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Home My WebLink AboutPermit Mechanical 2007-12-7 ZZ5 flITH STREIT. SPRING flEW, OR 97477 . rH:(541)726-3753 . FAX: (541)726-3689 ~ o . ,.-( Job Location ~ Assessors Mar U .1"""'1 ~ ~ ~ <C ~ o o1"""'l ~ () Ci) ~ rfJ. ~ H ~ a) rfJ. ~ H ............... d) :>- o ~ 00. "'0 o o ~ City Job Number C 0"'1 ~c.:>o 7 - C:> (7 'It.( '3 S 32- Y 0\ cV\6....C\. 170 z.. I 't'l2- 07600 TaxI ~,t Owner :)Cl.. V\.e. -t P \ CI. C-e... Address ::. s '32. '-'10\ 01'"\0\. q Cit.", Sf,') ,\116, \'\ -e\ &.. 'j ~J Value of~tovelPellet Stove((nse~:f\ e; 500 Phone 7'-!L...J- 3"'2 '3 '3 ""."1'..n8 of< Zip State -, - (please circle appropriate appliance) Preliminary Inspection is $45.00 (prior to insert) Wood Stove/Pellet/lnsert Permit is $62.65 (includes Permit, Issuance Fee, State Surcharge & Admin Fee.) ..nil \0 , (\u\f8S r: 'lit'l Contractor b~forlllatioll legOfl \a'lf fe Of~Ofl ~ol\" E.~.{\O~: 0 o~eQ.,'pt \\'I~ afe ~.()9'';'" Contractor C,^vi~ ~1J\~\I.~;t'O~ef l\~~DvJv"\. ~\\\cat\~~..og,.OO'~\l"dG'~~s 01 \~~\l\'lof\e Address B (q () f7 , ,Q 'il~r\l\~o\j _ " \\'Ie , ,-\i,....aUOl\ Phor p Qo9O W'" . fI\&t. U\\\\\1 ,,- Cit" C. Ire :s $v-Q u cel1ifl9 .\~ ~e Ofe~?",). t':l~ (I\llUU'" C8f\\8l III \ Construction Contractors Registration # c; "7 "2, (~ ( '- -~ ,- ~~R{J I 75" )~J 72.&'-T38Z- Zir "" r Y 'z.. ( " 1//0/08 .---, Expires By signiug this penuit/application, I agree to call for an inspection(s) as required (726-3769). I state that all information on this application Ipermit 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~ffi'prole the testing approval number to the inspector at the time of inspection. I also understand'ilffWTf ~ ~ . ng a preliminary inspection, the_wall covering may be required~ be removed ~,~t'~ \1 'IS ~Q , l\~~\~t~~\i S,:;i\\ I\\\S ~~~~U fQ\\ ~~~~;I'WIOW:~I;J\}(lf.\S~~f>,~ Datl' /2../7/07 CO\'JIWlt.\' fl.'! ptWVu. 11)/ '\~o $ For OM~e Use Signatu .,. Date of Application 'LI"'~"7 I Checked for Delinquencies ....-- ' ----' rhecked for Historical Statu: Shared Drivc(T:)/Building FonnsIWood Stove PennilI403.doc -u..-, ;".,;.,,'~, : ...... ; Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01794 ISSUED: 12/07/2007 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 SITE ADDRESS: 3532 YOLANDA AVE ASSESSOR'S PARCEL NO.: 1702194207600 Springlield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Wood burning insert and full reline Owner: JANET PLACE Address: 3532 YOLANDA AVE SPRINGFIELD OR 97478 Phone Number: 541-744-3233 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 01/10/2008 Phone 541-895-3593 BUILDING INFORMATION I # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Type of Heat: Primary Construction Type VB ~(l!ll Secondary Construction Type: eg()(\ \a'" ta 'l\h # of Bedrooms: -cNt\O"': 01 tad '0'1 the gPS9~ Q'\_ fl\1 ~ tu\es adO~1 'thOse III ~ ibljng: n/a ."I'm. _ "",'{d,e . .~,\a , \';a <I} e "'O\if~9Si-OO'\~~~i~~~~RMATlON \tI 00 '(ou rn6'l tel. ~I"", "11\\'1 \!I....., , 1)09. \hll cell 190n ~~:2a44\' call1n9, tot the Ola~lay'Dist: "u~ Cetl\9l \, '\ # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: REQUIRED PARKING Total: Handicapped: Compact: Description Type of Construction I PUBLIC IMPROVEMENTS' ",,' ," , rewatk Type: f~~"wnspoutS/Drains: l\O't\C~~ ~~ S,,~\.\. ~~~":~:" i\\\S ~t~\!.ttl U~tlt! r-.~r-.~\)()~ jl''1'\o\Qn r.~ I\~~" .- WlvJ\1:.II'-'~' t.r,,\'S.! ~~'1 I.; Mlili\~'fiEn Descriotion I $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Street Improvements: Storm Sewer Available: Special Instruction : Notes: Paee I of 2 ~SPFltN~"I,~,',i'i, ',' ~..~, .'.. . ~ CITY OF SPRINGFIELD Building/Combination Permit Status Iss u ed PERMIT NO: COM2007-01794 ISSUED: 12/0712007 APPLIED: 12/07/2007 EXPIRES: 06/07/2008 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid' Fee Description -Mechanicallssnance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Inspection - Preliminary Minimum/Adjustment Mechanical Wood Stove/Insert Amount Paid Date Paid $20.00 $5.00 $5.00 $4.00 $50.00 $17.00 $33.00 12/7/07 12/7/07 12/7/07 12/7/07 12/7/07 12/7/07 12/7/07 Receipt Number 1200700000000001473 1200700000000001473 1200700000000001473 1200700000000001473 1200700000000001473 1200700000000001473 1200700000000001473 Total Amount Paid $134.00 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. I Reouired Insnections , Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing cbimney. Wood Burning Insert: After installation. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information bereon is true and correct, and I further certify tbat any and all work performed shall be done in accordance with the Ordinances of tbe 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 tbat only contractors and employees who are in compliance witb ORS 701.005 will be used on tbis project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, tbat the permit card is located at the front of tbe property, aud the approved set of plans will remain on the site at all times during construction. .e-::~- ~ /7)7/0; Owner or Contractors Signature Date Page 2 of 2 225. Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ",-~.~,-,~~\ii'.,;,',' ..,'... Wtr" : . , .. '.4 ,. , . , , .',. ~. " '._~...__......,.-.--~ .--.- City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2007 -01794 COM2007-0 1794 COM2007-01794 COM2007 -01794 COM2007-0 1794 COM2007 -01794 COM2007-01794 Payments: Type of Payment Check cReceintl RECEIPT #: 1200700000000001473 Date: 12/07/2007 Description lnspection'- Preliminary Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- , + 5% Technology Fee + 8% State Surcharge + ] 0% Administrative Fee Paid By YE OLD TOWN SWEEP Item Total: Lheck Number Authorization Received By Batch Number Number How Received djb 19307 In Person Payment Total: Page 1 of 1 10:33:24AM Amount Due 50,00 33,00 17,00 20,00 5,00 4,00 5,00 $134.00 Amount Paid $134,00 $134.00 12/7/2007