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Home My WebLink AboutPermit Mechanical 2007-10-10 ~, 0,.. ../, .~, ~. Cdt Q ., ,.-..l; ",,~=-:.4' ~, P:".' ~.. 1 ~: ~> .C~ ~. 1""\ ~<~ CO ~.. r.f'J.J . ~: ~. ~) ~: 0), Cf)., ~, ~~ ~. ~. > O.~ L~ r;; ,..., " V,/l:-J..~ " . ~i '-4:~ 0,,\ ....J 0) ~. ,JW/" " ~... f.' 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number C~ l!.,OO 7 -0 /53 b- Job Location: -.2 7 .If- 4- C S-I--rP..e--T Assessor's Map: J 7 D "3 "] b (l{ Tax Lot: Z{(O( m..-._,....-:.iII.__.. ........._............u;,,;._..,JI....__..wM.Iw<i,I.. ..J.,.._..........." UJ~....I_;u,jjjl...II.~iIl j 111__........I....~IiIL.-.:/I.~~~ili"~lllJioI-,...,,,....,.............. ."-L_........ ..,...l.i.,..",.....I...lllIJUII._m..;,',":;';I;,,'lj,.;Il,.....'""'-"~;jII......"1oi.i1llll1;~1I11iii1 Owner: ~ ~ J-: ~<",-~ e./ / 2 7 II-tI- /'_ ..5' +..-~ct- <"fn'J.(;'_1 J Phone: ~ 6 -r - ;2.. ff 2. 7 (') R Zip: .3 7 4- 71S' Address: City: State: ,.. .. -..."..;'-""..,.;,..,'..,.".....,.......,.....,....",...1." ....-, ,.. ,.."..I Preliminary Inspection for wood burning inserts is $61,50 (prior to insert). Wood Stove/Pellet/Insert Pennit is $71.50 (includes applicable fees and surcharges), Contractor: -GtJ ~ V Address: . '5"': ~ 2 2! City: Construction Contractor Information t~lr)'(-:J a. Y1 Jv1 a,'"., $+....e.e-- r Phone: -?~ - ~ 22/ Zip: &f 7 J/- 7 'if' State: () R 2 t. 7 JJ.<"'-? Expires: L,..._~~~~.. ~"~~"".~. 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. Signatu" ~ .~ t ~c.-'-<leP j ~ Date: 10 I ,() I 07 FOR OmCE USE All t:1.Jl10N:Ore<ron taw requlresyou to ;0 / follow rules adopted by the Oregon Utility Date of Application: (t::> ('0/ (j ...., Notification Center. Those rules are set forth , ___ In OAR 952-UU1-UU1Ulruouyl. ~Aa&52-001~ Chec~1ftG@!nquencies: . ~. . .. _ Checke!)~.iXA4cm~aQ~~al(~~r~t~~:~~~~:Y ~"QJ · EXPIRE IF Tl-lt; ww~i< calhn{rtlie cemer. e. r._ THIS PERMIT SHAllRM'I~I..IS NOT number for the Oregon Utility Notification AUTHORIZED UNDER THIS PE I i Center is 1-800-332-2344). COMMENCED ()R IS ABANDONED FOR ANY 180 DAY PERIOD. Shared Drive(T:)/Building Forms/Wood Stove Permit 7-07.doc Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01536 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 VALUE: SITE ADDRESS: 2744 C ST ASSESSOR'S PARCEL NO.: 1703361421101 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Woodstove Owner: CASSELL STEPHEN J Address: 1965 TARPON ST EUGENE OR 97401 Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor GOOD DEAL METAL PRODUCTS INC Phone 541-736-9876 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description License 26743 Expiration Date 08/26/2008 BUILDING INFORMATION I R-3 # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: nla VB Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rnd' t ATTENTION' O~~QtlIA\w-J;eg9!':!S you 0 follow rules adopleCtoy'fn3vO'rltgon Utility tJo.!jfication Center. Those rules are set forth In OAR 95 :-Vu .- 0090.'YO' s by calling the center. (Note: the telep one Sidewalk Type: number for the Oregon Utility Notification . Center Is 1-800-332-2344). Downspouts/Drams: . NOTiCE: P\RE IF THE WORK THIS PERMIT S~~~~ ~\S PERM\T \S NOT A~~~?~I~:On UnQ ,~ ABANDONED FOR 'e\JIV11V1I...t\t.L ER\OD I Valuation Description ty 180 DAY P . Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Pal!e 1 of 2 CITY OF SPRINGFIELD. Building/Combination Permit Status Issued PERMIT NO: COM2007-01536 ISSUED: 10/10/2007 APPLIED: 10/10/2007 EXPIRES: 04/10/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge MinimumlAdjustment Mechanical Wood Stove/Insert Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $17.00 $33.00 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 10/10/07 1200700000000001296 1200700000000001296 1200700000000001296 1200700000000001296 1200700000000001296 1200700000000001296 Total Amount Paid $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. Reouired Insoections . Wood Stove: 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. . :~oJ(' ~ G. ~...~.~ Owner or Cont;~tors Signature J 0 / I 0 J {j '7 Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0l536 COM2007-0l536 COM2007-0l536 COM2007-01536 COM2007-01536 COM2007-01536 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001296 Date: 10/10/2007 Description Wood StovelInsert Minimuml Adjustment Mechanical ~Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By STEPHEN CASSELL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1270 In Person Payment Total: Page 1 of 1 2:29:27PM Amount Due 33.00 17.00 20.00 2.50 4.00 5.00 $81.50. Amount Paid $81.50 $81.50 10/10/2007