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Home My WebLink AboutPermit Mechanical 2007-12-7 <i ~j ~! elJ .~~~ ~.,.)j ~$ t),) .<+~~ ~d~ ,-,..", ~j f'l'li ~: ~i ~i ~) .;a-~~4 ~,,"1~ ~ ~ ,-,.." ~j li.(t}) ~ ~~ ~r-".-~l I;_cb ~1 ~ f!/flJ ~1 ~\ ~i --. ~) ~r "') c4;;'~ ~ ~~d~ 0\ ,,!/ ~ ~.;/. r' ~... ?' ~~I;Wg~~~~_~'~~1!~;~~i.~~~~~~f:~*4~W;~~ . 225 FilTH STREET. SPRINGnELD, OR 97477. PH:(54 1)726,3753 . FAX: (541)726-3689 SPRINGFIELD . l~ ~~~ City Job Number C/31iV\ Zcx::>7 -0 ( 7 'J b Job Location \';r~<\ L S+Y"U.\- SfV'^'\=',P'\& /')03, 2 bYL{ <....) ()'I{J.... C(1l.{1l () i'3ao Tax Lot: Assessor's Iv1.ap: Owner LO'l"\"Vv\\l'j CV'Id.. 'S\r,p'.\r, C~'p,/, Address: \'l~q L S\-1'~t-+ City: S\~V'; "..!ri Q ,\rQ Stale: E)Q... , U Phone: lfttUSlo - So s 3. Zip .SCll./,/_ ",,~,~,~",~,~,,"""_..,_., L...___~_._____~"_~,.~~..._" ,__~"_,~,,,_"~__._o~__,',",~,,~.,_,_~"_'__'.~.._"'~'<-~'_'"",__.".~~",~,_..._._..~~~.~" Preliminary Inspection for wood burning inserts is $61,50 (prior to insert), Wood Stove/Pellet/Insert Permit is $71.50 (inc1ude.s~~pplicable fees and stu'charges). - ~~ Contractor Information COlllr.c!o; t'\\&o.. \t-J. <:.., - 71klt..,.1r1~{ \28~ Address / b 7 gJ &J 7+/;... Jtlf~ City: ~&E-"'t:- St.le: DCL IN 9''Ib. Construction Contractor's Registration #; 3(('] - //3/ Zip 'j 7ltD z.. Expires: /0 - Z 'I -0 ~ Phone: . . 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 thc Oregon Department of Environmental Quality or thc Federal Environmental Protection Agency and I ~s.ree to.rrovide the teJilrt~aJ'cllr~O~1 number to the inspector at the time of inspection,m~l\IuI,Qfl!Ht'!i~!Ill'\Tr",'5f~~'o~tit'f a preliminary inspection, the wall covering ma)l~<?~~~~tP.cU1Y~1 rego tf rth Notification Center. ftiose ru es are se 0 In OAR 952-001-0010 through OAR 952-001- ~ 0090. You may obtain copies of the rules by , < calling the center. (Note: the telephon ' SlgllHture \( ~~~lll"..r for the Oregg" Utility NOlfIlcatio\ 'J.-l- 0-, il7"Y;;0~",~-,0"-C~f~~~!-J~:~~.:.-~)~:~",u",,~,;'"' i~~:rl.~:~~~:;a:<e:f~~r:::"~~:'~;'''!J~1t~r-!:i::i;;i'>f J$:"t~:t'l~ ~~)}T~I_ ~r!~ ~~~~\ .. ._t, :c.~.-::~::~:~.:f~( .-', / .::.) Date of Application: 12--7-07 Checked for Delinquencies: ~ NOTICE:. - ' ' -', ".".,,",.. ,,', THIS PERMIT SHAll EXPIRE IF THE WORl( AUTHORIZED UNDER THIS PERMIT IS NOT COMMi:Nt;iLfU1\''lWMflBONEDnFO~d'" ANY 1 80 DAY PERIOD. I _____' Checked for Historical Status: _~Plll .N, 'tlI1i'1 ~"iiI, ','.. ,."',,,', 1tIi:'"J;. ,I .! ,.~.,~.. .' "".. . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01796 ISSUED: 12/0712007 APPLIED: 12/07/2007 EXPIRES: 06/07/2008 VALUE: SITE ADDRESS: 1239 L ST ASSESSOR'S PARCEL NO.: 1703264408300 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Pellet insert Owner: LORI KELLEY Address: 1239 L ST SPRINGFIELD OR 97477 Contractor ,_"Il): License THERMAL RESOURC~{~~r1tl)_ 161946 ~~~~>~8RMATlONI .. !