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HomeMy WebLinkAboutPermit Mechanical 2009-10-9 " .....: ..-.,._,. ;':-""'" 225 F1ITH STREET . SrRlNGFlEW,O~ 97477. rH:(541)726-3753 . FAX: (541)726-3689 ',t"~, r~; ~.." Yp ." .:~! Job Location , ~i d~ Assessors Map ~~ ."Ji ~: 5:: ~:' Cl OJ .~ ,y~'h ~j ~, ~, ~: ~1 ciIt.ll' ~l ~i t._~) ~i ,,:\ ~r r:J'!JI , ~~ ~:~:t. I.-,(j ............ ~j ~, (C)) . L'~ r;'-^I ~l~; ~ , 0) \" \ 0;, ~,,:, ,,"" ,..- CityJobNumber COWl Z.OO ,/-OIL(? 3 I ~ I '1 av'i~'\Gl t t 1703 z.bl( I Tax Lot sprl^q~le\d (o~Cr(l.-n 7 IS-bea Owner M.~I( th~ t'v\ e i~ V-- ;&a~ ~-s 'So'D ') '- S?F}. , Zip 17477 Address Phone i:>II- Stat" Cit. Value of Wood StovelPellet~v~-;:;s~ 3./00 ~, i (please circle appropriate appliance) Preliminary Inspection i~ $45.00~prio . sert) , '0"9- > 51 )a,ua~ JA(\\lllil1 ,: Wood StovelPelletllnsert Permit' . mcl~!!s\R'eiilill~!~s_ulV'ce,\Fg~, ~tl!~e;Sitrcharge & Admin Fee.) .,_0,,,,01\\ ",\\\\[1 __\, "8lUaQ el.\~_, "r\;;;0Ji) vv~'t-.- el\~ .o~~.., 0 "\::fLU" -., .\li\ ;"-5iF?;.~~t?B!IIJ%'~/,~ij1?ii;M}~i!FW;,"';Zm1j'^fu~~~~~!~~~~€~14~R~~~f~#~~~~~1~~-n';:~Vw)!.~,!)-r.:~~~;,,~IJi; ,. ~'~:~~~t~~CJ\r\SW\V\~(~-~s~f!1l\l~~~t~~~~~~~i~~IS..';;}'Q> I\-p.\:n' f.. 581\\\DO.l ",,-, , bo.\l\SS'Ov'"I ~.~ ' . Addref~ 8 \C( () C; Phonl" City CV-eS v-el ( c::>fZ 7.1n eel c.; Z. C, 01/ /o,/ZO/o "talP Construction Contractors Registration # 5238( P'{pires , By signing this pei:mitJapplication, I agree to call for an inspection(s)as required (726-3769), I state that all infonnation on tillS application /peQllit is correct and that I was provided with the Wood Stove Safety infonnation for wood burning appliances and preliminary inspection standards as set ~y the Oregon Dep~ent of Environmental Quality or the Federal Environmental Protection Agency and I agree to provid~ t~te~ approval number to the inspector at the time of inspectioll, I also understand that if lam ~~~'lfsn~a;~~ ~ preliminary inspection, the,wall covering may be required to be removed , 'C\)~ ,,\) C?i ~'d\)\\)..~ l.. , ~ S\ u \):,t 6 S\\\ , ' , . \)~'I\~ 'd:'\)~\:.. ~~'d:' \ ()\\ .... _____ ____ ) \):,~\) S\\\l.. :,,,,,,\l.-S ~'J\>- Signa nrp ~...;;!O-~ ~ ____ \,l.\)\ .\\,l.?'~ate4:\/ldlq ICJY S\ ',."" \\ :,'O\UI I~ \.\)~ .' ?,\\l.. .,;,1'l\J' I , For Office Use I' ,. / ..!,\~ ,,;' ,,):/ Date of Appliption /0,:" ')'-0 7 ~ rhecked for Historical Statuf V---. Checked for Delinquencies Shared Drive(T:VBuilding FonnsfWood Stove Pennill.03.doc Status Issued. u,. ; " :,,: '-':- .' ..;;..- ~. ';" I . "-j~ 225 Fifth Street; Springfield, OR 541-726-3753 Phone', 541-726-3676 Fax ,( 541-726-37691nspection Line CITY OF SPRIl"lIt...Hl',LD . Building/Combination Permit PERMIT NO: COM2009-01493 ISSUED: 10/09/2009 APPLIED: 10/09/2009 EXPIRES: 04/09/2010 VALUE: SITE ADDRESS: 1319 QUINALT ST ASSESSOR'S PARCEL NO,:. 1703264115600 Springfield TYPE OF WORK: Wood Stove Residential PROJECT DESCRIPTION: Wood insert TYPE OF USE: New ii"' . Owner: MARTHA F MEIER LIVING TRUST Address: 1319 QUINALT ST' ,. SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I , ii' ..- Contractor Type' ' ' Contractor Mechanical .