HomeMy WebLinkAboutPermit Mechanical 2006-10-20Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01359ISSUED: 1012012006APPLIED: 1012012006
EXPIRESz 0412012007
VALUE:
SITE ADDRESS: 893 S 44TH PL
ASSESSOR'SPARCELNO.: 1802052103700
PROJECT DESCRIPTION: Fireplace Insert
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: Addition
Phone Number: 747-8821
Expiration Date
10t29t2006
Residential
Phone
541-343-1 l3l
Owner:
Address:
Contractor Type
Mechanical
BECKY WINDHAUS
893 S 44TH PLACE
SPRINGFIELD OR 97478
Contractor
THERMAL RESOURCES INC
License
161946
CONTRACTOR INFORMA'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Imprordl,[trll C E :
Storm Sewer Alhllfu[i.RMlT SHALL EXPIRE tF THE woRK
speciar Instrucf,$]fldiii;D ulrorn THls PERMIT ls NoT
COMIVIEN;iD OR IS ABANDONED FOR
Notes:
ANY 1Bo DAY PERI'D
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
nla
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
lication
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
DEVELOPMENT INFOR]
PUBLIC IMPROVEMENTS
Description Tvpe of Construction
Pase I oI 2
Value Date Calculated
are set tortt
10 through OAR e52-001
the rules b)
Valuation Description I
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-01359ISSUED: 1012012006
APPLIEDz 1012012006
EXPIRES: 0412012007
VALUE:
Amount Paid
Total Value of Project
Date Paid Receipt Number
1200600000000001552
1200600000000001552
1200600000000001s52
1200600000000001552
1200600000000001552
1200600000000001552
inspection requested before 7:00 a.m.
a.m. will be made the following work
Fee Description
-Mechanical Issuance Fee-
+ l0o/o Administrative Fee
+ 57o Technology Fee
+ 87o State Surcharge
Miscellaneous Mechanical
Wood Stove/[nsert
$10.00
$4.50
$2.25
$3.60
$15.00
$30.00
10t20106
10t20106
10t20t06
10120106
10t20106
10t20106
To Request an inspection call the24 hour recording at 726'3769' All
will be made the same working day, inspections requested after 7:00
Total Amount Paid $6s.3s
Wood Burning Insert: After installation.
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 furthlr certify that any uno ott woik 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 ttre community Services Division, Building Safety
I further certify that only contractors and employees who are in compliance with oRS 701.005 willbe used on this project'
I further agree to ensure that all required io.i..iioo, are requesteo at tne proper time, that each address is readable from the
street, that the permit card is located at the fiont of the property, and the appioved set of plans will remain on the site at all
times during construction.
Owner or Signature
Page? ol2
Date
ID JO
I ees raro I
day.
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Ci' of Springfield Official Receipt
D,--:lopment Services Department
Public Works Department
RECEIPT #: 1200600000000001S52 Date:1012012006 2:31:3ePM
Job/Journal Number
coM2006-01359
coM2006-01359
coM2006-01359
coM2006-01359
coM2006-01359
coM2006-01359
Description
Wood Stove/Insert
Miscellaneous Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 8% State Surcharge
+ l0%o Administrative Fee
Amount Due
30.00
1s.00
10.00
2.25
3.60
4.50
Item Total:$6s.J5
Type of Payment Paid By
um
Received By Batch Number Number How Received Amount Paid
Check BECKY WINDHAUS lkw 10122 In Person
Payment Total:
$65.35
-5653
cReceint I Page 1 of I t012012006
tF UflAnsJ[
CITY OF SPRINGFIELD, OREGON
ST'RIHGFIELD
225rIIrH STREET . SPRINGFIELD,OR97477 oPH:(s4t)226-g7ss o FAX: (541)726-s6\g
CityJob Number -o 1
Job Location:5 rNat/,
Assessor's Map:Tax [ot:
Owner:
Address:
w
State:
Phone:7r'7- 882/
zip: ?'742-'r>'
neliminary Inspection is $55.35 (prior to insert).
Wood Stove/Pellet/Insert Permit is $65.35 (includes fees and surclurges).
(.tF.{cefi
*)d
()rfi
t-{
4,l
A.
Al-{crp{
{-)O
OgaF4F,{
lr{
.l-J
$-{
()a
F4i-flr{
0)
c{-)a
€c
C
ts
Contractor Information
Contractor:
Address: /L,"/.I 7 4VE Phone:
City:€ao*"ae State: 6A zip:
Construction Contractor's Registration #:Expires:
By signing this permit / application)l apree to call for an inspection(s) as require d U 26-37 69)
I itatE *alt afiinformation on this appfication/permlt is coriect andthat I was provided with
the Wood Stove Safety information?or wood burningappliances andpreliminary inspection
,ta1Ja.as as set by thL Oregon Department of Environmental Quality or theTederal
Environmental proteciion .(gency'and,l agreeto provide the testing approval number to the
inspector at thetime of insp"ection._ I alsJunder {tand that if I am requesting a pteliminary
inspection, the wall covering mayberequfued to be removed.
Date:2c 2aD/'
Signature:
fOROTTICE USE
1).,2d 2ed€2
Date of APPlication:
Checked for Historical Status:
Checked f or Delinquenctes:
Shared Drive(T)/Building Forms/Wood Stove Permit 08-06'doc