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Home My WebLink AboutPermit Mechanical 2005-09-19Building/Combination 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: COM2005-0127 4 ISSUED: 0911912005 APPLIEDz 0911912005 EXPIRES: 03/1912006 VALUE: SITE ADDRESS: 744 ISTH ST ASSESSOR'S PARCEL NO.: 1703362113300 PROJECT DESCRIPTION: Install wood burning insert Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential Phone Number: 541-461-4393Owner: Address: DENNIS LAMBECK 744 ISTH ST SPRINGFIELD OR 97477 Contractor Tyrre Mechanical Contractor JAMES ALLEN MCGREW License il143 Expiration Date 04n912006 Phone s4t-942-2941 ATION ATIONDEVELOPM # 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: R-3 VN 1 inO Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh ofLot Coverage: Downspouts/Drains: REQUIRED PARKINC Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount PUBLIC IMPROVEMENTS Description Type of Construction Pase I of2 Value Date Calculated Valuation Description i 0 Size: lst Floor: 2nd Floor: Ft Basement: Garage/Carport Sq Ft Other: Occupant Load: rCU ITY FIELD Building/Combination 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: COM2005-0127 4 ISSUED: 0911912005 APPLIEDz 0911912005 EXPIRES: 03/1912006 VALUE: Fee Description -Mechanical Issuance Fee- + l0oh Administrative Fee + 1oh State Surcharge Minimum/Adj ustment Mechanical Wood Stove/Insert Total Amount Paid Amount Paid $10.00 $4.s0 $3.15 $1s.00 $30.00 $62.6s Total Value of Project Date Paid 9n9t05 9n9l0s 9n9t05 9n9105 9n9t05 Receipt Number 220050000000000129r 220050000000000r291 2200s00000000001291 2200500000000001291 2200s00000000001291 Fees Paid Plan 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. Wood Burning Insert: After installation. By signature, I state and agree, that I have carefulty 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 Divisiono 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 "nrri" 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. I {7 o- Owner or Co Signatu re Pase 2 of 2 Date Keourred lnsDecuons I A-^., Nil, EFXTTI&FIgLI'/-'T of Springfield Official Receipt -velopment Services DePartment Public Works DePartment 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone RECEIPT #: 2200500000000001291 Date: 0911912005 1:45:35PM Job/Journal Number coM2005-01274 coM2005-01274 coM200s-01274 coM2005-01274 coM2005-01274 Description * 7o/o State Surcharge + l\oh Administrative Fee Wood Stove/Insert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- Item Total:$62.65 Amount Due 3. l5 4.50 30.00 15.00 10.00 Check Number APayments: Type of Payment Received By Batch Number Number How Received Amount PaidPaid By CreditCard DENNIS LAMBECK djb 045650 In Person Payment Total: $62.65 -$6-26. 9fi912005 Page I of I 225|'tl-ftj STREIIT . SPRING|IELD, OR 974 77 o PH:(541)726-37 5lt o tAX: (541)726-3689 City Job Number LOuZOo \-- Olzltl Job location: ?Ll"l itttt 5 rftEer Assessor's Map:7 03f 6 ZI Tax Lot: I 33 o <> Owner:0 En,A-L LAn tec,t< Address: 7 City:5 6 ftA-O rT l\EA t" +3?3 util\?t+7e N\es_a(o 001'952 Preliminary Inspection is $45.00 Wood Stove/Pellet/Insert -0010 Administrative Fee). You0090 tot Oenter Corrtr actor Information -soo- Contractor: JAnAS A Lt,F,,w /1o 6 Reu (-"l lrtcrfi# s3 () rF{ -{a(^|l-t t-4Hcr yr{ {J ()oga F4F{t-{ {-) $-,(Oat-1 )-.{F-{ () c{J(n '!ccc F Address:l, o. bw Phone:? City:brttt('€. Cftavg State: 1fZ zip: Construction Contractor's Registration #:tu+3 Expires:+/ nl o,L By signing this pernrit / application, I agree to call for an inspection(s) as required (726-3769). t itatl tna:t alt information on this appfication/permit is correct and that I was provided with the Wood Stove Safety infornration lor wood burning appliances and prelinlinary inspection standards as set by the Oregon Department of Environtrrental Quality or the Federal Environmental Pr-otection Agency andl agree to provide the testing approval nuntber to the inspector at the time of inspection. I also understand that if I am requesting a prelinrinary inspection, the wall covering nray be required to be removed- Signature:Date:I /?l os 9\ Date of Application: Checked for Historical Status:Checked for Delinquencies: ?'/7 Of Sharcd Drive(T:)lBuilding FomriWood Stove Permit 3-04-04.doc CITY OF OREGON olthe is1 H(o' *osrOR OT'FICE USE l\' \h\; :