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HomeMy WebLinkAboutPermit Mechanical 2008-11-3 ~ ',.. _~m!Wilqli:~~:'!!'_: ~_"h 1-1'. '/ "... .. Status Issued 225 Fifth Street, Springfield, O'R 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01613 ISSUED: 11/03/2008 APPLIED: 11/03/2008 EXPIRES: 05/03/2009 VALUE: SITE ADDRESS: 4093 E ST ASSESSO'R'S PARCEL NO'.: 1702322300800 Springfield TYPE O'F WO'RK: Pellet Stove Residential PRO'JECT DESCRIPTION: New pellet stove insert O'wner: ESTES JAMES T & KA THALEEN M ,Address: 4093 E ST SPRINGFIELD O'R 97478 ATTE~I-'-CONi-RA"CT()R'.INF_(),RMA:TiQ~ follow ,~.._- --- -,.... -, ~. , C . [Jotification Center. Those rules ar:b~et forth' ontracto In OAR 952-001-001 0 through OAR ~!f$!lll~- 1111011 Vn,' m~\1 nht~in r.ooies of the rules by callin!jJ IBBfL9'lING i;Nr0-":;':A~'i:ONtne . numbE-;, ,"" U! .Lt- -.J Ion Cent~r i..""I-RDO-332-2344). '1t Ol~ ones: Height of Structure Type of Heat: Wat~r Type: Range Type: Energy Path: Sprinkled Building: Nu I h..q;DEVELOPMENT INFORMAT~9~( I THIS PEF\lVII] 0nl-lLL ",,'r In'-" ,'11'- ',,' AUTHORIZED Ul'l:9Ji,\\J!i\l~lERMIT IS NOT COMMENCED O~s~A~~\lwPk~ FOR ANY 180 DAY PIiG\Q@Vdve Rqd: % of Lot Coverage: Contractor Type # of Units: Primary Occupancy Group: Secondary O'ccupancy Group: Primary Construction Type Secondary Construction Type: ' # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description R-3 VB ':.:"-..o...;".i~:-;'- . I PUBLIC IMPROVEMENTS ,.::" I V aluation Descr~Dtion I $ Per Sq Ft or multiplier' Square Footage or Bid Amount Tvpe of Construction' Paee'l of 2 TYPEO'F USE: Alteration Expiration Date Phone n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft O'ther: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact': " 'Sidewalk Type: Downspouts/Drains: Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Minimnm/Adjustment Mechanical Pellet StovelInsert Total Amonnt Paid Amount Paid $21.00 $5.20 $6.24 $2.60 $18.00 $34.00 $87.04 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-0I613 ISSUED: 11/03/2008 APPLIED: 11/03/2008 EXPIRES: 05/03/2009 VALUE: Total Value of Project Fees Paid' Date Paid Receipt Number 11/3/08 11/3/08 11/3/08 11/3/08 . 11/3/08 11/3/08 1200800000000001103 1200800000000001103 1200800000000001103 1200800000000001103. 1200800000000001103 1200800000000001103 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 thefollowing work day. Pellet Insert: After installation I Renuired I 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 withont permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance withpRS 701.005 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 Uring~:7i1~ . Owner odontractors Signat<6re I Date Paee 2 01'2 ;) =: 0; 'A~( ~ ~ ~ ".,.--Ij '. Ij ~Ij ~'I\ ~: =J ei "~1 ~ ~ ~ ~\I ~j ~ ~: I; I~ t ~ rr-91 '11~1 -.......... <aJ)j ~ ~ rtIl1 'r<QJ 0; ~ ~ 225 FlITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number Job Location: if 0 q ~ F .sf Assessor's Map: 'Tax Lol: E S:t?-?S Address: 40Q3 ~ So r City:' S p Q..j V\.(,Cd .f! ( &_ Owner: 31vli\ . Stale: (Y( Phone: 7d-IJ d-/3'V Zip: q 7<) 71r -- Preliminary IiIspection for wood burning inserts is $66.04 (prior 10 insert). Wood Stove/Pellet/Insert Permit is $87.04 (includes applicable fees and surcharges)_ Contracto! jnformation /)(on!. MA-IIL-- Address: c; ~ 6-"2-- lIV1 f>4- ( Vl City: < j t? (v,aiL I' pi J.. , { . - Construction Contractor's Registration #: "(2 b ') l/ =:- Contractor: r000 b State: .f!J If_ Phone: 7'1.( 6 -~ LZ. ! Zip:O! 7Y>r Expires: ii . By signing this permit/application, I agree to call for an inspection(s) as required (726-3769). I 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 I agree to provide the testing approval number to the inspector at the time of inspection. I also understand that if I llm requesting a preliminary inspection, the wall covering may be requITed to be removed. ., Signature: #rPhf r o:P . , Date: fic/ Date of Application: Checked for Delinquencies: Checked for Historical Status: Shared Drive('f:)/Building FormsIWood Stove Permit 7-08.doc 225 Fifl'lt Street Sp,il1gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM200S-01613 COM200S-0 1613 COM200S-0 1613 COM200S-0 1613 COM200S-0 1613 COM200S-01613 Payments: Type'of Payment CreditCard cReceintl RECEIPT #: City of Springfield Official Receipt Development Services Department Public Works Department 1200800000000001103 1I:10:2IAM Date: 11/03/2008 Item Total, Check Number Authorization Received By Batch Number ~umber How Received Amount Due' 21.00 . 34.00 18.00 2.60. 6.24 5.20 $87.04 Description -Mechanical Issuance Fee- Pellet Stove/Insert Minimum/Adjustment Mechanical + 5% Technology Fee + 12% State Surcharge. + 10% Administrative Fee Paid By GOOD DEAL METAL Amount Paid CJc 530411 In Person Payment Total: $S7.04. $87.04 Page I of I 11/3/200S