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Home My WebLink AboutPermit Miscellaneous 2010-11-29 ~ ',.t---. CITY OF SPRINGFIELD, S~~~N~.=~ .j'~~ ~,'::'!':. O~EGON Building I Residential Permit PERMIT NO: 811-SPR2010-00792 IVR Number: 811161461374 www.ci.springfield.or.us 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 11/29/2010 11/29/2010 Issued 11/29/2010 EXPIRES: VALUE: OS/28/2011 $0.00 SITE ADDRESS: 11241ST ST, Springfield, OR 97477-3708 ASSESOR'S PARCEL NO: 1703263302700 SCOPE: Wood Stove f Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding woodstove Phone Number: OWNER: ADDRESS: KLUSMAN THOMAS E & CHERYL 11241ST ST SPRINGFIELD OR 97477 Contractor Type Contractor Name CONTRACTOR INFORMATION' Lie Type Lie No lic Exp Phone # of Units: o BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: 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: 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 Volum_~ Flood Hazard Area: Land Hazard Area: Retaining Wall: uires you to Soils Report Req'tiirea:'1TION: Oregon la~hre6regon Utility follow rules adopted by e et forth ~otilica~~~_~~~:~~1 ~~~~oeur~~e~~~e :52-001- ~o~~R YoU may obtain copies of the rules by , ter (Note' the telephone calling tre f~n Or~gon Uiility Noiification numberc~~tereiS 1_800-332-2344). ....,-.~... NOTICE: E IF THE WORK THIS PERMIT SHAll V'~~ PERMIT IS NOT AUTHORIZED UNDESRABANDONED FOR . COMMENCED OR I ANY 180 DAY PERIOD. Springfield Building Permit 11129/201 12:50:09PM Page 1 of 3 ... .' CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2010-00792 IVR Number: 811161461374 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 11/29/2010 ISSUED: APPLIED: 11/29/2010 11/29/2010 EXPIRES: VALUE: OS/28/2011 $0.00 SITE ADDRESS: 11241ST ST, Springfield, OR 97477-3708 ASSESOR'S PARCEL NO: 1703263302700 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install freestanding woodstove DEVELOPMENT INFORMATION ~ Overlay Dist: # 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 ~ Description Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ DescriDtion 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 Paid 11/29/2010 11/29/2010 11/29/2010 ReceiDt # 374992 --~,- 374992 374992 Springfield Building Permit 11/29/201 12:50:09PM Page 2 of3 ...-... 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''';."j OREGON www.ci.springlield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00792 IVR Number: 811161461374 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 permilcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 11/29/2010 11/29/2010 EXPIRES: VALUE: OS/28/2011 $0.00 11/29/2010 SITE ADDRESS: 11241ST ST, Springfield, OR 97477-3708 ASSESOR'S PARCEL NO: 1703263302700 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding woodstove Plan Review ~ Department Permit Issuance Received Due Date Comoleted Result 11/29/2010 11/29/2010 11/29/2010 Issued Reviewer David Bowlsby Over the Counter David Bowlsby Comments: Over the counter permit tApplication'Accepla"rice"~'::;"'~ . - "1:1j29/2b-l()"ffl1/29/20~1 O:,~~f1/29/20W'-' - Over:th'e~Cou'hler- tl2:~'1~~~/,~'..:~~,~t<,S;:;:~;~~;~:'~~~:':,,' .~::;;:,'r fr:;~~'~t~~~_.~~=~ ~ ~., ::,:_~.:':-' ~.~ '_ , . -~~~~: ~9WJ~~:~t~~~- ~ ~~ ~_:'/ ~- "J' -' ... - -"""- ~ - , I"!SPECTIONS 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 J 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 construction. Wood Stove: After Installation. ~ )[f;.lkw'v(A~ Owner or Contractor Signature J/ -,lJl- /0 Date Springfield Building Permit 11/29/201 12:50:09PM Page 3 of 3 ."... www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00792 1124 1 ST ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield,or,us RECEIPT NO: 20 I 0000926 RECORD NO: 811-SPR2010-00792 DATE: 11/29/2010 r'"'''' " ' :--"""'>'0F''',",^_-~_ "DESCRIPTION; ";;',,FY/;,{ <' First St~,~":.::~.?r~~on Surcha~g.:.,(12% of a'?Elicable fees) Technology fee (5% of permit total) :'----'-'~'--'AMO'UNTDUE" - ',: ': - I ;, '% '-, h _""'''~"",,,,,,,_, _,_,~_.,_,.,~_,,__,_,-.;,-L-...~_~~ $79,00 $9A8 $3,95 O";;~~::~,:\i;:;;~:~';::::'~~""'~',"",~'T:::::~=~~~!_~"'~'''~!..~:ff.(tc_OJJ~t~.QPE-: 224-00000-425604 821-00000-215004 1 00-00000-425605 .'_'__W"_'_'___'~'_"'________'___'~ TOTAL DUE: $92.43 b..;E~YM~j:,jLTXR!'~,-:~6y'QJ3:-: ,CASHIER DBOWlSBY;-. S:4C.oMMEN:r.S':'-:";:~:_:: _ ' ~'_ ':', ~M.QUl:II..~~llL;~ .~:':.;,,:..1 Check 697 KLUSMAN THOMAS E & CHERYL $92.43 $92.43