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HomeMy WebLinkAboutPermit Building 2010-11-8 SI.~I.N. G..~E~.~ ~..\...... . :,,4:~ ,~ ::iir;.......(,j. .='" ...... "OREGON 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 .. . SPRIN..G,.F '. E~ .~ .~:~~it:JJ . " 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 "",,;:+::-;;;;: , ^ #: ~.( ""." "..~~,...^ ~ . '~Li:'':.'"= ".' ~ ,'.J ~ /.;c . 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 S~~~~.:...FIE~..;- ~. &<. ~ '\';i1fY 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