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HomeMy WebLinkAboutPermit Mechanical 2003-10-31 . ... Status Issued '* . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2003-01107 ISSUED: 10/31/2003 APPLIED: 10/31/2003 EXPIRES: 04/30/2004 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1401 LA WNRlDGE AVE ASSESSOR'S PARCEL NO.: 1703252206000 Springfield TYPE OF WORK: Heating System TYPE OF USE: New Residential PROJECT DESCRIPTION: Install flue liuer and insert Owner: JOYCE KOSTEN BAUER Address: 1401 LA WNRIDGE SPRINGFIELD OR 97477 Phone Number: 541-746-9068 I CONTRACTOR INFORMATION I " Contractor Type Mechanical Contractor SEAN LEE BUNTIN License 156852 Expiration Date 08/29/2005 Phone 541-736-1224 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secoudary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: ' Water Type: Range Type: Energy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: R-3 '\ I DEVELOPMENT INFORMATION I SETBACKS &. ~\)~'V'\ Froutyard Setback: ~ '\~ (\ \~Overlay Dist: Side I Setback: 'X~Y.- Y.-~'*' ~'Ib\Street Trees Rqd: Side 2 Setback: \.. Y.-~,,,\<o ~ ,,~Y.-\) Paved Drive Rqd: ,"~\; '\" ~\'V'V Rearyard Setback:~, (\ <0" I::>Y.-~ ~~~ % of Lot Coverage: Solar Setbaeks::\\IV <.~'*' C\ '0~ n. \<0 ~ ....\\l O~ ""~v ('.'<" ('\~. . '0YJ ~'0'- 'X.\) ~'("~ '\ ~\~ &.~\j ~ ~ ~ .~~ ~ 'V Street Improveme.e~: \'() ,"'~ Storm Sewer Available: Special Instruction: REQUIRED PARKING Notes: Total: Handicapped: 'lo\:C~mpact: \J\~eS \)\\\\\'1 >tl ~eO: Q,o'\l \\0(\ 0'\1\'3' eO~e ~ese 00 __",0; ._" \~ ,nS '3' _ n~?: , I PUBLIC IMPROYEl\:'IENlil\>\e~~oSe ~~~ Or~~e ~\J\~~e 0..' . "\"- :l.e~' .re .~~o ~ '" 0 'e9~ . 0'\1 r >tl ~v Ce'\l O,,<>idewalkCTyp.e:,e'.. Ce.\\ \0\\0 .\0(\ "".0, \(\Vv, .'\.1,,, '0\\\' . ,'re.' ..,O\', ....~, ._.e. m'~\ '0\\'\" 9~"" 'e.'l o"u~~spoe,~, ra,&!;\. :\ O~~"-'O\J ~ ce'\l\e 'eQ,O(\ '\?J'2-.'2-?J , 0' \~e O~ ().J 009 ~\\\(\Q, \O~ \~e . e., ".'0'" c :oe~' ,p' ,. ,,\J~ \."" I Valuation DescriDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated ~, Total Value of Project Paee I of2 'i . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-01107 ISSUED: 10/31/2003 APPLIED: 10131/2003 EXPIRES: 04/30/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I F....~ Paid' " Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Miscellaneous Mechanical Wood Stove Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $15.00 $30.00 10/31/03 10/31/03 10/31/03 10/31/03 10/31/03 1200200000000002403 1200200000000002403 1200200000000002403 1200200000000002403 1200200000000002403 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 ReouiredTnsnection'jJ 1 Wood Burning Insert: After installation. 2 Rough Mechanieal: Prior to Cover 3 Final Mechanical: When all mechanical work is complete. 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 deseribed herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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. ---- ~ \0/>., / -zl7f.J~ Date ., Owner or Contractors Signature Paee 2 of2 225 Fifth Street .,P Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-01107 COM2003-01107 COM2003-01107 COM2003-0 1107 COM2003-0 II 07 Payments: Type of Payment CreditCard WiIt~~~,~',~ ". ..,i,,' '. 