HomeMy WebLinkAboutPermit Mechanical 2008-9-3
,
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01325
ISSUED: 09/03/2008
APPLIED: 09/03/2008
EXPIRES: , 03/03/2009
VALUE:
225 Fifth Street, Spriogfield, OR
541-726-'3753 Phooe
541-726-3676 Fax
541-726-37691nspectioo Line'
SI1;E ADDRESS: 3334 RALE1GHWOOD AVE
ASSESSOR'S PARCEL NO,: 1703221205200
Spriogfield TYPE OF WORK: Pellet Stove
TYPE OF USE: Addition
Residential
PROJECT DESCRIPTION: lostall pellet stove io existing fireplace
Owner: HENDERSON ROLAND & CAMERON
Address: 3334 RALEIGH WOOD AVE
SPRINGFIELD OR 97477
Phooe Number: 703-772-0338
Contractor Type
Mechaoical
I CONTRACTOR ~NFORMATION I
Contractor' -License,
EMERALD SWIMMING POOLS OF ORE IN 11294
,BUILDING INFORMATION I
Expiration Date
10/22/2009
Phone
541-688-1090
# of U oits:
Primary Occupancy Group:
Secoodary Occupancy Group:
Primary Coostruction Type
Secondary Coostructioo Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Eoergy Path:
Spriokled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 20d Floor:
Sq, Ft Basemeot:
Sq Ft Garage/Carport
Sq Ft Other:
Occnpaot Load:
o/a
'/ .DEVELOPMENT INFORMATION'
REQUIRED PARKING
Total:
Haodicapped:
, Compact:
'....'
Front yard Setback: Overlay Dist:
Side 1 Setback: # Street Trees Rqd:
Side 2 Setback: Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setba_~~: .....-.,...fl.'. nr~nnn\aw requires YO~.~.? .
t~I'I~~' ;,;i~~ hdopted by th8IUe~ ea";~ijMii,~oc IMPROVEMENTS I
' c n'er Those ru -" ,
~lntiilf:gIIOn e,.., , hOAR 9o;<-UU ,-
Street lmprovements:O 1-0010 till oug , \ by
, in U~"K, ;'~'''-'~ ,"' 'obtain copies' at the ru es
Storm SIt,'YeIJAvadable: "(Note: the telephone
speciallnstl'uctiiln~ecen~r' on Utility Notiticatlon
number tor the. ~~€00-332-2344).
Notes: Center IS
Sidewalk Type:
Downspouts/Drains:
NOTICE: OHl
THIS PERMIT SHAll EXPlRE IF WE W NGU'
AUTHORIZED UND~R TH.I~ p~~~~T!:~(:l
~OMlVltNUtU un IJ '\E::I..th..:, ,
I Valuation Descriotion (NY 180 OAY PERIOD,
Description
Type of Construction .
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amonnt
, i
Value
Date Calculated
Pa2e 1 of2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Lioe
Fee Description
-Mechanicallssnance Fee-
+ 100/0 Administrative Fee
+ 12% State Snrcharge
+ 5% Techoology Fee
Pellet Stove/Insert
Pellet Stove/Insert
Total Amount Paid
Amouot Paid
$21.00
$5,20
$6.24
$2.60 '
$18.00
$34.00
$87.04
Total Value of Project
Fees Paid'
, ,
Date Paid
9/3/08
9/3/08
9/3/08
9/3/08
9/3/08
9/3/08
Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01325
ISSUED: . 09/03/2008
APPLIED: 09/03/2008
EXPIRES: 03/03/2009
VALUE:
Receipt Number
2200800000000001320
2200800000000001320
2200800000000001320
2200800000000001320
2200800000000001320
2200800000000001320
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.
Pellet Insert: After installatioo
Renuired Insne.c~i~nsJ
v
By sigoature, I state and agree, thatlhave 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 Ordinaoces of the City of Springfield aod the Laws of the State of Oregoo pertainiog to the work described herein, and
that NO OCCUPANCY will be made of aoy structure without permission of theCommonity Services Divisioo, Building Safety,
I further certify that only coo tractors aodemployees who are in compliance with ORS 701.005 will be used 00 this project,
I further agree to ensure that all required,inspectioos are requested at the proper time, that each address is readable from the
street, tbat the permit card is located at the front of the property, and the approved set of plans will remaio on the site at all
r~:=ISUCL
'-" .-.... -
Owner or Contractors Signature'
Page 2 of2 '
Date
o ct c") ~ (") 9\
225 Fifth Street
Springfield, Oregon 97477
541- 716-3759 Phone
,
Job/Journal Number
COM2008-01325
COM2008-0 1325
COM2008-0 1325
COM2008-0 1325
COM2008-01325
COM2008-0 1325
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
City of Springfield Official Receipt
Development Services Department
Public Works Department
2200800000000001320
, Date: 09/03/2008
2:54:57PM
Description- ,
Pellet Stove/Insert . '
. ..L~
B&IIel-S:_ ,f.__,. tt\U'\ ~erfN.' , e..
~Mechanicallssuance ,Fee- ..
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% Administrative Fee
Paid By
CAMERON HENDERSON
Amount Due
34,00
18,00
21.00
2,60
6.24
5.20
$87.04
Item Total:
Check Number ~uthorizatil?n
Received By Batch Number Number How Received
Amount Paid
IIh
960676
$87,04
$87,04
960676 In Person
Payment Total:
Page 1 of 1
9/3/2008