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HomeMy WebLinkAboutPermit Building 2010-4-1 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00404 ISSUED: 04/01/2010 APPLIED: 04/01/2010 EXPIRES: 10/01/2010 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1032 6TH ST ASSESSOR'S PARCEL NO.: 1703352100400 Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: Wood stove install TYPE OF USE: New Residential Owner: JOHNSON TAHAIA J Address: 1032 6TH ST SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION ~ Contractor Type Mechanical License 73806 BUILDING INFORMATlON_ Contractor TED HUFF .,'." # of Units: #of.Storiedu\o Primary Occnpancy Gronp: R-3 laW lij~h~lb~~re Secondary Occupancy Group: :tIOt-l.. OlegOI\ '0'1 \\"IlllGl~\ot\n Primary Constrnction TJIl1i\'E~ \eS l(~p\ed \"lose ~Ii.o01' SecondaryConstruction{li.Wll!'!'~ I\Cel\\el. ~\\"IIO~ ~ lesbY # of Bedrooms: ~0\if\ca~~2.o01.001al" co\llll~ ~~ ~\\no~e_ 11\ Ol\~ '{OU lIIa'l 0'0\ tt-lo~~ ~6\~ n/a 9,,<\0. ~ 6 ~"n~ 4 ca=, \~I \ne~a:JIPl"irN~'INFORMA T10N ~ nU cel\\S' Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: .,#.~treet Trees Rqd: Paved Drive Rqd: % of Lot Coverage: ;:<."'..,-- I PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer Available: Speciallnstrnction: -- Notes: '!", Description $ Per Sq Ft or multiplier Type of Construction Pa2e I of 2 Phone Number: 541-363-3834 Expiration Date Phone 06/15/2011 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: Value Date Calculated Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Snrcharge + 5% Technology Fee 1st Appliance Total Amonnt Paid '! :d ,"' ;-- '. ":Total Valne of Project CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00404 ISSUED: 04/01/2010 APPLIED: 04/0112010 EXPIRES: 10/01/2010 VALUE: Receipt Nnmber 2201000000000000304 2201000000000000304 2201000000000000304 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. Wood Stove: After Installation. LFees Paid _ Amonnt Paid $9.48 $3.95 $79.00 $92.43 I Plan Reviews , Date Paid 4/1/10 4/1/10 4/1/10 <" ," \. Re(l~i~ed 'l~sDections ~ . ":~ By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is trne and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances nf 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 arc 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. '" . om"'"'~re - ~:;~YX t." ) -'"'~' Page 2 of 2 oc{ Of Date t() 22~ F.ifth.Street Springfield, Oregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000304 Date: 04/01/2010 2:07:16PM Job/Journal Number COM20 1 0-00404 COM20 I 0-00404 COM20 1 0-00404 Payments: Type of Payment. Check cReceintl Description J st Appliance + J 2% State Surcharge + 5% Technology Fee Paid By TAHAIA JOHNSON ''','. ""I."''r'<), 1'''-- Amount Due 79.00 9.48 3.95 $92.43 .':';") Item Total: Check Number Authorization Received By Batch Number Number How Received djb 3 J 57 In Person Payment Total: Amount Paid $92.43 $92.43 \\ ,j~ ~~. I, '.' ~,~ ' ',' "J1, i.i, '. ~~ Page 1 of 1 4/1/2010