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Home My WebLink AboutPermit Mechanical 2007-8-13 . , ~~ ~ ." '-"---:~~ l~ ~ ~ ." ryd~ .,,11 ~\ k'''~1 ,?" ~:I ~1 ~1 ~ ."~1 4~ ~ ~ tr'\\ ~1 ~} ~~ I ~ "-11 r I .1 ~. ~1 ~ 00) ~~ ~1 ~i ~~ '~ ~ CQ) .~~ ~ ~ (Q) (QJ ~ .:'/ '1,"~:e~. ~ , t ;y:.w;f?~';-= 4~~~l\~r~~lVRi~ 0.. ",'" ~ ,..~ "'-f' ~/#; 1~ . : '(0HE~ OF SBR[NGFJErnD,\JifREGO~II';1Y?~ ::' ?):'~.~ "'"' . ". '" . ~ < - . - " ~~ ,.~ ,~~~ 225 FIITH STREET. SPRINGFIELD, OR 97477. PH:(541)726-3753 . FAX: (541)726-3689 City Job Number Job Location: -- ('(S)tIV\Z.CC7- 0 (( ~ ~ b 3 7 /(f:-/~ Il/~ d 17033~Z3 Tax Lot: O/JOC Assessor's Map: Owner: JoSePH R. bRA-A1AlAAl b 3~ J<EL.L.rJ 8LV D SPRJtJbPJ etA) i DeN / S e fEItf4J Address: Phone: 1Lfb,63~o Zip: .!l1-'+tJ. City: State: OR.. Preliminary Inspection for wood burning inserts is $61.50 (prior to insert). Wood Stove/Pellet/Insert Permit is $71.50 (includes applicable fees and surcharges). Contractor: Address: City: Contractor Information /tBe.. SrO V E:. . St./( I) let::. PO BOX ~h ~3q e U beNE- Phone: State: ~R. 3 3 ! . t6'60 Zip: Q1'+O ~ Expires: S- -( r -0 ~ Construction Contractor's Registration #: '133IJ6 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 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: j ~ CWtJr ~ 1- r--- - ~~"#-\._~~~ -- -- --'-- --- , --, -- - q:'res yOU \0 , L ~~ 0<<) ~<:> FOR OrnCE USE N' Oregon law re :on Uti\itY ---<;J~Co'-~ ---- - - - - __'u_, - --ATTEN1'\O '-- edb,# the Qfeg set1o.rth . ~ '\~ ~ _ ~ .10\\oW r~\es ~~~~ lhose rules ~ 952..001- Date 9i.,Appl~~<<"~ ~ I J I 0 '7 Notifi~t\~~,.~1-0010 tt"OU.gh ~f the rules bY ~~. ~~-~ ~-f'" S)~., / \n uj).i\ ~,,'~ ma'# obta\n \iUt>~ \e\epho,:,e ~~~~~~: ~ Checked fO~~fif}~er. (~~~NotlficatiOn ~~ ~~~~~\J ~~ ;urnbef 10r the\U\~OO~2-2.344). ~ ~'CO~ .. . oenter s ~~~~ ~ Shared Drive(T:)/Building Forms/Wood Stove Permit 7-07.doc Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 637 KELLY BLVD ASSESSOR'S PARCEL NO.: 1703352301500 Springfield PROJECT DESCRIPTION: Install wood insert Owner: JOSEPH GRANNAN Address: 637 KELLY BLVD SPRINGFIELD OR 97477 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01185 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: TYPE OF WORK: Wood Stove TYPE OF USE: New Residential Phone Number: 541-746-6890 I CONTRACTOR INFORMATION' License 73806 BUILDING INFORMATION I Contractor Type Mechanical Contractor TED L HUFF JR # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Expiration Date 05/15/2009 Phone 541-338-7550 n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: . ATTENTION' Oregon law requires you to Stor~ Sewer A~aIlablfJ"ow rules ~dopted by the Oregon Utility SpecIal InstructIon: Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001- Notes: 0090. You may obtain copies of the rules by :,~1l1A€ t"'" I'Ont~r {Nota' tha tel~~ho!.'e number for the Oreg~~iw~J~. I Center is 1-8 I>>-DescnptlOn Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Pal!e 1 of 2 REQUIRED PARKING Total: Handicapped: Compact: ~l1rret:Type: 'Jfffl31{SemMP~LL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Value Date Calculated Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: cOM2007-01185 ISSUED: 08/13/2007 APPLIED: 08/13/2007 EXPIRES: 02/13/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of ~roject Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Inspection - Preliminary Wood Stove/Insert Amount Paid Date Paid Receipt Number $20.00 $3.30 $4.15 $2.64 $50.00 $33.00 8/13/07 8/13/07 8/13/07 8/13/07 8/13/07 8/13/07 1200700000000001027 1200700000000001027 1200700000000001027 1200700000000001027 1200700000000001027 1200700000000001027 Total Amount Paid $113.09 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 . Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing chimney. 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. ~JUVuL-. /~ Ituq. ~f)O t- V Owner or Contractors Signature Date Pal!e 2 of 2 22~ Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2007-01185 COM2007-01185 COM2007-01185 COM2007-0 1185 COM2007-01185 COM2007-01185 Payments: Type of Payment CreditCard cReceintl RECEIPT #: Description Wood Stove/Insert Inspection - Preliminary ~Mechanical Issuance Fee~ + 5% Technology Fee + 8% State Surcharge + 10% Administrative Fee Paid By DENISE FEARN City of Springfield Official Receipt Development Services Department Public Works Department 1200700000000001027 Date: 08/13/2007 Item Total: Check Number Authorization Received By Batch Number Number How Received djb 771834 In Person Payment Total: Page I of 1 10:49:05AM Amount Due 33.00 50.00 20.00 4.15 2.64 3.30 $113.09 Amount Paid $113.09 $113.09 8/13/2007