~1. ~. CHRIS B WINSLOW # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: ! ~: Frontyard Setback: Side 1 Setback: ., , ' Side 2 Setback::' . .I' ,: Rearyard Setback: . Solar Setbacks:<i . " Street Improvements: Storm Sewer Available: Special Instruction: ' Notes: .. License 52381 BUILDING INFORMATION I # of Stories: R-3 Height of Structure Type of Heat: VB Water Type: la,\Ja0 "\Jl!\\J , 51 Ila", Rang'\l!,ype: . al.\\)O 6\J\\\"60 ,f\1\1,,(Ei1~Vgy.df"'th';l \laO al.\\ ' . 0600 \ 1;\\\11 \ -\?,"\ nOr-. ,\ \\\\0\'\ Spri~~J~(1 Buih~}~g:).l 6 \:I'II!!/a. .,n.\\'e':>,' _"' ~u\ . _ \\\-e\l\ _",~?Ci ..,nt\.\ a :\:DE:v.EEO-piViEN;r\INF(;RMATio~NjIJ\ 1-~~0,~S6 \11~ ~a\!\l a"~;\ia\clO\iO,~O\l.\'I3i-j.'1 ""'10\ \as ao'Qverill~\Dist:06alO ' ,,-\'1' (\ \.l \J hOJ f'.:!W\ 1-\\\\\ o~ s~:~treet Trees Rqd: 0\ !\ Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Expiration Date 01110/2010 Phone 541-895-3593 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: Sidewalk Type: .,'" '. \l~ /-,\" Downsp.oUO\;gj~i~S1(\ () 3~~O'.) (\ ';1 'CO (\3'.)1\\ OI-l1-(\'<J (\3~O(\~'<J~'<J 'C3(\~(\ (\31~3c1 ,;\1-11- 'C~,~,\\ti'C3c1 S.\~~-:\ "y\'<JI-I'; 1-\~ .::\')\l.Q~ \....,,' j\ ::lU'-' I Valuatioll Descriutlo:'riC'1\ 31-11- Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Value Date Calculated 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fa,x;; ,J 541-726-376911ispectio'n'Line " \, CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-01493 ISSUED: 10/09/2009 APPLIED: 10/09/2009 EXPIRES: 04/09/2010 VALUE: Status Issued ,~!;: i: .{t .:- ~', Total Value of Project Fees Pair! I . ,-" ,( Fee Description:' ,:" ';';' + 12% State Surcharge + 5% Technology Fee' 1st Appliance : " ,.' ':. Amount Paid Date'Paid Receipt Number $9.48 $3,95 $79,00 10/9/09 10/9/09 10/9/09 1200900000000001128 1200900000000001128 1200900000000001128 Total Amount Paid $92.43 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 R,>,r ired Insoections I II.... . Wood Burning Insert: Afterinstallation. " By signature, 1 state and agree, that 1 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 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, and the approved set of plans will remain on the site at all ,,"0 '"no m'ru '"<bJ-\ / ( 0/1 ! 0 q ow~er or c/"ctors Signature r Date '" :. 1 ~.: . Paee 2 of2 '; " 225 Fifth Stree(, " , Springfield; OregoU:' 97477 541-726-3759 Phone ,. Job/Journal Number; :'. COM2009-01493 . COM2009-01493 COM2009-01493 'ii'" Payments: Type of Payment Check cReceintl RECEIPT #: .l?esc,~jption , t:]st Appliance '+ 5% Technology Fee ,'",+ .12% State Surcharge .,~ ~. ' , . ....h,. Paid By YE OLD TOWN SWEEP - ' ...c':.: -. .'" \ :.:...., ~L. ~ ,i. ,- , t!: \', , , ".r"'-"'.'.-~-.. ... '.~..., j!J\~~ .. .'/1iiI .. . { ~. ,'.'", -,,~ --"',..-" -..;' -- '.~ Cit): of Springfield Official Receipt Development Services Department Public Works Department 1200900000000001128 . Date: 10/09/2009 Item Total: Check Number Authoriz.dion Received By Batch Number Number How Received djb 20761 In Person Payment Total: Page I of I 1I:17:12AM Amount Due 79,00 3.95 9.48 $92,43 Amount Paid $92.43 $92.43 10/9/2009