HomeMy WebLinkAboutPermit Mechanical 2009-2-13
d2/04/09 WED 08:00 FAX 5417263689
CITY OF SPRINGFIELD
1aJ00l
CITY OF SPRINGFIELD '
Building/Combination Permit
Status Pending
225 Fifth Street, SprwgrJeId, OR
541-726-3753 Phone
541.726-3676 Fax
541-726-3769IDspeetioll Line
PERMIT NO: C0M2009-00l64
ISSUED:
APPUED:
EXPIRES:
VALUE:
02/0412009
08104/2009
SITE ADDRF.8S, 1743 CAlmIAGE PL
ASSESSOR'S PARCEL NO.,17032S2UOIOO
Sprinl!lie.ld TYPE OF WORK: Wood SJoVe
PROJECT DESCJUPTION: Installation of Freestanding Wood Stove
TYPE OF USE: Addition
Residential
Owner:
Address:
BLAIR KIMBER!. Y}(
1743 CAlUUAGE PL
SPRINGFIELD OR 97477
Phoue Number: 541-345-8676
Contractor Type
Meehani",,1
I<:?N?:RA~T?R I. ..<~~~l?~ ,
Conb-aetor Lieense
EMERALD SWIMMING POOLS OF ORE IN 11294
ExPiration Date
10/22/2009
Phone
54J-688-109O
~~llLl'I~ .Ll__~~.~~!~?~'
# of Units:
Primary Oa:upauc:y Group:
Secondary Occupaocy Group:
Primary Constroctiou Type
SeeoDdary Consltuetioll Type:
# ofBedruoDlS:
'l
# of Stories:
Height of Si:ruc:tllre
Type orDeat:
Water Type:
RotDge Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft Ist FJoor:
Sq Ft 2nd ~or:
Sq Ft Basement:
Sq Ft Gangc:lCarporl
Sq Fl Other:
Oa:UpaDt Load:
uta
I ~~~~~()!'ME~,~~TI()N.
RJl;QUIRED P ARlONG
Frontyard Setback:
Side 1 Setback:
Sid. 2 Setback:
Rearyard Setback:
Solar Setbacks:
,Overlay Dist:
# Street T ret5 Rqd:
Paved Drive Rqd:
% of Lot COWl'Bfc:
Total:
Handicapped :
Compact:
,~~~.~ ~~~.~E~~~I
Street Improvements:
Storm Sewer Available:
Special Instruetiou:
Sidewalk Typc:
DowDspontslDrains: .
Notes:
I :~:~I~~tion" ~c~~~~~~ ~
Des._ =....~:..J.I'
Tv"" of CODsauction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Caleulall:d
P320 1 of2
02/04/09 WED 08:00 FA.' 5417263689
Status Pending
225 FiftbStreet, Springfield, OR
54]-726-3753 Phone
54]-726-3676 Fax
541-726-3769 In., ..:':__Line
Fee Desc:rintiou .
Total AmonntPaid
CITY OF SPRINGFIELD
IaJ002
Total Value or Project
'. ~rr1J:iWU
Amount Paid
$0.00
Plan~~e~~ .,
Date Paid
CITY OF SP.Rli"bdELD
Building/Combination Permit
PERMIT NO: C0M200?-G0164
ISSUED:
APPLIED:
EXPIRES:
VALUE:
02/0412009
08/0412009
Receipt Number
To Request an inspection can 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 tbe following
work day.
Wood Stove: After IDstallatiuu.
L.RenuiretUnsnectjons ~
By signa lure, I state and ag.-..:, that 1 bave carefully examined tbe c:omplo:ted applicatioD aud do hereby certify that aU
informatioD hereon is true aDd COITCCt, and] further certiJy that any and aU wol"k performed shall he done in aecordauc:e with
the Ordinances of th" City of Spriugtield and the Laws ofthe State of Oregou pertaining to the ..ork described he",in, aud
that NO OCCUPANCY will be made of auy strueture without permission of the Com-mnoity Services Division, Building Safety.
I further e.ertiJy that ou1y coutraetors aud employees wbo are in eomptiance ..ith ORS 701_005 will be used on this projett.
I furtb"r agree to "DSUn: thahU uquired iuspeetions are uquc:sted at the t'... t'" time, tbat eaeb address is readable from the
street, that the permit end is louted at the frout of tile .." -r.';" aDd the approved set of plans will n:maiD on tbe sile at all
L5;~:=~
,-
Owner or Contractors Siguatur.
""
Pal!e 2 on
__ /J~'IJ7
225 Fifth Street
,
Sprin:gfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-00 164
COM2009-00164
COM2009-00164
Payments:
Type of Payment
CreditCard
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
PREMIUM SPA & STOVES
2200900000000000175
City of Springfield Official Receipt
Development Services Department
Public Works Department
Date: 02113/2009
Item Total:
Check Number' Authorization
Received By . Batch Number Number How Received
KR 06378C Phone
Payment Total:
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OEVELOPHENTALSVC. DEPT.
225 5TH STREET
SPRINGFIELD. OR 97477
(5411 726~3791
Phone Order
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InVOice":
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Custom",rCoJ>V
THANK YOU
,
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Page I of I
10: 31:'~",
$91,';
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.9:47:27AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
2/13/2009