HomeMy WebLinkAboutPermit Mechanical 2008-12-22 (2)
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Status
Issued
225 Fifth Street, Sprinl(field, OR
54 I -726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2008-01793
ISSUED: ' 12/22/2008
APPLIED: 12/22/2008
EXPIRES: 06/22/2009
VALUE:
SITE ADDRESS: 724 D ST
ASSESSOR'S PARCEL NO.: 1703351305900
Sprinl(field ,TYPE OF WORK: Mechanical Only
PROJECT DESCRIPTION: Wood stove and chimney connector
Owner:
Address:
HARRIS MARIETTA A
724 D ST
SPRINGFIELD OR 97477
Contractor Tvpe
General
Contractor
OWNER
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
, Secondary Constrnction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Descriotion
Tvpe of Construction
TYPE OF USE: New
Residential
Phone Nnmber: 541-844-1175
I CONTRACTOR INFORMATION I
BUILDING INFORMATION.
R-3
# of Stories:
Hei~ht of Structure
Type of Heat:
Water Type:
Ran~e Type:
Energy Path:
Sprinkled Buildin~:
VB
License
Expiration Date Phone
n/a
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION'
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
I P~BLlC IMPROVEMEN~S I
I Valuation Descrintion ,
$ Per Sq Ft
or multiplier
Square Foota~e
or Bid Amount
Page I of2
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type:
DownspoutslDrains:
Value
Date Calculated
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: C0M2008-01793
ISSUED: 12/22/2008
APPLIED: 1212212008
EXPIRES: 06/22/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp-p-~ tiWU
Fee Description
-Mechanicallssnance Fee-
+ 10% Administrative Fee
+ 12% State Surcharge
+ 5% Technology Fee
Minimnm/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Number
$21.00
$5.20
. $6.24
$2.60
$19.00
$33.00
12/22/08
12/22/08
12/22108
12/22/08
12/22/08
12/22/08
3200800000000000797
3200800000000000797
3200800000000000797
3200800000000000797
3200800000000000797
3200800000000000797
Total Amonnt Paid
$87.04
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All in~pections 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.
Rongh Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is trne 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 structnre without permission ofthe 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, 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 s,ite at all
times during construction.
Owner or Contractors Signature
Date
Pal!e 2 of2
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. . CITY OF SPRINGFIELD, OREGON .
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225 nrrn STREET . SPRlNGnELD, OR 97477 . PH:(541)726-3753 . rAX: (541)726.3689
City Job Number C'b -- /1'1 J
Job Location: 71'1 j) ~+
Assessor's Map: Tax Lot:
Owner: /ntl/,~ IICt_ t&J,-,.;....;:
Address: -:]7'1 /'j ,<;1
City: '/")-;)rinrr-ip /A
i .J
State: IJI2.
Phone: 5"'//. ;?'IL/' III"
Zip: '17 'J:l 7
Preliminary Inspection for wood burning inserts is $66.04 (prior to insert).
Wood Slave/Pellet/Insert Permit is $87.04 (includes applicable fees and surcharges).
Contractor Information
Contractor:
Address:
City:
Construction Contractor's Registration #:
Phone:
State:
Zip:
Expires:
By signing this permit/application, I agree to call for an inspection(s) as required (726-3769).
, I stilte that all information on this application/permit is correct and that I was provided with
ihe'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 am requesting a preliminary
inspection, the wall covering may be required to be removed.
Siznaturc: yr hi~~~
I.
Date:
n-/:?-'Z..
roR OmCE USE
Datc of Application:
I:J- j).. 2--/0 <\)
Checked for Delinquencies:
---..-
--
Checked for Hislorical Status:
Shared Drivl.'(T)!Building Fonns/Wood Stove PermiI7-08.doc
"
Project Address
724 D St
Springfield OR 97477
Owner: Marietta Harris
Description
Installation of a chimney connector sleeve, wall connector and Defiarit Model
1945 Wood burning stove equipped with rear heat shields to an existing masonry
chimney.
Rear heat protection of light gauge steel will be installed along back wall of
location for an additional heat shield. Cement board will be installed for floor
protection meeting or exceeding coverage requirements.
Per the manufacturer the Defiant Wood Stove meets the U.S. Environmental
Protection Agencies emissions limits for wood heaters sold on or after July 1,
1990.