HomeMy WebLinkAboutPermit Mechanical 2006-07-05Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541 -7 26-37 69 Inspection Line
Building/Combination Permit
PERMIT NO: COM2006-00827ISSUED: 07/0512006APPLIEDz 0710512006EXPIRES: 01/0512007
VALUE:
SITE ADDRESS: 929 S 40TH PL
ASSESSOR'SPARCELNO.: 1802061408300
PROJECT DESCRIPTION: Install woodstove
Residential
Phone Number: 541-747-2632Owner:
Address:
Contractor Type
Mechanical
MARY THOMPSON
929 S 4OTH PL
SPRINGFIELD OR 97478
Contractor
MARSHALLS INC
o\1,License
25790
Expiration Date
12t23t2009
Phone
541-747-7445
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback;
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Yo ofLot Coverage:
es'j s
t\\\:{
of Structure
Square Footage
or Bid Amount
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
#of
e
C
$ Per Sq Ft
or multiplier
DEVELOPMENT INFORMATION
PUBLIC IMPROVEMENTS
Description Type of Construction
Page I of2
Value Date Calculated
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE: New
\-rJ1\ r lI'Ar- l rrr( rr\r v51Yg1_! t(,l'r l
# of Units:
Primary Occupancy
Secondary Occupancy
Primary Construction
Secondary Construction
# of Bedrooms:
ru"t ct',
PEH.,)\H\
AU lHOR
FIELD
Building/Combination Permit
Status Issued
225 Fifth Street, Springfield' OR
541-126-3753 Phone
541-726-3676 Fax
541-126-37 69 Inspection Line
PERMIT NO: COM2006-00827ISSUED: 0710512006APPLIED: 07/0512006
EXPIRES: 0l/0512007
VALUE:
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 87o State Surcharge
Minimum/Adjustment Mechanical
Wood Stove/Insert
Total Amount Paid
Amount Paid
Total Value of Project
Date Paid
7t5106
7t5t06
7tst06
715106
7t5t06
Receipt Number
2200600000000000e19
2200600000000000919
220060000000000091 9
220060000000000091 9
2200600000000000919
$10.00
$4.s0
$3.60
$r5.00
$30.00
$63.10
Plan Reviews
To Request an inspection call the 24 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.
Wood Stove: After Installation.
DateOwner or Contractors Signature
Pas,e 2 of 2
ffims
r ees raro I
Required lnspectrons I
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 Safefy.
I lurther certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I turther 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.
4-;--z-.t.--
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
Qi+., s1 Springfield Official Receipt
L _ "'lopment Services Department
Public Works Department
RECEIPT #: 2200600000000000919 Date: 0710512006 l1:30:51AM
Job/Journal Number
coM2006-00827
coM2006-00827
coM2006-00827
coM2006-00827
coM2006-00827
Description
+ 8olo State Surcharge
+ l}oh Administrative Fee
Wood Stove/lnsert
M inimum/Adj ustment Mechanical
-Mechanical Issuance Fee-
Amount Due
3.60
4.50
30.00
I 5.00
10.00
Item Total:$63.10
Payments:
Type of Payment Paid By
Check Number
Received By Batch Number
Authorization
Number How Received
Check MARSHALT,S INC djb 1 9300 In Person $63.10
Payment Total:
-SffiiT-
cReceint I Page I of I 71512006
Amount Paid