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Home My WebLink AboutPermit Mechanical 2005-09-28F Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01330ISSUED: 0912812005APPLIED| 09t28t2005EXPIRES: 0312812006 VALUE: SITEADDRESS: 90225THPL ASSESSOR'S PARCEL NO.: 1703361107500 PROJECT DESCRIPTION: Install freestanding pellet stove Springfield TYPE OF WORI(: Pellet Stove TYPE OF USE: New Residential - Owner: Address: MICHAEL OROTJRI(E 902 25TH PL SPRINGFIELD OR 97477 Contractor Owl\ER PhoneNumber: 541-988-5890 License Expiration Date PhoneContractor Type Mechanicel osY ou to CONTRACTOR INFORMATION 952 # of Units: Primary Occupancy Secondary Occupancy Primary Construction Type Secondary Constructlon # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: Yo ofLot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Handicapped: Compact: \rV\es 6O oirtisqirofl l $ Per Sq Ft or multipfr Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Paee I of2 Value Date Calculated T to\\ow trl:,Yt9lurrvr|1,N r rr\r(rKrfi4llvN ] 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: COM2005-01330ISSUED: 0912812005 APPLIEDz 0912812005 EXPIRES: 03/2812006 VALUE: * Fee Description -Mechanical Issuance Fee- + l0Yo Administrative Fee + 77o State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $1s.00 $30.00 $62.65 Total Value of Project Date Paid 9t28t05 9t28l0s 9t28t05 9t28t05 9t28t0s Receipt Number 2200500000000001351 2200s0000000000r351 2200500000000001351 2200s00000000001351 22005000000000013s1 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.- will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Freestanding Pellet Stove: After installation. Reorr By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springlield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAI\ICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify thet only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the stree! that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. zbvLs Owner or Contractors Signature Paee2 of2 Date L ..1t .1 rees ralo Construction Contractors Board Permit *: Col/t\7-- 'S - Ol35O 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-378-4621 Web Address: !EE"g$lE!eo4! 7oL Zt+L eL >6 Address: Issued by:Date: Statement: lnformation Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is requiredfor residential building, electical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38 -h& l. I own, reside in, or will reside in the completed structure. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. ) tr 3,A'. My general contactor is (Name)(ccB #) I will instrrct my general contractor that all subcontractors who work on the structure must be licensed with the Constnrction Contractors Board. OR -N 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. If I change my mind and hire a general contractor, I will contract with a contractor who is licensed with the CCB and will immediately notiff the office issuing this building permit of the name of the contractor. I hereby certify that the above information is correct and that I have read and do understand the Information Notice to Property Owners about Construction Responsibilities on the reverse side of this form. (Signature of permit applicant) (White copy to issuing agency permitfile, pink copy to applicant.) ) Property_owner.doc 06-0 1 -04 *E- ?ka., 225 Fifth Street Springfietd, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt evelopment Services Department- Public Works Department RECEIPT #: 2200500000000001351 Date: 0912812005 1:31:37PM Job/Journal Number coM2005-01330 coM2005-01330 coM2005-01330 coM2005-01330 coM2005-01330 Description + lYo State Surcharge + l0o/o Administrative Fee Pellet Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.50 30.00 15.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash CreditCard MICHAEL OROURKE MIKE OROURKE djb djb In Person 722423 InPerson Payment Total: $30.00 $32.65 $62.65 Job/Journal Number coM2005-01330 coM200s-01330 coM2005-01330 coM2005-01330 coM2005-01330 Description + 7Yo State Surcharge + l0% Adminishative Fee Pellet Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 30.00 15.00 10.00 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Cash djb djbCreditCard MICHAEL OROURKE MIKE OROURKE In Person 722423 In Person Payment Total: $30.00 $32.65 $62.6s ( '1 r "l 9/28/200s Page I of I TDIHILD CitY of SPringfield 225 Fifth Street, Springfield, OR97477 541-726-3759 Phone 541-726-3676 Fax January 25,2006 OROURKE 902 ZST}]PL SPRINGFIELD Job Number: Location: MICHAEL oR 97477 coM2005-01330 902 zsTHPL Project Install freestanding Pellet stove Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at902 25TH PL which is set to expire on 312512006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inipection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790 or David Bowlsby at 541-736-1029 after February 1,2006. Sincerely, Lisa Hopper Building S afety Supervisor