revised permit. I am enclosing a copy for you to keep for your records. Thank you, and if you have any questions, please feel free to phone me at 726-3790. Si~cerely, W' b . ()v. Lisa Hopper Building Safety Supervisor CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-00047 ISSUED: 01112/2006 APPLIED: 01112/2006 EXPIRES: 07/12/2006 ,VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6769 BLUEBELLE CT ASSESSOR'S PARCEL NO.: 1702344400806 Springfield TYPE OF WORK: Pellet Stove PROJECT DESCRIPTION: Pellet Insert TYPE OF USE: New Residential Owner: CAMPBELL JOHN M & MICHELE A Address: 6769 BLlJEBELLE CRT SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type Water Type: Secondary Construction Type: Range Type: ,# of BedrQolJIs: 1" , , . tEnergy Path: AI I t:N ION:Uregon law requires yo~ 5~ rinkled Buildin : n/a follow rules adooted bv the Oreaon Utlll!'J> g Notification Center. Those rules or ~Ef,rOO>MENT INFORMATION I in OAR 952.001-0010 through OAF I voJ' VV I 0099, ~u may obtain copies of the rules b~ . F~ontya8a~1 ~~ center. (Note: the telephone Overlay Dlst: SIde 1 Setba.c . f th 0 Ut'J'ty N t'f' t' '# Street Trees Rqd: S'd 2 numoer or e regon II 0 I lea Ion d D' R d' I e :s'emaCK.. ) -Yave rive q. Rearyard Setb~llrter IS 1-800-332.2344 . % of Lot Coverage: Solar Setbacks: Phone Number: 541-746-3756 Expiration Date 12/2312009 Phone 541-747-7445 Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: NOTlGE: I PUBLIC IMPROVEMENTS I THIS PERMIT SHALL EXPIRE IF THE WORK Sidewalk Type: AUTHORIZED UNDER THIS PERMIT IS NOT Downspouts/Drains: COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Paee 1 of2 Value Date Calculated 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 + 8% State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00047 ISSUED: 01/12/2006 APPLIED: 01/12/2006 EXPIRES: 07/12/2006 VALUE: Total Value of Project . L Fees Paid-t Amount Paid Date Paid Receipt Number $10.00 1/12/06 2200600000000000061 $4.50 1/12/06 2200600000000000061 $3.60 1/12/06 2200600000000000061 $15.00 1/12/06 2200600000000000061 $30.00 1/12/06 2200600000000000061 $63.10 I Plan Reviews _I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Pellet Insert: After installation L Reouired Insoections I 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 proje,ct. 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 Pa~e 2 of2 - " Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2006-00047 ISSUED: 01/12/2006 APPLIED: 01/12/2006 EXPIRES: 07/12/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 'J 541-726-3676 Fax 541-726-3769 Inspection Line .. SITE ADDRESS: 6769 BLUE BELLE CT :; ASSESSOR'S PARCEL NO.: 1702344400806 ; PROJECT DESCRIPTION: Pellet Insert Springfield _TYPKOF\jWOORK: Pellet Stove t ' , : lvl: regon law requires you 0 . TWEloF'b~IP:ted ~~Jhe Oregon Uti'ii~sidential "-'::- ation Center. Those ru les are set forth I. CJ IR 952-001--0010 through OAR 952-001- Owner: Address: CAMPBELL JOHN M & MICHELE A 6769 BLUE BELLE CRT SPRINGFIELD OR 97478 VV-:JV. IVU IIIUY VlJlUll' "VI-'I";~VI '. It;;;" IUlc;..:> uy calling the center. (~~~(j , , -~lone number for the Oreg~I~~1 otification Center is 1-800-332-2344). .I I CONTRACTOR INFORMATION. , Contractor Type , Mechanical Contractor MARSHALLS INC License 25790 Expiration Date 12/23/2009 Phone 541-747-7445 I BUILDING INFORMATION. # of Units: " Primary Occupancy Group: ,~. Secondary Occupancy Group: Primary Construction Type . Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: rJOlICE: Sq Ft 2nd Floor: Water Type: THIS PERMIT SH Sq..Ft Basement: Range Type: AUTH ,ALsq:iiPfflJr~ie~~RK Energy Path: ORIZED UNDESqT11I"~flMIT;S ' Sprinkled Buildinc.9MMENCIi.G OR IS0\'8Jl.M9DJvcroti=ORNOT ifNy 1 Rn f"W .n[nlO~. I DEVELOPMENT INFORMATION. REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: \ Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: , Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: .: Storm Sewer Available: , Special Instruction: Sidewalk Type: " Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pai!e 1 of2 ~ , Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2006-00047 ISSUED: 01/12/2006 APPLIED: 01/12/2006 EXPIRES: 07/12/2006 VALUE: 225 Fifth Street, Springfield, OR . 