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HomeMy WebLinkAboutPermit Mechanical 2006-04-13Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00442ISSUED: 0411312006APPLIED: 0411312006EXPIRES: 10/1312006 VALUE: SITE ADDRESS: 290 25TH ST ASSESSOR'S PARCELNO.: 1703361415700 PROJECT DESCRIPTION: Install wood stove Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Phone Number:Owner: Address: Contractor Type Mechanical Contractor MARSHALLS INC Expiration Date 12t23t2009 Residential Phone 541-747-7445 ROBERT CROWSON 290 25TH ST SPRINGFIELD OR 97477 License 25790 CONTRACTOR INF( # 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: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh oILot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 VN nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION PUBLIC IMPROVEMENTS Description Type of Construction Page 1 of2 Value Date Calculated res vou Valuation Description l Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2006-00442ISSUED: 0411312006 APPLIEDz 0411312006 EXPIRES: 10/1312006 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 87o State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $3.60 $1s.00 $30.00 $63.10 Total Value of Project Date Paid 4n3t06 4n3106 4n3106 4n3106 4lt3l06 Receipt Number 1200600000000000476 1200600000000000476 r200600000000000476 r200600000000000476 1200600000000000476 aid Plan Reviews To Request an inspection call the 24 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. Wood Stove: After Installation. 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. 42,z'-Ze--z-?^zJ Owner or Contractors Signature Pase 2 of 2 Date --<) l(eourreo lnsDecuons I 225 Fifth Street Spr'ingfield, Oregon 97 477 541-726-3759 Phone C'' of Springfield Official Receipt L-. elopment Services Department Public Works Department RECEIPT #: 1200600000000000476 Date: 0411312006 ll:30:llAM Job/Journal Number coM2006-00442 coM2006-00442 coM2006-00442 coM2006-00442 coM2006-00442 Description + 8% State Surcharge + l|Yo Administrative Fee Wood Stove/lnsert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.60 4.50 30.00 l 5.00 10.00 Item Total:$63.10 Payments; Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check MARSHALL'S INC.nJm 19202 In Person Payment Total:$63.10 s63. l 0 cReceintl Page I of I 411312006 .IITflEill*E