HomeMy WebLinkAboutPermit Mechanical 2004-09-22Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-36768ax
541-7 26-37 69 Inspection Line
Building/C ombination Permit
PERMIT NO: COM2004-0117 6ISSUED: 0912212004APPLIEDz 0912212004
EXPIRESz 0312212005
VALUE:
SITE ADDRESS: 955 S 37TH ST Springfield TYPE OF WORK: Single Family Residence
ASSESSOR'SPARCELNO.: 1802061307200
TYPE OF USE: Alteration Residential
PROJECT DESCRIPTION: WOODSTOVE INSERT W ZERO CLEARANCE LINER
Owner: WARNERSTEVEN S
Address: 955 S 37TH ST SPRINGFIELD OR 97478 to
are set forth
952-001'
Contractor Type
Mechanical
# 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:
Contractor in OAR 952-001
EMERALD SWIMMING
-001 rou
Square Footage
or Bid Amount
o{ tnExdirsHon Date Phone
541-688-r09010t22t2005
-2344\.
R-3
\rN
Center ts
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Sprinkled Building:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:nla
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
Vo ofLot Coverage:
THIS PERMIT SHALL EXPIRE IF ]I.I
ANY 1BO DAY PERIOD
uANuLrilEil
Sidewalk
REQUIRED PARJ(NG
Total:
Handicapped:
Compact:
E WOIiK
T
f-0H
Type:
$ Per Sq Ft
or multiplier
Downspouts/Drains:
DEVELOPMENT INFORMATION
Description Type of Construction
Total Value of Project
Value Date Calculated
t}.r
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: COM2004-0117 6ISSUED: 0912212004APPLIEDz 0912212004
EXPIRESz 0312212005
YALUE:
Fee Description
-Mechanical Issuance Fee-
+ l0Yo Administrative Fee
+ 7o/o State Surcharge
Minimum/Adj ustment Mechanical
Wood Stove/Insert
Total Amount Paid
Amount Paid
$10.00
$4.s0
$3.1s
$1s.00
$30.00
$62.65
Date Paid
9t22t04
9122104
9t22t04
9122104
9t22t04
Receipt Number
2200400000000001191
2200400000000001191
2200400000000001191
2200400000000001191
2200400000000001191
Plan Reviews
To Request an inspection caII 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.
Wood Burning Insert: After installation.
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 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 , and the approved set of plans will remain on the site at all
times
f
Owner Contractors Date
Pwe2 of 2
r ees raro I
Kequrreo lnsDecuons I
225Bifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
^ity of Springfield Official Receipt
- evelopment Services Department
Public Works Department
RECEIPT#: 2200400000000001191 Date: 0912212004 3:2e:26PM
Job/Journal Number
coM2004-01176
co}|{2004-01176
coM2004-01176
coM2004-01176
coM2004-01176
Description
Wood Stove/Insert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7o/o State Surcharge
+ llYo Administrative Fee
Amount Due
30.00
15.00
10.00
3. ls
4.50
Item Total:$62.6s
Payments:
Type of Payment Paid By
CheckNumber Authorization
Received By Batch Number Number How Received Amount Paid
CreditCard MICHAEL J, EARLS DDK 862225 In Person 562.65
Payment Totat:
-56ffi
9/2212004 Page I of I
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TAX I-OT:
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# ilPIRES
GENERAI:
PLUMBING:
MEC.HAI{ICAL:
ELIL-I\ICAL.
J*\!'"'-'t#'#
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F*+
MECHANICALPERMN
IIEM
Ftrrnace
Exhaust llood
VcntFan No.
Wood Stove/Insert,/Fircplacc Unit
PTTIMBING ERMIT
ITEM
Exfures
RcsidentialBaih(s) No.
Sanitary S€wer m.
Wats fT.
Storm Sewer FT.
I'EE FEE
rVech eniqil Permit Subtotal
=Minimum of $45.00
StEte SErchurEE 7%
Adrninistrativc Fcc 1 Ct%
Issrrance Fee
TOTAL MECI{ANICAL
&rye Plumbing Permit Subtotal
"Minimuta of $45-00
State Surcharge 79"
ndministrative Fee I 096
TOI'AL PLUI/IBING
IVfie&affiiqet' Bthuimmffihg a
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