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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 ... Iai~.. "<"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