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Home My WebLink AboutPermit Mechanical 2007-02-09Building/Combination Permit PERMIT NO: COM2007 -0017 6Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line SITE ADDRESS: 5841 THURSTON RD ASSESSORTS PARCELNO.: 1702342200212 PROJECT DESCRIPTION: Install wood stove Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Expiration Date 03t27t2007 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft t: Type: ISSUED: APPLIED: EXPIRES: VALUE: 02t09t2007 02t06t2007 08t0912007 Owner: Address: Contractor Type Mechanical WICKIZER GEORGE WM II & S M 584l THURSTON RD SPRINGFIELD OR 97478 Residential Phone 541-726-5723 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Contractor AMBASSADOR PIPING INC hN'(Energy Path: Sprinkled Building: % of ISI Sidewalk Type: Downspouts/Drains: rport q\ {r\e \$e PARKING \ $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Pase I of2 Value Date Calculated I (rr( urrt r(lYrlt r r\rl\ | # Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541 -7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007 -0017 6ISSUED: 0210912007 APPLIED: 0210612007 EXPIRES: 08/0912007 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Minimum/Adj ustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $2.25 $3.60 $15.00 $30.00 $6s.3s Total Value of Project Date Paid 2t9t07 2t9t07 2t9t07 2t9t07 219t07 2t9t07 Receipt Number 1200700000000000138 r200700000000000138 1200700000000000138 1200700000000000138 1200700000000000138 1200700000000000138 Fees Paid Plan Reviews 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. Wood Stove: 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 Springfietd 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 Owner or Contractors Signature Pase2 of2 Date a-) I I(eourred InsDecttons I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone C'- ' of Springfield Official ReceiPt Lr-. elopment Services Department Public Works Department RECEIPT #: 1200700000000000138 Date: 0210912007 l0:07:32AM Job/Journal Number coM2007-00176 coM2007-00176 coM2007-00176 coM2007-00176 coM2007-00176 coM2007-00176 Description + 57o Technology Fee + 8% State Surcharge + l0%o Administrative Fee Wood Stove/Insert M inimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 2.2s 3.60 4.50 30.00 15.00 10.00 Item Total:$6s.3s Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard MATTHEW CLEMENT djb 005558 In Person Payment Total: $6s.35 -$6s-5 cReceint I Page I of I 219t2007 tFililetilLs