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