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Home My WebLink AboutPermit Mechanical 2007-9-19 ~; 0..' ,J .~1 ~. C,\$' u .~~:! l' 0..4: n """1' ~.." ~,~ ~< 0\ ., ...-I.; ~: U (1):. n.l r./"J; ~: k~ 'h"~} ~., ~: Cl.). 00 ~1 ~: ................ 0). ;:> Q: l_:~) r"".. . ~".J1 ,~.,,,,,.,.. ....,. "V Of 0..."" , >.": ~ SPrr:l1~NGg::JEiLO 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 · FAX: (541)726-3689 City Job Number Job Location: CoW/( ZOO 7 - 0 /L( Z <I ::l.53tJ 0 ({ 0 s T I ?l> J 2 4lf.. L( Tax Lot: oz:,OOeJ Assessor's Map: ........... ,IJiO.~. .oII.lh..oii;Ili...IIlIllI.J.' ,;I~l&I"IiIilI~II.' ,..,1111 Illl .... ,I'~ ...I..I....Ii!. 111Ii_.I.~;,.1IiI1iI1 11,.' ..., 1.~ilO.....ii_".. 1..1IIIU"...LlI.......... 1.,_ . :a;;.I".............l.. II.~I II lid Owner: 0 t:.l.lr_ t:. ( >" ) /~. Address: <2:s W ~/) . c:; f City: ~ C:;p .1Lt/ v State: CJr, Phone: 72/&-<7 ~3g . Zip: 77l/7'/ Preliminary Inspection for wood burning inserts is $61.50 (prior to insert). Wood Stove/Pellet/Insert Permit is $71.50 (includes applicable fees and surcharges). . ""_,~,_,".".,.,,, ,".~.,...."~_,,_~~.,, ,..1'''''''' ~~. ,...., ........., ....,-..... ~ ..... .,.,~",'.,.,""..." -"., '"".....,..., ,_. ",. ,.. ,....~ Contractor Information Contractor: fJr1-t 06-S5?t1cn P r /t1..<.. YY1C, Address: ;2 7 ~7 /J /1/ IY) . c J:t:i I L City: <;oflcI - / State: (jr v - Construction Contractor's Registration #: J zIti & 7. Phone: 72?- 5 7;;;S, Zip: 0")1/ ? ') Expires: .'_ .,._~...".....,_-wo...._...~..,~..""'.1,~".",,,_~"_'''',..lLl.lll.~''''~.'l_l~,..........-.....".iL_."..""'_...._....J.._,IilI__.L.IWlIIIII"'..,"..,.~~.lI..u -.....lIlJ..........oIJ"~,,,..~"...-. _",.....lliil....Ioi.l.~, .._J 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~'th the Wood Stove Safety information for wood burning appliances and prelimin~~ n standards as set by the Oregon Department of Environmental Qualitm~t ~cNff\s \,\0 Environmental Protection Agency and I agree to ll~l.the t~~ i:~'fi.lb8\~ the inspector at the time of inspection. I also undeTtiMn~:t ~~.~~~ ~~1mnary inspection, the wall covering may be required to\lM~~ ~ U ~ \~ (>..Y>~ ~~\~~t.\'\Ct.\) ~t.\\\O~. ~ ~'I>\)\l~ Date Signature: 7--/'7~~ l~".~ Date of Application, 7'1 'i ~ "7 / C--- Checked for Delinquencies: FOR OmCE USE requtres you .t~ ~ENT\ON~ Oregon \a~he Oregon Ut\\I\V ~\i?~ f~~~Sc~~~~:.e~:Jse ru~e~~~ :~~~g~~ t1S~~9152.001-UCJ1otRr9U.C Hhe ru\es by \n OAR bta\n COpies 0 h Oe Checked for Hist~~tY<<DM: ~~te: the te\~t:! o. ca\\\ng the h Or'egon Uti\ity Nobhcation number tor t e. 1_800-332-2344). center'S Shared Drive(T:)/Building Fonns/Wood Stove Pennit 7-07.doc CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01424 ISSUED: 09/19/2007 APPLIED: 09/19/2007 EXPIRES: 03/19/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2330 OTTO ST ASSESSOR'S PARCEL NO.: 1703244402000 Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: Install wood stove TYPE OF USE: New Residential Owner: DA VID GREUFE Address: 2330 OTTO ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: R-3 Height of Structure: . Type of Heat: U \0 VB wateretes '/O\j\\\\W . Oteg~~ e~egon e\ \ot\n ~'n:,N\\O~' dO?\~'f~ ~h:a.te \2-QQ~. ~I\O~ tU\eS a: .....tet. S'~lJ(..dWIiIfIi\~!!:u\es '0'/ n/a '01 \'~..... cep . _.1'\ thtOUlJ' ':nhe '.;- ~0~~R95~P~~itl~~~~romN I \~Q9Q:\,~~~ne cen\e ;e~on ~~~~i~~~)' Ca.\ 'Det 'ot \ne .~~eiD'r'I'TIst: nUf{\ cen\et 'J Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-746-9638 Expiration Date 03/27/2009 Phone 541- 726-5723 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: NOTICE: D\,~~p'Q ts!llr~' ~ THIS PERMIT SHALL t:^t'I~t: It d!fr: WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR .'\rlY 1~? ['.~v DJ:Rlnn I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pa!!:e 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 + 5% Technology Fee + 8% State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01424 ISSUED: 09/19/2007 APPLIED: 09/19/2007 EXPIRES: 03/19/2008 VALUE: Total Value of Project L-Fees Paid. Amount Paid Date Paid Receipt Number $20.00 9/19/07 1200700000000001210 $5.00 9/19/07 1200700000000001210 $2.50 9/19/07 1200700000000001210 $4.00 9/19/07 1200700000000001210 $17.00 9/19/07 1200700000000001210 $33.00 9/19/07 1200700000000001210 $81.50 I Plan Reviews I 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. Wood Stove: After Installation. 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 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. 1Jf~/~fl 9-/7-07 Owner or Contractors Signature Date Pae:e 2 of2 225 Fifth. Street . ' Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01424 COM2007-01424 COM2007-01424 COM2007-01424 COM2007-01424 COM2007-01424 Payments: Type of Payment CreditCard cReceint I City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000001210 Date: 09/19/2007 9:02:26AM Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Amount Due 33.00 17.00 20.00 2.50 4.00 5.00 $81.50 Paid By MATTHEW CLEMENT Item Total: Check Number Authorization Received By Batch Number Number How Received djb 005 I 28 In Person Payment Total: $81.50 $81.50 Amount Paid Page 1 of 1 9/1,9/2007