HomeMy WebLinkAboutPermit Mechanical 2006-03-24Building/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: COM2006-00348
ISSUED:
APPLIED:
EXPIRES:
VALUE:
03t24t2006
0312412006
09t24t2006 k
SITE ADDRESS: 7995 THURSTON RI)
ASSESSOR'SPARCELNO.: 1702362000800
PROJECT DESCRIPTION: Installation of freestanding pellet stove.
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: Alteration Residential
PhoneNumber: 541-746-9464Owner:
Address:
Contractor Type
Mechanical
PARKER DAYID & TRISHA
2465 E ST
SPRINGFIELD OR 97477
Contractor (
CHRIS B
- # of Units:
Primary Occupancy
$
Secondary
Primary
Secondary
# of Bedrooms:N
Frontyard Setback:
Side 1 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:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
o/o of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
License
52381
nla
Expiration Date
01/10/2008
Phone
541-895-3593
Sidewalk Type:
Downspouts/Drains:
REQUIRED PARI(NG
Total:
Handicapped:
Compact:
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
PUBLIC IMPROVEMENTS
Valuation Description
DescriDtion Tvpe of Construction
Page 1 of2
Value Date Calculated
o
{
Status fssued
Building/C ornbination permit
:r: \:!!h s treet, springfi erd, oR
541-72G-3753 phone
547-726-3676Fax
541 -7 26-37 69 Inspection Line
PERMIT NO:
ISSUED:
APPLIED:
EXPIRES:
VALUE:
co}I2006_00348
03/24t2006
03/24/2006
09t24/2006
Receipt Number
22006000000000003s0
2200600000000000380
2200600000000000380
2200600000000000380
2200600000000000380
Fee Description
-Mechanical Issuance Fee-
+ l0%o Administrative Fee
+ 87o State Surcharge
Minimum/Adj ustment Mechanical
Pellet Stove/Insert
Total Amount Paid
Amount Paid
$r0.00
$4.s0
$3.60
$1s.00
$30.00
$63.10
Total Value of project
Date Paid
3t24t06
3t24t06
3t24t06
3t24t06
3t24t06
I
To Request an inspection call the24
will be made the same working day,
day.
hour recording at 726-3769. AII inspection requested before 7:00 a.m."
inspections requested after 7:00 a.m. win be made the following work
Freestanding Pellet Stove: After installation.
red Insnections
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that atl
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 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
0wner Signature
Pase2 of2
Date
3-l\ -o tp
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
city of Springfield OfIicial Receipt
.velopment Services Department
Public Works Department
RECEIPT #: 2200600000000000380 Date: 0312412006 8:56:45AM
Job/Journal Number
coM2006-00348
coM2006-00348
coM2006-00348
coM2006-00348
coM2006-00348
Description
Pellet Stove/Insert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 8% State Surcharge
+ l0o/o Administrative Fee
Amount Due
30.00
15.00
10.00
3.60
4.50
Item Total:$63.10
Payments:
Tvpe of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
Check YE OLD TOWN SWEEP Jmp 17834 In Person $63.10
Payment Total :
-563.-ib-
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3t24/2006 Page I of I
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