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Home My WebLink AboutPermit Mechanical 2008-2-9 ~ o · 'f'"""'lI ~ t;j; u -, ..-4 ,-.""-,,..4 ~ ~ <, ~' O? .~ ~, U 0) ~ 00 ~ ~ ~ .. ), ~" Q) rn ~. ~ ............. ~ o t"" ) en ~ o ~ SPRff<tGFiEl..D : 225 TIrrn STREET. SPRINGTIELD, OR 97477. PH (541)726-3753 . FAX: (541)726-3689 CIty Job Number L OM ZOCg-- - c> 0/ ~ ,f' Job Locahon: '7 Z b A~~ J( ?~ A-t/ Assessor's Map / 70:5 26 ( Z Tax Lot: 0 Cf 3 I ~ Owner: /f /1 Nl-b Address: q,;((p ( CIty. ~ ' '7 rl..u/1Yt - · c7 ' 11/ {')1_02 JU d! () 5l State: CJ /1.. Phone Sd.-/ - /~ ~ ~ Zip: <7 7C/7 7 IIIW lI.iIiI__i",__~I.I"j,1 1..1. ,; ~j~. III I Prelimmary Inspection for wood burmng inserts 18 $63.50 (prior to insert). Wood Stove/Pellet/Insert Permit is $83.50 (includes applicable fees and surcharges). Contractor InfuLLllation .Ytrnr-l<. ~ ;;2r. .~' Z<=1 Contractor: ~ (\ C Address ,(r) J(] ('\ >< City. ~...~- (/ Constructton Contractor's RegIstratton #: Phone: 'S''"S 'i ~ 78S-U Zip "7 '{ (J , ExpIres: <, - - / 7 - 0 Q State: OY'... -7 ~gQ(P , "'"'' __, , ''''', " . .' II "'.~ 1"'\ l'=l'~{ r,eauir:s y~~~() '" _. ___ ......._....,., _ j ,- 1 ,',' ,~- . ' - b the uregulI vUIt-, { " 'I rules adopted Y les are set forth By sIgmng thIS permIt/apPlIc~~~",~~lllgT&e~aTJI:4KI16Mg~()$..as reqUired (726-3769). I state that all mformatIon on ,~~iHMlan9 9t ~fsr~ltP.6HtJtlat I was provIded With the Wood Stove Safety mformot$Jl ij C ~~Mte,,~~ prelimmary inspectIon standards as set by the Oregon lDe.~ . !~Hn'~~~QlR~ or the Federal Environmental ProtectIon Agenoylift8f qr ~e q.JaOOvi4e-~ting approval number to the mspector at the tIme of mspectIon. I a~ unJerstand that If I am requestIng a prelIminary mspectIon, the wall covenng may be reqUired to be removed. Signature~~ ~-/ ~~ ~ /;) FOR OFFICE USE 710> c::r N01\CE~ \. ~?\"t \f 'THt W~~~ Date of Apphcatton 2. ~ / Ol1 . 5 rE~_M\" S\'\~~ l' "~ pERM\1 \S ~ \1\ ) 1\2EO UN\Jt~ MOONEO fU~ _____ Checked for Dehnquencies. ~U1H '^ lMea1~Rd!SJt~b Status CO\~\ _: OA."i PER\OO. A,tW "\80 Date: ;; - q rQ g - Shared Dnve(T )/Bwldmg FonnsIWood Stove PermIt 1-08 doc Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2008-00198 ISSUED: 02/08/2008 APPLIED: 02/08/2008 EXPIRES: 08/08/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 926 NORTHRIDGE AVE ASSESSOR'S PARCEL NO.: 1703261204313 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Pellet stove insert Owner: RANDY TAYLOR Address: 926 NORTHRIDGE A V SPRINGFIELD OR 97477 Phone Number: 541-521-1233 I CONTRACTOR INFORMA nON I Contractor Type Mechanical Contractor License TED L HUFF JR _, .... .trA~ vou \00806 AiiENi\ON: t"J. lr!!' .:~~ I I II fo\low rU\~Sc~nter. 'Tnose ru OAR 952-001- ~otlfl~~2_001-00f~&tt~e rules bY In OA may ob~m~~ tet\f~one 0090~ '(o~ne centeT.Y~No*tm.'~l~ Notmcat\on ncuam:~r tor tne.O~~ -?344). Center lS-''13UMll' . Energy Path: Sprinkled Building Expiration Date 05/15/2009 Phone 541-338-7550 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMA nON I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: ~dk~iMPR~~~~ If THE WOR\{ rl:n1VI\'1 . . j AU~HORIZED UNDER TH\S PE~~\IF~~q:ype: COMMENCED OR IS ABANDO ~wnspouts/Drains: ANY 180 DAY PERIOD. Notes: I Valuation Description I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 Status Issued CITY OF SYKINGFIELD Building/Combination Permit PERMIT NO: COM2008-00198 ISSUED: 02108/2008 APPLIED: 02/08/2008 EXPIRES: 08/08/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paidvf Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Minimum/Adjustment Mechanical Pellet Stove/Insert Amount Paid Date Paid $20.00 $5.00 $6.00 $2.50 $17.00 $33.00 2/8/08 2/8/08 2/8/08 2/8/08 2/8/08 2/8/08 Receipt Number 1200800000000000122 1200800000000000122 1200800000000000122 1200800000000000122 1200800000000000122 1200800000000000122 Total Amount Paid $83.50 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. Reouired Insoections , 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 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 timesdu"ngconst::-~ r ? _ & ~ 08 ' Owner or Contractors Signature f/ V Date Pa2e 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 COM2008-00 198 COM2008-00 198 COM2008-00 198 COM2008-00 198 COM2008-00 198 COM2008-00 198 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: 1200800000000000122 Date: 02/08/2008 DescriptIOn Pellet Stove/Insert MInImum/AdJustment Mechamcal ~Mechamcal Issuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% AdmInIstratIve Fee Paid By ABC STOVE SERVICE Item Total: Check Number Authorization Received By Batch Number Number How Received dJb 008926 In Person Payment Total: Page 1 of 1 3:06:59PM Amount Due 3300 1700 2000 250 600 500 $83.50 Amount Paid $83 50 $83.50 2/8/2008