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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 ;i [Sidewalk TyP~\l.. . U\,~'P5u~~~ns: ~. tJ..?\?'r. ~\\ \S~ "01\C t.~~\I S\'\t>.'-i? \\,\\S ?t.~t.~ fO? \~~~Jo?\l~?J'\l~~ \s ~~~~~O ),~ , " ".. ,-- '1\)(.," I ~\I"~' ~'i 'l''C. valua'~i)D.,lIlRl~6fiO". " :: $ 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