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
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