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Home My WebLink AboutPermit Mechanical 2005-10-19Status: Issued 225 Fifth Street, Springfield, OR 541:7264753 Phone 541-726-3676Fax 541:7 2637 69 I nspection Line Buildin g/Combinatio n Permit PERMIT NO: COM2005-01467ISSUED: 1011912005APPLIED: 101191200s E)GIRESz 04t191e006 VALUE: SITE ADDRESS: 404 S 37TH PL ASSESSORS PARCELNO.: 1702314300701 PROJECT DESCRIPTION: Install freestanding pellet stove Springfield TYPE OF TYPE OF USE: Pellet Stove New Residential Phone Number: 541-Sl7-7454Owner: Address: PETER FURLONG 404 S 37TH PL SPRINGIIIELD OR 97478 Contractor Tvpe Mechanical Contractor AMBASSADOR PIPING INC License 12t469 Expiration Date 03t27t2007 Phone 541-726-5723 CONTRACTOR INFORMATI ON # of Units: Primary Occupancy Group: Secondary Occupancy Primary Construction Type Secondary Construction # of Bedrooms: Frontyard Setbaclc Side l Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Storm Sewer Available: Special Instruction: Notes: Ias retqLtt' ,llow by the Orego #of on Center'Those ru les are 952-001-00 10 through Size: n utility set torth 001 R-3 VN Energy Center lst Floor: may obtain Note:th copies 2nd Floor: the center' er lor the Orego n uti is t-gOO-gg Other: REQUIRED PARJ(NG Total: Handicapped: Compact: Range 2 Sprinkled nla Occupant Load: Overlay Dist: # Street Trees Paved Drive Rqd: o/o of Lot Coverage: tt01 IGE: 1H\S Sidewalk Type: OBK rl01 $ Per Sq Ft or multiplierr Square Footage or Bkl Amount DEVELOPMENT I NFORMATION PUBLIC IMPROVEMENTS Description Tvpe of Construction lof2 Value r0B Date Calculated Buitdin glCo mbinatio n Permit Status: Issued 225 Fifth Street, Springfield, OR 541:7263753 Phone 541-7263676Fax 541:726-37 69 Inspection Line PERMIT NO: COM2005-01467ISSUED: 1011912005 APPLIED:. 1011912005E)?IRESz 0411912006 VALUE: Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 7Vo State Surcharge Minimum/Adj ustment Mechanical Pellet Stove/Insert Total Amount Amount Paid $10.00 $4.s0 $3.15 $15.00 $30.00 $62.6s Total Value of Project Date Paid 10/19/05 10/19/05 t0n9t05 10/19/05 10/19/05 Receipt Number 1200500000000001567 1200500000000001567 1200500000000001567 1200500000000001567 1200500000000001567 tr'ees Paid Plan Reviews To Request an inspection call the 24 hour recording at 7263769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Freestanding Pellet Stove: After installation. By signature,I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certiff that any and all work performed shall be done in accordance with the Ordinances of the City of SpringfieH and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPAIICY will be made of any structure without permission of the Community Services Division, Building Safety. I further certi$ 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 all times Owner or Contractors Signature 2of2 Date P/7-as Reouired lnspections I ( 225 Fifth Street 'Springfield, Ore gon 97 477 541-726-3759 Phone -City of Springfield Official Receipt :velopment Services Department Public Works Department RECEIPT#: 1200500000000001567 Date: 1011912005 e:30:50AM Job/Jurnal Number coM2005-01467 coM2005-01467 coM2005-01467 coM2005-01467 coM2005-01467 Description + 7o/o State Surcharge + lOoh Administrative Fee Pellet Stove/Insert Minimum/Adj ustment Mechanical -Mechanical Issuance Fee- Amount Due 3. l5 4.50 30.00 15.00 10.00 Item Total:$62.6s Payments: Type of Payment Paid By CheckNumDer Authorization Received By Batch Number Number How Received Amount Paid Check AMBASSADOR PIPING INC djb 8882 In Person $62.65 PaymentTotal: ffi t0/t912005 lofl AFllrl{(lFI'LO