HomeMy WebLinkAboutPermit Mechanical 2006-11-13
Status
Issued
~ITY OF SPRINGFIELD'
Building/Co'mbination Permit
PERMIT NO: COM2006-01448
ISSUED: 11/13/2006
APPLIED: 11/13/2006
EXPIRES: 05/13/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4538 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702324303901
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install wood burning insert
Owner: NA THAN HARRIS
Address: 4538 CAMELLIA ST
SPRINGFIELD OR 97478
Phone Number: 541-579-0892
Contractor Type
Mechanical
I CONTRACTOR INFORMATION I
Contractor N~~~~~li~ds~I~~j;F;~'p1rJ.ltion.Date Phone
GOOD DEAL METAL PRODUCTS I;N.<YAR 9:~~~1ie~ter. Th~:~8fi'6710~~~~};~~.~,'4"-736-9876
BUILDING INiORM~T-ION~I~'~bUUt 1,0 thrO~~h't:Jo's are seif~~,
-....,y rn am Co' AFt 95'2
nUmb e Cent PIes of -001
# of Stories: er fOr the er. (Nok,<~tt~~~: t~e rUles b
Height of Structure Cente . Oregon ~g'J~t ls@Rloorcme .
Type of Heat: rlS 1-800..3Sq FY2'\hlt~I~~r.:
'1':'-'>3' ". '''~l/On
Water Type: Sq Ft Ba~~ment:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building: n/a Occupant Load:
/Vn~""K'\._
II .,:.~.
I DEVELOPMENT INf~~A TION ,
AUTH IIVII r SHAL REQUIRED PARKING
Overlay D~MMORI2ED UNDE L EXPIRE IF re~al:
# Street Tf.f1fAt~<J.w..NCED OR I R THIS PERM'PHfnd\4jRlfd:
Paved Drive'Rq&!'O DAY PE S ABANDO tfot&>;ro=r
% of Lot Coverage: 1110D. NED FOR
R-3
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
VB
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
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
Page 1 of2
Status
Issued
:ITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2006-01448
ISSUED: 11/13/2006
APPLIED: 11/13/2006
EXPIRES: 05/13/2007
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
Fee Description
+ 10% Administrative Fee
+ 5% Technology Fee
+ 8% State Surcharge
, Inspection - Preliminary
Minimum/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Number
$4.50
$4.50
$3.60
$45.00
$15.00
$30.00
11/13/06
11/13/06
11/13/06
11/13/06
11/13/06
11/13/06
1200600000000001638
1200600000000001638
1200600000000001638
1200600000000001638
1200600000000001638
1200600000000001638
Total Amount Paid
$102.60
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.
I Reouired Insoections I
Wood Burning Insert: After installation.
Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing
chimney.
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
time Uringe=4~ /f/;3Iob
er or Coaactors Signature {j Date
Page 2 of2
225 Fifth Street
Springfie\d;Oregon 97477
541-72{)-3759 Phone
Citv ...f Springfield Official Receipt
Dt Jpment Services Department
Public Works Department
Job/Journal Number
CO M2006-0 1448
COM2006-0 1448
COM2006-01448
COM2006-0 1448
COM2006-0 1448
COM2006-0 1448
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
1200600000000001638
Date: 11/13/2006
Description
Wood Stove/Insert
Minimum/Adjustment Mechanical
Inspection - Preliminary
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
GOOD DEAL METAL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
510472 In Person
Payment Total:
Page I of 1
2:25:26PM
Amount Due
30.00
15,00
45.00
4.50
3.60
4,50
$102.60
Amount Paid
$102,60
$ J 02.60
11/13/2006