HomeMy WebLinkAboutPermit Mechanical 2008-10-6
~'
0;
. F(i
~'
ro'.
o
o.~~
~,
~,
~,
~;
~.
Q:
..~~
~,
, "''':,
~-.
~,
t':f.)'
d~
~i
.1:::-
(t):
r.t:i ,
~:,
~
'-..
Q)!
"',>
~
0:
~)
CiO.\
~)
0;
(;)
~_.
.'
..~~ .
..- ,.
"
ZZ5 FIITH STREIT 0 SPRINGFIELD, OR 97477 oPH:(541)726-3753 0 FAX: (541)726-3689
City Job Number, COwiiooS''': O;S"tJ..
Job Location: J O!. 0 r-= ~ +
Assessor's Map; ~\ \
'--
L~
.~~"',
DICA-c:L)
Tax Lot:
Owner:
KEVIN S, I<U.,JE'-f .
lD,:t:>F Sn~.~'"
:::,PRJIJ6FIE-I-i)
State:
oR.
Address:
Phone:
City:
Preliminary Inspection for wood burning inserts is $66.04 (prior to insert).
Wood Stove/Pellet/Insert Perritit is $87.04 (includes applicable fees and surcharges).
Address;
City:
Contractor Information
G 000 1)EA\-'METAI-. P/2.0D'^-'-T:>,
532.'2. MA-i 1-.1 sr e.eE-T
SPlLIN~I=.o
Phone:
Contractor:
IN(.. "
Slate:
CR
Construction Contractor's Registration #:
2. {,-=I-'-i3
Expires:
5"1 I . :f'lGo' C}7.Lf'-l
Zip: C\ ~4=1-1-
~
5'11- '=1-"11;:;" G2Zl
Zip: q'7- I.jg...<e,
,
By signing this permit/application,] agree to call for a~~~'1g,~~as requi!'ed (726-3769).
I state that all information on this apP3iCati '~~~tV19f1S~~~ctf\'l\t] was provided with
the Wood,Stove Safety informa!is~~'V . ~ ~a~lll!e~dQ1r'eliminary inspection
standards asset by the OregorP--b\;~~ j;' ot-~~M\lisartfthe Federal
Environmenta] Protection Ag~imMm~~o ~e~Cl\~~I\~va] number to the
inspector at the time of insped1'ro~~il- ~llIQ-~~,~,~t~IjdiQ ~ . -ng a preliminary ,
inspection, the wall covering "~O'~'('el\~~~~be't~~.!:~). .
" 0 calling \\\e tne Ole~_~2,-'~ .
l, :eel WI \$ '\-
. ,I. <. _ '" '^ r. ,\1\1\ cen\el
SIgnature: Cf\ 1-_____ 1-, ~
r -~
Date:
'<', -
~t ,>.:
.'.'~' 1
.
,-, I'"'
"'''', ,"
FORomcEuSE'
:':;;"1, "_'
".' ,1
/O/O(P/O~
";'. .-J'
.' ,
.. ... -,'
IO)O~ r " ."
, . -' ' . 1'\'C.~Q~
~"{\Gt~ked fO$<<'rii't~~i~I,~~ \~"{
_ -"Y, ,1\\1$ PE~~~ \)~UER l~~~UO~EO fOR,
f>,\)1\\0 EU OR IS ~ --
CO\>!lWlE~C r>.'l PERIOO. __ _ '.
f>,~'l '\ 80s~ Drivo(T YBmlili;g ForrWWood Slov< Pooml 7-08 doc
Date of ApplicaIion:
Checked for Delinquencies:
.,
....
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01525
ISSUED: 10/10/2008
APPLIED: 10/]012008
EXPIRES: 04/1012009
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54]-726-3676 Fax
54]-726-3769 Inspection Line
SITE ADI>RESS: 1030 F ST
ASSESSOR'S PARCEL NO.: ]703351106400
Springfield TYPE OF WORK: Wood Stove
PROJECT DESCRIPTION: Woodstove
TYPE OF USE: New
Residential
Owner: KEVIN KUNEY
Address: ]030 F ST
SPR]NGFIELD OR 97477
I CONTRACTOR ]NFORMATlON I
Contractor Type
Mechanical
License
26743
Contractor
. GOOD DEAL METAL PRODUCTS INC
I BUILDING fNF<;'RMA TION I '
# of Units:
Primary Occnpancy Gronp:
Secondary Occnpancy Gronp:
Primary Constrnction Type
Secondary Constrnction Type:
# of Bedrooms:
# of Stories:
R-3 Height of Strnctnre
~ITENTIO^ Type of Heat:
VRlow rUle ~tegi!'~l1lliv r .
.Notlfication ~ 'lfh'lill'~(ll~itieeqUtresyOU to
~~~AR 952'OO~fflih~f.gYII'~~Wl~oregon Utility./
O. You ma' 1>, n/lllll!-etll)Il .re Set form a
~~/I;,"\_ ..Y hf!:Ji... _ t:l n~.... .
.numb~~wr~l6~MW~Q
~S-" .-,,'Y rJ tiJily No-t~fj~."one
, VOO~~.~!:! 11cati
Overlay IJf!'t:2,344). 01)
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot <;ov,erage:
Frontyard Setback:
Side] Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Speciallnstrnction:
Phone Nnmber: 541.746-9744
Expiration Date
08/2612010
Phone
54] -736-9876
Lot'Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
" Downsponts/Drains:
Notes:
Description
Type of Constr!lction'
Paee] of2
Valne
Date Calcnlated
Status
Issued
225 Fifth Street, Springfield, OR
54]-726-3753 Phone
54]-726"3676 Fax
541_726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee-
+ ]0% Administrative Fee
+'12% State Sur'charge
+ 5% Technology Fee
Minimum/Adjustment Mechanical
Wood Stove/Insert
Total Amount Paid
Amount Paid
$2 LOO
$5.20
$6.24
$2.60
$]9.00
$33.00
$87.04
Total Value of Project
F~e,~ P~i~ I
, Plan Reviews ,
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-0I525
ISSUED: 10/10/2008
APPLIED: 10/10/2008
EXPIRES: 04/10/2009
VALUE:
Date Paid
Receipt Number
10/1 0/08
]0/]0/08
10/]0/08
10/]0/08
]0/10/08
]0/10/08
220080000000000]496
220080000000000]496
220080000000000]496
2200800000000001496
2200800000000001496
2200800000000001496
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.
Wood Stove: After ]nstallation.
I Reonired ]nsnections I
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 70L005 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.
Owner or Contractors Signature
Paee 2 of 2
Date
225 Fifth S!/eet
Springfielif, Qregon 97477
541-72o-3759Phone
City of Springfield Official Receipt
Development Services Department
PublkWorks Department
Job/Journal Number
COM2008-01525
COM2008-0 1525
COM2008-01525
COM2008-0 1525
COM2008-0 1525
COM2008-0 1525
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
2200800000000001496
Date: 10/10/2008
Description
Wood Stove/Insert
Minimum/ Adjuslmem Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+ 12% Slate Surcharge
+ 10% Administrative Fee
Paid By
KEVIN KUNEY
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1242
In Person
Payment Total:
Page I of I
2:39:36PM
Amount Due
33,00
19,00
21.00
2.60
6.24
5.20
$87.04
Amount Paid
$87,04
$87.04-
10/10/2008