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Home My WebLink AboutPermit Mechanical 2010-12-29 .. ;, CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00995 IVR Number: 811132648023 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/29/2010 12/29/2010 Issued 12/29/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/27/2011 $0.00 SITE ADDRESS: 2151 DAPHNE sT, Springfield, OR 97477-1790 ASSES OR'S PARCEL NO: 1703244300104 SCOPE: Wood Stove 1 Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood stove insert Phone Number: OWNER: ADDRESS: SMITH GARRETI M 2151 DAPHNE sT SPRINGFIELD OR 9(477 Contractor Type Mechanical Contractor Contractor Name OWNER CONTRACTOR INFORMATION I Lie Type OWNER 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: 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: Lie No 0000000 lie Exp 08/12/2025 .Phone lot Size: sq Ft 1st 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: Retaining Wall: ATTENTION: Oregon law requires you to Soils Report Requflil,bw rules adopted by the Oregon Utility Notification Center. Those rules are set torth in 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 the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 12/29/201 11 :58:20AM. ~:'''l' '-. NOTICE: THE WORK THIS PERMIT SHALL ETXHP\~R~~~M1T IS NOT AUTHORIZED UNDER COMMENCED OR IS ABANDONED FOR ,.: P,NY 1 SO DAY PERIOD. Page 1 of 3 S~RIN.G..FIE.L~... . .~ :ttJi . "'~i~'OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00995 IVR Number: 811132648023 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 ISSUED: APPLIED: 12/29/2010 12/29/2010 EXPIRES: VALUE: 06/27/2011 $0:00 12/29/2010 SITE ADDRESS: 2151 DAPHNE ST, Springfield, OR 97477-1790 ASSESOR'S PARCEL NO: 1703244300104 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install wood stove insert 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 ~ Descriotion Tvoe of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID ~ Descriotion Amount Paid First Appliance Fee $79.00 :!::,c_h-"ology_~e_.L~!' of permit totall-__________ $3.95 __._ State of Oregon Su,,?!:arge (12% of applicable fees) $9.48 Total Amount Paid $92.43 Date Paid 12/29/2010 12/29/2010 12/29/2010 Reciot # . 2010001167 2010001167 ..- _._. ._- -- _.. 2010001167 Springfield Building Permit 12/29/201 11:58:20AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00995 IVR Number: 811132648023 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued' 12/29/2010 12/29/2010 12/29/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/27/2011 $0.00 SITE ADDRESS: 2151 DAPHNE ST, Springfield, OR 97477-1790 ASSESOR'S PARCEL NO:, 1703244300104 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood stove insert Plan Review I Department Application Acceptance Received Due Date Comoleted 12/29/2010 12/29/2010 12/29/2010 Result Over the Counter Mechanical Review Not Required 12/29/2010 12/29/2010 INSPECTIONS REQUIRED I Inspections 2140 Pellet, Gas, Fireplace or Wood Stove Wood Stove: After Installation. Reviewer David Bowlsby David Bowlsby ~i:' '-10,- , -~ '- '- " " .': - " ' -',.,....;., 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 prop' rty, and the approved set of plans will remain on the site at all times during construction. d /~/2~~O Date Owner or Contractor Signature Springfield Building Permit 12/29/201 11:58:20AM Page 3 of 3 . .' ~ SP.~:.,.N.G~~,~~ .~~ t";",*}p,... OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00995 2151 DAPHNE ST CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO: 20] 000 I ] 67 RECORD NO: 8] I-SPR2010-00995 DATE: 12/29/2010 20" ,,~' - , '(." ,~.';":'!17~i1~~G_C:QU:NI'cC:Q))I::".- ,P..-' .AMOJ-!N.tl:l.(f~'- 224-00000-425604 $79.00 821-00000-215004 $9.48 100-00000-425605 $3.95 TOTAL DUE: $92.43 ~;A?~jMgN.Tjiei::...'.:.:;eAiQl~Ci..h~ASHIER 'DBOVvC~~j;;;,j;':;~CQMMENXSB\~j~J. ".: ':.;,; " ,--,.:'.':.,_~-AMQQ~T3eAlbL_:~'...:] fDESCRIPTION-'/2.V",;'-, First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Cash SM]TH GARRETT M $92.43 $92.43