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Home My WebLink AboutPermit Mechanical 2008-1-4 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00017 ISSUED' 01/04/2008 APPLIED. 01104/2008 EXPIRES: 07/04/2008 VALUE: Status Issued 225 F.fth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn LIOe SITE ADDRESS 2815 MANOR DR ASSESSOR'S PARCEL NO 1703233201300 Springfield TYPE OF WORK Pellet Stove PROJECT DESCRIPTION Pellet IOsert TYPE OF USE New Res.dentIal Owner ROBIN LOBDELL Add. ess 1210 WILLAGILLESPIE RD EUGENE OR 97401 I CONTRACTOR INFORMA TlON I Contractor Type Mechamcal Contractor AMBASSADOR PIPING INC License 121469 I BUILDING INFORMATION I # ofUmts # of Storles~res you ~o P..mary Occupancy Group --&.'loON' oregdil.qNlr~'i1fl'l!ltlltty Secondary Occupaucy Group ^~N I 188 ~dopteii,l:tlk ~~re set tortl\ Primary ConstructIou Type follOWion center, ~~ e AR 952-001- Secondary CoustructlOu Type NO\l~ ~2.()01.001QL\\~ ~l the rules by # of Bed. ooms "'Q0900 You may ob~lI!li)fflSl~'Pi\lb telephOne ca\ilng tile centeril~~<<I~9ld!Patlon nla numu"'ci~~:2~~rfi~JBRMA TlON I Frontyard Setback S.de I Setback S.de 2 Setback Rearyard Setback Solar Setbacks Overlay D.st # Street Trees Rqd Paved Drive Rqd IYo of Lot Coverage I PUBLIC IMPROVEMENTS I Street Improvemeuts Storm Sewer Available SpecIal InstructIon Phone Number 541-285-8327 ExpiratIOn Date 03/27/2009 Phone 541-726-5723 Lot SIZe Sq Ft 1st Floor Sq Ft 2nd Floor Sq Ft Basemeut Sq Ft GaragelCarport Sq Ft Other Occupant Load REQUIRED PARKING Total Haudlcapped Compact S.dewalk Type T'Cf: Down~W'<<f~R~ ~~IS PERMIT Sl-l~\~f~~ PERMIT IS Not ~U1\-10RIIEO UNO IS ~BANOONEO fOR N'lMMENCEO OR_ - - < C"\' w!;I\IEiO- I lI.N'1\ QU"" I V aluatlOn'VescrmtlOn Notes Descnptlon $ Per Sq Ft or multlpher Square Footage or BId Amount Type of Construction Paee I 01 2 Value Ddte Cdlculated Status Issued 225 F,fth Street, Sprlugfield, OR 541-726-3753 Phoue 541-726-3676 Fax 541-726-3769 InspectIOn LIOe Total Value of Project Fees Paid I Fee DescriptIOn -MechanIcal Issuauce Fee- + 10% Admlm;tratIve Fee + 12% State Surcharge + 5% Technology fee Mlmmum/AdJustment Mechamcal Pellet StovelIusert Amouut Paid Date PaId $20 00 $500 $600 $250 $17 00 $33 00 1/4/08 1/4/08 1/4/08 1/4/08 1/4108 1/4/08 Total Amouut PaId $83 50 I Plan Reviews I CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO ISSUED. APPLIED. EXPIRES: VALUE' COM2008-00017 01/04/2008 01104/2008 07/04/2008 Receipt Number 1200800000000000009 1200800000000000009 1200800000000000009 1200800000000000009 1200800000000000009 1200800000000000009 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 Reomred InsnectIons I Pellet lusert After IOstallJtlOn By slguJture, I state aud agree, that I have carefully examlOed the completed applicatIOn Jnd do hereby certIfy that all IOformallOn hereon IS true aud correct, and I further certIfy that any and all work performed shall be done 10 accordance With the OrdlOances of the CIty 01 Springfield and the Laws of the State of Oregon pertalOIOg to the work described herelO, and thJt NO OCCUPANCY wIll be made of any structure WIthout permlsMon of the Commumty ServIces DIVISIOn, BUlldmg SJfety I furthel certIfy thJt only contractors and employees who Jre 10 compliance With ORS 701 005 will be used on thIS project I further Jgree to ensure that JII required IOspectlOns Jre reque;ted at the proper tIme, that each address IS reJdable from the street, that the permit card IS located at the front of the property, and the approved set of plans will remalD on the site Jt JII tImeSdUrlnr;~ ~ Owner 01 ContI actors SIgnature Paee 2 of 2 J - y- 0 ~, Date 225 Fifth Street , Spnngfield, Oregon 97477 541-72/i-3759 Phone ~j) -- .'- City of SprIngfield Official Receipt Development Services Department Public Works Department Job/Journal Number COM2008-000 17 COM2008-000 17 COM2008-000 17 COM2008-000 17 COM2008-000 17 COM2008-000 17 Payments Type of Payment CredltCard cRecelOtl RECEIPT #. 1200800000000000009 Date' 01/04/2008 Descnptlon Pellet Slovellnsert Mlnlmum/AdJustment Mechamcal -Mechanical Issuance Fee- + 12% State Surcharge + 5% Technology Fee + 10% Administrative Fee Paid By MATTHEW CLEMENT Item Total Check Number AuthorizatIOn Received By Batch Number Number How ReceIved , dJb 025498 In Person Payment Total Page 1 of 1 1 24 58PM Amount Due 3300 1700 2000 600 250 500 $83 50 Amount Paid $83 50 $83 50 1/4/2008