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Home My WebLink AboutBuilding Miscellaneous 2010-10-29 = o ..~ ~ ~ ~ ...,.....', ~ ~\ ~\ =< o ..'l""'i< ~ ~ @ ~\ ~. ~ t '. ~ @ ~ I. .J~ ~ ~) ~ ~ If.I)J ~ o ~ . t. .'< " ~. . ~.....", -+ '-PO "", . H ' ,:::~.~'. ~';::~ CI1(~~()FhS~R11[~.E~I;-P.,J?~~~~~f~~.fil;~.'; ZZ5 FIrm STREET. SPRINGFIELD, OR 974770 PH:(541)726-3753 . FAX: (541)726-3689 City Job Number b:Pf2-ZO to -00 b! 0 Job Location: 4C1 Sf (}:;.\s,/ '2:>+. 6pr\Vl5-Re\d. ,aiZ Assessor's Map: I 7 () Z- ~ 7> ~ "3 Tax Lot: 'i 1.478 OI/L~ Owner: JaVllc.e '\.<noY-'1 4Cf 5" ( Dql5Y sf, A I ~f'(j f'reld d<. State: Ph~:l/t) 5<-/ -478(.;. c:I<. Zip: er 1 '-j 7& Address: City: Pre1iminary Inspection for wood burning inserts is $66.04 (prior to insert). Woad Stove/Pellet/Insert Permit is ~ (includes applicable fees and surcharges). erZ.'('J Contractor Information Contractor: C~\(i'::> \,Nhslov.J ~B.I\. 'Ie DIe\. InwYl 5We.e-p Address: 6(Cj05 ~1/\'S.5"'" P.D. Phone: City: cres~\\ ',Cl/Z ~1'I2.<e State: at/<. Zip: Construction Contractor's Registration #: 5 Z 3 8 I Expires: 'lI'-j'Z..-1o II/o/If , 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 prelimihary 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: /0/2'1//0 , , -,.:;> ElY"'f1;:,nj{ 'i)rp()on law r0/3'l!5e&-VVIJ t~ ~ / D aeo pp ca on. ,. .. ......._.__._..:Tir:d~,,, follow rUles adoptelJ "y ,"v ~. v>>v" _",n, N"tifi~ati(l~ Genter.. Thqse rules are ~ ,Cliecked-fo"ODeIin"uencles: 'oh OAR r:l . - . IrJu.......n~;)l:.. VI-VV.IVlrllV-..l~ ,. 0090, You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Checked for Historical Status: V---' NOTICE: ,. . THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR Shared Drive(L)/Building F","",&ood-Stove&rmi[i 't7-08.doe , r\1~Y -I bU UI\! t'thlU . . . CITY OF SPRINGFIELD 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 SP;H~~ R'\~ .';, ", OREGON www.cLspringfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00610 IVR Number: 811134300251 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/29/2010 EXPIRES: VALUE: 04/27/2011 $0.00 SITE ADDRESS: 4951 DAISY ST, Springfield, OR 97478-6758 ASSES OR'S PARCEL NO: 1702333301720 PROJECT DESCRIPTION: SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential Install wood burning fireplace insert J; Phone Number: OWNER: ADDRESS: KNORI ANDREW D & JANICE E 4951 DAISY ST SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor # of Units: # of Bedrooms: Sprinkled Building:. Fire Alarms: Energy Path: Contractor Name CHRIS 8 WINSLOW CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION , # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size:'; Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Lie No 52381 Lie Exp 01/10/2012 Phone 541-942+3452 o Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Information I ATTENTION: Oregon law requires you to foHow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- 0090.. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT _ COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. 10/29/201 11;34;57AM Page1of3 . . www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00610 IVR Number: 811134300251 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/29/2010 ISSUED: APPLIED: 10/29/2010 10/29/2010 EXPIRES: VALUE: 04/27/2011 $0.00 SITE ADDRESS: 4951 DAISY ST, Springfield, OR 97478-6758 ASSESOR'S PARCEL NO: 1702333301720 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install wood burning fireplace insert DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvee of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ Amount Paid $79.00 $9.48 $3.95 $92.43 Date Paid 10/29/2010 10/29/2010 10/29/2010 Receipt # 374746 374746 374746 Springfield Building Permit 10/29/201 11:34:57AM Page 2 of 3 . ' SPR"IN,G, fiE L~ .., .~' '!~ ,~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00610 IVR Number: 811134300251 www.ci.springfieJd.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 10/29/2010 10/29/2010 Issued 10/29/2010 EXPIRES: ., VALUE: 04/27/2011 $0.00 SITE ADDRESS: 4951 DAISY ST, Springfield, OR 97478-6758 ASSESOR'S PARCEL NO: 1702333301720 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood burning fireplace insert . Plan Review ~ DeDartment Application Acceptance Received Due Date Comoleted Result 10/29/2010 10/29/2010 10/29/2010 Over the Counter Reviewe r , David Bowlsby Mechanical Review 10/29/2010 10/29/2010 10/29/2010 Not Required Comments: Over the counter permit bllnitja~~evi~w.:;_.;, .-~~~ hX-f'}',.~.~~~:'1~bi29!3~2,?~_;~iO/i~~2010 _; Conimeilts:t: Over.the;counte~p.ermiL~'i~;_'~'.'~__':: 7 _ . ~_"--:,,,,"'-'-"'-"'lA-"''''''- .'. ... ..,......+.y..ff_ David Bowlsby il "~/~~/23f~ ::.~~er:the;:.:~n=o_. ., "iJc~~VI~,B:~,ts,bY" . ,~.:,,~~~~ ~- _ih.J'''^ ~',,- I. '".'~ A'~ ~:- -", " '- ~ INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Stove 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 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 or 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 th property, and the approved set of plans will remain on the site at all times during construction, Wood Stove: After Installation, CO(-L-l/ro Date Owner or Contra t Signature Springfield Building Permit 10/29/201 11:34:57AM Page 3 of 3 S~~IN.GFIEL~ fIa-" .:ljj:.~ ~AOREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00610 4951 DAISY ST CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 20]0000705 RECORD NO: 8II-SPR20IO-006IO OAT[: 10/29/2010 tDEstRI@9ti1'" ,..;,~c" .c,"" :;'~--2 ,-,~y,.... .,,2'-s't,.',l,;::2n:,. ;', '22.;A,.t:<::9JiNI:.t'Q[)!= i;',';0;;;;:''i\M9!!N.I.j)JJ_E- _' First Appliance Fee 224-00000-425604 $79.00 State of Oregon Surcharge (12% of applicable fees) 621-00000-215004 $9A6 Technology fee (5% of permit totai) 100-00000-425605 $3.95 TOTAL DUE:" $92.43 L!:AYM~NI.J:YR!=:!.',,;.Jif1.~,y_o.R- ';''''CASHiE!l.O,BOV'lLSBY,::':CJ~MME:N:r-S'' "ltIV>t". ;l~'_;::~_c.;::;F; ,6;M.6JJ NT PAID . . I - J Check 21515 ye old town sweep $92.43 $92.43