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Home My WebLink AboutPermit Mechanical 2005-12-13S Status: Issued 225 Fifth Street, SPringfield, OR 541:726-3753 Phone 547-7263676Fax 541:7 26-37 69 I ns Pe ction Line Buildin g/Combin ation Permit PERI\IIT NO: COM2005-01720 ISSUED: t211312005 APPLIEDz l2ll3/2005 E)0IRES: 06/1312006 VALUE: SITE ADDRESS: 931 S 38TH ST .q.SSESSOR'S PARCEL NO' : 18020 61412900 PROJECT DESCRIPTION: Pellet Stove Springfield TYPE OF TYPEOF USE: Pellet Stove Addition Residential Phone 541-997-5324 Owner: Address: Contractor TvPe Mechanical WRIGHT WILLIAM A & DONNA J 931 S 38TH ST SPRTNGFIELD OR 97478 Contractor GABRIELJAMES License 104308 Square Footage orBid Amount Expiration Date 06/15/2006 # of Units: Primary OccuPancY GrouP: Secondary OccuPancY Primary Construction TYPe SecondarY Construction # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notcs: # of Stories: Height E:Type ERMIT SHALL EXPIRE ORIZED UNDER THIS PffiftTq$ISParport Lot Size: Sq Ft lst Floor: So Ft 2nd Floor: SHE&nnrt'Water Range $ Per Sq Ft or multiplier NCED OR IS ABANDSEUFUF"' sprinlr&NY 180 DAY PERlOg.a Occupant Load: Overlay Dist: # Street Trees Paved Drive Rqd: Yo of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Downspouts/Drains Description Tvpe of Construction I of 2 Value Date Calculated :, the rules DY telePhone Nntiticatiofl 1-BC0-332-zr.r+r ' Valuation Description I [vUrN rsl CIT Buildin g/Co mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541-726:3753 Phone 541-726-3676Fax 541:7 26-37 69 I nspe ction Line PERMIT NO: COM2005-017 20ISSUED: 1211312005 APPLIEDz 1211312005E)0IRES: 06/1312006 VALUE: Fee Description -Mechanical Issuance Fee- + l0u6 Administrative Fee + 7oh State Surcharge Minimum/Adjustment Mechanical Pellet StoveAnsert Total Amount Amount Paid $10.00 $4.50 $3.1s $15.00 $30.00 $62.65 Total Value of Project Date Paid t2n3t05 12fi3t05 t2n3t05 t2tr3t05 t2n3t05 Receipt Number 1200500000000001807 1200s00000000001807 r200s00000000001807 1200s00000000001807 1200500000000001807 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII 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. Rough Mechanical: Prior to Coyer Final Mechanical: When all mechanical work is complete. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all inforrnation hereon is true and correct, and I further certiff 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 streef that the permit card is located at the front of the propertyo and the approved set of plans will remain on the site at all times during construction. Reouired Insnecti Owner or Contractors Signature 2of2 Date ,..,.--r tELD J _r ees rato I 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone APTTNOFICTD -ity of Springfield Official Receipt ;evelopment Servi ces Departm ent Public Works Department RECEIPT#: 1200500000000001807 Date: 1211312005 1:1e:26PM Job/Journal Number coM200s-01720 coM2005-01720 coM2005-01720 coM2005-01720 coM2005-01720 Description Pellet Stove/Insert -Mechanical Issuance Fee- Minimum/Adjustment Mechanical + 7o/o State Surcharge + 10o Administrative Fee Amount Due 30.00 10.00 15.00 3.15 4.s0 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check FLORENCE HEARTH & PATIO NJM 9558 By Mail Payment Total: $62.6s -S6t6T 12/1312005 lofl CITY OF SPRINGFIELD, OREGON 225 IIF|H STREET . SPRINGIELD, OR 97477 T PH:(541)726-3753 r FAX: $4t)726-3689 ciryJobNumberW 117"o SPRINGFIELE, I n.", 54 l--746-727 / op €n (.tF{cofi *)d O og{ tr{gg g oefi+J () ()ga11FTlr{ +) $-{()ad>if-{ C) cP0 Ecc B Job Location: Assessor's Map: B t State: Tax Lot: Owner: Address: City: Preliminary Inspection is $45.00 + 10% Administrative Fee (prior to insert) Wood Stove/pellet/Insert permit is $63.10 (includes Permit,'Issuance fee, State Surcharge and Administrative fee) Contractor Infotmation Contractor: Address: i) City: Construction Contractor's Registration #: Phone:4 State: By srgning this permit/application,I agree to call for an inspection(s) as required (726-3769)- t itat-e thal a[ information on this applicatton/permit 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 ape to provide the testing apptoval number to the inspector at the time of inspection. I also understand thatif I am requestinga preliminary inspection, the wall covering may be required to be removed. tr?oftDate: FOROFFICE USE Date of Checked for Historical Status:Checked t'or Delinquencies: Sharpd Drivo(T:YBuilding FormdWood Stovc P.rmit l{6.doc >.utLI zip, ? 7'/7 I zip: Expires: