HomeMy WebLinkAboutPermit Building 2006-10-6
-=ITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01266
ISSUED: 10/06/2006
APPLIED: 10/03/2006
EXPIRES: 04/06/2007
VALUE:
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 7364 DAISY 51'
ASSESSOR'S PARCEL NO.: 1702353402700
Springfield TYPE OF WORK: Wood Stove
PROJECT DESCRIPTION: Wood insert
TYPE OF USE: New
Residential
I DEVELOPMENT INFORMAif<1e,I'fj'i~~'/
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"eel' Sidewalk Type:
DownspoutslDrains:
Owner: DICK ARNETT
Address: 7364 DAISY ST
SPRINGFIELD OR 97478
I CONTRACTOR INFORMATION I
Contractor Type
Mechunical
Contractor License
MARS HALLS INC 25790
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I BUILDING INF,oR.~U Q~
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t\\\~\\Q\<.\ t.~T~e\Srmat:
C~,,^t.~C ro~e:
oJ ~?ll,) \)JI.'R nge Type:
JI.~' Energy Path:
Sprinkled Building:
# of Units:
Prima,'y Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
I Valuation Descriotion ,
Description
Tvpe of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Paee 1 of 2
Phone Number: 541-726-8482
Expiration Date
12123/2009
Phone
541-747-7445
n/a
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/Carport
Sq Ft Other:
Occupant Load:
REQUIRED PARKING
Total:
Handicapped:
Compact:
Value
Date Calculated
r;
.
ecITY OF SPRINGFIELD'
Building/Combination Permit
PERMIT NO: COM2006-01266
ISSUED: 10/06/2006
APPLIED: 10/03/2006
EXPIRES: 04/06/2007
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.Fee. P3W,J
$10.00
$9.00
$4.50
$3.60
$45,00
$15,00
$30,00
10/6/06
10/6/06
10/6/06
10/6/06
10/6/06
10/6/06
10/6/06
Receipt Nnmber
2200600000000001401
2200600000000001401
2200600000000001401
2200600000000001401
2200600000000001401
2200600000000001401
2200600000000001401
Fee Description
-Mechanical Issuance Fee-
+ IOcyo Administrative Fee
+ 5'X. Technology Fee
+ 80/0 St~lte Surcharge
Inspection - Preliminary
. Minimum/Adjustment Mechanical
Wood Stovellnsert
Amount Paid
Date Paid
Total Amount Paid
$117.10
I Plan Reviews I
To Request an inspection call the 24 ho.ur 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 wor,k
day,
I Relluired 'wredions I
Wood Buraing 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 property, and the approved set of plans will remain on the site at all
times during construction.
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Owner or Contractors Signature
Date
Paee 2 of 2
fi
225 Fifth Street
Springfield, ~rcgon 97477
541-726-37591)honc
Job/Journal Number
COM2006-0 1266
COM2006-0 1266
COM2006-0 1266
COM2006-0 1266
COM2006-0 1266
COM2006-0 1266
COM2006-0 1266
Payments:
Type of Payment
Check
cReceinll
. ..;:r~~
Wit
C~f Springfield Official Receipt
IWopment Services Departmcnt
Public Works Department
RECEIPT #:
2200600000000001401
Date: 10/06/2006
Description
Wood Stove/lnsert
-Mechanical Issuance Fee-
Minimum/Adjustment Mechanical
Inspection - Preliminary
+ 5% Technology Fee
+ 8% State Surcharge
+ 10% Administrative Fee
Paid By
MARS HALLS INC
Item Total:
(;heck Number Authorization
Received By Batch Number Number How Received
djb
19455
In Person
Payment Total:
Page I of I
2:08:56PM
Amount Due
30,00
10,00
15.00
45,00
4,50
3,60
9,00
$117.10
Amount Paid
$117,10
$117.IU
10/6/2006