~.r'! \ \. II Ili."-1. "'0 '&$ '() .0.0 ~u" 1):111;~ Ji,6~~l}tel,' ~(/ 6;<1""" Lot Size: ~6Jfetg~(lti}~;90VlJ1flo861 tl}e ~f.lq61 Sq Ft 1st Floor: ::ffl;;;;.!/ll;JoJ;:~(% tl}l'o~ 'VIe '/'611)0'8 YOf.l Sq Ft 2nd Floor: ~J(fiJ.G. (~/k)/Jlll}o'8l1l'(18.'I) lItt./~q Ft Basement: Rang;,t.sr1~o" ate.. 11,'8 0, ~-9 ~ et~ ~q Ft Garage/Carport Energy P~ 0~. (1 tel, 6l1'f.lt-oo"/1J Sq Ft Other: Sprinkled Bui~1Y "'0,,~/J1}8:e..r 6,.' Occupant Load: \7..,. 7R., \')_ T " ""'....f I DEVELOPMENT INFORMA'f10N"f Contractor Type Mechanical # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Sethack: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Pbone Number: 541-520-5053 I CONTRACTOR INFORMATION' Expiration Date 10/29/2008 Phone 541-343-1131 R-3 VB REQUIRED PARKING Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: M ~ 0"". 4u78 ~LtiLIC IMPROVEMENTS' Co liOt> foil" -4 'Ii4/t..1E,'iI<EO {j,u'/i4ll Sidewalk Type: Ny lOa /veEo a '/VOEIl f:PIIlE Downspouts/Drains: 041' 'illS HIS If: rf/, PEIlloo. 484A10;~Il/t..1lr ~ WOIl/( 'Eo POR AlOr I Valuation Descriotion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Value Date Calculated Paeelof2 lii.=~ Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2007-01796 ISSUED: 12/0712007 APPLIED: 12/07/2007 EXPIRES: 06/07/2008 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 -Mechanicallssnance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Minimum/Adjustment Mechanical Pellet StovefInsert Amount Paid Date Paid Receipt Number $20.00 $5.00 $2.50 $4.00 $17.00 $33.00 12/7/07 12/7/07 12/7/07 12/7/07 12/7/07 12/7/07 2200700000000001799 2200700000000001799 2200700000000001799 2200700000000001799 2200700000000001799" 2200700000000001799 Total Amount Paid $81.50 , Plan Reviews , 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. I Reouired Tnsnf.ctio~s , Pellet Insert: 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 furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furtber agree to ensure that all required inspections are requested at tbe 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. 1(') -~ \2. ,- 01 Ow;er or Contractors Sig~e Date Paee 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ~ Iii: . City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007-0 1796 COM2007-0] 796 COM2007-0] 796 COM2007-0 1796 COM2007-0] 796 COM2007 -01796 Payments: Type of Payment Check cReceintl RECEIPT #: 2200700000000001799 Date: 12/07/2007 Description Pellet Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By LORI KELLEY Item Total: <';heck Number Authorization Received By Batch Number Number How Received djb 2212 In Person Payment Total: Page] of I 11 :44:48AM Amount Due 33.00 17,00 20,00 2,50 4,00 5,00 $81.50 Amount Paid $81.50 $81.50 ]2/7/2007