HomeMy WebLinkAboutPermit Mechanical 2008-12-22
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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