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Home My WebLink AboutPermit Mechanical 2007-11-19 Q' 0' .,~< ~" ~: p~ .c~' '.J; ~ ~': r"'\ < d: 0: .c~: ~ U,' (j). PI r../j! ~, I. 11 ~.,,), h1: (j;;) 00: ~"""";" ~..< 1.,1'1 ................. QJ'~ ~, OJ !,~}..: C/Ji ~;; O,~'.'. t ) 0; ~','.','".""..'.." ..... "' :.;# r SIF'~:t\!'4:bFiEL.a\ /' 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 · FAX: (541)726-3689 , , City Job Number Job Location: Assessor's Map: COlM. 'Zt)D7 - 0 I L{ Z-b 2-b 0 C haf)I?'\ 1'1. V\ I h /702 :133'1 Tax Lot: OJ300 -,.'I_'..IIIII~,"," .11......IlI...,IIIiII_..IIU......,.......I__.....,.liI__I.,I.,IWI....II"... I 'I. I ,,11,1, ~I,ijio" ....llli .111..' I,~ 1.1 1~.jl.......I..11 ..i.,.iiillIl"...~,.,':I:II,..I(jj ;j;;,'_...~ .. .. ..<1,1..... .....IlII., 1 ... ..1 Owner: ,!ftA ( '\ H I'~ h L (I Address: 2 b 0 (~ ~ ".,-{) ~ / t--. Phone:a.~ U' 'loU \Q. City: <) /J r ,'~. ~ - -e~ State: fA't~})\tes_f, \\\\\\\':IZip: - 0 ot' \..,.<1 . Ot0'0'" it \O~l\ ",_ '0.'..... ..__, .,..,. . j ""1")11\'\" Ot~;pp- ~~,,\~e ,1~l\a.te,~:O_~?~.I." """.. "" p.t \ '-' ~ \ '.::'0 a\il~ I 1\,,\0""" op.r~ ~ eS....J Preliminary Inspection for wood burning in~$i:HIAJpfiW.~tQ~~~ 0\ \\,\e ~U\ (\0 Wood Stove/Pellet/Insert Permit is $71.50 (~~\\~~ .~~~ ~~~~\e~~O l\Ot\ ,... OJ).?\ ..n'ai~ 0'0\9: 1\,-\0\0. ~'~'l \,\0\\\\<0181 \\' .." "('I'll t" . ,,,~I]\~. \; . ~ \~\\\~1 ~, .. ",.. ". '--\Jv!:;'~ . "; \.~l'Q - ''', Qte9-- - 13Z'~~ J ca\\\,i\g \O~ \'nE:i. ,~OO..3 \1'({\'Oe~ ~et \$ Conft\actor hWgrmation b.('t./ Z-o 70 q7~ ? 8 ...... w" c:> VV' NBl Contractor: Address: City: Construction Contractor's Registration #: Phone: State: Zip: Expires: . I"~. '_~....I.,i.. ._,IiI~,""""""'l W ........11 II~" ......11.."..........1.... .-......" .......1.~1'IIM.....,.....:....u1 I. i jliJl>.,...1l "".I.....I;,.JjOI....... 11I"'",lUI..,.._ .-a1;1..l.lo;I.I,IIIII.....LI ...... '1.",L;;ill.lOi:iillij 1I..llioiI.""'idIIl;:_,~J__III~...,..j~iIjil... I._,...,~, I .,.:"-.~1lI1.11,j. . II 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 Wt{\-\~ \NO Q\ the Wood Stove Safety information for wood burning appliances and prelimina~~NO~~\\ \CS ~ standards as set by the Oregon Department of Environment~ y o~t~~~I1,~\'t.~ tO~ Environmental Protection Agency and I agree to provide th~ ~'rb~~~D ~t.\) inspector at the time of inspection. I also understand that if1~ .t~t~ i& ary inspection, the wall covering may be required to be removedf\\J1~~t.~Ct.t) ",~\OQ. CQ\'!\ CO~ \)~ ? U J\\'\'t \ j:--, 4~ Date' /(1/8/07 Signature: Date of Application: Checked for Delinquencies: Checked for Historical Status: ~ Shared Drive(T:)/Building FonnslWood Stove Pennit 7-07.doc Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01426 ISSUED: 09/20/2007 APPLIED: 09/19/2007 EXPIRES: 05/19/2008 VALUE: $ 5,000,00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 260 CHAPMAN LN ASSESSOR'S PARCEL NO.: 1702333103300 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Interior remodel Owner: RUSS KIMBALL Address: 1025 JOHNSON AVE COTT AGE GROVE OR 97424 Phone Number: 541-654-2070 I CONTRACTOR INFORMATION I Contractor Type General Electrical Mechanical Plumbing Contractor OWNER OWNER OWNER OWNER License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Ai 1.:,mON: Oregon law requires you ~ fotlow rulee adopted by the oregonset~o% 'flcation Center. Those rulee are Moti u l . i~a t'i7rjlfl" nAR a52.oo1- In 0 -.,- - - _qqrb~ 88 DY 0090. the center., one = fcttt td\titGfiiSOl1 Utility NotiftcaliOft R-3 Cj\~~ot~). . U Type of Heat: VB Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft Ist Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: Total: # Street Trees Rqd: Handicapped: ~::~dLjj~1Ilif~M\T SHAtt EXPIRE If THE ~~t: ~~I~y'~~7~n UNOER TH'S PERM~Tf~NO' PUBLIC IMP' .,~ . NIStSJ R '5 ABANU~U ERIOO. Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Pal!:e 1 of3 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01426 ISSUED: 09/20/2007 APPLIED: 09/19/2007 EXPIRES: 05/19/2008 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Valuation Descriotion I Estimate Tvpe of Construction Estimate $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 5,000.00 Value Date Calculated Description Total Value of Project $5,000.00 $5,000.00 09/19/2007 ~ Fee Description Amount Paid Date Paid Receipt Number ~Mechanical Issuance Fee~ $20.00 9120/07 2200700000000001476 + 10% Administrative Fee $17.57 9120/07 2200700000000001476 + 5% Technology Fee $15.54 9/20/07 2200700000000001476 + 8% State Surcharge $14.06 9/20/07 2200700000000001476 Building Permit $75.74 9/20/07 2200700000000001476 Encroachment Permit $135.00 9120/07 2200700000000001476 Fixture $32.00 9120/07 2200700000000001476 Minimum/Adjustment Mechanical $43.00 9/20/07 2200700000000001476 Minimum/ Adjustment Plumbing $18.00 9/20/07 2200700000000001476 Plan Review Residential $49.23 9/20/07 2200700000000001476 Vent Fan $7.00 9/20/07 2200700000000001476 ~Mechanical Issuance Fee~ $20.00 11/19/07 1200700000000001415 + 10% Administrative Fee $5.00 11/19/07 1200700000000001415 + 5% Technology Fee $2.50 11/19/07 1200700000000001415 + 8% State Surcharge $4.00 11119/07 1200700000000001415 Minimum/Adjustment Mechanical $17.00 11/19/07 1200700000000001415 Wood Stove/Insert $33.00 11/19/07 1200700000000001415 Total Amount Paid $508.64 I Plan Reviews I Public Works Review 09/19/2007 09/19/2007 APP BRC Took in encroachment permit for 8 inch storm pipe for culvert. Structural Review 09/19/2007 09/19/2007 OK DJB 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. Framing Inspection: Prior to cover and after all rough in inspections have been approved. Footing: After trenches are excavated. Pal!e 2 of 3 CITY OF SPRINGFIELD' Status Issued Building/Combination Permit PERMIT NO: COM2007-01426 ISSUED: 09/20/2007 APPLIED: 09/19/2007 EXPIRES: 05/19/2008 VALUE: $ 5,000.00 225 Fifth Street, Springfield, OR 541-726-3.753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Post and Beam: Prior to floor insulation or decking. Final Building: After all required inspections have been requested and approved and the building is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 timosduring cnng .~4fl II ( /~/o7 Owner or Contractors Signature Date Pae:e 3 of 3 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-01426 COM2007-01426 COM2007-01426 COM2007-01426 COM2007-01426 COM2007-01426 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001415 Date: 11/19/2007 Description + 8% State Surcharge + 10% Administrative Fee Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee Paid By RUSS KIMBALL Item Total: Check Number Authorization Received By Batch Number Number How Received djb 1143 In Person Payment Total: Page 1 of 1 10:30:52AM Amount Due 4.00 5.00 33.00 17.00 20.00 2.50 $81.50 Amount Paid $81.50 $81.50 11/19/2007