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HomeMy WebLinkAboutPermit Mechanical 2009-12-29 Building/Combination Permit PERMIT NO: COM2009-01781 ISSUED: 12/29/2009 APPLIED: 12/14/2009 EXPIRES: 06/29/2010 VALUE: Status Issued 225 Fifth S'rect. Springfield. OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line CITY OF ~n~m\"l'l~LD SITE ADDRESS: 810 65TH PL ASSESSOR'S PARCEL NO.: 1702341300302 Springfield TYPE OF WORK: Pellet Stove PROJECT DESCRIPTION: Pellet insert TYPE OF USE: New Residential , . ,:,~,,,,l". Side;r;lk];vn~\<. :1~~ 'J~u . . ~?\~~~\mI,\w~lns: ~Oi\C~~\J\\i S\\f>..\..i-?-t:i\\\S ?'C.~'C.\) tOl'> \\\\S? o\l'C.\) \)~\) e f>..'Of>..~\)0 \)\\\01' \) O?- \0 r>: .: .~,n~Ct: _~p\(\O. '.' ..... 'ci\J t,;':~ r - I. V~luatf6'I,,,'iclescriDtion I Owner: PLOWMAN PERRY Address: 810 65TH I'L SPRINGFIELD OR 97478 I C?NTRACTOR INFORMATION I Contractor Type Mechanical Contractor AMBASSADOR PIPING INC License 121469 # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Constrnetion Type: # of Bedrooms: . I B,UILDING INFORMATION I # of Storieb\l8ll~;' R-3 ~~\fJDOO~ot\\\ ~O"': Ole~~'Il'/ ~~wales~\OO~. ,. ado~ (\':';' Ql;e11 p..? 95." b" to\l~ \e&cen\el.:~O\'~'O~ \1\8 lU\eS 'J "'O\if\ca\~~.oo~-O~foI~Il.~~ \e\e~~~n \11 Op..? OU (l\e.~ 0 ~JlI'i(WI~~"~~Q)>,\\ n/a nn90. 'l ..... cell\__~,,(\ ~ . ""i"'. ~;:':~WE'ttI;;o..~~f'jNFORMATION I, nU".... J! \ " Front yard Setback: Side] Setback: Sidc 2 Sctback: Rearyard Setback: Solar Setbacks: ,Overlay Dist: # Street Trees Rqd: Paved !>rive Rqd: % of Lot Coverage: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Notes: Des<:riPtion Tvpc of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee ] of 2 Phone Number: 541-746-7319 Expiration Date 03/27/20] ] Phone 541-726-5723 Lot Size: Sq Ft I st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQU]RED PARKING Total: Handicapped: Compact: , Value Date Cakulated _.M'......_....' ...1...,. 1Ii:. : "...". ':8_ , () ~i '-', .. ~,,"'.. ," ,.... '..._,-... ,~-,"" Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01781 ISSUED: 12/29/2009 APPLIED: 12/14/2009 EXPIRES: 06/29/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541,726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fee,S Paid' Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 12129/09 12129109 12/29109 2200900000000001441 2200900000000001441 2200900000000001441 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 Reauit'cd Insnections , , I Pellet Inseo.t: After installation By signa'ure, 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 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. . ~~.~:-4~J \~-~9-0C1 Owner or Contractors Signature Date Paee 2 of 2 225 Fifth Street Springfield, Oregon 97477 541:.726-3759 Phone Job/Journal Number COM2009,0 1781 COM2009-0 1781 COM2009.0 1781 Payments: Type of Payment Cred itCard cRcceintl RECEIPT #: Description I st Appliance + 5% Technology Fee + 12% State Surcharge raid By DEBORAH CLEMENT ~~~,~,. ",-,,"''',., ~. '<.."~,~n".____._'~' "",- _" - City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000001441 Date: 12/29/2009 Item Total: Check Number Authorization Received By Batch Number -Number How Received djb 02575c In Person Payment Total: Pa,ge I of I 2:28:03PM Amount Due 79,00 3,95 9.48 $92.43 Amount Paid $92.43 $92.43 12/29/2009