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Home My WebLink AboutPermit Mechanical 2008-11-17 _.IM~~~I~~, R ;';,' m. . ...., , ", !h Status Issued . ..... CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2008-01664 ISSUED: 11/1712008 APPLIED: 11/17/2008 EXPIRES: 05/17/2009 VALUE: 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 773 66TH PL ASSESSOR'S PARCEL NO.: 1702341103004 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Pellet stove installation Owner: GRAF SUZANNE M & MATTHIAS Address: 773 66TH PL SPRINGFIELD OR 97478 ," Phone Number: 541-912-2139 , ATTENT~()N' Oregon law' ' ' I CONTRACTOR INFORMoNIIll0N I,' - I eqUlres you to , . ' " 'f' ' III ,S adopted by the OrenOIl 1)'1"'1", I,Oll 10all0 Ct. '" "'J , n en er. fhose rHlp~ ~..(-, 0:"1'"'-1 f'"'r1f Contractor Type Contractor Irrneense2-00EiJP,i!i~,~jQ!!cP,~J~h r"~~_?,Ml Mechanical MOUNTAIN MEADOW HOMES LLC Oq(1~~5)PU may obtil'2/08/70g8 ('i the' ,541,:729,-7508 _...1""::1 Ule; l..<t:IHt:( t'\'C~P' f'-,...,' I ;'" N FORM T"""'-. . J I It.. lilt": ''''lef'{ t-'" , BUILDI G IN A .u"" er for the Oregon [J"n, " ,," " " , I ~ !.,:a \ I'~ ') 011 . ~'r Center is 1-800-33"'('" .. ",., , # of Units: # of Stories: Lot Size: '- V'~J. / Primary Occupancy Group: Height of Structure Sq Ftlst Floor: Secondary Occupancy Group: Type of Heat: Sq Ft 2nd Floor: Primary Construction Type Water Type: Sq Ft Basement: Secondary Construction Type: Range Type: Sq Ft Garage/Carport # of Bedrooms: Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: I DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS,I Street Improvements: Storm Sewer Available: Special Instruction:, Sidewalk Type: Notes: NOTICE: Downsponts/Drains: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORiZED UNDER THIS PERMIT IS NOT GG['iH\<1ENCED OR IS ABANDONED FOR (".'\.' '~l,:.r\ ["","" nr:-Dl:.n I, Valuation Descriotion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Valne Date Calculated Page 1 of2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2008-01664 ISSUED: 1lI17/2008 APPLIED: 11/17/2008 EXPIRES: 05117/2009 VALUE: ' 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Total Value of Project Fees Paid I Fee Description -Mechanical Issuance Fee- + 100/0 Administrative Fee + 12.% State Surcharge + 5% Technology Fee Minimum/Adjustment Mechanical Pellet Stove/Insert - . , Amount Paid Date Paid Receipt Number $21.00 $5.20 $6;24 $2.60 $18.00 $34.00 11/17/08 11/17/08 11117/08 11/17/08 11/17/08 11/17/08 3200800000000000746 3200800000000000746 3200800000000000746 3200800000000000746 3200800000000000746 3200800000000000746 Total Amount Paid $87.04' '1 Plan Reviews 1 To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. wi\l be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. I Reo.uired Inspections 1 Pellet Insert: After installation By signature, I state and agree, that I ,have carefnlly examined the completed application and do hereby certify that all , information hereon is true'and correct, and I further certify that any and ~II work perform~d shall be-done in accordance with the Ordinances of the City of Springlield 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 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time"th~t each address isrea~able 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 Date Page 2 of 2 Mechanical Authorization To Begin Work E-mailedTo:doctorofstov~s@yahoo.com Receipt # EC542114 1I!17/2008 8:39:38 AM City of Springfield Check on status of permit By Phone: (541)726-3753 or Email: permitcenter@cLspringfield.or.us 10 New construction [K] Addition/alteration/replacement I-Description Total I [KJ 1 or 2fainily dwelling D'Multi-family D Accessory.Building I Furnace- up to ]00,000 BTU I Furnace - above 100,000 BTU I Electric Fl,lmace Duct alterations and additions Gas heater units! in-wall, in- dueLsuspended, ctc/ I Vent,flue, liner for above I Air Conditioner I Heat Pump Air Handler I Job no.: 773 I Job ad~dress: 773 661'11 PL I CUy/State/ZIP: SPRINGfiELD, OR 97478.7103 I Suite/bldg.lapt.no:: Project name: Graf Cross street/directions to job site: [Subdivision: I Tax map/parcel ",0.: ] 7023411 03004 !Lot no.: Iwalcrheatcr . Gas firepla(;~/insertlstove I Gas log! log ligh.ter I Gas clothes dryer I Gas sto~e/range I Pool or spa heater, kiln I Wood/pellet stove/insert I'wood fireplace I Chimney/liner/flue/vent w/o $34001 1 I 1 $34001 1 I Pellet stove install I Name: Suzanne Graf Phone: (541)912~2139 I Email: . I I I Range hood I Clothes dryer exhaust Is ingle-duct exhausl (bathrooms, toilet compartments, utIlity rooms) 1 Attic/crawlspace fans I FllX: no.: 173350 I Business Nllme: MOUNTAIN MEADOW HOMES LLC I Contact: Kenneth Wall strom IAddress: 24363 SUTl'LE- RD I City/State/ZIP: VENETA, OR 974879407 i l)honc: (541 )7297508 I FllX: 'None I Email: .doctorofstov~s@yahoo.com I Metro lie. no;: I City lie. no.: ,;:,.\!;--.:,'':;y:'; ,. upto first-4 outlets(enter Qty=l) I each additional o~tlet Upon review and approval by your local jurisdiction, your permit will be e-mailed or faxed within one business day. with instructions on how to schedule your inspection. I I I I l TOTAL PERMIT FEE I. $87,04 I ill City Of Springfle~d fees: 10% Administration Fee; 5% Technology Fee Subtotal Minimum fee used instead of SublQlal State Surcharge (] 2% of permit fee) City Of Springfield fees ill $34,00 $52,QQ $624 I $28,80 I NOTE: This Authorization To Begin Work expires within 180 days if a permit is not obtai~ed. The local building department may determine that an Authorization To Begin Wo'rk is null and void if it does not meet applicable land use laws and local ordinances. Co~ 2.-<JO 8' - 0 \ (p ~ L{ [I-I, -01>' N r'^- This Authorization To Begin Work must be posted at the job site until replaced by a Permit. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3200800000000000746 Date: 11/17/2008 9:04:10AM Payments: Type of Payment' Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 34.00 18.00 21.00 2.60 6,24 5.20 $H7.U4 Job/Journal Number COM2008-0 1664 COM2008-0 1664 COM2008-01664 COM2008-0 1664 COM2008-0 1664 . COM2008-0 1664 Description Pellet Stove/lnsert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Adminisn-ative Fee Amount Paid ONLlNE CHGS ONLlNE PERMIT CHGS NJM ONLINE MOUNTAl Online NMDW HOMES Payment Total: $87,04 $H7.U4 , cRcceintl' Page I of I 11117/2008