HomeMy WebLinkAboutPermit Mechanical 2004-2-17
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
.
. CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2004-00186
ISSUED: 02/17/2004
APPLIED: 02/17/2004
EXPIRES: 08/17/2004
VALUE:
SITE ADDRESS: 954 QUlNAL T ST
ASSESSOR'S PARCEL NO.: 1703264207100
Springfield TYPE OF WORK: Wood Stove
TYPE OF USE:
New
Residential
PROJECT DESCRIPTION: Install wood insert
Owner: JERRY LISTER
Address: 954 QUlNALT ST SPRINGFIELD OR 97477
Phone Number: 541-741-0576
I CONTRACTOR INFORMATION I
License
25790
BUILDING INFORMATION I
Expiration Date
12/23/2005
Contractor Type
Mechanical
Contractor
MARS HALLS INC
. I PUBLIC IMPROVEJ\.II;".." J
~~~~~~~6 G~~~~ ~~~R~~~~~il~~~~
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY PERIOD.
# of Units:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer A vallable:
Special Instruction:
Notes:
Phone
541-747-7445
# of Stories: Lot Size:
R-3 Height of Structure Sq Ft 1st Floor:
Type of Heat: Sq Ft 2nd Floor:
VN Water Type: Sq Ft Basement:
Range Type: Sq Ft Garage/Carport
Energy Path: Sq Ft Other:
\ lmeWVilluslSurfaee Area:
_........'Tlr'\"'.()reaon aw ,'"" 1 J. ...:1:'..
I DEVELOPMEN;f,li\;;uMl>\1i16N,.J by ~~u~~g;;~ '~~t lo'rt'
lotilication v""',,,,' I hos h OA~EQ(jJmLD PARKING
001-0010 throug' -'- - ~ l
Overlay DiSlAR 952- . btain' copies 01 trl'iltli'l:les
# Street '!l(l(eilRqIW may 0 (Note: the teIb!lI(lIc~~ped:
Paved Driv't2.ljil:g the center. n Utility N~ciiitpactin
hi rfor the Orego )
% of Lot cilvmlg~:"'~~'M ic 1_R00-:'\C\2-2344 .
Sidewalk Type:
DownspoutslDrains:
I Valuation Descriotion I
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Description
Type of Construction
Total Value of Project
Page I of2
.
. CITY OF SPRINGFIELD I
Building/Combination Permit
PERMIT NO: COM2004-00I86
ISSUED: 02/17/2004
APPLIED: 02/17/2004
EXPIRES: 08/17/2004
VALUE:
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
~
Fee Description
-Mechanical Issuance Fee--
+ 10% Administrative Fee
+ 7% State Surcharge
Minlmuml Adjustment Mechanical
Wood Stove/Insert
Amount Paid
Date Paid
Receipt Numher
$10.00
$4.50
$3.15
$15.00
$30.00
2/17/04
2/17/04
2/17/04
2/17104
2/17/04
1200400000000000213
1200400000000000213
1200400000000000213
1200400000000000213
1200400000000000213
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.
l.Reouired Insneetions I
1 Wood Burning Insert: After installation.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify Ihal 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 tbe 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 thai 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 Ihe
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
51Z~~:'~ 2-I~{)"7
Owner or Contractors Signature Date
Pa!!e 2 of2