HomeMy WebLinkAboutBuilding Mechanical 2008-9-19
'Status
Issued
CITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2008-01439
ISSUED: 09/19/2008
APPLIED: 09/19/2008
EXPIRES: 03/19/2009
VALUE: .
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
'.
SITE ADDRESS:, 2999 Wayside Lp
ASSESSOR'S PARCEL NO.: 1703224103400
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: , Wood stove insert
Owner: DUANE KNOLL
Address:' 2999 WAYSIDE LP
SPRINGFIELD OR 97477
Phone Number: 541-868-5275
I CO~TRACTOR INFORMATION I
Contractor Type Contractor License
Mechanical OWNER
. . ATTENTION: OreflQnjm'Pri~fj}iY~~W:ION I
follow rulesadoP'bU Jf "I' es are set fortn
# of Units: . Notification Center. Thoii'b 'OJliPl 952-001-
pr.imarY Occupancy GrouJ.ln OAR 99l_l\l0.1-001~th~reu t6f'd\tr VllIIlSd:lY
Secondary Occupancy Gro'O!l'30. You may obtain SftWB'f@lI!pho~e
Primary Construction Type calling tl'IB center~ ( ~tVWlificatiOn
Secondary Construction TYPflUmber for the. O~_~O ~:!3'4>t).
# of Bedrooms: '. Center IS nergy Path: .
Sprinkled Building: n/a
Expiration Date Phone
Lot Size:
Sq Ft Ist,Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Otber:
Occupant Load:
...,c,:.
,1 DEVELOPMENT INFORMATION I
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Coverage:
-;i.... '
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
- . . '"O~~
- 'r. -n.\~ ". -
I PUBLI~lJl~p~~I\JlIISt\~t>'J'~?f.~lJ\\i \S ''IV'
il-l\~ r <'" /" \l~~ i\-\~~l>lIiDr~O~
\li\-\O?\lt.tl \S I\B~~-' p .
1\ OW\W\t.~Ct.Q O~?\Otl. Downspouts/Drains:
C '\80 QI\'i I'
~~'i. .
Notes: .
.. ,
I V al~ation Descriution I ..
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of 2
CITY OF SPRINGFIELD'
Building/Combination Permit
Status
Issued
PERMIT NO: COM2008-0I43.9
ISSUED: 09/1912008
APPLIED: 09/1912008
EXPIRES: 03/19/2009
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
, Fees Paid I
. Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 12% State Surcbarge
+ 5% Technology Fee
Inspection - Preliminary
Minimnm/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Nnmber
$21.00
$5.20
$6.24
$5.20
$52,00
$19,00
$33.00
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
9/19/08
1200800000000000984
1200800000000000984
1200800000000000984
1200800000000000984
1200800000000000984
1200800000000000984
1200800000000000984
Total Amount Paid
$141.64
Plan Reviews I
To Request an hlspection 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.
'. I Re~uired In~?ectionsl
Preliminary Inspection: Prior to the installation of solid fuel appliance which will be.vented through an, existing
,chimney.
Wood Burning Insert: After installation.
By signature, I state and agree, tbat I have carefully examined the completcdapplication and do bereby certify that all
information hereon is frue and corre,ct, 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 ofthe 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 ORS701.005 will be used on this project.
I further agree to ensnre tbat all required inspections are requested at the proper time, that each addrcss is readable from the
street, tbat the permit card is locaiedat the froni of the property, and the approved set of plans will remain on the site at all
times during construction.
'AJt'Ld.A~CuJ.)
Own-;r ~r ContrachJfi~Si~'ature
9-/z-o 8
Date
Page 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-126-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-0 1439
COM2008-01439
COM2008-0 1439
COM2008-01439
COM2008-0 1439
COM2008-0 1439
COM2008-0 1439
Payments:
Type of Payment
CreditCard
cReceiotl
RECEIPT #:
1200800000000000984
Date: 09/19/2008
rescription
Inspection - Preliminary
Wood Stove/Insert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 5% Technology Fee
+12% State Surcharge
+ 10% Administrative Fee
Paid By
DUANE KNOLL
Item Total:
Lheck Number Authorization
Received By Batch Number Number How Received
djb
102981 In Person
Payment Total:
Pa.ge I of I
10:54:45AM
Amount Due
52.00
33.00
19.00
21.00
5.20
6.24
5.20
$141.64
Amount Paid
$141.64
$141.64
9/19/2008