The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2005-03-02Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00249ISSUED: 0310212005APPLIED: 0310212005EXPIRES: 0910212005 VALUE: Owner: Address: Contractor Type Mechanical VERN SOLOMON 3238 VIRGINIA AVE SPRINGFIELD OR 97478 SITE ADDR-ESS: 3238 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702313402801 PROJECT DESCRIPTION: Instal wood stove Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PhoneNumber: 541-736-0854 Date Phone 541-736-1224 Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: ication C # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Contractor SEAN LEE BUNTIN R-3 ce the Oregon Type Water Type: Range Type: Energy Path: Sprinkled Building: ,OoPt"O by enter Square Footage or Bid Amount VN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: %o ofLot Coverage: UNtU $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/I)rains: Description Type of Construction Page 1 of2 Value Date Calculated uti\w TISNO Building/Combination Permit Status Issued 225 Fifth Street, Springlield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-00249ISSUED: 0310212005APPLIED: 0310212005 EXPIRESz 0910212005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/o Administrative Fee + loh State Surcharge Minimum/Adj ustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.s0 $3.r5 $1s.00 $30.00 $62.6s Total Value of Project Date Paid 3t2t05 3t2105 3t2t0s 3t2t0s 3t2l0s Receipt Number 2200s00000000000243 2200s00000000000243 2200500000000000243 2200s00000000000243 2200500000000000243 Fees Paid 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. witl be made the following work day. Wood Stove: After Installation. By signature, f state and agree, that I have carefully examined the completed application and do hereby certify that allinformation hereon is true and correct, and I further certify that any ano att woit< perrormed shall be done in accordance withthe ordinances of the city of springfield and the Laws of ihe State -of oregon pertaining to the work described herein, andthat No oCCUPANCY will be made of any structure without permission oltne Co-mririty services Division, Building Safety.I further certify that only contractors and employees who are in compliance with oRS 701.00s will be used on this project.I further agree to ensure that atl required insfeciions are requested at the proper time, that each address is readable from thestreet, that the permit card is located at the front of the property, and the appioved sei of plans will remain on the site at alltimes during construction. ,q ,h"*S'n t Owner or Contractors Signature Page2 of2 Date 225 Fifth Street Springfreld, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt velopment Services Department Public Works Department RECEIPT #: 2200500000000000243 Date: 0310212005 10:02:57AM Job/Journal Number coM2005-00249 coM2005-00249 coM2005-00249 coM2005-00249 coM2005-00249 Description + 7Yo State Surcharge + l0% Administrative Fee Wood Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3,15 4.50 30.00 15.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check VERN SOLOMAN djb l3l I In Person $62.65 Payment Total: -$ffi 312/200s Page I of I 5T