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Home My WebLink AboutPermit Mechanical 2005-11-14 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-01608 ISSUED: 11/14/2005 APPLIED: 11/14/2005 EXPIRES: 05/14/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 230 J ST ASSESSOR'S PARCEL NO.: 1703263300541 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Wood Stove Insert Owner: DELGADILLO CARLOS J & STARLA K Address: 230 J ST SPRINGFIELD OR 97477 Phone Number: 541-747-2461 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 01110/2006 Phone 541-895-3593 BUILDING INFORMATION' A TTENT/Oll'!t Size: . tol/ow ru/ . 81q ffftLlSOFlIPJW req , N es ,,1Ji'lF- ~')it- :d ~1 UI res you t otificatio c"q- ,l'~n l!f:;o(~r& 0 '. g in OAR 95 n ~q1Ft:Ba~.e-m~t: I :egon Utility 0090, You 2-0%q.lR~~'aX~~6~PR')0~(e set forth . mag-"'Ii't&0ther: . OAR 952~0()' 1 caf/Ir.lg th 'I' ... vuples f " : n Illa e CO(!~~pant .r.;oa(l,: 0 the rules by umOer tn,' fh_ ~ l''JOle: I'IlA tol~~1 LJ I DEVELOPMENT INFORMATION . Centerjs'-J;_~~~~~~~Ii~ Not;;j~~t;~~ RE'QU'IMfI).P ARKIN G Front yard Setback: Overlay Dist: Total: Side 1 Setbacka.O # Street Trees Rqd: Handicapped: Side 2 Setbac~ neE: Paved Drive Rqd: Compact: Rearyard SettT~i8 PERMIT SHALL % of Lot Coverage: "-. , Solar Setback4UTHORIZED UN EXPIRE IF THE WOR "'....,. nf:R TLJ/" "'__ J< , ~~y,;v~~Vk~~ ?E~is AB"A\ND~kmROVEMENTS. . Street Improvements: 100. _ # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Sidewalk Type: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: I Valuation Description I Description Type of Construction $ Per Sq 1ft or multiplier Square Footage or Bid Amount Value Date Calculated Pae:e 1 of2 :-G.~,.~~,J'iELD, ',iii'",,',',.,' " ,I.:'". war~"', , ~.. i . -.w .... ',' ....-..,..._..~ _0......._"" _,_. : Status Issued CITY OF SPRINGFIELD: Building/Combination Permit PERMIT NO: COM2005-01608 ISSUED: 11/14/2005 APPLIED: 11/14/2005 EXPIRES: 05/14/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project LFees Paid I Fee Description Amount Paid Date Paid Receipt Number Total Amount Paid $0.00 -. " 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. I Reauired Insoections I Wood Burning 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 :id~e~dUring c;:n. - II t t _ ~ . I / .,;i1 o or Contractors Signature Date ~ Page 2 of2 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01608 ISSUED: 11/14/2005 APPLIED: 11/14/2005 EXPIRES: 05/14/2006 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Paid-t Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Wood Stove/Insert Amount Paid Date Paid $10.00 $4.50 $3.15 $15.00 $30.00 11/14/05 11/14/05 11/14/05 11/14/05 11/14/05 Receipt Number 2200500000000001575 2200500000000001575 2200500000000001575 2200500000000001575 2200500000000001575 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. I Reouired Insnections . Wood Burning 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. Owner or Contractors Signature Date Pal!:e 2 of2 225 Fifth Street Springfield, Oregon 97477 541:726-3759 Phone u.., ~~., F,~,:jijI, . .". ... fi -'Uy of Springfield Official Receipt .Jevelopment Services Department Public Works Department RECEIPT #: 2200500000000001575 Date: 11/14/2005 1:06:03PM Job/Journal Number COM2005-0 1608 COM2005-01608 COM2005-01608 COM2005-0 1608 COM2005-0 1608 Description Wood Stove/Insert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- + 7% State Surcharge + 10% Administrative Fee Payments: Type of Payment Paid By Check CHRIS WINSLOW Item Total: Check Number Authorization Received By Batch Number Number How Received lIh 00 I In Person Payment Total: Amount Due 30.00. 15.00 10.00 3.15 4.50 $62.65 Amount Paid $62.65 $62.65 ~",t :t t ".\, l ' 11/14/2005 Page I of I