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HomeMy WebLinkAboutPermit Mechanical 2008-12-22 . ~ ~.. r-S.!\!~~Wi!!r.I~~. .", ~\, ;', .. .!;~\ .. Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01793 ISSUED: 12/22/2008 APPLIED: 12/22/2008 EXPIRES: 06/2212009 VALUE: Springfield TYPE OF WORK: Mechanical Only SITE ADDRESS: 724 D ST ASSESSOR'S PARCEL NO,: 1703351305900 Residential PROJECT DESCRIPTION: Wood stove and chimney conneclor TYPE OF USE: New Owner: HARRIS MARlETT A A Address: 724 D ST SPRINGFIELD OR 97477 Contractor Type General Contractor OWNER # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Fronlyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Description Type of Construction I CONTRACTOR INFORMATION I License Expiration Date Phone R-3 ttTBH~JlJDINQilNK0R1W~TroN't youto follow rules aoopleU Jy '"'' J,IJ",Dn Utility N 'f' t"" "St -'..- Those rules are set forth Otl Ica ",0" ones: in OAR 9Hi!iglrt1dfrstPJ8\fl~gh OAR 952-001- 0090, Ycr. jTh?ofcffita'Jr copies of the ruiesby , .Y "t'. (Note: the telephone callin"warereryJie. Ut'l't Notification numbeRliJi' 'trryp&egon II y . Effi,'f\iY p'ilt1,::800-332-2344). Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Total: Handicapped: Compact: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Covera~iJla3d A'ilO 08l ANII , tlO:! 03NOON\.I8\.1 SI tlO 03JN3lNlNOJ J'"~''' ""n., ". ,..... """"II U..JLIUUn.LI/V IllllB,Io,JClIjV/Pft.0MEj\;1J;N'{!l"S lllNtl3d SIHl S(<!t~~llffi\tpe: Downspouts/Drains: I Valuation Description ,.1 $ Per Sq Ft or multiplier Square Footage or Bid Amount V:tlue Date Calculated Paee I 01'2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2008-01793 ISSUED: 12/2212008 APPLIED: 12/22/2008 EXPIRES: 06/2212009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~es ~~id I Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 12% State Surcharge + 5% Tecbnology Fee Minimum/Adjustment Mechanical Wood Stove/Insert Amount Paid Date Paid Receipt Number $21.00 $5.20 $6.24 $2.60 $19,00 $33,00 12/22/08 12/22/08 12/22/08 12122/08 12/22/08 12/22/08 ' 3200800000000000797 3200800000000000797 3200800000000000797 3200800000000000797 3200800000000000797 '3200800000000000797 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, inspections requested after 7:00 a,m. will be made the following ,work day. ' I Reouired Insne.ction~J Rough Mechanical: Prior to Cover ~inal Mechanical: When all mechanical work is comple~e. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all info~mation hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances ofthe 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 requested 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. . , j '-1)/ ,(li2~,tM/J Own'e~tr C~~tractors Signature / J-f.7:2.../ 0"5/ , Dale / Paee 2 of2 225 Fifth ~treet Spdngfleid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2008-01793 COM2008-0 1793 COM2008-01793 COM2008-01793 COM2008-0 1793 COM2008-0 1793 Payments: Type of Payment CreditCard cRcceintl RECEIPT #: 3200800000000000797 Description Wood Stove/Insen Minimum/Adjustment Mechanical -Meshanicallssuance Fee- + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee City of Springfield Official Receipt Development Services Department Public Works Department Date: 12/22/2008 Item Total: Lheck 'N umber Authorization Received By Batch Number Number How Received cjc 25678a In Person Payment Total: Paid By MARIETTA HARRIS , Page 1 of 1 9:56:34AM Amount Due 33,00 19,00 21.00 2,60 6,24 5,20 $87.04- Amount Paid $87,04" $87.04- 12/22/2008