HomeMy WebLinkAboutPermit Mechanical 2008-2-28
Status
Issued
CITY OF SPRINGFIELD -
Building/Combination Permit
PERMIT NO: COM2008-00296
ISSUED: 02/2812008
APPLIED: 02/28/2008
EXPIRES: 08/28/2008
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 19 KATHLEEN CT
ASSESSOR'S PARCEL NO.: 1703233200300
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: Repair
Residential
PROJECT DESCRIPTION: Replacing existing fireplace insert
Owner: SCHALJO ROGER P
Address: 19 KATHLEEN CRT
SPRINGFIELD OR 97477
Phone Number: 541-686-2323
I CONTRACTOR INFORMATION I
Contractor Tvpe
Mechanical
Contractor License
EMERALD SWIMMING POOLS OF ORE IN 11294
BUILDING INFORMATION I
Expiration Date
10/22/2009
Phone
541-688-1090
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
ATTENTION: OregoBpiWiImqt&tOOJj., to
follow rules adnntt>~ h~, th.. n.ig:r. I>t;/:1,
:~o611~at'on C6T1ElVEU~\IDJll.:lSJi\t2TION .
952-0 I Oil J':' "'fVU~1I Vr\" .
0090.. You may obtain copies of the rules by
calling the center. (R~w!~~ft!feR~qne
number for the Oreg~~~mltfNOW~
Center is 1-8~I8Wi"'qd: on
% of Lot Coverage:
VB
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
R-3
nla
Frontyard Setback:
Side 1 Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS'
Street Improvements:
Storm Sewer A vaiIable:
Special Instruction:
Sidewalk Type:
Downspouts/Drains:
Notes:
NOTICE:
T~~C D~DM'T ~"'A" miRE IF THE WORK
~~~~:~1&~?rl~=I~RNOT
4NY 180$Ole~ ffPIOD.
Type of Construction It' I
or mu lp ler
Square Footage
or Bid Amount
Value
Date Calculated
Description
Pal!:e 1 of2
Status
Issued
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
+ 12% State Surcharge
+ 5% Technology Fee
Minimum/Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
$20.00
$5.00
$6.00
$2.50
$17.00
$33.00
2/28/08
2/28/08
2/28/08
2/28/08
2/28/08
2/28/08
Total Amount Paid
$83.50
I Plan Reviews I
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2008-00296
ISSUED: 02/28/2008
APPLIED: 02/28/2008
EXPIRES: 08/28/2008
VALUE:
Receipt Number
2200800000000000263
2200800000000000263
2200800000000000263
2200800000000000263
2200800000000000263
2200800000000000263
To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
work day.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
6:&41 /~/$
Own., nr fractors ~atnre
L Reouired Insoections I
Wood Burning Insert: After installation.
Pal!e 2 of 2
f;/,., ~ ~ rJ oaf?
f
Date
225 Fifth Street
Springfiem, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
Job/Journal Number
COM2008-00296
COM2008-00296
COM2008-00296
COM2008-00296
COM2008-00296
COM2008-00296
Payments:
Type of Payment
CredltCard
cRecemtl
RECEIPT #:
2200800000000000263
Date: 02/28/2008
DescriptIOn
Wood Stove/Insert
MInimum/AdJustment MechanIcal
-MechanIcal Issuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
ROGER SCHALJO
Item Total:
Check Number AuthorizatIOn
Received By Batch Number Number How Received
dJb
03977B In Person
Payment Total:
Page 1 of 1
1l:1l:08AM
Amount Due
3300
1700
2000
250
600
500
$83.50
Amount Paid
$83 50
$83.50
2/28/2008