HomeMy WebLinkAboutPermit Mechanical 2009-12-17
CITY OF SPRINGFIELD.
Building/Combination Permit
PERMIT NO: COM2009-01802
ISSUED: 12/17/2009
APPLIED: 12/17/2009
EXPIRES: 06/17/2010
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 325 S 44TH ST
ASSESSOR'S PARCEL NO.: 1702323400502
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
PROJECT DESCRIPTION: Wood insert
Owner: PESKOR JOHN F III
Address: 325 S 44TH ST
SPRINGFIELD OR 97478
I CONTRACT()R INFORMATION I
Contractor Type
Mechanical
License
162960
Contractor
JACC ENTERPRISES INC
_: .~...>-I BUILDING INFORMATION I
# of Units: # :irP~":'-
Primary Occupancy Group: R-3 on \a* ~~
Secondary Occupancy Grou~",ON: Oleg d'D'I'M , ,_
Primary Construction Typ~T\ "';U\e'9&dop\e'tllol>'6'.m\l tQ&Z.oo
Secondary Construction TjJp\l!"" cellOI\ cen\!'~,o\tI~il\l\GIUlea:,
# of Bcdrooms: NO\i\i 9'5Z.oo''''''' \1\ cj)1j\\~ ~tlOn
\l\ON()~ 'lOull\a'l~:' ~~n ~ nla
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. c&I~:.:.:r"ot~J~t INFORMATION I
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Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
Residential
Phone Number: 541-621-0241
Expiration Date
01/28/2011
Phone
541-747-8600
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
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I PUBLIC IMPROVEMENTS I to \r ,\\t:. ~~O\ .
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Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I V aluation De~criDtion I
Descritltion
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Tvpe of Construction
Page I of 2
Value
Date Catculated
."
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CITY OF ~rKll~GFIELD
Building/Combination Permit
PERMIT NO: COM2009-01802
ISSUED: 12/17/2009
APPLIED: 12/1712009
EXPIRES: 06/17/2010
VALUE:
Status
Issued
225 Fifth Street, Springfield', OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees P.~id I
Fee Description
+ 12% State Surcharge
+ 5% Technotogy Fee
I st Appliance
Amount Paid
Date Paid
$9.48
$3.95
$79.00
12/17/09
12/17/09
12117/09
Receipt Number
1200900000000001343
1200900000000001343
1200900000000001343
Total Amount Paid
$92.43
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 Reollired In~nedions I
Wood Burning Insert: After installatioll.
By signature, I 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 withuut 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.
1 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 c is located at t front 0 the property, and the approved set of plans will remain on the site at all
times during con tru ion. '
(2 ~/7-{JJ7
y,
~er~ / (/ v // /' _____
c/r Contra~tors Signature' ~
Date
Pa2e 20f2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2009-0 1802
COM2009-0 1802
COM2009-0 1802
Payments:
. Type of Payment
Check
cReceintl
RECEIPT #:
Description
1st Appliance
+ 5% Technology Fee
+ 12% State Surcharge
Paid By
JOHN PESKOR ttl
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City of Springfield Official Receipt
Development Services Department
Public Works Department
1200900000000001343
Date: 12/17/2009
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb
1321
In Person
Payment Total:
Page 1 of 1
II :53:29AM
Amount Due
79.00
3.95
9.48
$92.43
Amount Paid
$92.43
$92.43
1211712009