HomeMy WebLinkAboutPermit Mechanical 2008-10-17
Status
Issued
)1
225 Fifth Street, Springfield~ OR
541-726-3753 Phone '
541-726-3676 Fax
541-726-3769 Inspection Li",e
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-01545
ISSUED: 10/17/2008
APPLIED: . 10/1712008
EXPIRES: 04/17/2009
VALUE:
"
SITE ADDRESS: 1066 rOLE WAY
ASSESSOR'S PARCEL NO.: 1802052401200
"
PROJECT DESCRIPTION: New pellet stove
"
Owner: COREY KErf.H W
Address: 1066 COLE WAY
SPRINGFIELD OR 97478
"
Contractor Type
Mechanical
Contractor
"
O.WNER
# of Units:
"
Primary Occupancy Group:
Secondary Occupancy Gro~p:
Primary Construction Type
SecondaryConstrnction Type:
# of Bedrooms:
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks: "
Street Improvements:
Storm Sewer A vajJabfe:
Special Instruction:
Notes:
Description
Type of Construction
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: Alteration
Residential
I CONTRACTOR INFORMATION 1
License
Expiration Date Phone
I BUILDING INFORMATION!
ATTENTION: oregon laW '''yu" s youto
follow I!/WN;tOl'iGs;ed by the Oregon Utility Lot Size:
. Notifica!:'-eigIlt;ofLStri'ilJtifre rules are set forth Sq Ft 1st Floor:
in OAR ff:YpiJofiIf\\li'filthrough OAR 952-001" Sq Ft 2nd Floor:
0090 'tWafefl'fYP<\ilin copies of the rules by Sq Ft Basement:
caliinRAnlitCtJY~:. (Note: the tel~~ho~e Sq Ft Garage/Carport
mb~-'~I thll.-""egon Utility Notification S Ft Otl .
nu """" gy' J<<1I. 2 2344) q ler.
sfi4EiilIltMEBti1\\i~f.3 - "n/a Occupant Load:
I DEVELOPMENT INFORMATION 1-'
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
'.' (. Tl.~QC:". of Lot Coverage:
1,.1 .\"'f.. UEWORK
-:';w'D\:pr,m SHALL EXPIRE IF Tr'..._ , .,.
,I PUBDI(j;!IMPR@"V.EMlii\li:s"t~~~ 'FOvR113. .
f:1nVd'J\tl\l,vt:U urllV , ",.),...- . .
-', AY PERIOD Sidewalk Type.
,,,NY 180 D .
, Downspouts/Drains:
Total:
Handicapped:
Compact:
I Valuation D~s~r~ption'
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Date CaIcnlated
Value
Page 1 of 2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone .:i
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
-Mechanical Issuance Fee""
+ 10% Administrative Feeli
'+ 12% State Surcharge II
+ 5% Technology Fee I'
I
Minimum/Adjustment Mechanical
Pellet Stove/Insert :>
Total Amount Paid
';I
Amount Paid
$21.00
. $5.20
$6.24
$2.60
$18.00
$34.00
$87.04
CITY OF ~rtuNunJ<.Lu
Building/Combination Permit
PERMIT NO: cOM2008-01545
ISSUED: 10/17/2008
APPLIED: 10/17/2008
EXPIRES: 04/17/2009
VALUE:
Total Value of Project
F,ees Paid'
I Plan Reviews I
Date Paid
Receipt Number
10/17/08
10/17/08
10/17/08
10/17/08
10/17/08
10/17/08
2200800000000UOl526
2200800000000001526
2200800000000001526
2200800000000001526
2200800000000001526
2200800000000001526
To Request an inspectihn 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." .
Relluired Insoections ,
Final Mechanical: When all mechanical work is complete.
Pellet Insert: After installation
By signature, I state and agi~ee, that I have,carefully examined the completed application and do hereby certify that all
infonnation 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 ~nd 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 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~et of plans will remain On the site at all
'~::; '"iJru~""(~
Owner or Contractors Sign'atur"v .
ID'/'7-()(<
Date
Page 2,of 2
t.'
;- f '.
J
225 Jth,~treet:
Spr gfi.eld, Oregon 97477
541-726-3759 Phonc
City of Springfield Official Receipt
Development Services Dcpartment
Public Works Department
II
RE~EIPT #:
2200800000000001526
Date: 10/17/2008
1:15:27PM
Job/Journal Number
COM2008-0 1545
COM2008-0 1545
COM2008-0 1545
COM2008-0 1545
COM2008-0 1545
COM2008-0 1545
Descriptihn
Pellet Stove/Insert
Minimum/Adjustment' Mechanical
~Mechanicallssuance Fee-
+ 5% Technology Fee
"
+ 12%,State Surcharge
+ 1 O%I~dministrative Fee
):
Item Total:
<":heck Number Authorization
Received By Batch Number Number How Received
Amount Due
.34.00
18.00
21.00
2.60
6.24
5.20
$87.U4
Payments:
Type of Payment
CreditCard
Paid By
KEITH COREY
"
Amount Paid
CJC
522203 In Person
Payment Total:
$87.04
$87.U4
cReceiotl
Page 1 of 1
10117/2008