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Home My WebLink AboutPermit Mechanical 2007-01-23Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line F SPRIN Building/Combination Permit PERMIT NO: COM2007-001 13ISSUED: 0112312007 APPLIEDz 0112312007 EXPIRES: 0712312007 VALUE: SITE ADDRESS: 1164 33RD ST ASSESSOR'S PARCELNO.: 170230340620r PROJECT DESCRIPTION: Woodstove Installation Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential Owner: Address: Contractor Type Mechanical Contractor OWNER HARTWIG STEVEN I164 33RD ST SPRINGFIELD OR 97478 PhoneNumber: 541-736-5845 License Expiration Date Phone TION TION )RMATION # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: o/o of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Frontyard Setback: REQUIRED PARKING Total: Handicapped: Compact: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated EXP\RE lFL A AY PER \OD o irut t> rutBS arg Se,,ugh oAH 952),es o,the rue: the t t?-?3441 Valuation Description I LD Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2007-00113ISSUED: 0112312007 APPLIEDz 0112312007 EXPIRESz 0712312007 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 57o Technology Fee + 87o State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $2.25 $3.60 $r5.00 $30.00 $6s.3s Total Value of Project Date Paid u23/07 u23107 u23t07 U23107 u23107 u23t07 Receipt Number 2200700000000000097 2200700000000000098 2200700000000000098 2200700000000000098 2200700000000000097 2200700000000000097 Fees Pa 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 lnstallation. Reouired Insnections 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. I Owner or Signature Pase 2 of 2 Date q T 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Ct' of Springfield Official Receipt D- - clopment Services Department Public Works Department RECEIPT #: 2200700000000000097 Date: 0112312007 2:27233PM Job/Journal Number coM2007-00113 coM2007-00113 coM2007-00113 Amount Due 30.00 15.00 10.00 Item Total:$55.00 Payments: Type ofPayment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid CreditCard JACKIE COMER llh 161709 In Person $55.00 Payment Total: -SBdT- cReceiotl Page I of I 112312007 Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- 225 Fifth Street Springfieid, Oregon 97 477 541-726-3759 Phone Ci' of Springfield Official Receipt D*.+lopment Services Department Public Works Department RECEIPT #: 2200700000000000098 Date: 0112312007 2z2e:36PM Job/Journal Number coM2007-001 l3 coM2007-00r 13 coM2007-001l3 Description + 8% State Surcharge + 10Yo Administrative Fee + 5%o Technology Fee Amount Due 3.60 4.50 2.25 Item Total:$10.3s Payments: Type of Payment Paid By CheckNumber Autnortzatton Received By Batch Number Number How Received Amount Paid CreditCard JACKIE COMER llh R63763 In Person $10.35 Payment Total: -SITS cReceint I Page I of I 112312007 ra$ilaFlm*