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HomeMy WebLinkAboutPermit Mechanical 2008-8-20 d e> .,~ IN ~ (Q) "~ ~~ ~~ ~ <~ ~~ ~~ ~ ........, i;s ~ ~ ~ ~ ......::. ~ rr=-j I~ ~. ~ ~ ~1 ...............j ~ > ~ I~ ~ ~ e> e> ~ I, CITY OF SPRINGFIELD, OREGON s~. P~RING~~~D' _ _ .. - ...- - - - - ,- - '. '~~~~ 22') FIITIl STREET. SFRlNGFI1LD, OR g7477. FI! (,)4I)726-~7,)', . fA}( (')4])726-3689 /25""0 CIty Job Number COW'\'ZOO Y - 0 Job LocatIOn 2.5/ ~ ~"~"'I,4-L /70"52 Sl{ l{ 7 L-V'Ji Ta, Lot 00 zo .1 As~e,.,sor's Map Ownel o Iltl" H 'R",~er 5f" ttvld .25/'1" CPVI+~V1n"l\1 lillI/d. Sp(ln~.t"~ld LIp "17477 M a ann P. Ro..+e.r Fhone 7.210 - '1705 Address ()rf'a On ~ :'tate CIty Frellmmary Inspeebon for wood burnmg mserts IS $66 04 (pnor to Insert) Wood Stove/Fellet/Insert Fermlt IS $87 04 (mcludes applle"ble fees and surel1.iJm\C requires y"", .... ,-"",""'l'}regon laW~!1on Utlt~... 1-" ,~..... cloplt.... w, I are..... IV' folloW rules ~nter. ,.hOse ru e~/>.R 952-001' Not\I\~~~anoDmp'~gh at the rules bY In Op..'f\' @'/J)_~!"n wl'l~e telephOne Contractor Ted Huff -.Agt-Q~/)Io~_ l~ote:",w NotIfil'.lltlOl\ Addrc" -Po 1':"" .':U.::r ~Q call1Og ,~. thl! orego" ~). Fhone ..5.'/..1 - :2, 'J ~>''''o l\UIDIl'" ",.. I \~UU CIty E Ujt'.r>P. center 8:,rafe (')r"l'J"n Zip '17'10.2. ConstructIOn Contrdctor'~ Reglstrat10n # 7.~ ~()In tApues ~/17 / ":1,,,, 9' / By sIgnIng thIs penmt/apphcal1on, I agree to cdll for an InSpectlOn(s) as requned (726-3769) I state that all Intormal1on on thIs apphcal1on/penmt IS correct and that I was pro~_ the Wood Stove Safety Intormatlon t01 wood burmcttances an~~~ .twt standards as set by the Oregon Depaliment of En I tl.f.A~6M~ ~ EnvnonmentaI Protecl1on Agency and I aglee to piT~ ~~tl' r n~'lhe Inspector at the l1me of mspectlon I also understaA_1 !" 0Rl\& prehnllnary InSpection, the wall coverIng may be reqUIred to b t-.Y PERIOO. AtN 180 Sllgnature ~~ I Ddte S'/J~/4%' i / FOR OFFICE U:'E Date of ApplICatIOn ~ /Z~ao c;j" / Checked for HI,loncal Slatus v Ched..ed for DelmquCnL.lc,) Shared Dme(T )/Buddrng Fonn,lWood Sto\e Pennll7 08 doc Status Issued 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LlOe CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO' COM2008-01250 ISSUED 08120/2008 APPLIED. 08/20/2008 EXPIRES: 0212012009 VALUE: SITE ADDRESS 2515 CENTENNIAL BLVD ASSESSOR'S PARCEL NO 1703254400203 Spnngfield TYPE OF WORK Wood Stove TYPE OF USE New ReSIdential PROJECT DESCRIPTION Replace eXlstlOg IOsert Owner Address RATER OLLIE H SR & M J PO BOX 2514 EUGENE OR 97402 Contractor Type MechdOlcal Contractor TED L HUFF JR # of UOIts Pnmary Occupancy Group R-3 Secondary Occupancy Group Pnmary Construction Type VB Secondary ConstructIOn Type # of Bedrooms Frontyard Set hack Side I Setback S.de 2 Setback Rearyard Setbdck Solar Setbacks Street Improvements Storm Sewer AVdllable Special InstructIOn Notes DescriptIon Type of ConstructIOn Phone Number 541-726-7705 ~!:~.: r;: l (,..Dl'FRACTOR ,INFORMATION I fallow" "u" uregon law ~ NOllflC rules adoPted by th YOu flxPlratlOn Date In OAR, ~'g!; :e.nter. Those....l 6~~~n Utility 05115/2009 ~IJFmmi~;~"'Wls. ~l>I R-95'2'.OO? , -/,( ~ 1/11:1 centel (N \-71/Jf1:e rules b . nUmbW cfP5Iba~~gonO~~,~e telePhone V Lot SIZe