HomeMy WebLinkAboutPermit Mechanical 2005-9-26
Status: Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01303
ISSUED: 09/26/2005
APPLIED: 09126/2005
EXPIRES: 03/26/2006
VALUE:
SITE ADDRESS: 415 CAMBRIDGE ST
ASSESSOR'S PARCEL NO.: 1703233402500
Springfield TYPE OF
Wood Stove
TYPE OF USE: New
Residential
PROJECT DESCRIPTION: New wood burning insert
Owner: BERYL JOHANSEN
Address: 415 CAMBRIDGE ST
SPRINGFIELD OR 97477
Phone Number: 541-746-4886
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor License
EMERALD SWIMMING POOLS OF ORE INCl1294
Expiration Date
10/22/2005
Phone
541-688-1090
VN
I BUILDING INFORMATIONI
. OU\o .
# of Stones: \~eS 'I ~x&ft SIZe:
Height of \a\f'.l1eo.\}~e90~ \) \ ~vq\Ft 1st Floor:
Type of He~e90n N \'{\e 0 'O.~e se\ )~J\t 2nd Floor:
Wa~\~' o'QWC '() Ose ~u\eS p..~ 9S'2So.%~~asement:
p..~~~~~~\et. \'(\n~ou9n ~\ \ne ~~~t Garage/Carport
\~~~ ,QQ'\~ o?,eS, \e\e'Q~q~~\Qther:
~~,QQ\ o'O\'O.,n ~\o\e'.d~e ~o\M)~cupant Load:
_,,9. _",\J h-- '/""" '
I DEVE~~t\~~~<J'Ib~;f.-t~/.\~"
ea:. \I'~ \01 \\ . \-\)41:.
~'Oe~ :\e1 ,S
Ove~y Distie(\
# Street Trees
Paved Drive Rqd:
% of Lot Coverage:
REQUIRED PARKING
# of Units:
Primary Occupancy Group:
Secondary Occupancy
Yrimary Construction Type
Secondary Construction
# of Bedrooms:
R-3
Front yard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
IPUBLIC IMPROVEMENTS I
Street
Storm Sewer Available:
Special Instruction:
, Sidewalk Type:
Notes:
NOT'CE~ DownspoutslDnEin'F lHE WORK
lH\S PERM\T ~~i~ ~~~ PERM\'{ \5 NOT
AUTHOR\ICEEOO OR \5 ABANDONED FOR
,rJ)MMEN _
i 80 YAl r~nl~C.
VI . D .!\N
a uation escn tlOn '
...<<
Description
Tvpe of Construction
$PerSqFt
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
1 of 2
Status:
Issued
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2005-01303
ISSUED: 09/26/2005
APPLIED: 09/26/2005
EXPIRES: 03/26/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fees Paid I
: Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Minimum/Adjustment Mechanical
Wood StovelInsert
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$15.00
$30.00
9/26/05
9/26/05
9/26/05
9/26/05
9/26/05
1200500000000001397
1200500000000001397
1200500000000001397
1200500000000001397
1200500000000001397
Total Amount
$62.65
I Plan Reviews I
To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
Wood Burning Insert: After installation.
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 of 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 ofthe property, and the approved set of plans will remain on the site
at all ti~dUrin~co~r~c~flWL4~ JdJ:20 ~ 005'
/~ . /7' I
Owner or Contractors Signature Date
2 of 2
725 Fif.th Street
Springfield, Oregon 97477
541-726-3759 Phone
'j:~--=:' ~'.. .,
WIi:., .
~Jty of Springfield Official Receipt
1'~<~'velopment Services Department
Public Works Department
Job/Journal Number
COM2005-0 1303
COM2005-0 1303
COM2005-0 1303
COM2005-0 1303
COM2005-0 1303
Payments:
Type of Payment
Check
.'1
, -
':
..
:J.
:(
.'
'1
..
n
l,i
9/26/2005
RECEIPT #:
1200500000000001397
Date: 09/26/2005
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Wood Stove/Insert
Minim~m/ Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
BERYL JOHANSEN
Item Total:
Check Number Authorization
Received By Batch Number Number How Received
djb 1195 In Person
Payment Total:
1 of 1
lO:15:02AM
Amount Due
3.15
4.50
30.00
15.00
10.00
$62.65
Amount Paid
$62.65
$62.65