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Home My WebLink AboutPermit Mechanical 2006-02-21Building/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: COM2006-00206ISSUED: 0212112006APPLIEDz 0212112006 EXPIRESz 0812112006 VALUE: :'Owner: Address: SITE ADDRESS: 585 WOODCREST DR ASSESSORTS PARCEL NO.: 1703341301200 PROJECT DESCRIPTION: Pellet stove insert. Springfield TYPE OF WORJ(: Pellet Stove TYPE OF USE: New THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDEB THIS PERMIT IS NOT Expiration Date 10t22t2009 WILSON MARGIE D 36WQST SPRINGFIELD OR 97477 Residential Phone s41-688-1090 Contractor Type Mechanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 # 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: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated LUrlJl-rll\(, rI\I IJ|I,rVIA I IIJI\ | ott re te Valuation Description F Building/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: COM2006-00206ISSUED: 0212112006APPLIED: 0212112006EXPIRES: 0812112006 VALUE: - Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 87o State Surcharge Minimum/Adj ustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $3.60 $1s.00 $30.00 $63.r0 Total Value of Project Date Paid 2t2u06 2t2U06 2t2U06 2t2u06 2t2r/06 Receipt Number 2200600000000000229 2200600000000000229 2200600000000000229 2200600000000000229 2200600000000000229 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. Pellet Insert: After installation Reou By signature, I state and agree, that I have carefully examined the completed apptication 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 atl 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 propert5r, and the approved set of plans will remain on the site at all times construction. \'' Owner or Signature ,,-J Pase2 of2 Date 6l L; 225Bifth Street 3pringfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt )evelopment Services Department Public Works Department RECEIPT #: 2200600000000000229 Date: 0212112006 1:16:51PM Job/Journal Number coM2006-00206 coM2006-00206 coM2006-00206 coM2006-00206 coM2006-00206 Description Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 8% State Surcharge + llYo Administrative Fee Amount Due 30.00 15.00 10.00 3.60 4.50 Item Total:$63.10 P:lyments: Tvpe of Payment Paid By Check Number Received By Batch Number Authorization Number How Received Amount Paid Check WILSON PROPERTIES LLC. ddK 1076 In Person Payment Total: $63. l0 -S6-ato- (, I 'ii v, 2/21/2006 Page I of I amrli,c ,{ CITY OF SPRINGFIELD, OREGON SPEIHGFIELD II 225 FIFIH STREET . SPRINGHELD,OR97477 oYH:(541)726-3753 r FAX: (541)726-3689 CityJob Number ,M c -C ')b Job location: Assessor's Map:Tax Lot: Owner: Phone: State: Contractor Information m zip:City: freliminary Inspection is $45.00 + 10% Administrative tee (priorto insert) Wood Stove/pellet/Insert permit is $6s.10 (includcs permit, Issuance Fee, State Surcharge and Administrative fee) (-lFtceJ *r)G Ooflr-{g Ar dt-{AIJoF(-f-) O()aa 11t-{lr{ {-J${Oa ?1F{FII O c+Ja €cc B Contractor: f \r Address:Phone: 5{- 66f-f 090 Cty: Q. vqel, ( -State: O&zip: \'l1OL Construction Contractor's Registration #:tLqq Expires: By signing this permit / application,l agree to call for an inspection(s) as required (ffi26-3769) I state that all information on this application/pewnit is correct andthat I was provided with the Wood Stove Safety information for wood burning appliances and preliminary inspection standards as set by the Oregon Department of Environmental Quality or the Federal Environmental Protection Agency andl agree to provide the testing apptoval number to the inspector atthetimeof inspection. Ialsounderstandthatif lamrequesting apreliminary inspection, the wall covering maybe required to be removed. Signature:Date: FOROTTICE USE Date of Application: Checked for Historical Status:Checked for Delinquencies: Shared Drivc(T:)/Building Forms/Wood Slovc permit I {6.doc