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Home My WebLink AboutPermit Mechanical 2008-4-10 ~, .", (4 ~~ ~~ ~~ ,\, ~jJ Ow ,~4, "'----./1 ~\ ":...1+ ~,,' .1 <: ~{ 0' ~lJ .w~i J~.Jb f::~'\ ',!I1!j/ ~ O'l ~l ~4 , I {"", ~..''''''''. "I, ~1" !_,,~ ~{ ~ r:t:l: ~'l ~% ~ Q)" ~~ 0; ~; \}d ~. ....:;.,; ~ OJ ~ ~ SPIFUNGFIEl.D illiW< "m/Y~ ' ZZ5 FIfTH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX (541)726-3689 " CIty Job Number Job Locahon' CQ./.I\ ZOO g - c> 0 j-C ( iZO) bCJNdeA S +- / 50 z. 0 b C{ L Tax Lot: 01 '00 Assessor's Map: Owner :.pe r.! Q <LA :r "" ~ \ ~ H-- Address: /2-0 .J 'ho.- d ~A S i- CIty: S -?I='b State: Phone. 71{ (- 6 7 J S- ZIp 7 74 7 j eeL- PreItminary Inspection for wood burning inserts is $63.50 (prior to msert). Wood Stove/Pellet/Insert Perrmt is $83.50 (includes applicable fees and surcharges). \} \0 ~c. ~o 'H\\\'\ .._ ... . ..,." I.... '(' ..." , l\t\ ~e~~e~O<;\ c:,~\ 'O~;\_ :(\ \~ ~e '().'(,e ~::>'2:(J V)'l O~e~O ~ml~~c:, ~~l{lil~~n CtflL\ ~~.~~e$~\}?~~~J>~ la~-,...( ~ - ~ l~ :;,li n(\'\ tJ. CO)1'" \~I:' ~\\~ $1 <<7 0" I<\,"~~~\~ ~e'. .)..~,I 'fO'; , 'lie ~ - 07" ~...- '\)\\',., Ill"" J CIty: C .{J...f=--Sw ....9--ra~ ((\'a.'l r-\e~' "'-'Of'.~~~'ite: CY"'t.-. - \:)i'" ~~ ce O'(,e~ 7' C( Construchon Contractor'~~~(\~~ \'(\e .-. ...~ ..> P Q')'" ~\\~ 0\ \0"<' ~ ., ,({'Xl ce'(\ .. , ..,... m..... ,.... t', . "."'.- d" """"" ,.." , ." ... ..._ .,,' . 0."" .... ., .", "'"'''''' -"..., """" .", Contractor: S" c..o-- ~v::1 Phone: J?, J-.... .::r s , .3 7 ?lfc..b ExpIres: Y:t;I/o Address' ZIp: By sIgning thIS permIt/application, I agree to calI for an mspechon(s) as required (726-3769). I state that all mformahon on this apphcation/permIt IS correct and that I was provIded WIth the Wood Stove Safety mformahon for wood burmng appliances and prehmmary mspection standards as set by the Oregon Department of EnVIronmental Quahty or the Federal EnVironmental Protechon Agency and I agree to provIde the testing approval num~~~~_~e inspector at the time of mspechon. I also understand that If I am requeshng a p~~~~~ inspection, the waIl covering may be reqUIred to be removed. o..~ \r "\ -c \~ ~(J ~~~p ~\!\\ \ C~,.. ~\\~\..\.. ~\\\\~ ~~~ TO; ~ ~~~:;~~~~\)~~ ~'O~o/rrt)J (/ t-.\) \ ~~t.~\)'{;.~ ~t.~\(Jf) I I ~" ~"1W" ~.~()~ n.\\ ~~ ."" ~p FOR \:;lUJ.~~ff!.!~p.\\"tffV\J , ,," " SIgnature: 'I).;:,? , I Date of Apphcation: Checked for Dehnquencles: ~ ~ Checked for Hlstoncal Status. Shared Dnve(T )/BwIdmg Forms/Wood Stove Penmt 1-08 doc CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: cOM2008-00501 ISSUED: 04/10/2008 APPLIED: 04/10/2008 EXPIRES: 10/10/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1205 DONDEA ST ASSESSOR'S PARCEL NO.: 1802064201900 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New PROJECT DESCRIPTION: Pellet insert Owner: DEBORA JUDISH Address: 1205 DONDEA ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 BUILDING INFORMATION I # of Units: # of StorieAi.l \0 Primary Occupancy Group: R-3 'N M~,%?I~l\~re Secondary Occupancy Group: c ""N' Olegon \a: \",e.w>~ldt'o(\ft Primary Construction Type, \~, \ J s );,!fop\ed b~se W\ai~~"()O'\. Secondary Construction Ty.pe:: (\~\~ cen\el. 1~h{O~ WfU\eS '0'1 # of Bedrooms: 0\ot\1\ca\IO 2_00'\-OO'\~ CO"86~~ ~one In OJ\R 95 {Oa,/ ob\a\~Not81Nnt~i\\\lUk\'iftt n/a .;i^f't '(ou .:_...tAf.' ,-t.".}t'1 fi v.::Jv , \tl" ~~~t9A~'" ca\\\ng tot \h ~WEN'f INFORMATION I null\06t cen\8( Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved DrIve Rqd: % of Lot Coverage: Residential Phone Number: 541-741-6785 Expiration Date 01/10/2010 Phone 541-895-3593 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ ~~ \NO'\'" O"t\ct~ "~\.\. ~''''~f.~lJ\\~\6e~9tl Type: " \,\\$ ?~~W\t{ ~~n~\\ 1\'\\~nO~~\1'~spoutS/Drains: \~\rt"'O~\1~nO OR \S ~~~ COW\W\~~ce~'i ?t.\\\OO. ~~'l "\&0 \1 Street Improvements: Storm Sewer Available: Special Instruction: Notes: I Valuation Description I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Pae:e 1 of2 Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Total Value of Project Fees Paid I Amount Paid Date Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-00501 ISSUED: 04/10/2008 APPLIED: 04/10/2008 EXPIRES: 10110/2008 VALUE: Receipt Number 1200800000000000335 1200800000000000335 1200800000000000335 1200800000000000335 1200800000000000335 1200800000000000335 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. Pellet Insert: After installation $20.00 $5.00 $6.00 $2,50 $17,00 $33,00 4/10/08 4/10/08 4/10/08 4/1 0/08 4/10/08 4/10/08 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. Ow~~~/ $83.50 I Plan Reviews I Reouired Insoections I Pae:e 2 of 2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0050 1 COM2008-0050 1 COM2008-00501 COM2008-0050 1 COM2008-0050 1 COM2008-0050 1 Payments: Type of Payment Check cRecemtl RECEIPT #: 1200800000000000335 Date: 04/10/2008 DeSCriptIOn Pellet Stove/Insert -Mechamcallssuance Fee- MInImum/AdJustment Mechanical + 5% Technology Fee + 12% State Surcharge + 10% Admimstratlve Fee PaId By YE OLD TOWN SWEEP Item Total: Check Number AuthOrizatIOn ReceIved By Batch Number Number How ReceIved dJb 19593 In Person Payment Total: Page 1 of 1 1:12:33PM Amount Due 3300 2000 1700 250 600 500 $83.50 Amount PaId $83 50 $83,50 4/10/2008