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Home My WebLink AboutPermit Mechanical 2007-04-18F 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: COM2007-00569ISSUED: 0411812007APPLIED: 04/1812007 EXPIRES: 10/1812007 VALUE: SITE ADDRESS: 1742 ITTH ST ASSESSOR'S PARCEL NO.: 1703253105000 PROJECT DESCRIPTION: lnstall wood stove Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Phone cE.NLL \S \S NB Owner: Address: Contractor Type Mechanical ANDREW ZALESKI I742 17TH ST SPRINGFIELD OR 97477 08t26t2008 Residential Phone 541-736-9876 Contractor c0 GOOD DEAL METAL PRODUCTS INC Date # 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: # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: R-3 VB nla $ Per Sq Ft or multiplier t!ln uo0 Square Footage or Bid Amount Sidewalk Type: Downspouts/Drains: G auoLidalal nl atll # Street Trees Rq d: 96 uvPaved Drive Rqd: lla S AJE -t00-z oh of Lot Coverage: PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated l'Url-t-rll'\u l1\r ul(1vrA r rrJl\ Valuation Description I HVO U! N\ollol Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2007-00569ISSUED: 0411812007APPLIED: 04/1812007EXPIRES: 10/1812007 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 57o Technology Fee + 87o State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $2.2s $3.60 $1s.00 $30.00 $65.35 Total Value of Project Date Paid 4n8t07 4n8t07 4fi8107 4n8t07 4n8t07 4n8t07 Receipt Number 1200700000000000432 1200700000000000432 1200700000000000432 1200700000000000432 1200700000000000432 r200700000000000432 'aid Plan Reviews To Request an inspection call the24 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 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 ring con Owner or Page 2 of 2 Date a o1 *sn;llr|BFt*l"n 3'"i Keourred InsDectrons I 225 Fiftn Street Springfield, Oregon 97 477 541-726-3759 Phone Qi+., of Springfield Official Receipt L _;lopment Services Department Public Works Department RECEIPT #: 1200700000000000432 Date: 0411812007 2:37:2ePNt Job/Journal Number coM2007-00569 coM2007-00569 coM2007-00569 coM2007-00569 coM2007-00569 coM2007-00569 Description + 57o Technology Fee + 8% State Surcharge + llYo Administrative Fee Wood Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 2.2s 3.60 4.50 30.00 15.00 10.00 Item Total $65.35 Payments: Type of Payment Paid By CheckNumber Authortzation Received By Batch Number Number How Received Amount Paid CreditCard GOOD DEAL METAL djb 383087 In Person $65.35 Payment Total: -56ffi cReceint I Page I of I 4fi812007