HomeMy WebLinkAboutBuilding Mechanical 2008-9-22
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-01451
ISSUED: 09/22/2008
A'PPLIED: 09/22/2008
EXPIRES: 03/22/2009
VALUE:
Status
Issued -
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37~9 Inspection Line
SITE ADDRESS: 442 S 67TH ST
ASSESSOR'S PARCEL NO.: 1702344401700
Springfield TYPE OF WORK: Wood Stove
TYPE' OF USE: New
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$ Per Sq Ft Square Footage
or multiplier or Bid Amonni
PROJECT DESCRIPTION: Wood stove
Owner: ROBERT BASSETT
Address: 442 S 67TH ST
SPRINGFIELD OR 97478
I CONTRACTOR mFORMATlON I
"
Contractor Type
Mechanical
Contractor
AMBASSADOR PIPING INC
License
121469
I, BUILDING INFORMA T10N ~ i,
# of Units:
Primary Occupaney Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories: 'leS 'IOU to
~r1UI 'I.t" i'
R-3, ". ,tI~!ght:or.,SlrlS'itJt.Jl!\'\ UtI \, "
'C:l,;,"\Orl~ 0 T)ip~ ilfjA'eat: s ale set 10lth"
f VB" "j'; ~(:~~~t~'r,a:yp\1:\\e OAR 952-00\
,1 .\.,.;~\.\,)\, G~;'Eeqge.Xlly~~1~ 01 t\'\8 lules bY
'o. ;yS', 80?--0 ~\'.~!liIYIJ'llflJ.: he tele?\'\O~e,
,I I 'IoU may" ,"""&18.)1:\1;',.0 \l1\catlon /
0090. c",P'!lIUKW lJtffl/f"'o" n a
V...'.I.:"'~ 'he~ \.,.... :~"':~!' ~. .;.: A. ~ .'
I \'\um\p'f)~~~~M~6RMATlON ~ I
Front yard Setback:
Side 1 Setback: .
Side 2 Setbacki
Rearyard Setbaek: .
Solar Setbacks:
Overlay Dist:
# Street Trees R~'d;
Paved Drive Rqd:
0/0 of Lot Coverage:
I PUBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
Special Instruction:
..,:'1'
, Notes:
Description
TYl>e of Construction
Paee 1 of2
Residential
Phone Nnmber: 541-988-3205
Expiration Date
03/2712009
Phone
541-726-5723
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
. REQUIRED PARKING
Total: I
Handicapped:
Compact:
Value
Date Calcnlated
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Perin it
PERMIT NO: COM2008-0I451
ISSUED: 09/22/2008
APPLIED: 09/22/2008
EXPIRES: 03/22/2009
\\ALUE:
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-
+ 100/0 Administnltive Fee
+ 12% State Snrcharge
+ 5% Technology Fee.
Minimnm/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
$21.00
$5.20
$6.24
$2.60
$19.00
$33.00
Date Paid
. 9/2"2/08
9122/08
9/22/08
9122/08
9/22/08
9/22/08
Receipt Number
2200800000000001431
2200800000000001431
2200800000000001431
2200800000000001431
2200800000000001431
2200800000000001431
Total Amount Paid
$87.04
I Plan Reviews I
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, i1ispections requested after 7:00 a.m. will be made the following
,
work day. .
ne~lIired Ins'lections 1
Wood Stove: After Installation.
By signatnre, I state and agree, that I have carefully examined the completed ap~lication and do hereby certify that all
information hereon is true and correct, and I fnrther certify that any'and all work performed shall be done in aeeordance 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 withont permission of the Community Services Division, Bnilding 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 reqnested 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
;1!I_e:_~~~ construction. n c -----l
~\~"_~A_. ~JLtMj~A' I''. CA-~~~()'8
Owner or Contractors Sig~-. Date
Paee 2 of.2
225 Fift!J Street
Spripgfield, Oregon 97477
54e726-3759 Phone
Job/Journal Number
COM2008-0145 1
COM200S-01451
COM200S-01451
COM200S-0 1451
COM200S-01451
COM200S-0 1451
Payments:
Type of Payment
CredilCard
cReceintl
RECEIPT #:
Description
Wood Stove/Insert
Minimum/Adjustment Mechanical
+ 5% Technology,Fee
+ 12% State Surcharge
+ 10% Administrative Fee
-Mechanical Issuance Fee-
Paid By
DEBORAH CLEMENT
City of Springfield Official Receipt
, Development Services Department
Public Works Department
2200800000000001431
Date: 09/22/2008
:1
:Hcm Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 00549B In Person
Payment Total:
Page 1 of 1 '
2:01:39PM
Amount Due
33.00
19.00
2.60
624
5.20
21.00
$87.04
Amount Paid
$S7.04
$87.04
9/22/2008