HomeMy WebLinkAboutPermit Mechanical 2009-9-3
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69600-BMC-09-001lS
City of Springfield
. Mechanical Authorization To Begin Work
E-mailedTo:liildsey@marshIlJlsinc.com
9/3/2009 3:09 pm
Approval Code: 02897D
Check on status of permit
By Phone: 541-726-3753 or Email:pennitcen.ter@ci.springfield.or.us
0' .AdditionJalterationlreplaceme~t
D New Construction.
Description
Appliance Fee
.1 0 'o<"omilydw,lli"g
D Multi.family. D Commercial
DACCeSSoryBUilding
I Subtotal
IStatesurcharge(12%OfPermit
I total)
ITechnolOb'Yfee(5%OfPemlit
I lotal)
I 'ITOTAL.PERMITFEE
I
I
$79.00
$9.481
$];951
$92..ul
Job Address: 6319 CST
City/SIDle/ZIP: SPRlNGFIELD, OR 97478
SuitelbldgJapt.no.:
Project Name: WISER
1 e"" St",viI'",",", "j,b "to,. MAIN ST TO 65TH PL TO A ST TO 64TH TO C
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INSTALL PELLET INSERT
I Name: ROBERT WISER
I' Phone: 54] -726-2922
I Email:
Fax:
I ceo lie. no.: 25790
I Business Name: MARSHALLS INC
Contact:
I
I
I
I
I
I
I
Address: 411 0 OLYMPIC ST
City/State/ZIP: S:RINGFIELD, OR 974785620
Phone: 541-747-7445 Fax: 541-741-0821
Email:
Metrolic.no.: City lie. no.:
Upon review and approval by your local jurisdiction, your permit will be
e-mailed or faxed within one business day, with instructions on how to
schedule your Inspection.
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NOTE: This Authorization To Begin Work expires within 180 days if a pennit is
not obtained.
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The local building deparbnent may determine that an Authorization To Begin
Work 15 null and void if it does not meet applicable land use laws and local
ordinances
This Authorization To Begin Work must be posted at the job site until replaced by a Permit
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CITY OF SPRINGFIELD
Status
Iss u ed
I
,.
Building/Combination Permit
PERMIT NO: €OM2009-01310
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-37691nspection Line
SITE ADDRESS: 6319 C ST
ASSESSOR'S PARCEL NO.: 1702343102802
,
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pellet Insert
Owner: WISER ROBERT L & DOROTHY B
Address: 6319 C ST
SPRINGFIELD OR 97478
Phone Number: 541-726-2922
I CONTMCTOR INFORM~!ION i
Contractor Type
Contractor
License
Expiration Date Phone
,
BUILDING INFORMATION'
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occup~nt Load:
n/a
I DEVELOPMENT IN~ORMATION I
REQUIRED PARKING
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC I~PROVEMEN~S I
Street Improvements:
Sidewalk Type:
Storm Sewer Available: Downspouts/Drains:
Special Instruction:
NOnCE: ATTENTION: Oregon law requi,es you to
Notes: THIS PERMIT S follow rules adopted by the O'egon Utility
41ITLJ"~,~~_ HALL EXpfR" Ie T.,~ ,.. _ Notification Center. ThosdnJIA< MA <At j,,"h
COM -'''~~u UIVUtR THIS PE ',"~ ......_-. '00' '''n~O~-UU1-UUlOthroughOAR952_001_
ANY ~ENCEO OR IS ABANDONRE~l/vliiu'a]iiin Descrip,ti8H91.. You may obtain copies of the rules by .
80 DAY PERIOD to "UI1 . ":::J~J ~he center. (Note: the telephone
. . . '. $ Per Sq Ft squaflJ1Fi\\ltlf~~r the OreQ8n Utility Notif;~Rti('-
DeSCriptIOn Type of ConstructIon I' I' B'd A 'onter is 1 aY.lJ,alue2 2 Date Calculated
, or mu tIp ler or I mou t' - v-"" _ 344).
Paee 1 01'2
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Total Amount Paid
Amount Paid
$9,48
$3,95
$79,00
$92.43
Total Value of Project
Fees, Paid I
I Plan Reviews I
Date Paid
9/4/09
9/4/09
9/4/09
CITY 01< ~rKlJ~GFIELD
Building/Cqmbination Permit
PERMIT NO: COM2009-0I310
ISSUED: 09/04/2009
APPLIED: 09/04/2009
EXPIRES: 03/04/2010
VALUE:
-1:1
Receipt Number
3200900000000000631
3200900000000000631
3200900000000000631
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
Pellet Insert:' After installation
I Reo.t~.j~.~d I nSQectio~s I
By signature, I state and agree, that I have carefully examined. the completed application and do hJreby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall-be done in accordance with
the Ordinances of the 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 all dress is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans wil'l remain on the site at all
times during construction.
Owner or Contractors Signature
Page 2 of2
Date
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1310
COM2009-01310
COM2009-0 131 0
Payments:
Type of Payment
ONLINE CHGS
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
ONLINE PERMIT CHGS
City of Springfield Official Receipt
Development Services Department
I -
Public Works Department
3200900000000000631
Date: 09/0,4/2009
7:52:08AM
Item Total:
Check Number Authorization
Received By. Batch Number Number How ~eceived
njm ONLINE marshalls Online
Payment Total:
Amount Due
79.00
3.95
9.48
$92,43
Amount Paid
$92.43
$92.43
,
Page I of I
9/4/2009