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Home My WebLink AboutPermit Mechanical 2005-11-09Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01585ISSUED: 1110912005 APPLIEDz 1110912005 EXPIRES: 05/0912006 VALUE: SITE ADDRESS: 356 S 44TH ST ASSESSOR'S PARCEL NO.: 1702323404313 PROJECT DESCRIPTION: Install Pellet insert Springfield TYPE OF WORI(: Pellet Stove TYPE OF USE: New Residential Phone Number: 541-746-8893Owner: Address: FRANCES STEBBEDS 356 S 44TH ST SPRINGFIELD OR 97478 Contractor LicenseContractor TYpe Mechanical EMERALD 11294 ru\es bY o cation Expiration Date 10t22t2009 Phone 541-688-1090 u res Y Notiti Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: nla Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: REQUIRED PARJ(NG Total: Handicapped: Compact: ilOBK 16 NOl $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase 1 of2 Value Date Calculated - LUN TI(ALTUI( II\IT-,TIUYIAIIUl\ I Valuation Description I Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01585ISSUED: 1110912005APPLIED: 11/0912005 EXPIRES: 05/0912006 VALUE: Fee Description -Mechanical Issuance Fee- + l0o/" Administrative Fee + 7%o State Surcharge Minimum/Adj ustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.50 $3.15 $rs.00 $30.00 $62.6s Total Value of Project Date Paid tu9t05 rugt05 1U9l05 tugt05 tugt05 Receipt Number 2200s00000000001555 2200500000000001555 2200500000000001555 2200500000000001555 2200500000000001555 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 leouired Insnections 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 thet NO OCCUPAIICY 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 wiII 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. /l -?'o{ Owner or Contractors Pase 2 oI 2 Date .aPtt,|4ltlBD lT I ees raro I s{nrtu.. 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT #: 2200500000000001555 Date: 1110912005 10:30:08AM Job/Journal Number coM2005-01585 coM2005-01585 coM2005-01585 coM2005-0r58s coM2005-01585 Description + 7o/o State Surcharge + lUYo Adminishative Fee Pellet Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Amount Due 3.l s 4.50 30.00 15.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By checkNumber Authorlzation Received By Batch Number Number How Received Amount Paid Change Cash FRANCES STEBBEDS FRANCES STEBBEDS djb djb In Person In Person Payment Total: ($7.3s) $70.00 $62.6s Jqp/Journal Number coM2005-01585 coM2005-0ls8s coM2005-01585 coM2005-01s85 coM2005-0158s Description + 7Yo State Surcharge + l0%o Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3.15 4.50 30.00 15.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid C[ange Cash FRANCES STEBBEDS FRANCES STEBBEDS djb djb In Person In Person Payment Total: ($7.3s) $70.00 $62.65 1 I,I, ( lt,t tt/9t200s Page I of I .F'IIOIBD Construction Contractors Board Permit *:cotanzo.-f- o/trf Address:3sG S. qq't sf Issued by:bd Date: (/- ?-o r Statement: lnformation Notice to Property Owners About Gonstruction Responsibil ities Note: Oregon Law, ORS 701.055(4) requires residential construction permit applicants who are not Iicensed with the Construction Contractors Board to sign thefollowing statement before a building permit can be issued. This statement is 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: E ry l. I own, reside in, or will reside in the completed structure. 2. I understand that I must become licensed as a construction contractor if the structure is sold or offered for sale before or on completion. & 3A. Mygeneral contractor is €kt t c-rt4c\ ?- d l-l(z 1{ (Name)(ccB #) I will instrrct my general contractor that all subconffactors who work on the stnrcture must be licensed with the Construction Contractors Board. OR 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 noti0r 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. //-) -oi of permit applicant)@ate) (White copy to issuing agency permilfile, pink copy to applicant.) 700 Summer St NE Suite 300 PO Box 14140 Salem OR 97309-5052 Phone: 503-3784621 lVebAddress: !EIE4$1!g@ \> Property_owner. doc 06-0 1 -04 City of Springfietd 225 Fifth Street, Springfield, ORg7477 541-726-3759 phone 541-726-3676F'ax March 30,2006 STEBBEDS 356 S 44TH ST SPRINGFITLD Job Number: Location: FRANCES oR 97478 coM200s-01s85 356 S 44TH ST Project:lnstall Pellet insert Dear Permit Holder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work which has been authorized by the permit must begin within 180 days of the date of issuance, and an inspection must be requested at least every 180 days. According to our records, you obtained a permit for a project at 356 S 44TH ST which is set to expire on 51912006. Our records indicate that you have not requested an inspection within the past five (5) months. This letter is written to notiff you that your permit(s) will be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do not request an inspection prior to the expiration date, your permit(s) will expire and additional permit fees will be required in order to complete your project. If you have any questions, please feel free to phone me at 541-726-3790. Sincerely, Lisa Hopper Building Safety Supervisor \ \iu,