HomeMy WebLinkAboutPermit Mechanical 2009-1-9
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CITY OF SPRINUJflELD
Building/Combination Permit
Stat,us
Iss u ed
PERMIT NO: COM2009-00038
ISSUED: 01109/2009
APPLIED: 01109/2009
EXPIRES: 07/09/2009
VALUE:
"
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 35//4 E ST
ASSESSOR'S PARCEL NO.: 1702312401800
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Wood Stove
^T-"":"I:,'r'\J- f'~P"'['!' ii::JW 1'::\.['.,,,',...... ).,_..-
Owner: MORGAN TURNER M & ALIcE -' ': .: '~;,~~i-~d 'by the Oregon Utility
Address: 3504 E ST TUU.UW .\ll..:, a; cThose rules are'setforth
SPRINGFIELD OR 97477 ~o~~~a~~~_~~~_~~.1 0 through O,A.R952,~~02.-.
0090 You may ODl,,"1 VUf"vO~' ,,,.. -' .
. ", _ Lf--:n....'1e
dl(J@NfIl~(]:fF0R\INF~RM,~~I,?~~lon .
numoer rut llll:i v,....':;:I......,. '-----,
Contractor Type Contractor Center is 1-800-332-2(t~bitse Expiration Date Phone
Mechanical OWNER
BUILDING INFORMA TION ~
VB
# of Stories: Lot Size:
Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2ud Floor:
Water Type: "OOIl:J3d A\fO 09 ~ AN\Sq Ft Basement:
l:J~"8~'OO1'lif8\f SIl:JO 03::JN311\J1I\JO:$q Ft Garage/Carport
ION S ~1'IViJRfJ~I:I:jt.l:J30Nn 03ZIl:JOH1n'<i!q Ft Other:
\I\.lnM ~~nr~81~~"fi\fHS 111l\J'lf~d SIHPccupaut Load:
1 .DEVELOPMENT INFORMATION:r.ll1UN
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
Frontyard Setback:
Side 1 Set hack:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
,I ~UBLIC IMPROVEMENTS I
Street Improvements:
Storm Sewer Available:
SpedalInstruction:
Sidewalk Type:
D<<;JwnspoutslDrains:
Notes:
I Valuation Descriution I
Description
Type of Construction
$ Per Sq Ft
01' multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Page 1 of2
Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-00038
ISSUED: 01/09/2009
APPLIED: 01/09/2009
EXPIRES: 07109/2009
VALUE:
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 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Wood StovelInsert
Amount Paid
Date Paid
Receipt Number
$14.04
$5.85
'$79.00
$38,00
1/9/09
1/9/09
1/9/09
1/9/09
1200900000000000009
1200900000000000009 ,
1200900000000000009
1200900000000000009
Total Amount Paid
$136.89
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.
Reouired Tnsp~cti~ns.1
Wood Stove: After Tnstallation.
By signature, T state and agree, that T have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and T 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
thafNO OCCUPANCY will be made of any structure without permission of tbe Community Services Division, Building Safety,
I furtber certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I fnrther 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.
~
/;9 / 0 ~
Owner or Contractors Signature
. Date
Page 2 of2
225 Fift'h Street
SpJ"ingfield, Oregon 97477
541-726-3759 Phone'
Job/Journal Number
COM2009-00038
COM2009-00038
COM2009-00038
COM2009-00038
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
I st Appliance
Wood Stove/Insert
+ 5% Technology Fee
, + 12% State Surcharge
Paid By
ALICE MORGAN
City of Springfield Official Receipt
Development Services Department
PublkWorks Department
1200900000000000009
Date: 01109/2009
Item Total:
Check Number. Authorization
Received By Batch Number Number How Received
cjc
464664 In Person
Payment Total:
Page 1 of 1
3:00:27PM
Amount Due
79.00
38.00
5.85
14.04
$136.89
Amount Paid
$136.89 '
$136.89
1/9/2009