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Home My WebLink AboutPermit Mechanical 2004-10-26 .$P.:'RINGF'IIEt:.:D( ~. __-, ,':1".,'0" ~";~"i ........" do""... '0'-' """"-""'lo~-..I~ " ij' ~ Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2004-01325 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 804 C ST ASSESSOR'S PARCEL NO.: 1703351309600 Springfield TYPE OF WORK: Pellet Stove .'r""'I",:~'t.~. TYPE OF USE: New Residential PROJECT DESCRIPTION: Pellet insert Contractor Type Mechanical Contractor MARSHALLS INC ATTENTION: Oregon la\Plf~afumli:H0831-234-4855 SANTA CRUZ CA 950620llow rules adopted by the Oregon Utility Notifir.::ltinn r,pntpr Th()~p rI "p~ ::m:> Cl'lt fnrtn in n.A8 Q&:i?-nn.1-[l.nlO through OAR 952-001- I CONTRACTO~QRJ\1A1;WLlin copies of the rule's by calling t~e center. (I\,Qte:.the tele~Q~ne Ph Icense, 1 xmrati'Oi", a one number. nne urego f UIIII1Vl\J;'Q"IICa Ion N.~1&9 ic 1-Qnn_??/l~~W;J 5 541-747-7445 I BUILDING INFORMATION I Owner: TOM SCHREINER Address: 334 ANCHORAGE AVE # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: R-3 n/a , I DEVELOPMENT INFORMATION. REQUIRED PARKING Overlay Dist: '0 ' Total: # Street Tgo~I ~:, Ortl3d A\;IO Og~ ~~~iIicapped: pave~R~~c! ~(d?''JOON\i8\f SI tlO 030. N3V\J!@ompact: % of-' ot Co~erk'~~:3d SIHl tl30Nn 03ZltiOHln\f !:lOM 3Hl :JI 3t1ldX3 ll\fHS IlV\ltl3d SIHl '::hJIJ.UN Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2004-01325 ISSUED: 10/26/2004 APPLIED: 10/26/2004 EXPIRES: 04/26/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line I Fees Paid' Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Insert Amount Paid Date Paid $10.00 $4.50 $3.15 $15.00 $30.00 10/26/04 10/26/04 10/26/04 10/26/04 10/26/04 Receipt Number 2200400000000001336 2200400000000001336 2200400000000001336 2200400000000001336 2200400000000001336 Total Amount Paid $62.65 I Plan Reviews I To Request an inspection call the 24 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. Reouired InsDections I Pellet 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. ~ ~Q(k to~ \CC'uf-- ------- 't\ r- c:::J (Q ~ C'\\) I ' Owner or Contractors Signature Date Pal!e 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone ""lty of Springfield Official Receipt evelopment Services Department Public Works Department Job/Journal Number COM2004-01325 COM2004-0l325 COM2004-0l325 COM2004-0l325 COM2004-0l325 Payments: Type of Payment Check 10/26/2004 RECEIPT #: 2200400000000001336 Date: 10/26/2004 Description + 7% State Surcharge + 10% Administrative Fee Pellet Stove/Insert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By MARSHALL'S INCL Item Total: Check Number Authorization Received By Batch Number Number How Received 18264 In Person Payment Total: nJm Page 1 of I 2:24:29PM Amount Due 3.15 4.50 30.00 15.00 10.00 $62.65 Amount Paid $62.65 $62.65