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
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# 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. '" .
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Page 2 of 2
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Date
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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
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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
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4/1/2010