HomeMy WebLinkAboutPermit Mechanical 2009-7-22
Status ,Issued
225 Fifth Street, Springfield, OR
541-726-3753 Pbone
541-726-3676 Fa.
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO:COM2009-0]027
ISSUED:'07/22/2009
APPLIED: 07/] 4/2009
EXPIRES: '01122/20]0
VALUE:
SITE ADDRESS: 6935 THURSTON RD
ASSESSOR'S PARCEL NO.: 1702352204600
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
,PROJECT,DESCRlPTlON: lostallation of wood iusert
Pbone Number: 541-344-9428
Owner: CAROLYN SINCLAIR
Address: 6935 THURSTON RD
SPRINGFIELD OR 97478
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
. I BUILDING INFORMATION'
ATTENTION: Orpqrmlaw requires vou 10
fol'Clw rules adol~ig~s~~rm~ Oregon UtilitV
NoM,Jation Cent~ell1~j~'lf~jr~uJ'lliE<Set forth
in OAR 952-001-0i!'r!J~I\\B!~IDAR 952-001-
009~You may otWdlIH:J:Yl'% of the rules by
calling the cent&.n~~rJl)jp~;le telephone
number lor the ~'\Jlrn ~tb:.y Notification
Center isSPrJ\l19~8W1lIlillr nla
Contractor Type
Mecbanical
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction TYlle
Secondary Construction Type:
# of Bedrooms:
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
I CONTRACTOR INFORMATION I
,
Expiration Date
10/2212009
Phone
541-688-1090
Lot Size:
Sq F\ 1st Floor:
Sq FOnd Floor:
Sq Ft' Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATION ~
REQUlREDPARKlNG
Total:
Handicapped:
" Compact:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
0/0 of Lot Cove'rage:
N Ij;MIBt.i~,I,MIl~J!11lU:s'i THE WUI'Il\
, Tfl.ci. n, ER T~\lg Vt~MIT I~ NOT
AUTHORIZED UNO ABANDONED F'h'kwalk Type;
COMMENCED OR IS Downspoutstorains:
. ANY 1 BO DAY PERIOD.
I Valuation Des~~iDti6~ I
'$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Type of Construction
Value
Date Calculated
Pal!e 1 of2
CITY OF SPRINGFIELD
Status
Issued
Building/Combination Permit
PERMIT NO:COM2009-01027
ISSUED: 07/22/2009
APPLIED: 07/14/2009
EXPIRES: 01/22/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fa.
541-726-3769 Inspection Line
Total Value of Project
~
Fee Descri~tion
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amouut Paid
Date Paid
$9.48
$3.95
$79.00
7/22/09
7/22/09
7/22/09
Receipt Number
2200900000000000828
2200900000000000828
2200900000000000828
Total Amount Paid
$92.43
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.
IR,,~
Wood Burning Insert: After installation.
By signature, I state aud agree, that I have carefully examined the completed application and do"hereby certify that all
information hereon is true and correct, and !further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield an !l'e Law of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be m~ade,a struct e without permission of the Community Ser;vices Division, Building Safety.
I further certify that only eontrac rs'a. (I'{mplo ' es who are in compliance with ORS 701.005 will be used on this project.
I further a~ree to ensure that a..b--requ'- ed insnCtions are requested at the proper time, that eactl address is readable from the
street, that the permi:t~;~IOCafe at th{ ont of the property, and thc approved set of plans will remain on the site at all
';..~OO#:n T?2-df
Owner or ~ctors Signature Date I
Paee 2 of2
22:'Wifth Street
# . .
Springfield, Oregon 97477
541-726-3759 Phone
JoblJournal Number
C0M2009-0 1027
COM2009-0 1 027
C0M2009-01027
Payments:
Type of Payment
Check '
cReceint 1
City of Springfield Official Receipt
Development Services Department
p'ublic Works Department
RECEIPT #: 2200900000000000828
Description
1 st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
EMERALD SWIMMING
POOLS
Date: 07/22/2009
I'
9:50:41AM
Amount Due
79.00
3.95
9.48
$92.43
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 73641 It1 Person
Amount Paid
$92.43
Payment Total:
$92.43
Page 1 ofl
7/22/2009