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Home My WebLink AboutPermit Mechanical 2005-03-02Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-00238ISSUED: 0310212005 APPLIEDT 0212812005EXPIRES: 0910212005 VALUE: SITE ADDRESS: 3T4O PHEASANT BLVD ASSESSOR'S PARCEL NO.: 1703221303700 PROJECT DESCRJPTION: Install freestanding pellet stove Springfield TYPE OF WORJ(: Pellet Stove TYPE OF USE: New Owner: Address: Contractor Tvpe Mechanical MARSHALLS INC Expiration Date 12t23t2005 Residential Phone 541-747-7445 DOLORES RAU 3140 PHEASANT BLVD SPRINGFIELD OR 97477 Contractor PhoneNumber: 541-914-1008 S License 25790 CONTRACTOR INFORMATION # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: # of Stories: R-3 Height of Structure Type of Heat: Water Type: Range Type:ta$rssEnergy Path:.$\Sprinkled # Paved Yo of Lot \o & Sidewalk Type: Downspouts/I)rains: Size: lst Floor: 2nd Floor: Other: Load: REQUIRED PARI(NG Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Tvpe of Construction Paee 1 of2 Value Date Calculated { .8\l/',.i VN o Valuation Description Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00238ISSUED: 0310212005APPLIED: 0212812005EXPIRES: 0910212005 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 7Yo State Surcharge Minimum/Adj ustment Mechanical Pellet Stove/Insert Total Amount Paid Total Value of Project Date PaidAmount Paid $10.00 $4.s0 $3.1s $15.00 $30.00 $62.65 Receipt Number 1200500000000000281 1200500000000000281 1200500000000000281 1200500000000000281 1200500000000000281 3t2105 3t2t05 3tzt0s 3t2t0s 312105 E'ees Pa Plan Reviews 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. Freestanding Pellet Stove: After installation. Reouired Insoect 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. 9a*) -?-.2.z^3-a-o f Owner or Contractors Signature Pase2 of2 Date 225 Fifth Street Sprrngfield, Oregon 97 477 541-726-3759 Phone qity of Springlield Official Receipt velopment Services Department Public Works Department RECEIPT #: 1200500000000000281 Date: 0310212005 2:20:05PM Job/Journal Number coM2005-00238 coM2005-00238 coM2005-00238 coM2005-00238 coM2005-00238 Description + lYo State Surcharge + I0%o Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.ts 4.50 30.00 15.00 10.00 Item Total:$62.65 Payments: Type ofPayment Paid By Received By Check Number Batch Number Authorization Number flow Received Amount Paid Check MARSHALL'S INC.jmp 18480 In Person S62.65 Payment totat: --Tffi 3/2/2005 Page 1 of I