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Home My WebLink AboutPermit Mechanical 2007-7-23 -'" """ ~ ""'-- ""~ ~ ~~ ~ "" CITY OF SPRINGFIELD, OREGON $PrRlUli\'lGIFUlED..1Ol I -~ .~~.~. 225 tit It! STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 ~~ ~ ." 'Y-:~~ l~ ~ ~. .,,~~ . 11 ~\I ...- q f!\l <y-;- i ~ f~ 4 ~~ ~~ ~ ."~4 l~ ~ ~ P'l\1 I~.i ~J ~i ~i ~c'~~ ~ ~ ~.J.Z C~ I v-ji ~ ~ ~ (0) l~ llt!2l .~~ ~ ~ ~ City Job Number (6..4ftZoOr-O (0 7 g Job Location: Z 7 ? f c,4-,v tc-It.... il \...\. V2 V 1 7D S Z 4 It I ' Assessor's Map: Owner: ANile CAwt&Le>~ #341l7 eL rt-{Mo-<<... l=tA.(-~N( State: '::::::.1 Tax Lot: 03617 Address: -Av~ City: Phone: oiL Zip: 97ttOJ Preliminary Inspection forwood burning inserts is $61.50 (prior to insert), Wood Stove/Pellet/Insert Permit is $71.50 (includes applicable fees and surcharges). -Contractor: . I I .A, '. Contractor Information J1(A'lts~s ~C l;11~ O~Ytt1jJ/L <;t-A S p Fp State:dL 'Z~7 ?O Address: City: Construction Contractor's Registration #: 7l.f7 - 7lfifJ- Zip: 77ft 7% Expires: I z,/Zy /6 7 fl' Phone: 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 asset 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. __ ;; r Signature: /~// /'7'-"-- ...-- ~~- FOR OffiCE USE Date: ;)~ 2. "j..e; _/ i 1 . AI I t:NTlON: oreaoo JQ'w reQtJlfes.ygtItlt~ .. Date o~hJ13 .docf~~'iJSr~nijt I.., . Notification Center. Those nJles are _s~U\ .. Chec1WPCMfIl>~aYQ10through Of~~~a:; Checked for Histoncal Status: 0090. You may obtain copies u .e ita G . calling the center. (Note: the telephone number for the Oregon Utility NotiftCllioft Center is 1-80().332-2344). v NOTICE: ORK THIS PERMIT SHALL EXPIRE IF THE W OT E:n IIMn~R THIS PERMIT IS N Shared rAU(fijQ~lotMns~~o'if ~v'il'Rw\\. .., ~l1NED fOR COMMENCED OR \) ",UI'\I~ ANY 180 OA;Y PERIOD. Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01078 ISSUED: 07/23/2007 APPLIED: 07/19/2007 EXPIRES: 01/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2798 CANTERBURY ST ASSESSOR'S PARCEL NO.: 1703244103027 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Install wood insert Owner: ANNE E CAMERON REVOCABLE LIVING TRU Address: 34127 EL MANOR AVE EUGENE OR 97405 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor MARSHALLS INC License 25790 BUILDING INFORMA nON I Expiration Date 12/23/2009 Phone 541-747-7445 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VB # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a I DEVELOPMENT INFORMATION I A. . camON: Oregon Jaw FeqI_1 F~ontyard Setbacktol~ow Mea adopted by the Or I~~ . t: SIde 1 Setback: Notification Center. Those rules ~~ es Rqd: Side 2 Setback: In OAR 952-oG1-OO10through o;v. Rqd: Rearyard SetbactlJ09O. You may obtain copies of 0 i as verage: Solar Setbacks: calling the center. (Note: the telephone 1b....b::c::e..s1~J!~5vEMENTS I Street Improvements: Sidewalk Type: REQUIRED PARKING Total: Handicapped: Compact: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Description Type of Construction $ Per Sq Ft or multiplier I I NOTIl;t: THE WORK Valuation Description THIS PERMIT SHALL EXPIRE If IS NOT HORIZEO UNDER THIS PERMIT Squa.re Foot~~T ENCroaM IS ABA~~kl t~R or BId Amo~(;l)MM c ated ANY 180 DAY PERIOD. Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01078 ISSUED: 07/23/2007 APPLIED: 07/19/2007 EXPIRES: 01/23/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid 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 Receipt Number $20.00 $5.00 $2.50 $4.00 $17.00 $33.00 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 7/23/07 1200700000000000950 1200700000000000950 1200700000000000950 1200700000000000950 1200700000000000950 1200700000000000950 Total Amount Paid $81.50 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 Reouired Insoections I 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 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 times during construction. ~ " C//~_ ~~ ?-;J3-o/ Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 1200700000000000950 Date: 07/23/2007 1 :33:08PM Job/Journal Number COM2007-01078 COM2007-01078 COM2007 -01078 COM2007-01078 COM2007-01078 COM2007-01078 Description + 8% State Surcharge + 10% Administrative Fee Wood Stove/Insert Minimum/Adjustment Mechanical ~Mechanicallssuance Fee~ + 5% Technology Fee Payments: Type of Payment . Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 4.00 5.00 33.00 17.00 20.00 2.50 $81.50 Amount Paid Check MARSHALLS INC djb 19906 In Person Payment Total: $81.50 $81.50 cReceint I Page 1 of 1 7/23/2007