The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2008-1-22 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00089 ISSUED: 01/2212008 APPLIED: 01/2212008 EXPIRES: 07/22/2008 VALUE: $ 400.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6870 B ST ASSESSOR'S PARCEL NO,: 1702353204200 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Wood stove insert in mfgd. Fireplace Owner: STRA WN DARRELL Address: 6870 B ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION' Contractor Type Mechanical Contractor GOOD DEAL METAL PRODUCTS INC License 26743 Expiration Date 08/26/2008 Phone 541-736-9876 BUILDING INFORMATION' # of Units: Primary Occnpancy Group: Secondary Occupancy Group: Primary Construction Type , Secondary Construction Type: # of Bedrooms: # of Stories: Height,of Structure Type of Heat: Water Type: Range Type: Energy Path: Spriukled Building: Lot Size: Sq Ftl st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: ' n/a I DEVELOPMENT INFORMATION I Fronlyard Setback: ,Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Driv'e Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: NU 111,,1:.; j:J'WBIl;Il:: 1l\iiri:OVEMEN\IlS ,NTION: Oregon law requires you.t.o TI-IIS PERMIT SI-IALL EXPIR II rules adopted by the Oregon Utility Street ImproveA"'Jr~'lJRIZED UNDER TI-I\S Pf::KIVIII '0 "u. N~iifi~atiorfllillmalk11ypile rules are set forth Storm Sewer Ar\>:iilable:NCED OR IS ABANDONED r-OR In OAR 952&JlJu001 OtV)J..ou[~.oAR 952-001- . .~~,....,- ,M', ' 0090 You may o'8t'a~n(!6ljWS'ofthe rules by Spec,"llnstrnc~?,n,: 180 DAl PERlu." caliing the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800,332,2344). Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pa2e 1 of 2 r Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00089 ISSUED: 01122/2008 , APPLIED: 01122/2008 EXPIRES: 07/22/2008 VALUE: $ 400.00 225 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 + 10% Administrative Fee +12% State Surcharge + 5% Technology Fee Minimum/Adjustment Mechanical Wood Stove/Insert , Amount Paid Date Paid Receipt Number $5,00 $6.00 $2,50 $17.00 $33,00 1122/08 1122/08 1122/08 1/22/08 1122/08 1200800000000000061 1200800000000000061 1200800000000000061 1200800000000000061 1200800000000000061 Total Amount Paid $63,50 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. I Relluired Insne~~io,ns . 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 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. c;~y~ ()/ /~:;;"/o2 Owner or Contractors Signature Date Pa2e 2 on 225 Fifth Street Springfield, Oregon 97477 54]-726-3759 Phone if-! City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-00089 COM2008-00089 COM2008-00089 COM2008-00089 COM2008-00089 Payments: Type of Payment Check cRccciotl RECE]PT #: ]200800000000000061 Date: 01122/2008 Description Wood Stove/Insert Minimum/Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee raid By DARRELL L STRA WN Item Total: t:heck Number Authorization Received By Batch Number Number How Received dim 1359 In Person Payment Total: Page I of I 11:19:39AM Amount Due 33,00 17,00 2,50 6,00 5.00 , $63.50 Amount Paid $63.50 $63.50 1/22/2008 =: o ..l>~4 l~ ~ .~ ~ a-$'r-1i '. I~ ~'I ~~ ~ ~:l =: o ..~ l~ ~ @ ~l 2J ~~ rr=="t ~ @ r;[!J\ ~ ~; 1_ jq ............ ~ > a rt$Jl ~ 0; o ~ 225 FIFTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number Job Location: c ~ fCY=t/09:! <7 bj?, 7n- --17 - S r.,. /7[l?-Jj32 Tax Lot: oct'2.CrO Assessor's Map: Owner: no ,^.0I'\ l"" II <:f/'G .-/ ""'-- -S tf' >",.,-j- Phone: 7.J t.: - Ci ~ .? / Zip: /?t'.j 7? Address: ~,P 7 n p) City: <)}/J/\ I' ~~ r::~'-IJ / J State: 0/<: Preliminary Inspection for wood burning inserts is $63.50 (prior to insert). Wood Stove/Pellet/Insert Permit is $83.50 (includes applicable fees and surcharges). Contractor InfonlJJtion Contractor: GO()f\ Df!~-l' M PI71t_ Address: 5.~7) Mif/I1, . _ City: ~fJlZrf'\tP/(Of{l . State: if)/( Construction Contractor's Registration #: ~ 74 ~ Phone: -71:1.1 <-h~/ r Zip: Expires:' e;L ?Y/Jg 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. Signature: Dale: Date of Application: L/20 % ' Checked for Historical Status: Checked for Delinquencies: Shared Drive(T:)/Building Fonns/Wood Stove Permit l-OS,doc