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Home My WebLink AboutPermit Mechanical 2004-10-29Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2004-01344ISSUED: 1012912004 APPLIEDz 1012912004 EXPIRES: 0412912005 VALUE: SITE ADDRESS: 390 34TH ST ASSESSOR'S PARCEL NO.: 1702312409800 PROJECT DESCRIPTION: Free standing wood stove Owner: KEppELER JOEL Address: 390 34TH ST SPRINGFIELD OR 97478 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential 54t .13tr,5(b License Expiration Date PhoneContractor Type Mechanical Contractor OWNER CONTRACTOR INFORMATION )RMATION # 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: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Value REQUIRED PARJ(NG Total: Handicapped: Compact: nla Sidewalk Type: Downspouts/Drains: requires you e Oregon UtilttY rules are set for oAR 952-001 tica $ Per Sq Ft multiplier PIRE IF THE WORK RIZED UNDER THIS PERMIT IS NOT :NCED OR IS ABANDONED FOR Square Footage or Bid Amount ll Total Value of Project DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS or I ) Date Calculated q 0090.You maY obtain copies calling the center' FIELD Building/Combination Permit PERMIT NO: COM2004-01344ISSUED: 1012912004 APPLIEDz 1012912004 EXPIRESz 0412912005 VALUE: F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Amount Paid Date Paid Receipt Number 2200400000000001351 2200400000000001351 22004000000000013s1 22004000000000013s1 22004000000000013s1 Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + 7o/o State Surcharge Minimum/Adj ustment Mechanical Wood Stove/lnsert Total Amount Paid $10.00 $4.50 $3.15 $1s.00 $30.00 10t29t04 10t29104 r0t29t04 10t29t04 10t29t04 $62.65 Plan Reviews To Request an inspection call the24 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. Wood Stove: After Installation. By signaturer l 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,card is located at the front of the property, and the approved set of plans will remain on the site at all times Owner or /rl -2/ Date Pase2 of2 ffi Keourreo InsDecuons I -cI 225 Filth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt r,elopment Services Department Public Works Department RECEIPT #: 2200400000000001351 Date: 1012912004 1:18:52PM Job/Journal Number coM2004-01344 coM2004-01344 coM2004-01344 coM2004-01344 coM2004-01344 Description Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7Yo State Surcharge + l0o/o Administrative Fee Amount Due 30.00 15.00 10.00 3. l5 4.50 Item Total:$62.6s Payments: Type ofPayment checl(NumDer Autnorzatron Paid By Received By Batch Number Number How Received Amount Paid Check JOEL KEPPELER dlm 2310 In Person $62.65 Payment Total: -56ffi 10t29t2004 Page I of I $PEI}IGFISID