HomeMy WebLinkAboutPermit Mechanical 2000-12-21SPFINGFIELD
Job# 00-01821-01
RESIDENTIAL PERMIT
City Of Springfield
Gommunity Services Division
Building Safety
Page 1 of 2
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 820 S 00043rd St Spr
AssessorsMap#: 18020521
Lot: Block: Addition
Job Number: 00-01 821-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 08502
Subdivision:
crTY oF SPRINGFTELD, OREGOTV
Owner: Richard Buss
Address: 820 S 43rd St
Scope Of Work: Wood or Pellet Stove
woodstove
Phone Number:
City/State/Zip:
New
541-746-1932
Springfield, OR 97478
Value: $O
Contractor Type
MechanicalContr
Contractor
Good Deal Metal Products lnc
5322Main St, Springfield, OR
97478-6274
Registration #
26743
Expiration Date
8126t2000
Phone
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group:
Heat Source:
Sq. Footage:
To request an inspection call the 24 hour recording at726-3769. 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
working day.
Required lnspections
Mechanical
Wood Stove -After installation.
rtton
# Of Stories: Height (feet):
Current Units: Proposed Units:
Census Code: Does not apply
Area (Sq.
Main:Accessory Total:
Fee Paid On Receipt# Value/Quantity Fee Amount
Mechanical
Minimum Mechanical Permit 12t21t2000 4098 $.00
Construction Types:
Occupancy Groups:
# Of Buildings:
# Of Bedrooms:
Handicap Access? [
Job#00-0 1 821 -01
Fee Page 2 of 2
Administrative Fee - Mechanical
Woodstove
Mechanical lssuance
State Surcharge - Mechanical
Total Mechanicat
Grand Totat
re
Paid On
12t21t2000
12t21t2000
12t21t2000
12t21t2000
Receipt# Vat
4098
4098
4098
4098
Fee Amount
$.45
$15.00
$10.00
$1.05
$26.50
$26.50
1
Mechan ical
CITY OF OFEGO'V
SP} JFIELD
WOOD STOVE/INSERT INSPECTION APPLICATION
CIry OF SPRINGFIELD
COMMUNIry SERVICES DIVISION - BUILDING SAFETY
225 Fifth Steet
Springfield, Oregon 97 477
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
Offrce: 726-3759
INSPECTION LINE: 726-37 69
Job Location' ?3 o S L)3 R,Q
Assessors Map #:Itoz-o5 Zr Taxlot#: OEfoZ-
owner: Rt Ch ned 8,,,
Address:c b-t %a
City:fJt st^t",Oft
Value of Wood Stove/Pellet Stove/Insert: L q e (please circle appropriate appliance)
Preliminary Inspection is $15.00 (prior to installation of insert)
Wood Stove/Pellet/Insert Permit is $15.00 + 1. 05state surcharge + $.45 Administrative Fee + gl0.0o
Issuance.
Type of Inspection 00 e
L
frrn Phone#:ZZ
state: n (
S
'/l I
Construction Contractors 3
By signing this permiUapplication, I agree to call for an inspection(s) as required (726-3769). I state that
all infonnation on this application/permit is correct and that I was provided with the Wood Stove Safety
inforrration for wood burning applianses an6 preliminary inspection standards. t further state that the
appliance I am installing meets smoke emission standards as set by the Oregon DeparUnent of
Environmental Quality or the Federal Environmental protection Agency and I agree to provide the testing
approval qumber to the inspector at the time of inspection. I also understand that ifI am
wall covering may be required to be removed.
/
Date
FOR OFFICE USE
REQUIRED INSPECTION(S): WOODSTOVE/PELLET/INSERT
-PRELIMINARYDate of Application:t 7-z <<a Job #:Zi_O I
Total Amount Lto? y
D={-{ tr3;,rJx>D73 12.rf rn l.1.1 L'l
-rf,.. *+Dr=t=..lz.. Irl(fm Fr t:-l Pml.. {f} r.J OdE HOL,I OLll o f.J s.(f (=ul O (3'"l]OOOCD
m:;n
OF..H
,o
Checked for Checked for Historical
-O
DEVELOPMENT SERVICES DEPARTMENT
a
Issued