HomeMy WebLinkAboutPermit Miscellaneous 1999-9-3
..
..
SPRINGFIELD
WOOD STOVElINSERT INSPECTION APPLICATION
CITY OF SPRINGFIELD 'U h
-, ."..' "" , "~"I)fllaw (eql,lIreS yo
COMMUNITY SERVICES DIVISION - BUIUDING'SAFETYd by the Oregon Utility
follow rules aoopIe I e set forti
225 Fifth Street \lotification Center. Thos~;uhe~:~ 952-o00ffice:
Springfield. Oregon 97477 n OAR 952-001-0bOt1 0 thcroP'Iges ThI"IIE"'JilJilNI LINE:
90 y may 0 am ,11"(,.- 'H.! .
JO . OU . '.....l_..........ho.tolonhnne
calling u n:~ \",t:f1ll'V1. :..t..._. v_' - :. .
waQ9r tor the Ore.!'.?~ ~~~i~~~~llicatlon
726-3759
726-3769
Job Location: Co 80 -Hv V\
I 'J6).. () 5/7-
\' ~.:,~.
Assessors Map #:
Tax Lot#:
a.Hoo
Owner: ."0 IN\
r\C\ If'. S
~P,O -f"evV\
City: ~ "'.j +' N'IA
NOTlc~~lue of Wood StovelPellet Stove/Insert: ?:<3>DC::> ..-
THIS PEFW.\T~~~~~sT$I~.lIYHJ;I!for to installation of insert)
AUTHORMlii5l:lJlll9ElililihllftBIll!m ~15.00 + 1. 05 state surcharge + $.45 Administrative Fee + $10.00
COMMENm!eJl€JR IS ABANDONED FOR
Ayp-J;~lon . \ n . \ n i-e-c1eoV<(lCR.- /...1'NJr .
ANY 180 lfype o'tlJispll'ction Requested: W ceo. I i'l'e~ ., IvrP o,q .:r:r-;S.o \JJ 5'15+<-----
Contractor: C,^vl"'> \).j\,r,:; low 1>0/\, Ye. 0 \cl \O\.NV\ S~p
Address: 8110 S f.1,,, 1'550"1 (.?D,
Address:
\;->0. \ l
State:
Phone#:
I "2.(,,-eQ55
c,R..
Zip: "l Ie; 7'''6
(please circle app.up.;ate appliance)
Phone#: 72c",-731?2
City: Cr-eS "...e. I
State: 0 rz
Zip:
q,'-I'Z..c"
Construction Contractors Registration#: S 238 I Expires:
///""/<'0
By signing this permitfapplication, I agree to call for an inspection(s) as required (726-3769), I state that
all information on this applicationfpermit is correct and that I was provided with the Wood Stove Safety
information for wood burning appliances and preliminary inspection standards. I further state that the
appliance'i am installing meets smoke emission standards as set by the Oregon Department of
Environmental Quality or the Federal Environmental Protection Agency and I agree to provide the testing
approval 'lumber to the inspector at the time of inspection. I also understand that if I iun requesting a
preliminary inspection, the wall covering may be required to be removed.
~- . ",r-
~r_~
Signature
,~-- ->
rjJI'f1
Date
FOR OFFICE USE
REQUIRED INSPECTION(~:lOODSTOVFJPELLETIINSERT
Date of Application: q 11 f r Job #:
Total Amount Collected: J. t . ~() Receipt #: () ~ '1'f 3 r
PRELIMINARY
9q h;(
ISSU:dBY: d {Jc-/
Checked for Delinquencies:
Checked for Historical Status:
..
.
CITY OF SPRINGFIELD
Department of Public Works
January 13, 1984
CERTIFIED LETTER
/.
"
,
Mr. Joseph Tabor
1445 West 11th Avenue
Eugene, Oregon 97401
,.
Dear Mr. Tabor:
,",'
The Springfield Building Code Administrative Code requires that, in order for a permit
to remain valid, construction work authorized by it must begin within 180 days from the
.date of purchase of the permit. If work is suspended or abandoned during the course of
construction .for a period exceeding 180-days, the permit will automatically expire.
".:
...', '
If a permit has expired and suspension and/or abandonment of work on a project has not
exceeded one year, a permit to start or resume work may be purchased for one half the
'fee required for a comparable new permit, provided that no changes have been made in
. the original plans and/or specifications.
. If a permit has not yet expired and a permit holder anticipates the 'need for more time
to begin construction work, the Superintendent of Building may choose to grant a one
time extension of the permit not to exceed 180 days upon receipt from the permit holder
of a written request explaining why the extension is necessary.
The attached form indicates the most recent information in our records with regard to
construction activity associated with your permit. Please advise this office of your
intentions with regard to the permit by ten (10) days from the date of this letter.
Please direct all inquiries to the Springfield Building Safety Division at 726-3753.
Sincerely,
r. \ \
...dl~~
- tsr: David J. Puent .
) Building Inspector/Plans Examiner
lh
225 North 5th Street · Springfield. Oregon 97477 . 503/726.3753
r--
.
.
JOB ADDRESS:
hJ<Q 1=.o.V"n l~'::ar
JOB #:
800395
LAST ACTIVITY DATE:
June 9, 1983
NO INSPECTION RECORDED:
;;
OTHER:
CURr~NT STATUS OF PERMIT:
,,'VALID: 'However, your permit will expire on
If you wish to request an.extension of your permit, please notify this
. 'office in writing prior to the above mentioned date.
xx EXPIRED:. Your permit expired on
December 9, 1983
"
If you plan to start or resume work on the project, a new permit must be
applied for.
"If the "expired" box, above, is checked and we do not hear from you by. Januarv
23, 1984 (ten (10) days from the date of this letter), .we will clear our
files of all related information with regard to the permit.