HomeMy WebLinkAboutPermit Building 2010-5-3
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Status
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00554
ISSUED: 05/03/2010
APPLIED: 05/03/2010
EXPIRES: 11103/2010
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 6868 FORSYTHIA ST
ASSESSOR'S PARCEL NO.: 1802031100100
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: Install woodstove insert
Owner: ERPELDING RICHARD & DONNA J
Address: 6868 FORSYTHIA ST
SPRINGFIELD OR 97478
Phone Nnmber: 541-747-7237
',I CONT.RAGTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
GOOD DEAL METAL PRODUCTS INC 26743
BUILDING INFORMATION I'
Expiration Date
08/26/2010
Phone
541-736-9876
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type'
Secoridal:y Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:'
Energy Path:.'
Sprinkled /luilding:
. n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
I DEVELOPMENT INFORMATlO~
REQUIRED PARKING
Front yard Setback:
Side 1 Setback:
Side 2 Setback: ,
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# StreetTrees Rqd:
Paved Drive Rqd;,
% of Lot Coverage:
Total:
Handicapped:
Compact:
,. ,
follOW rules adopted ENTS
Sireet Improvements: Noti1Icatlon ~1nt~10through OAR 952..()()1-
'" OAR 952..... ..... . of the rules by
Storm Sewer A vailabl1io9O. You may obtaIn COPI~~e telephone '
Special Instruction: . calling the center. (Not~t'lity Notification
IIUmber for the Oregon I 2344)
Notes: Center Is 1-800-332- .
Sidewalk Type:
Downspouts/Drains:
"IOTICE' RI<
';il~ PERMIT SHAll EXPIRE lf~';i:~OT
,UTHORIZED UNDER THIS PER R
I I,UIVIII
Valuation Description \NY 180 DAY PERIOD.
Description
Type of Construction
$ Per Sq Ft
or multiplier '
Square Footage
, or Bid Amount
Value
Date Calculated
Page 1 of2
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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,Total Value of Project
Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
Amount Paid
Date Paid
$9.48
$3.95
$79.00
5/3/10
5/3/10
'... ,
5/3/10
Total Amount Paid
$92.43 '\
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00554
ISSUED: 05/03/2010
APPLIED: 05/03/2010
EXPIRES: 11/03/2010
VALUE:
Receipt Number
1201000000000000401
1201000000000000401
1201000000000000401
To Request an inspection call the 24 hour re~ording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, ins!,ection~ requested after 7:00 a.m. will be made the following
workday."::!""
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R~~-;Iired In~uections .
Wood Burning Insert: After installation.
, 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 Sp'ringfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO occur ANCY 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 compli;mce 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 ring construction.
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Pa2e 2 of 2
Date
225 Fifth Street
i.
Springfield, Oregon 97477
541-726-3759 Phone
1i:4'i
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
1201000000000000401
8:54:59AM
Date: 05/03/2010
Job/Journal Number
COM20 I 0-00554
COM2010-00554
COM20 1 0-00554
Payments:
Type of Payment
CreditCard
cRecciotl
Description
I st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
GOOD DEAL METAL
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
llh
$92.43
$92.43
249003 In Person
Payment Total:
,.'.
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'Page 1 ofl" .
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5/3/2010