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HomeMy WebLinkAboutPermit Building 2005-11-29 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01651 ISSUED: 11129/2005 APPLIED: 11/29/2005 EXPIRES: OS/29/2006 VALUE: Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 727 RAYNER AVE .. ASSESSOR'S PARCEL NO.: 1703331100411 Springfield TYPE OF Single Family Residence TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Wood hurning insert Owner: Address: HOLDEN RICHARD G & MARGARET L 727 RAYNER AVE SPRINGFIELD OR 97477 ~~@ \,~ ~.~ I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 01110/2006 Phone 541-895,3593 I BUILDING INFORMATION I , # of Units: Primary Occupancy Group: Secondary Occupancy I'rimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Height of Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: nla 'DEVELOPMENT INFORMATION I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: IPUBLIC IMPROVEMENTS I Street Sidewalk Type: DownspoutslDrains Storm Sewer Availahle: Special Instruction: Notes: I Valuation Descriotion , Description Tvpe of Construction $ perSq Ft or multiplier Square Footage or Bid Amount Value Date Calculated 1 of 2 -0;::' ~ . . CITY OF SPRINGFIELD : . I ~ Status: Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-01651 ISSUED: 11/29/2005 APPLIED: 11/29/2005 EXPIRES: OS/29/2006 VALUE: Total Value of Project Fees Paid I $10.00 $4.50 $3.15 $15.00 $30.00 Date Paid ll/29/05 ll/29/05 ll/29/05 ll/29/05 ll/29/05 Receipt Number 1200500000000001756 1200500000000001756 1200500000000001756 1200500000000001756 1200500000000001756 Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Wood Stovellnsert Amount Paid Total Amount $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. Wood Burning Insert: After installation. By signature, I slate 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 certity that any and all work performed shall be done bt 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 wiD be made of any structure without permission of the Community Services Division, Building Safety. I further certity 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, jhlifthe permit card is iocated at the front of the property, and the approved set of plans wID remain on the site at all times jUring construction. / / ~o /~ /1/'7.<: 1/1 ~ ........ - , 1""'- o b6r Contractors Signature Date / 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone . Jrb/Journal Number COM2005-0 1651 COM2005-0165 1 COM2005-0 1651 COM2005,Ol651 COM2005,O 1651 P!lyments: Type of Pa)1l1ent Check , :f :, 'a' 'f 'i '~ 11/2912005 RECEIPT #: .~~A1N""'~_' :. ~' ... . '~ ' ---- . .. -; lIIIIiity of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001756 Description Wood Stove/Insert Minimum! Adjustment Mechanical + 7% State Surcharge + 10% Administrative Fee -Mechanical Issuance Fee-- Paid By YE OLD TOWN SWEEP Received By dim I of I Date: 11/29/2005 Item Total: Lbeck Number Aumonzation Batch Number Number How Received 17451 In Person Payment Total: 9:24:50AM Amou nt Due 30.00 15.00. 3,15 4,50 10,00 $62.65 Amount Paid $62,65 $62.65