HomeMy WebLinkAboutPermit Mechanical 2009-9-24
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Status
Iss u ed
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2009-01421
ISSUED: 09/24/2009
APPLIED: 09/24/2009
EXPIRES: 03/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 4871 CAMELLIA ST
ASSESSOR'S PARCEL NO.: 1702324403700
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Pellet insert
Owner: HOME SAVERS LLC
Address: 648 WOODCREST DR
SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
MICKEY LAWRENCE STAFFORD
License
171110
Expiration Date
07/12/2010
Phone
(541) 736-0018
ATTENTION' I, BUILDING INFORMATION I
f II ' Oreg(,,, 'avv I "qUires you to
. , 0 .ow rules adopted by Po- ~_', "
# ofUmts. Not/ficatio r t #ofStorjes, Utility
Primary Occupancy Gro>>pi.JAR 952~R(j:.'3,nOeOr, ThOsrHeiglft,:ot'Strilct~r,~
I. U - 10thro..,hn'O-I"'\,......
Secondary Occupancy GC'!.\'~:, You may bt' 1)pe-of;IHeat:.001-
Primary Construction Typealling theY.cB nOt atn(NCOtrw.itl!t 'l'jpe:/es by
. '" c er. 0 O' the t-..........I..
Secondary Construcllon 1!y,p,e:ber tor the Ore lRange.Type:one
# fB d'" gon .t!.'lIt\ll\IOp-i-r:-.....tion
o e rooms: Center is 1-800-3fy"m~Y. alh:
. 'Sj'>{.illRI~d 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: .
1 DEVELOPMENT INFORMATION I
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rq d:
% of Lot Coverage:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Street Improvements:
Storm Sewer Available:
Special Instruction:
I PUBUm IMPROVEMENTS._ 'ORK
1 HI~ rt:t'\lvlIl .:>""..1- '..,!PIRE 1.~ TH~ W .
AUTHORIZED UNDER THIS p~\.l'im ~~T
COMMENCED OR IS ABANDill.oMjsp~tsmrains:
ANY 180 DAY PERIOD.
Notes:
I Valuation Descri9tion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid AmoUlit
Value
Date Calculated
Pae;elof2
CITY OF ~rKll"tJ"lJ!,LU
Status
Issued'
Building/Combination Permit
PERMIT NO: COM2009-01421
ISSUED: 09/24/2009
APPLIED: 09/24/2009
EXPIRES: 03/24/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid 1
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
Receipt Number
$9.48
$3.95
$79.00
9/24/09
9/24/09
9/24109
2200900000000001087
2200900000000001087
2200900000000001087
Total Amount PiIid
$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,
I Reoll\'r-ed IJ1slJectio"s ,
11,111 II I I I Ifl n r I r fT
Pellet Insert: After installation
By signature, 1 state and agree, that I have carefully examined the completed application and do hereby 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 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.
1/Z'i'!tJ9
Date
Paee 2 of2
225 Fifth Str-eet
Springfield, Oregon 97477
541=726-3759 Plione-' .-. ---------
Job/Journal Number
COM2009-0 I 42 I
COM2009-01421
COM2009-0 142 I
Payments:
Type of Payment
Check
cReceintl
RECEIPT #:
Description
I st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
HOME SAVERS LLC
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Wit,',;
. ",.......'
. ..
. .
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City of Springfield Official Receipt
Development Services Department
Public Works Department
2200900000000001087
Date: 09/24/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1784
In Person
Payment Total:
Page I of!
9:52:45AM
Amount Due
79,00
3,95
9.48
$92.43
Amount Paid
$92.43
$92.43
9/24/2009