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HomeMy WebLinkAboutPermit Mechanical 2005-11-29 . . CITY VI' ~rKl1'\iGFIELD Building/Combination Permit PERMIT NO: COM2005-01651 ISSUED: 11129/2005 APPLIED: 11129/2005 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 WORK: Wood Stove TYPE OF USE: Alteration Residential PROJECT DESCRIPTION: Wood burning insert Owner: HOLDEN RICHARD G & MARGARET L Address: 727 RAYNER AVE SPRINGFIELD OR 97477 Phone Number: 541-741-4903 I. CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 01/10/2006 Phone 541-895-3593 BUILDING INFORMATION I # 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: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq Ft Other: Occupant Load: nla I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setba~,I\: Solar Setbacks: 1Il0TlCE: T1I1~ r;:;-,,,,, I ;'"ALL tXl'jr." IF. T - AUTHORIZED UN . PUuLIGlINlRRo.YEMENTS I Street ImproveljjOOfMENCED OR ~~~~~'~DO~~~' ~~~ NJ, Storm Sewer AMI\M080 DAY PERIOD, Special Instruction: Overlay D1st: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Sidewalk Type: Description Type of Construction DownspoutslDrains: f ATTENTlUI\I;uregufllaW reqUIres you [(J O!'?W ~U'G6 adopted by the Oregon Uti lit ~~f/catlon Center, Those rules are set fo~' ~~...~~ 9~2-o01-0n1fi Ih......,,~... "'.... ~E :.:., I . - = J:. . revl may obtain copies of the rules b ValuatIon Descrp,tilh~'llhe center. (Note: the tele h numberfortheOreg Uti" ,~ o~e $ Per Sq Ft Square Foota!!'f ' on Ily Notification It' I' B'd A".,mltl IS 1-800-:iY1!!Pe344) 'Date Calculated or mu Ip ler or I moun "-. Notes: Pa!!e I of2 c , . . LI1}' OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-01651 ISSUED: 11129/2005 APPLIED: 1112912005 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 Total Value of Project Ff>f>~ PaW $10.00 $4.50 $3.15 $15.00 $30.00 11/29/05 11/29/05 11/29/05 11/29/05 11/29/05 Receipt Number 1200500000000001756 1200500000000001756 1200500000000001756 1200500000000001756 1200500000000001756 Fee Description -Mechanical Issuance Fee-- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Wood StovelInsert Amount Paid Date Paid 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. Wood Burning Insert: After installation. By signature, I state and agree, that I bave carefully examined tbe 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 ofthe 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 eacb 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 Paee 2 012