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HomeMy WebLinkAboutPermit Mechanical 2004-11-23 . . CITY OF ~nuriGFIELD Building/Combination Permit PERMIT NO: COM2004-01443 ISSUED: 11/23/2004 APPLIED: 11/23/2004 EXPIRES: OS/23/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1452 FAIRVIEW DR ASSESSOR'S PARCEL NO.: 1703273200165 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Install woodburning insert Owner: ADAMS BONITA T Address: 1452 FAIRVIEW DR SPRINGFIELD OR 97477 S~I.1'Uo.DCo'R ~ Contractor Type Mechanical I CONTRACTOR INFORMATION I Contractor ATTEN110N: ;~~onsb~w rE!flU~iri~~UJ~ate follow rules ad ~~ Dy the Or 0 m CHRIS B WINSLOW "~''''~''''~~ ,.~_ _~ "M~ ...I~~ ~ ~/J M ~ I BUlLDlMJINF9KMlWllIIN, through OAR 952,001. 1.11111 . 0090. VOU may obtam copies of the rules by # of SlUing the center. (Note: the I<lItJ~~l1e Heigb~!lf~e Oregon Utility (lj9tll~iJlIpor: Type of Heat: Center Is 1-800-332'23~1l)ft 2nd Floor: Water Type: Sq Ft Basement: Range Type: Sq Ft Garage/Carport Energy Patb: Sq Ft Other: Sprinkled Building: nla Occupant Load: Phone 541-895-3593 # ofUnils: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 VN I DE"r.LunvIEN. mruRMATION I Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Description Type of Construction Sidewalk Type: Downspouts/Dra~y.'t. \}lO~~ 't.'/..?\?'t. \ \'11\\ \'0 ~ ~O\\C\\'1I\\ S\-\fI.\.~?. \\-\\'0 ?~~'t.\) to?" \\-\\~.:';"'\lr..D _\l~~ IS fI.'OfI.~D ;" ... , ~\Jt.v - \C)\J. I Valuation Descrintioh~\t~(') DfI.'i ?r..\\ 1'-\"" $ Per Sq Ft Square Footage or multiplier or Bid Amount Value Date Calculated Notes: Total Value of Project Page 1 on . . Ll1:f VI' ~rtuNGFIELD Building/Combination Permit PERMIT NO: COM2004-01443 ISSUED: 11123/2004 APPLIED: 11/23/2004 EXPIRES: OS/23/2005 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fees Paid I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Wood StovelInsert Amount Paid Date Paid $10.00 $4.50 $3.15 $15.00 $30.00 11/23/04 11/23/04 11/23/04 11/23/04 11/23/04 Receipt Number 1200400000000001650 1200400000000001650 1200400000000001650 1200400000000001650 1200400000000001650 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection 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 Insnections I Wood Burning Insert: After Installation. By signature, I state and agree, that 1 have carefully examined the completed application and do hereby certify that all Information hereon Is true and correct, and 1 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 bereln, 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 eacb address Is readable from the street, tbat the permit card Is located at the front of the property, and tbe approved set of plans will remain on the site at all times during construction. f~ ~ ::> ///2 '3/oL( I Owner or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield;Oregon 97477 541-726-3759 Phone J' . Job/Journal Nnmber COM2004-01443 COM2004-01443 COM2004-01443 COM2004,01443 COM2004-01443 Payments: Type of Payment Check 11/23/2004 RECEIPT #: "p.~'_'I'1"'" , ,_, .;, 1Iit:' , , > ,,- JilY of Springfield Official Receipt Wvelopment Services Department Public Works Department 1200400000000001650 Date: 11/23/2004 Description + 7% State Surcharge + 10% Administrative Fee Wood StovelInser! Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By YE OLD TOWN SWEEP Item Total: Check Number Authorization Received By Batcb Number Number How Received djb 16395 In Person Payment Total: Page I of I 2:0l:35PM Amount Due 3,15 4.50 30.00, 15.00 10.00 $62.65 Amount Paid $62,65 $62.65