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Home My WebLink AboutPermit Mechanical 2008-12-9 CITY OF SPRINGFIELD Building/Combination Permit Stat liS - Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line PERMIT NO: COM2008-01755 ISSUED: 12/0912009 APPLIED: 12/09/2008 EXPIRES: 06/0912010 VALUE: SITE ADDRESS: 638 NORTHRIDGE AVE ASSESSOR'S PARCEL NO.: 1703262102210 Springfield TYPE OF WORK: Wood ~tove TYPE OF USE: New Residential PROJECT DESCRIPTION: Woodstove Insert Owner: Address: INBODY JOHN D & PATRICIA M PO BOX 70301 EUGENE OR 97401 I ,CONTRACTOR INFORMA~ION I Contractor Type Mechanical \ Contractor' GOOD DEAL METAL PRODUCTS INC License 26743 Expiration Date 08/26/2010 Phone 541-736-9876 BUILDING INFORMATIOll!" I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor:' Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: ' Occupant Load: nla I DEVELOPMENT INFORMATION' ~EQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact:,\) to % of Lot Coverage: \a'N lei;;'JH"~~~\J\\\lt~ N' 01e90\) '\,\e Ole9~ et \011\'\ '1'I\:Nl\O ~.-\rooled b~ : ",\p.5 are s_~ ro('\1- Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: I PUBLIC IMPROVEMEM1'S~.~~ti~~-ce\)le~1~\~;;~U9\'\ ~~~;;~\es 'o~ .-- - 9FS1j)01-0 . copIes \ep\,\O\)e . I\) Ofl.,R '1;U \\~m'Ub1'YP,Note'.' I\,\e ~O\l\\cal\O\) 0090. ,~.ef!tel. \ ..\ \t\lli~ a\li\)gD.ownw_oe,w~r,alns'2_2344) . C \11be1 '01 tlie, s 1_BOO-33 nU ce\)\e1 \ Notes: NOTICE: Description :~ ~~~ r.[nr.~!T r! I.r.~~ ~~~~~~~ ~: T~-~~ '.".'2~~~ ~UTHO~IZED ~~QfuU~lPn'm~1lTtiauNJT liOMMtNCED 011 IV nUrLl HFU' I u..JY ,.1'1' T fC A~IY Vm DAY $flleiOO.Ft Square Footage ype 0 ons rue lOR or multiplier or Bid Amount Value Date Calculated Page 1 of 2 Status lss u ed 225 Fifth Street, Springfield, OR 541"726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line . Total Value of Project I Fees Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee MinimumlAdjustment Mechanical Wood Stove/Insert Amount Paid Date Paid $21.00 $5.20 $6.24 $2.60 $19.00 $33.00 12/9/08 12/9/08 12/9/08 12/9/08 12/9/08 12/9/08 Total Amount Paid $87.04 1 Plan Reviews ,I I, CITY OF SPRINGFIELD' , Building/Combination Permit PERMIT NO: COM2008-01755 ISSUED: 12/09/2009 APPLIED: 12/09/2008 EXPIRES: 06/09/2010 VALUE: J . I / Receipt 'Number 1200800000000001209 1200800000000001209 1200800000000001209 1200800000000001209 1200800000000001209 1200800000000001209 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. I ~eo~Ji~e,~ In,,,,e,ctions I Wood Burning Insert: After installation. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information het;eon is true and correct, and I furth~r certify that any and all work performed ~hall b,e done in accordance 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 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 set of plans will remain on the site at all times during construction. ~ / CJ;;~1-,d<R~rh~4. Ic2/9;{;y / . .Jl . I /1 OwBr' or Contract!r"s Signature , U , , Page 2 0\'2 Date 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department. RECEIPT #: 1200800000000001209 Date: 12/09/2008 1 :27:02PM Payments: Type of Payment. Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due , 33,00 19,00 21.00 2,60 6,24 5.20 . $87.04 Job/Journal Number COM2008-01755 COM2008-0 1755 COM2008-0 1755 COM2008-0 1755 COM2008-0 1755 COM2008-0 1755 Description Wood Stove/lnsert Minimum/Adjustment Mechanical ~Mechanicallssuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee Amount Paid CreditCard GOOD DEAL METAL PRODUCTS nJITI 367603 In Person $87.04 Payment Total: $87.04 cReceintl Page 1 of 1 ' 12/9/2008