HomeMy WebLinkAboutPermit Mechanical 2008-3-24
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 3731 S E ST
ASSESSOR'S PARCEL NO.: 1702314304612
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00395
ISSUED: 03/24/2008
APPLIED: 03/24/2008
EXPIRES: 09/24/2008
VALUE:
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
PROJECT DESCRIPTION: Woodstove insert into lined existing chimney
Residential
Owner: JULIE HUFF
Address: 86457 GREENBRIAR DR
EUGENE OR 97402
Contractor Type
Mechanical
Contractor
TED L HUFF JR
# of Units:
Primary Occupancy Group: R-3
Secondary Occupancy Group:
Primary Construction Type VB
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Tvpe of Construction
Phone Number: 541-953-4476
I CONTRACTOR INFORMATION'
License Expiration Date Phone
ATTENTfON~ nrJ,l~... ,._ . 05/15/2009 541-338-7550
BUIL~~~~Y th~Wb~~~n'U~i1~~
In OAR 95 '0 I rlbse rules are set forth
# ooaw:~,i;>u 2-o:t-0010thro~gh OARlS82iiJ6t.
Heigb80!!1li't\W~eobtain COpIes of thj~LIf~s.HJ<loor:
TYm~,ttor then~o (Note:. ~e tel~~ Floor:
Water TYPOente, is ~egon Utility Notifit:llDicitsement:
Range Type: -80Q.332-2344)Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
Sprinkled Building n/a Occupant Load:
I DEVELOPMENT INFORMATION I
REQUIRED PARKING
Total:
Handicapped:
Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
Downspouts/Drains:
NOTICE:
THIS PERMIT SHAll EXPIRE IF TH~ WORK
~~THOR'ZED ~ND~R THIS PERMIT IS NOT
,. \1M[ljlJ[!J u~ ~UNtD FOR
t~i\AAjQA\ifJiB . on
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Pa2e 1 of2
Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-00395
ISSUED: 03/24/2008
APPLIED: 03/24/2008
EXPIRES: 09/24/2008
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
~Mechanical Issuance Fee~
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Minimum/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Number
$20.00
$5.00
$6.00
$2.50
$17.00
$33.00
3/24/08
3/24/08
3/24/08
3/24/08
3/24/08
3/24/08
2200800000000000342
2200800000000000342
2200800000000000342
2200800000000000342
2200800000000000342
2200800000000000342
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.
I ReQuired Insoections I
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 III 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.
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225 FIITH STREET.. SPRINGFIELD, OR 97477.. PH.(541)726-3753 .. FAX: (541)726-3689
CIty Job Number
Job Locahon:
COW1ZOCg' -(:)OS 9F
373 i 5((d/^\.. S s'tyee.c-
170 L 3/tf]
Tax Lot
D Cf6/Z
Assessor's Map.
Owner:
J u I, v -+ () !i. /1 I c../ Hilt ff
B ~ if r( b r~-, .( b~ tA""--
~ Cs-o-,'J~ State'
't-Il-. Phone:
~ r'l..-
~~-Vtf?b
ZIp: , 7"~ Z.
Address:
CIty:
Prelimmary Inspection for wood burning inserts is $63.50 (p'rior to inse.Lt)~ -_ uf ou to
Wood Stove/Pellet/Insert Permit is $83.50 (mc1udes apptW~-moMl~ .reqo res YUt'Iity
follow rules adopted t) t e reg on I
, " ,... .,- ,.., ..." , ,,:n~~:~:f1li1~h~~U~~e~:~:;1:~,~
0090. You may obtain copies of the rules by
Contractor ~hdftJnter. (Note:, t.he tel~~ho~e
.,.. -. '- --1...('1lH'nMr for the Oregon UtIlity NotIfication
, e J...) L rr ~'Cemer!e ~-800-332-2344~.
2 b "3 '! , Phone: -; ~8"" - 7 FrO
State: t::>L ZIp. 9' 7'-102-
ExpIres: S- -/ S -0 ,
Address:
ABC ..
f>o [$.0;<
~~e-
Contractor.
CIty:
Construchon Contractor's RegIstrahon #.
'7.13D0
By sIgmng this permIt/applicahon, I agree to call for an mspection(s) as reqmred (726-3769).
I state that all mformahon on thIS applicahon/permIt IS correct and that I was proVIded with
the Wood Stove Safety mformahon for wood burmng applIances and prelimmary mspechon
standards as set by the Oregon Department of EnvIronmental QualIty or the Federal
EnvIronmental Protechon Agency and I agree to provide the teshng approval number to the
mspector at the hme of mspechon. I also understand that If I am requeshng a prelIminary
mspechon, the wall covermg may be required to be removed.
J
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Dale lZf~>
SIgnature:
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fOR. omcr USE
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i?t ~
Checked for DehnquenCIes:
NOTICE:
THIS PI:RMIT ~HALL tJt.PiiiE it ThE WfiRK
a\!IOOI?Jt~tUAlD.EaatH!S PERMFF1S NOT
COMMENCED OR IS ABANDONED fUK
ANY 180 DAY PERIOD.
Date of Apphcahon:
Shared Dnve(T )lBwldmg Forms/Wood Stove Penmt 1-08 doc
225 _Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00395
COM2008-00395
COM2008-00395
COM2008-00395
COM2008-00395
COM2008-00395
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000342
Date: 03/24/2008
DescriptIOn
Wood Stove/Insert
MInimum/AdJustment MechanIcal
-MechanIcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInIstrative Fee
Paid By
JULIE HUFF
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb 094920 In Person
Payment Total:
Page I of I
1 :53:32PM
Amount Due
3300
1700
2000
250
600
500
$83.50
Amount PaId
$83 50
$83.50
3/24/2008