541-726-3753 Phone 541-726-3676 Fax , 541-726-3769 Inspection Line Total Value of Project L Fees Paid I $10.00 $4.50 $3.60 $15.00 $30.00 1/12/06 1/12/06 1/12/06 1/12/06 1/12/06 Receipt Number 2200600000000000061 2200600000000000061 2200600000000000061 2200600000000000061 2200600000000000061 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 8% State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Amount Paid Date Paid Total Amount Paid $63.10 I Plan Reviews I '~ To Request an inspection call the 24 hour recording at 726-3769. All inspection 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. Required Insoections I Pellet Insert: 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 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. ~~ ~~~~~ 1-/~~Ob Owner or Contractors Signature Date Paee 2 of 2 it f 10"d ltllOl "., ~ ~, ~ .!.;-~ ~ -~ Q; -._" I.:~.__u..,.,...r,i t'f'!'",< ' ~; ~. <"~i.' , C' ~." " .' " .t~t ~ ~ ~ ~"'"'''' ' . .. -.. -~. "..., ~ l,,~; ~,; ~, lit' ... ~if ~, ~,"< W: t,.....( ................ ~ ~ 7f.If1J ";,, ',r.t. ~~ Q Q; ~,- ~ T0/\:0 " d 225 FIfTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-8758 - FAX: (54 1)726-8689 ~""ooa~( City Job Number ' Job Location: ( QU.9 fjl ~ 1 ~ ~_+ Assessor's Map: l., a...:l 3 l..( ~ '-t 0 9Qep Tax Lot: ~ ()O l t 0 {- \ j n ,1\0 ^ 4- ~ Owner. l:'v\i.r -t r ~0.A -lili / I Address: ( 0 1 CD l1 5.Ti. 1 (b1, L J C+-. Phone: City: ~p ri f1 f1 State: (') If "1 tiLe " ~1 Slp Zip: .9.Jili ~ Preliminary INpection is $4 5.00 (prior to insert) Wood Stove/PeUet/lrlSert Permit is $62.65 (includes Pennit,lsswmoe Fee, State Surcharge and Administrative Fee). Contractor Information Contractor: mn... JS/)o. A l' [J "--J~,n r . . Addre:;s: U \ \ (~ C')ll-1 m p { r_:~. City: ~1"1 ri r'\O State: .J.)r( Construc~;J~ntractor'~ Registration #: ;:2 c""") I q LJ Phone: -, \.f ,. ILl Lj S Zip: ql 4.J ~ Ex.pires: By signing this permit/application, I agree to call for an inspection(s) as required (726-3769). I state that all information on this application/permit is correct and that I was provided with the Wood Stove Safety information for wood burning appliances and preliminary inspection standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency and I agree to provide the testing approval number to the inspector at the time of inspection. I also understand that if I am requesting a preliminary inspection, the wall covering may be required to be removed. ( Signatuz(~ ~ c)(!C/'r1IUJtr ";~~~~;~;~~i;~~;;;,:'i;~tj.i~pl~i{~~.~;_~ifi:':~<':;~,~+t;!;;~@0~J2;; ..." I-I:;'-O~ Date of Application: Checked for Delinquencies: Checked for Historical Status: Shared Drive(T:)lBuilding FormsIWood Stovc l'enait3-Q4-04.doc Tc80 T17L T17S "JNI SlltlHSeltlW 8~:0T 900c-cT-NtI[ 225;Fiftb Street 'rS~ringfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2006-00047 COM2006-00047 COM2006-00047 ,j COM2006-00047 COM2006-00047 Payments: Type of Payment Check rt): '...' if J :( ~ : :1 J. 'Y 'I, ',) ',l.J, :t :( " " , "(' .4 :1 1 ~ :~ ') 1/12/2006 ;\ RECEIPT #: '-';ty of Springfield Official Receipt ,velopment Services Department Public Works Department 2200600000000000061 Date: ()1I12/2006 Description Pellet StovelInsert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + 10% Administrative Fee Paid By MARSHALL'S INC. Received By njm Page I of I Item Total: Check Number Authorization Batch Number Number How Received 19054 In Person Payment Total: 2:28:01PM Amount Due \ 30.00 15.00 10.00 3.60 4.50, $63.10 . \ Amount Paid $63.10 $63.10