HomeMy WebLinkAboutPermit 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