fflll~lr51"8~2_~~.?flf/caUon Sq Ft 1st Floor Type of Heat ........). Sq Ft 2nd Floor Water Type Sq Ft Basement Rdnge Type Sq Ft Gal agelCal port Energy Path- Sq Ft Other Spnnkled Buddmg n/a Occupant Load Phone 541-338-7550 I DEVELOPMENT INFORMATION I REQUIRED PARKING Total Handlcdpped Compact OverldY DlSt # Street Trees Rqd NOrrc'f',d Dnve Rqd THIS p'f.t1hot Coverage AUT,..,n~~~'T SHAll ~IRr: ,.. ....,_. rro~~~lNIi~ ERMiT'",sVUHK h,., ;W~D:IJ"'W~NEIJ;_~ffype Downspouts/DI alOs I V aluahon Descr~Dhon I $ Per Sq Ft or multiplier Square Footage or Bid Amount Date Calculated Value Paee I of 2 -ii2~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01250 ISSUED. 08/20/2008 APPLIED: 08/20/2008 EXPIRES 02/20/2009 VALUE: 225 Fifth Street, Sprmgtield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspectoon Lme Total Value of Project Fees P.BuI I Fee Description -Mechamcallssuance Fee-- + 10% Admmlstratlve Fee + 12% State Surcharge + 5% Technology Fee MlmmumlAdJustment Mechamcal Wood StovelInsert Amount PaId Date Paid Receipt Number $2100 $520 $624 $260 $1900 $33 00 8120/08 8/20/08 8/20/08 8120/08 8120/08 8120/08 2200800000000001263 2200800000000001263 2200800000000001263 2200800000000001263 2200800000000001263 2200800000000001263 Total Amount Paid $87 04 Plan Reviews I To Reque~t an lIIspectlOn call the 24 hour recordlllg at 726-3769. All inspectIOns requested before 7'00 a.m wtll be made the same worklllg day, inspectIOns requested after 7:00 a.m. Will be made the followlIIg work day I Renuirerl InsnedlOn,s I Wood Burnmg Insert After mstallatlOn By signature, 1 state and agree, that I have carefully exammed the completed apphcatoon and do hereby certofy that all mformatoon hereon IS true and correct, and I further certofy that any and all work performed shall be done III accordance with the Ordmances of the City of Spnngtield and the Laws of the State of Oregon pertammg to the work descnhed herem, and that NO OCCUPANCY Will be made of an} structure wIthout permISSIOn of the Commumty Services DIvIsIOn, BUlldmg Safety I further certlty that only contractOl s and employees who are 10 comphance With ORS 701 005 wIll be used on thiS project I further agree to ensure that all reqUired mspecllOns are requested at the proper tome, that each address IS readable from the street, that the permit card IS located at the fl ont 01 the property, and the approved set of plans wIll remam on the sIte at all times dUring constructIOn w. . ~./~ Owner o:?o::'ctors SIgnature fh,y/J% Date Paee 2 of2 225 FIfth Strcct Sprmgfield, Oregon 97477 541-726-3759 Phone ~~ CIty of Spnngfield Officl3l ReceIpt Development ServIces Departmcnt Public Works Department Job/Journal Number COM2008-0 1250 COM2008-01250 COM2008-0 1250 COM2008-0 1250 COM2008-0 1250 COM2008-0 1250 Payments Type of Payment Check cRLcemtl RECEIPT #. 2200800000000001263 Date' 08/20/2008 DescriptIOn Wood Stovellnsen MInimum/AdJustment Mechamcal -MechamcalIssuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% AdmInIStrative Fee PaId By MARJORIE RATER Item Total ~heck Number AuthOrization Received By Batch Number Number How ReceIVed dJb 6392 In Person Payment Total Page 1 of I 8 15 09AM Amount Due 3300 1900 2100 260 624 520 $87 04 Amount Paid $87 04 $87 04 8/20/2008