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Receipt #: 1200200000000002403 Description + 7% State Surcharge + 10% Administrative Fee Wood Stove Miscellaneous Mechanical -Mechanical Issuance Fee- Paid By SEAN BUNTIN Received By djb Check Number Batch Number Authorization Number 000209 348873 City of Springfield Official Receipt Development Services Department Public Works Departme~t Date: 10/31/2003 2:29:35PM Amount Paid Item Total: 3.15 4.50 30.00 15.00 10.00 $62.65 How Received In Person Payment Total: Amount Paid $62.65 $62.65 . . 225 FIrrH STREET 0 SPRINGFIELD, OR 974 77 0 I'H:(541)726-g75:~ 0 fAX: (541 )726-%89 ~j Hl ~ OJ r~Jl Job Location ~. ~ Assessors Map ~ ."'I_li ., __-Ij Owner ~\ ~j Address ~\ ~j ~< City ~; Value of Wood Stove/Pellet StovelInsert. ~l ~' OJ .,..-Ij l~ t)) ~ COil tractor Illformation ~\ ~l c:(:)l Contract". ~l I.......h L.) ~l ~ ~l ~j ~i Ie Ij ................ ~ :?> eJ l~ ~ "el I) ~ Date of Application ~ Checked for Delinquencieo ~ , . . ., . . , CITY OF SPRINGFIELD, OREGON City Job Number COWl Z-OO:S ~O 110 7 )t-lO I L;4/fJ!Ii (L.( de, p- I 170S Z$""Z- L AVe..... Tax Lot 06000 00-re-tF I l::'o s ~ ~ A lA.1=--iL Phone 7l(b ~ 90(;g 77'(77 ILfOI lAvV""r~,L,w ; Sfl~0 - AJE State 0 fL Zip 5oo~ (please circle appropriate appliance) . Preliminary Inspection is $45.00 (priQr.!olnsert) Wood Stove/Pelletllnsert Permit ~ncludes Permit, Issuance Fee, State Surcharge & Admin Fee.) SL4A/' ~. t5WV,u...r ~\;)\ Addres~ 5'2-6 5 -s~~~s _ c.. + Phon~ 73 b"" 12 Z. l( ,... ~~~~'\\;)'(' Cit" s? r.~ o,<() ~y'Y "tat~ 0 rL Zi'1 77Lf 7 g . <",T"- ~. ~,. \,0 Y; Construction coo~~ ~~~~ration iJ / S"b '6'!:Z "'"Ul~~"~~'\rZ-7 CJ ') . .. ':) ~'\:i ~ ~ ~C ~ v 'I>.. \V ~~~,.~ ~~. ~ ~ d N ,'V' <>..~' ^ - ro..'(' ~. ,'<' ~'<' - 0 ,~(.. , ~, ~~ ~,:&,:,,df. . . .' ~ (>>0 '. q} C?}.J ~0~ B~~~~""'~'.!!("I'f'hcatlOn, I agree to call for an lI1spectlO~~,a!>,reqlilre#-'?!J?~7t~9). ~ state that all infom~t(<$~<Olls~~lication Ipermit is correct and that I "i.aP.~Ij\>i(l~~~lhh~\w,.(~H~'~fP~e Safety inform?'h~'b~r~d burning appliances and prelimina!'X.Jfsip&~oq(S1.~.d~~~!;~~~~bcl'~tli'e Oregon Department of EnvlrohlU@tal Quahty or the Federal Envlronmenta~Protecl1Bn'A~nGy:al19..I'?~e~~9.\prOvlde the testmg approval nu~ber to the inspector at the time of inspcl;)ig&~tfiGp.u~d~~d~th~~ff !<.Sm requesting a Preliminary inspection, the wall covering may b~reqti~ed)iO b&'.,.'em'lWed.~"o<' n..~rv .~..... :\.' ~- ~ ~'" ~ \0 .~\c,'l>' OJ~ ~'l>' c,0<' 0,0 ~~<;Y' ,0'1 ...<<- _10,) ~0 ~0 v . 0'-" ~. ~. .,c. \<' ~<:::J' ,,<,~ \0\ .p' _("\ _" ....( 3' v v" ~.:. \ <'~~ S. c- 19natur~ Date \0/"" ) , ... ---- "Z..trr-""-. . For Office Use /D/s'/03 I I (.....-- ~ rhecked for Historical Status Sh.,red Drive(T:)IBuildinj,\ Fonns/Wood Slovc l'cnnitl.oJ,doc