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Home My WebLink AboutPermit Mechanical 2008-5-28 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-00745 ISSUED: OS/28/2008 APPLIED: OS/28/2008 EXPIRES: 11/28/2008 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 955 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703341104501 Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: W oodstove TYPE OF USE: New Residential Owner: DANIEL EVANS Address: 955 KELLY BLVD SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical License 26743 Contractor GOOD DEAL METAL PRODUCTS INC BUILDING INFORMA TIO~ # of Units: # of Stories: Primary Occupancy Group: R-3 Height of Structure Secondary Occupancy Group: Ie of Heat: Primary ConstrAQffQiNll"~: OregorvlllW requires Ipe: Secondary Con$OOtcMO'tIl~opted by the Oregoll W! pe: # of BedroomsNotlficatlon Center. T. hose rules arelRath: in OAR 952-001-0010 through OAR . Building n/a I)QQQ...Vnl1 m~btal'1 copies of the . . calling the center. (Note' \1,.. T INFORMATION number for the Oregon U Center is 1-800-332-2344)- Frontyard Setback: Overlay Dist: Side 1 Setback: # Street Trees Rqd: Side 2 Setback: Paved Drive Rqd: Rearyard Setback: % of Lot Coverage: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Phone Number: 541-228-2163 Expiration Date 08/26/2008 Phone 541-736-9876 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: Sidewalk Type: NOTICE: D /D . THIS PERMIT SHAll mme fMWORl ownspouts rams: AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. I Valuation Description I Notes: Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Type of Construction Page 1 of2 Value Date Calculated Status Issued CITY OF SPRINGFIELD - Building/Combination Permit PERMIT NO: COM2008-00745 ISSUED: OS/28/2008 APPLIED: OS/28/2008 EXPIRES: 11/28/2008 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% Admmistrative 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 5/28/08 5/28/08 5/28/08 5/28/08 5/28/08 5/28/08 2200800000000000758 2200800000000000758 2200800000000000758 2200800000000000758 2200800000000000758 2200800000000000758 Total Amount Paid $83.50 r Plan Reviews, 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 I Wood Stove: 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. /\ (" () \L/ntW0I.~ _5""/ 2-~ /08" Owner or Contractors Signature Date Pae:e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-00745 COM2008-00745 COM2008-00745 COM2008-00745 COM2008-00745 COM2008-00745 Payments: Type of Payment Check cRecemtl City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2200800000000000758 Date: OS/28/2008 DescriptIOn + 5% Technology Fee + 12% State Surcharge + 10% AdmmlstratIve Fee Wood Stove/Insert Mlmmum/ Adjustment Mechamcal ~Mechamcal Issuance Fee~ PaId By REBECCA COOPER Item Total: Check Number AuthorIzatIOn ReceIved By Batch Number Number How ReceIved dJb 1042 In Person Payment Total: Page 1 of 1 8:08:03AM Amount Due 250 600 500 3300 1700 2000 $83.50 Amount PaId $83 50 $83.50 5/28/2008 ~ o CIty Job Number · ~ Job Locahon. ~} Cd" Assessor's Map. ~,& .~, ~ ~ ~ <, ""..__~,II, ""0...'1;,"" .lIdl.,.;.....i'~..,"."."....._I;II,;jiill,........I..~.""jll _ 111.~.oIl1h Illl.~ III..... ,,' ._"... ~ ,," ,1"1j0;.,'......,;[..........1ioi,..,_'. $::t Preliminary Inspection for wood burnIng mserts is $63.50 (prior to insert). Q (~e/pellet/Insert Pennit IS $83.50 (mcludes applicable fees and surcharges). .~ ~...." ); U 0)' pI. 1. 00, ~: , ,'" * ( ~,' $-.4 (l) CIJ. d ~W"'~~ ............... C). >~ 0, ~" r:fl 'i' 11.,/'1" ~ U' at ~ SPRU'I,lIGFlIELD 225 FIFTH STREET. SPRINGFIELD, OR 97477. PH-(541)726-3753 . FAX: (541)726-3689 Ccn-vt~%~OO 7lfJ '1 J-S- /Ce'/ /1/ 15(vd 17D3 3tf/ I ( Tax Lot: oc.fJO ( Own '1'""1. . \ T:: '. , er: L I ). j 1 \ \:' \ ':- \, :{ ,I ' Address: q~!l /(p_llvl f) h.J[ I CIty: C)\)(\Y\i.};\C\d' . ./ ':: ~f\)U(a (\G('Vv Phone: \ ')Lt l- 2 2 $' - 2 I 6 :3 ZIp: ':t""+ \,(1'1 State: Cr~ Contractor Inf9rmation Contractor: G'co (> i)(v~ Jl- II J pIB L - Address: 5" 3/:-::?2 I IJ I~H-IS ) . CIty S:},{fll0lH of (j' 0/ / . Construchon Cont'ractor's Reglstrahon #: Phone: 7LJ/; .;:;?__? ) . ZIP~ c'Jjy 7.-\-- "f>/-vs7D% State [sJ~. 2--b 7'1'3 ExpIres: .. By sIgmng thIS permIt/application, I agree to call for an m~pechon(s) as reqUIred (726-3769). I state that all mformahon on this apphcahon/permit IS correct and that I was provided With the Wood Stove Safety mformation for wood burmng avphances and prehmmary mspection standards as set by the Oregon Department of EnVIronmental Quahty or the Federal EnVIronmental Protection Agency and I agree to proVIde the teshng approval number to the mspector at the hme of inspechon. I also understand that If I am requeshng a prehmmary mspection, the wall covering may be reqUired to be removed. SIgnature: ((J(L~~ Date: 5/JJ5/0Ff:; F y-" , , , ' FOR OmCE USF--....._..;. " ,~ , "~, '" l\t:lt:NTJON: Oregon 'Yaw requfres you to follow rules adopted by the Oregon Utility 6" - Zt5 - 0 t' Notification Center, Those rules are set forth In OAR 952-001-0010 through OAR P52-001- V' 0090. You may obtain copies of th~ rJ,JJes by CheceaDl~ nhSl~a~te: the te~hone number for the Oregon Utility Notification Center is 1-800-332-2344). Date of ApplIcahon: Checked for DelInquenCIes: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Shared Dnve(T )lBwldmg Forms/Wood Stove PermIt 1-08 doc