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Home My WebLink AboutPermit Mechanical 2006-9-6 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspectinn Line SITE ADDRESS: 1318 OLYMPIC ST ASSESSOR'S PARCEL NO.: 1703253208600 . . CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2006-01151 ISSUED: 09/06/2006 APPLIED: 09/06/2006 EXPIRES: 03/06/2007 VALUE: Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: Install wood insert TYPE OF USE: New Residential n. I L..'41IVI'I. Ulv~UllldW requIres you to I CON"'~)\HTORI'iNF0RMAl'ION)"Jn Utility .....VLIllI.JQllUII vt:IIlt::I. I r luse rUles are set forth Contractor in OAR 952-001-0010 thrlliseriSe,R 95.E)x:p.iration Date CHRIS B WINSLmv0090. You may obtain CC~23810f the rules lO)110/2008 I""'''' ...." .....,.... ..,,~._. "'e lei h BUILDING INFORMATION" ep one I I .. ~ _ .. ....j Notrf!catlon # of S;:.rm~{ is 1-800-332-2344}. Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: Sq Ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Path: Sq Ft Other: Sprinkled Building: n/a Occupant Load: Owner: MIKE MATTHEWS Address: 1318 OLYMPIC ST SPRINGFIELD OR 97477 Contractor Type Mechanical # nf Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Tvpe of Construction Phone Number: 541-513-1625 Phone 541-895-3593 VN I DEVELOPMENT INFORMATION' REQUIRED PARKING Total: Handicapped: ,'. : ~ Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ...........\J I PUBLIC IMPROVEME:~liS'1 Ei-.?\~'C.II' \\-I~ \S~a\ \'ju' ,.. I~ c~t\\..\.. 'C D'C.~M\ ulS ?'C.~\'.\ \ 'Siilewall<lIiype: "'C.O rO~ '\ \I ~\I'C.\) \J\'iUt.~. ;0 f>.N\)O,' !\\JI'rIO 'C.\)D8~l\spoutsrorains: cmN.fI'C.t-IC :-I ?'C.~\OD. !\t-l'/ WG \)1\ I V aluation Des~riDtion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Paee 1 of2 I - Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Inspection - Preliminary Minimum/Adjustment Mechanical Wood Stove/Insert Total Amount Paid . . CITY OF SPRIr\;l..t< IJ!,LD Building/Combination Permit PERMIT NO: COM2006-01151 ISSUED: 09/06/2006 APPLIED: 09/06/2006 EXPIRES: 03/06/2007 VALUE: Total Value uf Project Fees Paid' Amount Paid Receipt Numher 1200600000000001377 1200600000000001377 1200600000000001377 1200600000000001377 1200600000000001377 1200600000000001377 1200600000000001377 Date Paid $10.00 $9.00 $4.50 $3.60 $45.00 $15,00 $30.00 9/6/06 9/6/06 9/6/06 9/6/06 9/6/06 9/6/06 9/6/06 $117.10 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection '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 Relluired \lw>ections , Wood Burning Insert: After installation. 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 1 further cert,fy 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. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he 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 during construction. \) L <( ~ )'- q-t-(j G, own;ry; Contractors Signature Date Paee 2 of 2 225 Fifth Street SpringfielJl, Oregon 97477 541-726-3759 Phone . -:;:~;~ Wit .. of Springfield Official Receipt Welopment Services Department Public Works Department Job/Journal Number COM2006-0 115\ COM2006-0 1151 COM2006-0 1151 COM2006-0 1151 COM2006-0 1151 COM2006-01151 COM2006-0 1151 Payments: Type of Payment Check cReccinll RECEIPT #: 1200600000000001377 Date: 09/06/2006 Description Wood Stovellnsert Minimum/Adjustment Mechanical Inspection - Preliminary -Mechanical Issuance Fee- + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By YE OLD TOWN SWEEP Item Total: Check Number Authorization Received By Batch Number Number How Received djb 18183 In Person Payment Total: Page I of \ 9:05:43AM Amount Due 30,00 15.00 45.00 10.00 4.50 3,60 9.00 $117,10 Amount Paid $\\7,10 $117.10 9/612006 ~; ()j .;~: ~) C\3; .. ~ ~; .-~, .~~ ~~ ~, ~: ~' . ~ 1 'I , , ~j Q .,~j ~) 0) ~ f:", \ ~1 (f(:.ll gl H1 t-'> , ' .--1 CJ)' L~ r:[11 ~1 ~j .............. ~ ~ eJ) ~ 001 r/.. ~~ ,~ ()) ~ ~ . . . ~-' ," CITY OF SPRINGFIELD, 'OREGON 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(54 I)72G<{75g . FAX: (541)72G.gG89 . rA .A ..,~~._r . 011 S( CIty Job Number ~. ~ II:> Job Localion J Z/ 5f () / '-;' """ I r Assessors Ma:> 1,0.3 Z S' 3 L Tax Lot 08'bOC Owner /J7fJt~<.., JM,~ /31!3 O/~.wI.DIc.... - (/)/21//t" l,~cP 71 7lj Address Phone S/3-/bZS- StatQ 0 r _ 1\300"'" Zip Cit:, (please circle appropriate appliance) Value of Wood Stove/Pellet StovelInsert: ;;~cti~n is $45~~ (~ri=~sert) . ve/Pelletllnsert'Permit is $62.65 (includes Permit, Issuance Fee, State Surcharge & Admin Fee.) Contractor Illformat;on Contraclo- y" /") 101 70 ~ .., Addre~~ -49/ os; ~})(J.Jt s 5.6Yt Cit:' &...t.s IpJ~ ~t.I'~ .n . 12,( PhorQ /39'::155'73' 7',:, q 7 '-f Z (p <;\atQ b / Construction Contractors Regislration # -r-z. 3 el z.h'7 expires By signing this permit/application, I agree 10 call for an inspeclion(s) as required (726-3769). I state that all information on this applicalion Ipermit is correct and that I was provided with the Wood Stove Safety infornlation for wood burning appliances and preliminary inspeclion slandards as set by the Oregon Department of Environmental Quality or the Federal Environmental Proteclion Agency and I agree to provide the testing approval number 10 lhe inspector at lhe time of inspeclion. I also understand that if I am requesting a preliminary inspection, the wall covering may be required to be removed. Signalurp X. ~ 6~ ...7""' ... i !CJJ/O(" --.:> I')ate For Office Use Dale of Application Checked for Delinquenciec r'hecked for Hislorical Statu~ Shared Drive(T:)'Building FonnsIWood Stove Pennitl-03.doc