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