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Home My WebLink AboutPermit Mechanical 2008-10-22 = 0; ..~ 1;....11 ~> I.!;Q) ~ ~;),~I~ " I~ ~j f1'i ~""",,-,,9 . II ,1 ~1 ~! 0; ..--" ,~, l;...~ tl~ ~ f')~~ C?til\ Cj <-.:....1\ rp='Il ~ ~l '~ a;e' ~, ,.--1 1'--:'-1\ ............. ~ > e; I~ rtIl1 ~ Q 0; ~ 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number C.OU/tLOO 'jj'-Ol Sb3 Job Location: i2.:o Lt.) ~ ;""'('<.. 1 or ,)p./ Assessor's Map: 17 0 ~ 27 '-t Z ' ex 77t.f7 7 Tax Lot: 00 40u Owner: S, \.v, J/\ IItCV\. l J2.r....J -<..vI Address: ('7.--D I,) t:'c,irv;(uJP,/ ~, City: '3.r V State: c:r-r Phone:'f4/~ ~ -ZR s,-3 -7')2 ~ Zip: '1 ')477 .., ..,-,...,-, .,...--..- ."., -",.." ,'" -- .". ",," . ,. "" .,.. u'tg Preliminary Inspection for wood burning inserts is $66,04 (prior to it1.s.!<rflre~\~~5" YOU\i'iW Wood Stove/Pellet/Insert Permit is $87,04 (includes appli,w.~~IlJl!I"~5'se\ 101\" . '... ,~;:~~~'~5~:.~~~~~~~~~~;e~;~~~~~~ o.. ~O\ilica\'~~.OO\.()O\~: ca9ie5 01 ~~'e9,,~e ~f>.? 9 .. ",B: ob\&: ""o\e', \"e ~\o\i\ica\\Ol\ ~ Co ,tl'/DmIDJ ~ll" U\i'i\'J \. I:!!:; , / I ,IJ. ~ e9 ;...,,\(A4\. It Contractor: (' { 0 U f1a / tL ca'~' ":.ort'V rn CV'--- Address: V bt;K .7t:;?'ul .;-fI......Jl.U(l\D>-Ce~<,rt1 'Z... Phone: Sf/( -,/7[),'C{7C(S- City: t,.c.G-c..~"- State: C>L Zip: "7 7'-('-'2.. Construction Contractor's Registration #: /71.. G;, '-(b Expires: I~o By signing this permit/application, r agree to call for an inspection(s) as required (726-3769), r state that all information on this application/permit is correct and that I was provided with the Wood Stove Safety information for wood burning appliances and preliminary inspection standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency and r agree to provide the testing approval number to the inspector at the time of inspection. r also understand that if r am requesting a preliminary inspection, the wall covering may be required to be removed. Signature: ~_~.. - "-""'" .:- -~;/ -... m ' "'_..../,'Y=!l!l""'l2@'u@ 'ill1l'!l1lfi1li:w_' "~"." iEiW:::" ..~..'l"_..- ~ '0Ii:'Y "~"2m~!n'{' 1IIr1!-_"."''Yd4 . '2!i!ili:l5ih_ :s...._ ''iF &..=!l!l:'o.~'" .=0!ili..FOR OmGE'USJ;fe~ ,Ii':: =if;a~"''' ,'.m "!lit!JimI.."':,,,,, .....!ili~ - ~ ~h ** *it***5 *^,$"Sf"iillii"'UM ",," ~ *N0"*""",,~*,,~,,w-~"'Cf'\T~~~,'\~=:l11E0 "0im~~zd ,,& "' it':'e'W,';'#iI lo.l\~~~,~J-$~ii\\ i~~~,~~~~~ fO\\ . ' Date of Application: ~f\' ,;:'t(~t ~"....\,,\J f>.\}1 t\u-i\~ 0\'1 ~ I Checked for Delinquencies: COWlWlt: \} 'JfI.~ ~~\\\OOChecked for HIstorical Status: f>."'i ,I) , Date: ;'0 -77.-0Y ......-----_. Shared Drive(T:)lBuilding FonnsIWood Stove Pennit 7-08.doc r Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01563 ISSUED: 10/22/2008 APPLIED: 10/22/2008 EXPIRES: 04/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-.726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 720 FAIRVIEW DR ASSESSOR'S PARCEL NO.: 1703274200400 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Wood insert Owner: LIST SHARON K Address: 720 W FAIRVIEW DR SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INE.ORM<\r~n law requIres y.ou,t,o _I', 1-" 't d by the Oregen UlIhty Contractor fellDW ru,e,s,~~~eThD!)f;lCli\li1i~~tQJ;!.h Phone NDtlllcatIDn'{!CMt"'~ () -t'(ft. RED HOT CONSTRUCTION In ()~I'\ 952.1(!1/i&40010 thr.ou,glt01 . ~ . O~ hv 541-870-9795 I BUILDING INF6RM'A"f1Xtffi.nOtlJelr""('Nv~~:th~ telephene "ri'(' \('!"I ' T r n ' 'n~vmb':r for 'he OregDn U:~~~ltllca 1.0 # of Stones: Center is 1-800-3........,..zu . Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Paih: .'--" - -8q Ft Other: Sprinkled Building: n/a Occupant Load: R-3 # of Units: Primary Occnpancy Gronp: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback:, Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Speciallnstrnction: Sidewalk Type: Downspouts/Drains: Notes: iT\et. 1f1'\:\E WOR\(. ~~S PERM'! ~~~~ ~~~ERM.Ii~~nNOi AUiH~:r. =,- ~l)~14e~ . ul' COM~6!htm ~\licriotion I ' 1RO Ul-\I f(lt.tl- , T f C t t. ANY flier Sq Fl Square Footage ype 0 ODS rue IOn ... .. . , or multiplier or BId Amount Value Date Calculated Description Pa2e I of 2 Status Issued CITY OF SPRING.Hf-LJJ Building/Combination Permit PERMIT NO: COM2008-0]563 ISSUED: ]0/22/2008 APPLIED: 10/22/2008 EXPIRES: 04/22/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726~3676 Fax 541-726-37691nspection Line Total Value of Project F~e;~ paidJ $21.00 $5.20 $12.48 $5,20 $52,00 $19.00 $33,00 Date Pajd 10122108 10122108 10122/08 10122108 10122108 10122108 10122108 Receipt Number Fee Description -Mechanical Issuance Fee- +10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Inspection - Preliminary MinimumlAdjustmerit Mechanical Wood Stovellnsert Amount Paid 1200800000000001076 1200800000000001076 1200800000000001076 1200800000000001076 1200800000000001076 1200800000000001076 1200800000000001076 Total Amount Paid $147.88 I Plan Reviews. I 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. I Reauil'ed 11slJecrions I III 1III rill Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing chimney. Wood Burning Insert: After installation, By signature, 1 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 descrihed herein, and that NO OCCUPANCY will he made of any structure without permission of the Community Services Division, Building Safety. 1 fnrther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 fnrther agree to ensure that all reqnired inspections are requested at the proper time, that each address is readable from ihe 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. U? ~?1'--di( Date Paee 2 of2 225 Fifth Street , ' Springfield, Oregon 97477 541-726-3759 Phone a.f.'~!,N.'_,D"'-.~~tij.. ... . ,'..,'.."., ,( h...r .. ....' . City of Springfiel~ Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0 1563 . COM2008-0 1563 COM2008-0 1563 COM2008-0 1563 COM2008-0 1563 COM2008-0 J 563 COM2008.01563 Payments: Type of Payment CreditCard cReceint I RECEIPT #:' 1200800000000001076 Date: 10/22/2008 Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- . Inspection - Preliminary + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Paid By SHANNON BAILEY Item Total: Check Number Authorization Received By Batch Number Number How Received djb 02237Z In Person Payment Total: Page I of I 11:38:5IAM Amount Due 33.00 19,00 21.00 52,00 5.20 12.48 5.20 $147.88 Amount Paid $147.88 $147,88 10/22/2008