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Home My WebLink AboutPermit Mechanical 2006-03-02CITY OF SPRIN Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676Fax 541:1 26-37 69 I nspection Line Buildin g/Co mbination Permit PERMITNO: COM2006-00248ISSUED: 0310212006APPLIEDz 0310212006E)?IREST 0910212006 VALUE: SITE ADDRESS: 539 39TH ST - ASSESSOR'S PARCEL NO.: 1702311403101 PROJECT DESCRIPTION: Freestanding pellet stove Springfield TYPE OF TYPE OF USE: Pellet Stove New Residential Phone Number: 541-741-267 4Owner: Address: SEAN HAHN 539 39TH ST SPRINGFIELD OR 97478 Contractor Tvpe Mechanical Contractor SEAN LEE BUNTIN Expiration Date 08t29t2007 Phone 541-736-1224 , # of Units: Primary Occupancy Group: Secondary Occupancy Ptimary Construction Type Secondary Construction # of Bedrooms: Frontyard Setback: Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacls: Street Storm Sewer Available: Special Instruction: Notes: M - # of Stories: R-3 Height of Type of Heat: VN Water Type: Range Type: Energy Path: Sprinkled nla Overlay Dist: # Street Trees Paved Drive Rqd: REQUIRED PARKING Total: Handicapped: Compact: Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: o//o S\\t\\s1 Square Footage or Bid Amount \t 1HE OBK N01 \l.1 \S $B Sidewalk Type: Downspouts/I)rains180 $ Per Sq Ft or multip[er DEYELOPMENT INF( Descriptbn Type of Construction lof2 Value Date Calculated Valuation Descriotion I Status: Issued 225 Fifth Street, Springfield, OR 541:726-3753 Phone 541-726-3676I.2x 541:7 26-37 69 Ins pe ction Line SPRIN D Buildin g/Co mbinatio n Permit PERMIT NO: COM2006-00248ISSUED: 0310212006 APPLIEDz 0310212006E)3IRESz 0910212006 VALUE: Fee Description -Mechanical Issuance Fee- + lOoh Administrative Fee + 87o State Surcharge. Minimum/Adjustment Mechanical Pellet Stove/Insert Total Amount Amount Paid $10.00 $4.s0 $3.60 $15.00 $30.00 $63.10 Total Value of Project Date Paid 3t2t06 3tzt06 3t2t06 3t2t06 3t2t06 Receipt Number 1200600000000000227 1200600000000000227 1200600000000000227 1200600000000000227 1200600000000000227 Plan Reviews To Request an inspection call the24 hour recording at 726-3769. AII inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Freestanding Pellet Stove: After installation. Reouired Insnections By signaturer l state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certi$ that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY will be made of any shucture without permission of the Community Services Division, Building Safety. I further certiff 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 stree( that the permit card is located at the front of the property, and the approved set of plans will remain on the site at q[ timgs fluring construction. r!ra4/,^ /3- Z- zo0V Owner or Contractors Signature 2of2 Date rees rato I i Construction Contractors Board Permit 700 Summer St ItlE Suite 300 PO Box 14140 Selem OR 97309-5052 Phone: 503-3784621 lVebAddress:ry$1]g!q Address: *: C\tM'2,-<>(, -()O Zq g s31 3Z+t^5l- Issued by:b6 k- k Statement: Information Notice to Property Owners About Gonstruction Responsibilities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not licensedwith the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement ts requiredfor residential building, electrical, mechanical and plumbing permits. Licensed architect and engineer applicants, exemptfrom licensing under ORS 701.010(7), need not submit this statement. This statement will befiled with the permit. Fill in the appropriate blanks and initial boxes I and 2, and either box 3A or 38 l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction conhactor if the structure is sold or offered for sale before or on completion. n 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 Contractors Board. OR W 38. I will be my own general contractor. If I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors 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. 3 - L-o-oo6 (Signature of permit applicant) @ate) (Vtthite copy to issuing agency perunilfile, pink copy to applicant.) Property_owner. doc 06-0 I -04 Date: S/z/" G// j Fifth Street iItr#i;f;;:;:s7477 ^ r!. ?r trringfiet d Official Receiorev elopm enf Ser-yices o "i"i_"" iPublic Works O"f,".t, irT RICEIPT#: 1200600000000000227 Date:03/02/2006 7o:55:57Atrl Job/Journal Number coM2006-00248 coM2006-00248 c'cM2006-00248 c)M2006-00248 coM2006-00248 Description + 8%o State Surcharge + l0% Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.60 4.50 30.00 15.00 10.00 Item Total:$63.10 unecK NumDer AumorrzatronPryments:*tpe of Paynent Received By Bdch Number Number How Received Amount Paid -PaidBy SEAN HAHN djb In Person $63.10Cash ,lr Payment Total: -$6Ii6- l( l( I i I 1 n t" / 31212006 1of1 q