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Home My WebLink AboutPermit Mechanical 2005-01-19Building/C ombination 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: COM2005-00070ISSUED: 0lll9l200iAPPLIEDz 0111912005EXPIRESz 0711912005 VALUE: SITE ADDRESS: 1026 S 39TH ST ASSESSOR'S PARCEL NO.: 1802061411002 PROJECT DESCRIPTION: New Pellet Stove insert Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential Owner: Address: Contractor Type Mechanical KRUGER FRANK 1026 S 39TH SPRINGFIELD OR 97477 Contractor MARSHALLS INC License 25790 Expiration Date 12t23t2005 Phone 541-747-7445 CONTRACTOR INFORMATION Yaluation Descrintion # 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: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: ity Notifi cation REQUIRED PARJ(NG-2344). Total: Handicapped: Compact: I,J UIYUfN :D0RiSrC IHIS PERMIT IS NOT BANDONED FOR Sidewalk Type: Downspouts/Drains: IUL $ Per Sq Ft or multiplier Square Footage or Bid AmountDescription Type of Construction Page I of2 Value Date Calculated Durll-,ll\t rl\f Lrt(]VlA I lul\ 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: COM2005-00070ISSUED: 0tll9l200sAPPLIEDz 0llt9t200sEXPIRESz 07119t2005 VALUE: Fee Description -Mechanical Issuance Fee- + l0o Administrative Fee + 7o/o State Surcharge Minimum/Adj ustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $3.1s $1s.00 $30.00 $62.6s Total Value of Project Date Paid utgtos utgtos Utgt05 ut9tos utgl05 Receipt Number 1200s00000000000074 1200500000000000074 1200500000000000074 r200s00000000000074 1200500000000000074 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. Pellet Insert: After installation Reouired l 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 wilI 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. ;2ft; 4.-,t^*--^/ -t?--':o' Owner or Contractors Signature Pase2 of? Date \l Fees l-rrfl 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone ,-ity of Springfield Official Receipt - _ -'velopment Services Department Public Works Department RECEIPT #: 1200s00000000000074 Date: 0111912005 2:19:01PM i Job/Journal Number coM2005-00070 coM2005-00070 coM2005-00070 coM2005-00070 coM2005-00070 Description Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- + 7o/o State Surcharge + l0% Administrative Fee Amount Due 30.00 15.00 10.00 3.l5 4.50 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid I Check MARSHALLS INC djb I 8407 In Person $62.65 PaymentTotal: ffi it 1/19/200s Page 1 of 1 MI