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Home My WebLink AboutPermit Mechanical 2007-3-26 ~~ ~l e; ", 'r-:I~. I~ '~l ~~ ~ ",~~ '. I~ ~l ~ ~.--,- ~ ~ (l 4 ~~ ~j e; -.:. .r-:I( l~ ~ ~ f;!"t, ~l ~ ~1 ~4 r;:==j "tt ~ u.(f1, ~~ ......::::.4 ~ ~ ~ o l~ ~. "d e; et; ~ ~ : ' , CITY OF Sl"RINGFIELD, OREGON '-./ t~.LD' ~~~ (i 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number COloN\. 'ZOO 7 - C> c::> C{ t.( 8 Job Location: '-\S'\ ""..J>........."'It.-f'.. ~~"', ~~,c.....~ , /""'\111...1"11'....... fnHn,^, rll!~~ ~~;;:>t~,~ fft:l~\;~~~ :~L.I':;Q.~.~ 00 ~O!!~r:a~~~ Center. Tho~e rUI~~~.;~~r~~'.:'F: --r - . .. . --- vv, -vv I V .orougn OAR OwnerJIIt1.+tA"'U.e'( 7S~r;~~')' YoUCJl:Y':~-doDip" "f ",_9_5~-O~ (. """lTlg 10" center. (No' ., .... -. _.v"' , Address: IS' M"""-"--",,Ab.. n"mh_d__ ,> _ Pfu,j!e...e~Dhon" . -. -. .v, .. '" V'"<i!,'l)fJ Utili tv N +1<' . City: C;;"....,......i=,'I4.b, Staj"'n;~" _OM '1.'1- .:.. oZi~al~" &.\'V\ - - .......'"'--s..\J~~)~ Assessor's Map: I"'O~ 'Z."ZI~ Preliminary Inspection for wood burning inserts is $55.35 (prior to insert). Wood Stove/Pellet/Insert Permit is $65.35 (includes applicable fees and surcharges). 'J^fl" - - UL. . THIS PERMIT SHALL Contmcto"IInformation EXPIRE IF THE WORK .." "~LU UIVUtR THIS P Contractor: -'" c:>:,~~_}',:~o....,Il.COMMI'M.cnl~'L"f, . .~E ~IU~a..-'- AAl - -tfiU''hUIiIV J11l-n FI\S Address: C\~"\,,~ -;>,~~-"C 1~.::svY 180 nAvo"o'3f: h1:lrlt!: "",Cl."j- z.'\~.r City: '::.,.;.---....... (!...,......-( State: oiL. Zip: q",..\,,\~ Construction Contractor's Registration #: \ 'S\..oo '4) S'T- Expires: 8/ Z. , ~ "7 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 am requesting a preliminary inspection, the wall covering may be required to be removed; Signature: .-.- Date: '!oJ,- I 0,", FOR omc~ USE Date of Application: :yf~ 7 v--- Checked for Historical Status: v- Checked for Delinquencies: Shared Drive(T:)JBuilding Fonns'Wood Stove Permit 08-06.doc "\ .CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00448 ISSUED: 03/26/2007 APPLIED: 03/26/2007 EXPIRES: 09/26/2007 VALUE: . Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 451 MALLARD AVE ASSESSOR'S PARCEL NO.: 1703221302400 Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: Wood burning insert TYPE OF USE: New Residential Overlay Dist: II Street Trees Rqd: Paved Drive Rqd: NOTICE:% of Lot Cove~~ffiE IF THE WORK THIS PERMIT S.~~~; ~UI<: pmMIT IS NOT A~i:f!::J~P'RO~ ~;"'~~l' a ,'ED fOR (, "I . ... - - . t, r. It I ,!. - - . ANY 180 DAY PERIOD. SIdewalk Type: Downspouts/Drains: Owner: IMMANUEL BAPTIST CHURCH Address: 451 MALLARD AVE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor SEAN LEE BUNTIN License 156852 II of Units: Primary Occupancy Group: Secondary Occupaney Group: Primary Construction Type Secondary Construction Type: II of Bedrooms: I BUILDING INFORMA'f.JON I. , ~EN' \'Jl...~';:::-\ bv t\1e nre!;UII ..1 . p.;\lOW WiGS adfl?f~OrA~i! rules are S6' '~'~ ~o f tio" cerHelgtit"of Structure:~R 952.-00 Noti ICRa952.-00111Y~ llriiU\1l!\J" ""ot' tr.e rules \ . OA . ~"Dles . In may~ltter,;rype: 'e~phone 090. '(au Ra e T"ie'.a: the' . , . . o all1nt'l to:! ~F.;'~' !!fh\Jlilil'J Notlt!l.::atlon C .... .mretCl,f,a. .) numtJGnCli ~'Sprinkle!!{!liiilllin'g3t.4 ' n/a rdn"i6l I~ I ........ I DEVELOPMENT INFORMATION I Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: . Special Instruction: Notes: I Valuation Descriotion I Description $ Per Sq Ft or multiplier Square Footage or Bid Amount Tvpe or Construction Paee 1 of2 Expiration Date 08/29/2007 Phone 541-736-1224 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-00448 ISSUED: 03/26/2007 APPLIED: 03/26/2007 EXPIRES: 09/26/2007 VALUE: - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee~ tiWl.I Fee Description .....Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Amount Paid Date Paid $10.00 $4.50 $2.25 $3.60 $15.00 $30.00 3/26/07 3/26/07 3/26/07 3/26/07 3/26/07 3/26/07 Receipt Number 1200700000000000328 1200700000000000328 1200700000000000328 1200700000000000328 1200700000000000328 1200700000000000328 Total Amount Paid $65.35 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 ReolJired ~ Wood Burning Insert: After iustallation. By signature, 1 state and agree, that I bave carefully examined the completed applieation and do bereby certify that all information hereon is true and correct, and 1 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 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, aud the approved set of plans will remain on the site at all times during construction. ..--- ,1' "&1 'Z.-.... / o~ Owner or Contractors Signature Date Paee 2 on 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone I .~~ Caof Springfield Official Receipt _Iopment Services Department Public Works Department Job/Journal Number COM2007-00448 COM2007-00448 COM2007-00448 COM2007-00448 COM2007-00448 COM2007-00448 Payments: Type of Payment CreditCard cReceiptl RECEIPT #: 1200700000000000328 Date: 03/26/2007 Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By SEAN LEE BUNTIN Item Total: t:heck Number Authorization Received By Batch Number Number How Received djb 015276 In Person Payment Total: Page I of I 2:07:02PM Amount Due 30.00 15.00 10.00 2.25 3.60 4.50 $65.35 Amount Paid $65.35 $65.35 3/26/2007