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Home My WebLink AboutPermit Mechanical 2007-11-14 ~, 0': ."~i I: )'; C\J\ ~':".' \.") " .,~I .",1","""'4.j I"..' : !j ~, L,.':c.,J: ,..,...,\ ~.L+: <.'.1. ':, ' ,/1 I j SPRUNGfFilELD / 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number Job Location: COv'^ '2-007-0/6/0 ~'2() /~ 176/1, / g-02-o 2- c- 7 Tax Lot: (:) 2-00 Z Assessor's Map: ownerc?:~~/L /,{~~/,. ~ Address: 6C6:22 / & ((?!V""~~ Cil)r. !?t rJ4"ff /(/?J:f {!.Jr -' Stat, ,,,...,,,, "'.."...."..."",....'..,.'" .,." ,_,,, I..,"',....'" ,,,,.. ,...,;_.. I"u, _..,~.. Phone: 97/ 32Z f/?5l' Zip: 9?C//z;(' ...... ()~ gJ c!~~i:~:i:~=~ii~i~~6~~ii~e:~~~)." ... . ... .....".... .,,....,;.{I -.- . :..~..);; ..,,,.,'.......,,,.,.~"""'''''',...... "",,,,...,, ..,.. ,..,.'....",."""""...""."",..,,,,,,,....,, ""., .". ". .." .".,...... ."..' ,., '" """"",.. "..,.. ...", ..",...""., "",.., '" 0) ~! ~l, ~'~~"'~'\ 001 ~; ~! I , ~:' ~I (1)' OOJ ~; t ,. ,I: ~' ~,' >, OJ ~, fiFl., <;'d:, e> 0\ ~. n /7 col}tfacf;?r Itd~Ir~Zet~on raW requires YOU to Contractor: (-jJ0IV 121" (~/V ~p Notification Cent: ~ by the Oreoon Utility Address: ./I. P . In OAR 952-o01-o0;O~~es are set forth City: (/1 Jtr'-" - ~~rn~o~~~~ obtain cop;~s ~::e ~O~.001 ~ V. . 9 U1'{, ."g"lur. (NotEt=~~ u Sf; b~ Construction Contractor's Registration #: number for the Oregon Ufiln:e~'ePhone Center's 1-800-332'234~tIfJCation . '_'''''. ." "......" ..........................,... -........,. _",... ._,.., .,. ._._ ................ ,.._...... .......... ...... .. ,.._... ... ._.. ....._..... ,. ..,... ."", ...._.... .,., . _... .... ... .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 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, s\gna"=-~~:S-~ -=---~ t ~ ._:..~ .. _ _/_ ~ . /I ~;,:' / FOR OmCE USE " . NOTicE: · ! / -/ Y -cD 0 -/ I,~/S PE~M~T SHAll _ _ .~ T!-IDRll.Eu UNDER ~r THe WURr< -..----- checkedi~~~~~Daf1R: IS A~~MIT IS NOT o DAY PERIOD. ED "OR Date of Application: Checked for Delinquencies: Shared Drive(T:)/Building Forms/Wood Stove Pennit 7-07.doc Status Issued CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2007-01680 ISSUED: 11/14/2007 APPLIED: 11/14/2007 EXPIRES: 05/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 620 S 70th St ASSESSOR'S PARCEL NO.: 1802022202002 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Woodstove Owner: TIMOTHY HENLEY Address: 6822 B ST SPRINGFIELD OR 97478 Phone Number: 971-322-4756 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor OWNER License Expiration Date Phone BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOP~NT INFORMATION I N. 0 egon law ","'gl,.... I! . . ""C..n10 . r b the Oregon UtiUty Frontyard Setbatd4IOW ~'es adopte~~e rules ar~setfqtbist: Side 1 Setback: Notification ce~:10thrOugh 0Af\i!962e9Ohees Rqd: Side 2 Setback: In OAR 952-00 btaln copies of t~~e Rqd: Rearyard Setba4)Q90. You may Oter (Note: the te~ Coverage: Solar Setbacks: calling thf e t~n Oregon Utility Notification .,umblr or e . 1"U~3aea 2~4A) Center Ui . I PUBLIC IMPROVEMENTS I REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Description Type of Construction NonCE. K THIS PERMIT SHAll EXP1RE If THE WO~T :~U-I IOm"E~ ~'~I!'tA THIS PERMIT IS N I I f\ I .. OR IS ABANDONED t-UK Valuation Description COMMENCED ANY 180 DAY PERIOD. $ Per Sq Ft Square Footage or multiplier or Bid Amount Notes: Value Date Calculated Pa!!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01680 ISSUED: 11/14/2007 APPLIED: 11/14/2007 EXPIRES: 05/14/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line, Total Value of Project LFees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee . + 5% Technology Fee + 8% State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Amount Paid Date Paid Receipt Number $20.00 $5.00 $2,50 $4.00 $17.00 $33.00 11/14/07 11/14/07 11/14/07 11/14/07 11/14/07 11/14/07 1200700000000001402 1200700000000001402 1200700000000001402 1200700000000001402 1200700000000001402 1200700000000001402 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. L Reouired Insnections I 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.pe.r mttc.a rdl, I.a'ated atthe~ront.Ofthe... r perty, and the approved set OfPlanS2i11 re in on the site at all timesduri~ructio~:, Z ~ ' . h ' . __ ..-2 % ./ _ /f/f ~ /: )' / .,L ~.A /" -~~ / (' ~;::::::;;-~ ~ -~~ ;Z e::::>--r- /0 o~ -, /' \ / ~' ~wner or Contractors Signature . Date t? Page 2 of2 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 -01680 COM2007-0 1680 COM2007-0 1680 COM2007-01680 COM2007-01680 COM2007-01680 Payments: Type of Payment CreditCard cReceintl RECEIPT #: 1200700000000001402 Date: 11/14/2007 Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By TIMOTHY HENLEY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 101461 In Person Payment Total: Page 1 of 1 10:30:0IAM Amount Due 33.00 17.00 20.00 2.50 4.00 5.00 $81.50 Amount Paid $81.50 $81.50 11/14/2007