HomeMy WebLinkAboutPermit Building 2010-11-8
.
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00686
IVR Number: 811193872048
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
11/08/2010
11/08/2010
Issued
ISSUED:
APPLIED:
11/08/2010
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES:
VALUE:
05/07/2011
$0.00
SITE ADDRESS: 287 S 57TH Pl, Springfield, OR 97478-4905.
ASSESOR'S PARCEL NO: 1702334401009
SCOPE: Wood Stove I Insert
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install freestanding woodstave
Phone Number:
OWNER:
ADDRESS:
MORRIS SCOTT D
287 S 57TH PL
SPRINGFIELD OR 97478
Contractor Type
Mechanical Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWN ER
BUilDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# of Bedrooms:
Sprinkled Building:
Fire Alanns:
Energy Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
lic No
0000000
lic Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1 st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area: ATTENTION: Oregon law requires you to
Land Hazard Area: f II I S adopted by the Oregon Utility
R 13.. W II 0 ow ru e h
e. Inmg a: . Notification Center. Those rules are set fort
So.ls Report ReqUlr;~:OAR 952-001-0010 through OAR 952-001-
0090, You may obtain copies of the rules by
calling the center. (Note: the telephone
number for 1he Oregon Utility Notification
Center is 1-800-332-2344).
NOTICE: . :,. ,,,.,.
THIS PERMIT SHAll EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
Springfield Building Permit
11/8/2010 2:33:35PM
Page 1 of 3
i
sp;~;~.. fiELD ...
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"<"7,'"". 'OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00686
IVR Number: 811193872048
225 Fifth St
Springfield,OR 97477
Phone: 541-726"3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/08/2010
ISSUED:
APPLIED:
11/08/2010
11/08/2010
EXPIRES:
VALUE:
05/07/2011
$0,00
SITE ADDRESS: 2875 57TH Pl, Springfield, OR 97478-4905
ASSES OR'S PARCEL NO: 1702334401009
SCOPE: Wood Stove /Insert
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Fronlyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install freestanding woodstove
DEVELOPMENT INFORMATION . ~
Overlay oist:
# Street Trees Reqd:
Paved Drive Reqd:
% of Lot Coverage:
Highest point on structure
to north property line:
REQUIRED PARKING
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS
~
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Description
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$79.00
$9.48
$3.95
$92.43
Date Pa id
11/08/2010
11/08/2010
11/08/2010
Receipt #
374836
374636
374836
Springfield Building Permit
11/8/2010 2:33:35PM
Page 2 of 3
-.
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00686
IVR Number: 811193872048
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/08/2010
ISSUED:
APPLIED:
11/08/2010
11/08/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
EXPIRES:
VALUE:
05/07/2011
$0.00
SITE ADDRESS: 287 S 57TH Pl, Springfield, OR 97478-4905
ASSESOR'S PARCEL NO: 1702334401009
SCOPE: Wood Stove !Insert
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install freestanding w~odstove
Pia n Review
~
Deoartment
Application Acceptance
Received Due Date Completed
11/08/2010 11/08/2010 11/08/2010
Result
Over the Counter
Mechanical Review
Not Required
11/08/2010 11/08/2010 11/08/2010
. Reviewer
David Bowlsby
David Bowlsby .
Comments: Over the counter permit
It:1itiaIReVW'w>'~''::,~0t'~~:L::=~:':>:f110812{)1SL";, ,1/1/08/2010 ~ 11/0~/2010,?~ OveI,the Counte~~. .'~ ~ David'BowlsDY'_' ff, S /. "4f!".,:':'" .','
~c~_ci~.~~;d:~r':?,t~ili~~~?~ht~r<~ef~0ii"i,:::~~:~~ ';'~{/;'0i~~:~. J1",r~d_~~\:~~s~~~~:;--"""<~ -'~'~'~~~~._' ~ ~ ;: .- "~-t'_. ~
INSPECTIONS REQUIRED ~
Inspections
2140 Pellet, Gas, Fireplace or Wood
Stove
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
constructi n.
Wood Stove: After Installation.
11/0'0 /7cJl 0
Date f I
Springfield Building Permit
11/8/2010 2:33:35PM
Page 3of3
;.
S~RING F..I.E~.D ..
-
C ,$; .
. ~'dREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00686
287 S 57TH PL
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477-
541-726-3753
permitcenter@cLspringfield.or.us
RECEIPT NO: 2010000788 RECORD NO: 811-SPR2010-00686 DATE: 11/08/2010
~s<<Rll'lfJQrt.,;; ',.7":;:;;;': '~0.:;:.t:.~.,;, .;Lta-~..Z!::::,6;cc.OlJNlEcobE:::;';.F :;.t~MliuNlr~i:i.lJE"" ......::..:::J
~Epliance Fee 224-00000.425604 $79.00
State of Oregon Surc;,h~!.g!j12% oljlpplicable fee~) . 8~.:.:.oOO~~~15004 _________ $9.48
Technoloj)Y fee (5% of permit total). 100-00000-425605 ___. $3.95
TOTAL DUE: $92.43
l.P)\)jM(t.tT.::LYPEk:'f'~EA'tO'R<',~'CASfiIER::i:l~OWLSElY..;,:.:C.OMIVI!;NTSh"'.:--.:CrZ.~:.::. ..... A'NiouiffEAID'.' ::-:e' :]
Credit Card
08025z
scott morris
$92.43
$92.43