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Home My WebLink AboutPermit Mechanical 2005-10-21I 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: COM2005-01481ISSUED: 1012112005APPLIED: 1012112005 EXPIRESz 0412112006 VALUE: SITE ADDRESS: 583 33RD ST Springlield TYPE OF WORK: Mechanical Only ASSESSOR'S PARCEL NO.: 1702312402400 TYPE OF USE: New PROJECT DESCRIPTION: Install new wood stove insert with stainless steel liner. PhoneNumber: 541-995-4863 Residential Phone 541-895-3593 Owner: Address: DAVE EVERSON 583 N.33Rn SPRINGFIELD OR 97477 THE WORK MIT IS NOT t$rBeil&0 NEDISf,ation DateContractor Type Mechanical Contractor CHRIS B WINSLOW AUTHO COMM RIZED UN ENCED OR # 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: 0u1012006 Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Sidewalk Type: Downspouts/Drains: REQUIRED PARKING Total: Handicapped: Compact: gon law ( A $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Page I of2 Value Date Calculated Valuation Descrintion ] I Building/Combination Permit Status Issued 225 Ftfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Falx 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01481ISSUED: 1012112005APPLIED: 1012112005EXPIRES: 0412112006 VALUE: Total Value of Project Date Paid Fee Description -Mechanical Issuance Fee- + 10o/o Administrative Fee + 77o State Surcharge Minimum/Adi ustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $rs.00 $30.00 $62.6s t0t2u05 t0t2u05 t0t2u05 t0t2u05 t0t2u05 Receipt Number 2200s00000000001474 2200500000000001474 2200500000000001474 2200s00000000001474 2200500000000001474 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. All inspection reqilested 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. Wood Burning Insert: After installation. Reou 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 timeo 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 k (/v Signature Pase2 of2 ;"'/ '/ 225 ifiith Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Oflicial Receipt evelopment Services Department Public Works Department RECEIPT #: 2200500000000001474 Date: 1012112005 2z2tz23PM Job/Journal Number coM2005-01481 coM2005-01481 coM2005-01481 coM2005-01481 coM2005-01481 Description Wood Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + lUYo Administrative Fee Amount Due 30.00 15.00 10.00 3. l5 4.50 Item Total:$62.6s Pryments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check YE OLD TOWN SWEEP ddk 17354 In Person $62.65 PaymentTotal: ffi t0/21/2005 Page I of I a!ffimD