The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2006-08-28Et*s Status Issued 225 Fifth Street, Springfield' OR 541-726-3753 Phone 541-726-3676 Fax 541 -726-37 69 Inspection Line SP Building/Combination Permit PERMIT NO: COM2006-01107ISSUED: 0812812006 APPLIED: 08/2812006 EXPIRESz 0212812007 VALUE: Valuation tion Owner: Address: Contractor Tvpe Mechanical Contractor OWNER SITE ADDRESS: 945 S 38TH ST ASSESSOR'S PARCEL NO.: 1802061412500 PROJECT DESCRIPTION: Install pellet insert Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential REQUIRED PARKING Total: Handicapped: TIM MARTIN 945 S 38TH ST SPRINGFIELD OR 97477 t0R Sprinkled Building:nla Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Phone Number: 541-654-3656 License Expiration Date Phone Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: $ Per Sq Ft or multiplier Square Footage or Bid Amount DEVELOPMENT INFORMATION Description Type of Construction Page I of 2 Value Date Calculated k KAL I tJT(I # of Units: Primary Occupancy Group: Secondary Occupancy GrouP: Primary Construction Type Secondary Construction Type:\ # of Bedrooms: 0R of Heat: Type:D N\ oc (.ies I qan.a Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2006-01 107ISSUED: 0812812006APPLIED: 08/2812006 EXPIRESz 0212812007 VALUE: Fee Description -Mechanical Issuance Fee- + l0% Administrative Fee + 57o Technology Fee + 87o State Surcharge Inspection - Preliminary Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid Total Value of Project Date Paid 8t28t06 8t28t06 8t28t06 8t28/06 8t28t06 8t28t06 8t28t06 Receipt Number 1200600000000001339 l 200600000000001339 I 200600000000001339 r200600000000001339 1200600000000001339 l 200600000000001339 I 200600000000001339 $10.00 $9.00 $4.50 $7.20 $45.00 $1s.00 $30.00 $120.70 f,'ees Par Plan Reviews To Request an inspection call the 24 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. Pellet Insert: After installation Preliminary Inspection: Prior to the installation of solid fuel appliance which will be vented through an existing chimney. 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. b' zs -oc Owner or Signature Paee 2 of 2 Date t(equrreo rnspeeuollsl Construction Contractors Board permit#: Covtaeo-o ^ O llo 1 Address 9q{ S 38+L >l- Issued by:b< Date:oQ Statement: lnformation Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Constntction Contractors Board to sign thefollowing statement before a butlding permit can be issued. This statement is requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer appltcants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statementwill befiledwith thepermit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 3B #, \-z 700 Summer St IrlE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 Web Address: www.cc$lqtg4q 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 3A. My general contractor is (Name)(ccB #) I will instruct my general contractor that all subcontractors who work on the structure must be licensed with the Construction Conhactors Board. OR .\_JV 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Conkactors 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. t -zt '' ob (Signature of permit applicant) @ate) (lYhite copy to issuing agency permitfile, pink copy to applicant.) Property_owner.doc 06-0 I -04 225 Fifth Street Springrield, Oregon 97 477 541-726-3759 phone 9i^, of Springfield Official Receipt D -_ .opment Services Department Public Works Department RECEIPT #:1200600000000001339 Date: 08128t2006 2:51:43pM Amount Due 30.00 45.00 15.00 10.00 4.50 7.20 9.00 -Ti2o-m' Job/Journal Number coM2006_01107 coM2006-01107 coM2006-01 107 coM2006-01t07 coM2006-01107 coM2006-01107 coM2006-01107 Description Pellet Stove/Insert Inspection - preliminary Minimum/Adj ustment Mechanical -Mechanical Issuance Fee_ + 5% Technology Fee + 8% State Surcharge + llyo Administrative Fee Payments: Type of Payment Check MARTIN Paid By MARIA Received By Batch Number djb I 135 Item Total: Number How Received In Person Payment Total Amount Paid $120.70 -sizd.m- cReceint I Page I of I 812812006