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Home My WebLink AboutPermit Mechanical 2005-10-27Building/C ombination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO: COM2005-01522ISSUED: 1012712005APPLIEDz 1012712005EXPIRES: 0412712006 VALUE: SITE ADDRESS: 320 38TH ST ASSESSOR'S PARCEL NO.: 1702311306400 PROJECTDESCRIPTION: Pelletstove. Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: Alteration Residential Owner: Address: HOLMES LOIS A 320 38TH ST SPRINGFIELD OR 97478 vq.?_Qgfti, Contractor Type Mechanical Contractor \t \5 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: oh of Lot Coverage: Expiration Date 03t27t2007 Phone 541-726-5723 # of Units: Primary Secondar Primary Secondary # of Bedrooms: Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improyements: Storm Sewer Available Special Instruction: Notes: License 121469 nla C Lot Size: Sq Ft lst Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: C)ccupant Load: Sidewalk Type: Downspouts/I)rains: REQUIRED PARKING Total: Handicapped: Compact: $ Per Sq Ft or multiplier Square Footage or Bid Amount Description Type of Construction Page 1 of2 Value Date Calculated }.trt-l r$ ,$ ?P .( !\ atr\l ^qL\' {5? tr Valuation Description I Building/Combination Permit Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676Fax 541 -7 26-37 69 Inspection Line PERMIT NO: COM2005-01522ISSUED: 1012712005APPLIED: 1012712005EXPIRES: 0412712006 VALUE: " Fee Description -Mechanical Issuance Fee- + l0%o Administrative Fee + 77o State Surcharge Minimu m/Adjustment Mechanical Pellet Stove/Insert Total Amount Paid Amount Paid $10.00 $4.s0 $.rs $rs.00 $30.00 $62.65 Total Value of Project Date Paid 10t27105 10t27t05 10t27t05 t0t27tos 10t27105 Receipt Number 2200s00000000001502 2200s00000000001502 2200500000000001502 2200500000000001502 2200s00000000001s02 Paid 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. 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 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 property, and the approved set of plans will remain on the site at all times during construction. or Contractors Signature Paee? of2 Date /5- 22-o \ Keourreo lnsDecuons I 225 Fifth Street Springfield, Oregon 97477 541,-726-3759 Phone City of Springfield Official Receipt evelopment Services Department Public Works Department RECEIPT#: 2200500000000001502 Date: 1012712005 e:42224AM Job/Journal Number coM200s-01s22 coM2005-01522 coM2005-01s22 coM2005-01522 coM2005-01522 Description Pellet StoveAnsert Minimum/Adjustment Mechanical -Mechanical Issuance Fee- + 7%o State Surcharge + l0% Administrative Fee Amount Due 30.00 15.00 10.00 3.t5 4.50 Item Total:$62.65 Payments: Type of Payment Paid By CheckNumber Authorization Received By Batch Number Number How Received Amount Paid Check AMBASSADORPIPING,INC. jmp 891 I In Person $62.65 Payment Total : -$6-r-6-- I 'f t0/21t2005 Page I of I ll}lrll!;I.E