HomeMy WebLinkAboutPermit Mechanical 2010-7-7
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00902
ISSUED: 07/07/2010
APPLIED: 07/07/2010
EXPIRES: 01/07/2011
VALUE:
Status
Issued
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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SITE ADDRESS: 2673 CENTENNIAL BLVD
ASSESSOR'S PARCEL NO.: 1703254401400
Springfield TYPE OF WORK: Wood Stove
PROJECT DESCRIPTION: Wood stove
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TYPE OF USE: New
Residential
Owner: VEGH ANDREA K & ERIC R
Address: 2673 CENTENNIAL BLVD
SPRINGFIELD OR 97477
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I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
License
73806
BUILDING INFORMATION ~
Contractor
TED HUFF
# of Units: '. # of Stories: c
Primary Occupancy Group: R-3 :~. Height of Structure
Secondary Occupancy Group: Type of Heat:
Primary Construction Type VB Water Type:
Secondary Construction Type: Range Type: to
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# of Bedrooms: . Oregon \;W1eilgj<l'f"llm. 1.),tiliW
ATTENT\ON~doPted b1'jtr4nOr~~U~~~Wth nla
Notitication ce~ - A TION
. OAR 952-00 . c' . - .
In 0 '(ou may obtain . te' tne telephone
Front yard Setback: OO~ailing the center. \~'iSrl!A)j D\lIIiiica\\On
Side I Setback: number tor the. O\~~dIi~!ltee:l'i~s Rqd:
Side 2 Setback: Center IS Paved Drive Rqd:
Rearyard Setback: % of Lot Coverage:
Solar Setbacks:
I PUBLIC IMPROVEMENTS ~
'Phone Number: 541-359-7868
Expiration Date Phone
06/15/2011
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Sidewalk Type: . .
Downspouts/Drains: . : "';~~~O?'t.
" NOi\Ct: WI\i S\-I"''-'- fl(?~~~~WI\i \S ~01
1\-1\~ ?E~IED \lNDE?' 1\-1~~DONED fO?
~ CO\lJ\WlE\'\CDI\'I ?ERIOD.
I I\N'I ~ 80
Street Improvements:
Storm Sewer Available:
Special Instruction:
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Notes:
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I Valuation Description
Description
Type of Construction
$ Per Sq Ft
or mnltiplier
Square Footage
or Bid Amount
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Paee I of 2
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Value
Date Calculated
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value,of Project
. I " Fees Paid ~
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliauce
Amount Paid
Date Paid
$9.48
$3.95
$79.00
Total Amount Paid
$92.43:"fii' .'" "" .
1.-PI!!n Reviews ~
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7/7/10
7/7/10
7/7/10
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00902
ISSUED: 07/07/2010
APPLIED: 07/0712010
EXPIRES: 01107/2011
VALUE:
Receipt Numher
2201000000000000804
2201000000000000804
2201000000000000804
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.
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 fnrther 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 thi" p;~periy, and the approved set of plans will remain on the site at all
times during construction. .~...,.-"." ,'.
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Reauired In~Dections ~
Wood Stove: After Installation.
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Owner or Contractors Signature
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Pa2e 2 of 2
~d
Date
20)0
7
225 Fifth Street
Springfiel,!l, Oregon 97477
541'726~3759 Phone
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City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
2201000000000000804
Date: 07/07/2010
2:58:40PM
Job/Journal Number
COM20 I 0-00902
COM20 I 0-00902
COM20 I 0-00902
Payments:
Type of Payment
CredilCard
cReceintl
Description
I sl Appliance
+ 12% Slale Surcharge
+ 5% Technology Fee
Paid By
ANDREA VEGH
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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
Amount Paid
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$92.43
$92.43
545664 In Person
Payment Tolal:
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7/7/2010