HomeMy WebLinkAboutPermit Building 2010-11-8
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00678
IVR Number: 811100861077
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
11/08/2010
11/08/2010
Issued
11/08/2010
ISSUED:
APPLIED:
EXPIRES:
VALUE:
05/07/2011
$0.00
SITE ADDRESS: 7042 MAIN ST, Springfield, OR 97478-7447
ASSES OR'S PARCEL NO: 1702353101002
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install freestanding woodstove
Phone Number:
OWNER:
ADDRESS:
PERKIN STEPHEN
7042 MAIN ST
SPRINGFIELD OR 97478
Contractor Type
Mechanical Contractor
Contractor Name
OItVNER
CONTRACTOR INFORMATION I
Lie Type
O\NNER
BUILDING INFORMATION I
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Ener9Y Path:
Electrical Specialty Code Edition:
Springfield Fire Code Edition:
Mechanical Specialty Code Edition:
. Municipal! 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
I
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazard Area: I requires youto
Retaining Wall: ATTENTION: Oregon ba~he Oregon UtMy
Soils Report Req~~~,\~':N rules adoPte~h:se rules are set torth
Notification cente~1 0 through OAR 952-001-
in OAR 952-001-0 in copies of the rules by
0090, You may obta Note: the telephOne
calling the center, ( Utility Notification
number for the 0~~€g~_332-2344).
Center IS ,
NOTlCE:,~-.r'
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 10:06:27AM
Page 1 of 3
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" CJtCM~"'OREGON
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00678
IVR Number: 811100861077.
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:
155 ued
11/08/2010
ISSUED:
APPLIED:
11/08/2010
11/08/2010
EXPIRES:
VALUE:
05/07/2011
$0.00
SITE ADDRESS: 7042 MAIN ST, Springfield, OR 97478-7447
ASSESOR'S PARCEL NO: 1702353101002
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Install freestanding woodstove
DEVELOPMENT INFORMATION I
O~erlay 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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descrietion
Tvee of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
DescriDtion
Firs! Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Am<<;'lUnt Paid
FEES PAID
Amount Paid
$79.00
$9.48
$3.95
$92.43
I
Date Pa id
11/08/2010
11/08/2010
11/08/2010
Receiot #
374828
374828
--.----
374828
Springfield Building Permit
11/8/2010 10:06:27AM
Page 2 of 3
S~X:~..FIEl~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00678
IVR Number: 811100861077
www.ci.springfield.or.us
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
$0.00
SITE ADDRESS: 7042 MAIN ST, Springfield, OR 97478-7447
ASSESOR'S PARCEL NO: 1702353101002
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install freestanding woodstove
Plan Review
~
DeDartment
Application Acceptance
Received
11/08/2010
Due Date
11/08/2010
ComDleted
11/08/2010
Result
Over the Counter
Mechanical Review 11/08/2010 11/08/2010 11/08/2010
Comments: Over the counter permit
~';itiaLIi.eV..i.?i'.j._:_ t. '.'~:- :t..-0.--~..fi.,;; 1/0~.~29.~1.Dr;:,~~/08/2D1 0 ,', /rD~/2D1 0;' _
l 9oml!l~~t,~~ ~_Qver:;!h~ c~~~!er permlt:_~,.:~:.,_ __ _ ;;- -''S;'" ;'~;'~' " ~
Not Required
10vy:rJhe,CounteF'.. "
.<::~:_~'''"'<~''~ :"&"'.$: "' -
INSPECTIONS REQUIRED ~
Reviewer
David Bowlsby
David Bowlsby
,David Bowlsbyr "",,;:+::-;;;;: ,
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Inspections
2140 Pellet, Gas, Fireplace orWood
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 s'treet, 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.
Wood Stove: After Installation.
Owner or ontractor Signature
d~~CJi'O
Date
Springfield Building Permit
11/8/2010 10:06:27AM
Page 30f3
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J~ OREGON
www.ci.springfield.Of.US
TRANSACTION RECEIPT
811-SPR2010-00678
7042 MAl N ST
CITY OF SPRINGFIELD
225 Fifth 51
Springfield,OR 97477
541~726.3753
. permitcenler@ci.springfield.or.us
RECEIPT NO: 20 I 0000782
RECORD NO: 8II-SPR20IO-00678 DATE: 11/08/2010
~'.-,;#.-"~' '0- -*'?-l'/':'"'+'rD4'!;~c~.oJ)I'jJ_C:.c:i.RE : :T-":' ::AMQU~jSDUf:. t I
224.00000-425604 $79.00
821-00000-215004 $9.48
. 100-00000-425605 $3.95
TOTAL DUE: $92.43
'P.AYOR:';r;;;S:ASHIER:,DBOvW$B~~C:QMMgI'jJ:$l'.:-?'k"":- -"',;' t; "-'.AMOUNT;J'AIp.:!'::.f.
tj;l,g~..9RIP'nQ~;;.c>' ,; - '{de
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
l . PJ\X,MENT TYPE2~
Cash
PERKIN STEPHEN
$92.43
$92.43