HomeMy WebLinkAboutPermit Building 2005-11-29
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. 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
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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
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CITY OF SPRINGFIELD :
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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. / /
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........ - , 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
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11/2912005
RECEIPT #:
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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