HomeMy WebLinkAboutPermit Mechanical 2003-10-30
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
e- CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-0IlOl
ISSUED: 10/30/2003
APPLIED: 10/30/2003
EXPIRES: 04/30/2004
VALUE:
SITE ADDRESS: 3774 S REDWOOD DR
ASSESSOR'S PARCEL NO.: 1802061204317
Springfield TYPE OF WORK: Wood Stove
PROJECT DESCRIPTION: Install wood stove
TYPE OF USE:
'.
Owner: KELLY QUIGLEY
Address: 3774 S REDWOOD DR SPRINGFIELD OR 97478
Contractor Type
Mechanical
I CONTRACTOR INFORMATION'
Contractor
MARS HALLS INC
License
25799_
# of Buildings:
Primary Occupancy Group:
Sccondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
.~l'"
I BUILDING INFORMA'f.I@N.'\\\,/
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('~\1DEVELOPMENT INFORMATION ,
New
Rcsidential
Phone Numbcr: 541-747-9379
Expiration Date
12123/2003
Phone
541-747-7445
Lot Size:
Sq Ft I st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft GaragelCarport
Sq Ft Other:
Impervious Surface Area:
REQUIRED PARKING
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
% of Lot Coverage:
t\ln1'ICE: .. ~"rlc!: \l= 'THE WORK
.iH\ltuiiii~~MP,R,QM~~~,M\1 \\:l NU I
'HI nUI"~-- - Q'NUUI~I:O fOR
COMMENCEO OR IS "'un Sidewalk Type:
fo,N'{ 180 Ofo,'{ PERIOO, Downspouts/Drains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Description
Type of Construction
Total Value of Project
Paee I of 2
Total:
Handicapped:
Compact:
Value
Date Calculated
,
lii.~~
.
.. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2003-01101
ISSUED: 10/30/2003
APPLIED: 10/30/2003
EXPIRES: 04/30/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 Inspection Line
I Fees Paid I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
MinimumlAdjustment Mechanical
Wood Stove
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$15.00
$30.00
10/30/03
10/30/03
10/30/03
10/30/03
10/30/03
1200200000000002395
1200200000000002395
1200200000000002395
1200200000000002395
1200200000000002395
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 Insnecti?n~ .
I Wood Stove: 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 he 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.
~~+4~
Owner or C.(f.tractors Signature
IU~3c)-o]
Date
Paee 2 of2
2~5 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-01101
COM2003-01101
COM2003-01101
COM2003-01101
COM2003-01101
Payments:
Type of Payment
Check
..
J~"'~ ,D.~~.'i..
Wi: ,
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Receipt #: 1200200000000002395
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Wood Stove
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
MARS HALLS INC
Received By
djh
Check l'l'umber
Batch Number Authorization Number
City of Springfield OfficiaI Receipt
Development Services Department
Public Works Department
Date: 10/30/2003
11:31:06AM '
Amount Paid
Item Total:
3.15
4.50
30.00
15.00
10.00
$62.65
How Received
In Person
Payment Total:
Amount Paid
$62.65
$62.65
.
.