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Home My WebLink AboutPermit Mechanical 2005-12-01Status Issued 225 Fifth Street Springfield, OR 541-726-3753 Phone 541-726-3676Fa'x 541-7 2637 69 Inspection Line Building/C ombination Permit PERMIT NO: COM2005-01659ISSUED: 1210112005APPLIEDz 1112912005EXPIRES: 06/0112006 VALUE: SITE ADDRESS: 3420 VIRGINIA AVE ASSESSOR'S PARCEL NO.: 1702313401400 PROJECT DESCRIPTION: Pellet Stove Insert Springlield TYPE OF WORK: Pellet Stove ll0TlCEyPE oF USE: Addition THIS PERMIT SHA LL EXPIHE I MII IS NOI Residential Phone 541-747-7445 Owner: Address: Contractor Type Mechanical WARD-SOBKOWAIK CYNTHIA L 3420 VIGINIA AVE SPRINGFIELD OR 97478 C A, OMMENCED OR IS ABAN ED FORNY 180 DAY PERIOO. 00N Contractor MARSHALLS INC License 2s790 Expiration Date 12t23t200s CONTRACTOR INFORMATION BUILDING 1 *# of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: ,. Street Improvements: Storm Sewer Available: Special Instruction: Notes: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: REQUIRED PARI(NG Total: Handicapped: Compact: # of Stories: Height of Structure Type of Heat: Water Type: Range Energy Building: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport $q Ft Other: Occupant Load:A $ Per Sq Ft or multiplier Sidewalk Type: Downspouts/Drains: Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of 2 Value Date Calculated N:law s adopl rth Valuation Description I Building/Combination Permit Status Issued 225Eifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01659ISSUED: 1210112005 APPLIED z 1112912005EXPIRES: 06/0112006 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + loh State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.s0 $3.1s $1s.00 $30.00 $62.65 Total Value of Project Date Paid t2nt05 t2nt05 tzfit0s t2nt05 t2nt0s Receipt Number 2200s00000000001646 2200s00000000001646 220050000000000r646 2200s00000000001646 2200500000000001646 ees Paid Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.- witl be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signaturer l 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. j).-') -2 1 q "/A--/2-t-,.5- Owner or Contractors Signature Pase2 of2 Date Kequrrco lnfl)ceuQllst 225I'ifth Street Springfield, Oregon 97 477 541-726-3759 Phone aty of Springfield Official Receipt ;velopment Services Department Public Works Department RECEIPT #: 2200500000000001646 Date: 1210112005 t2z04z25Pt{t Job/Journal Number coM200s-016s9 coM200s-01659 coM200s-01659 coM200s-016s9 coM200s-01659 Description Pellet Stove/Insert Minimum/Adjusfinent Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Administrative Fee Amount Due 30.00 15.00 r0.00 3.15 4.50 Item Total:$62.6s Ptyments: Tvpe of Payment Paid By checl(Number Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALL'S INC ddk 18964 In Person Payment Total: $62.6s -362"6-t I 'rt : 121U2005 Page I of I tpn$aatrx-o