HomeMy WebLinkAboutPermit Mechanical 2005-11-28
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CITY OF ~rKJj'luN~LD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2005-01644
ISSUED: 11/28/2005
APPLIED: 11/28/2005
EXPIRES: 05128/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1107 QUlNALT ST
ASSESSOR'S PARCEL NO.: 1703264102500
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Pellet insert.
Owner: ARIAS FRANCISCO F & ANTONIA L
Address: 1107 QUlNAL T ST
SPRINGFIELD OR 97477
Phone Number: 541-747-2179
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
Contractor
JAMES ALLEN MCGREW
License
III43
Expiration Date
04/19/2006
Phone
541-942-2941
BUILDING INFORMATION'
# 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
IW fleE: REQUIRED PARKING
Overlay Dist: THIS PERMIT SH Total:
# Street Trees Rqd: AUTHORIZED U Alilf.lffiJ/iPp'*':THE WORK
Paved Drive Rqd: COMMEN NDnl:O'ih'P~WRMIT IS NOT
. _ % of Lot Coverage: ANY 180 g:~ pOE~:S ABANDONED FOR
,"\1 1 EI'; IIUI\J:p,,-!n. '" ,,,,., 'bl....-~., :_;: 00.
lol/ow ruloo adopt!'FUIJIlIUh....."""'o"v'F:MBl'j'TS I
Notification Ceriter, ,{,u~..IUI~s . I ,'1''' \
Street Improvements: in OAR 952-Q01-0010th h 0 are set fortI-
roug AR 952-001
Storm Sewer AvailabloR090. ,You may obtain cDpies of the rules b
Special Instruction: cal/mg the center. (Note: the telephone
l1umber for the, Oregon Utility Notification
Center IS 1-800-332-2344),
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Sidewalk Type:
DownspoutsfDrains:
Notes:
I Valuation Descrintion I
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Paee I of2
.
.
CITY OF ~rKl~ljNJ!,LD
Building/Combination Permit
Status
Issued
PERMIT NO: cOM2005-01644
ISSUED: 11/28/2005
APPLIED: 11/28/2005
EXPIRES: 05/28/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
L.F...... P.iWU
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Minimum/Adjustment Mechanical
Pellet StovefInsert
Amount Paid
Date Paid
$10.00
$4.50
$3.15
$15.00
$30.00
11/28/05
llf28/05
llf28/05
llf28/05
llf28/05
Receipt Number
2200500000000001619
2200500000000001619
2200500000000001619
2200500000000001619
2200500000000001619
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.
Pellet Insert: 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 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 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.
Owner or Contractors Signature
Date
Pal1e 2 of2
; ~o;;;~
~. e
Status
Issued
.
.. CITY OF ~rK11'\j\.d'I~LD
Building/Combination Permit
PERMIT NO: cOM2005-01644
ISSUED: 11128/2005
APPLIED: 11128/2005
EXPIRES: 05128/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1107 QUINALT ST
ASSESSOR'S PARCEL NO,: 1703264102500
Springfield TYPE OF WORK: Pellet Stove
TYPE OF USE: Alteration
Residential
PROJECT DESCRIPTION: Pellet insert.
- Owner:
Address:
ARIAS FRANCISCO F & ANTONIA L
1107 QUINALT ST
SPRINGFIELD OR 97477
~ 4'l.tl,qr;>>
I CONTRACJOR INFORMATION I
~\J' "
Contractor '\~~ ,S ~\) License
JAMES ALLEN ~H\"G~~'\ d\~ 11143
~\.. ~~~'t,lelnBj)iNG INFORMATION I
. S~~ ~~ ~~v
# of Units:, ~\~((,~~'\ '\j~\S ,S ~~ # of Stories: Lot Size:
Primary Occupan~'Q,:l!...up';:: ';J.~'\) '\) \)~ ~\)\). Height of Structure \0 Sq Ft I st Floor:
Secondary occupan<l/'i~~up<r' ~,,~ ~ 'Y.~ Type of Heat: '" 'io-v :i.~~'i ~q Ft 2nd Floor:
Primary Construction ~~ '\)~ Water Type: O,-!>\~e 0'0'\:) :<.. 'O~'S\l! Ft Basement:
Secondary Construction e:\'O~ Range Type: ,;\ ~e o~eg e ",e o.(jSq Ft Garage/Carport
\'0' e ?J b" S"'" 0 h
# of Bedrooms: ~ Ene.rgy Path~.<,>q'0 ~ ~ ~e'" ,~C) "il q t t er:
SprmkIedl!!ilildmg:'1 ",e ~0 (<\ In/a ," \0 Occupant Load:
.......-N:. _,,'\""-....""0 .,(\; \~..i :."\l' \\
I DEVEJ:,OPMENT iNFORMATION 'r:~ '",,.>'
r ~o'l" '~O'0-\J\J\N ~\'i>\\,,~,:).,-.:.,' "
\0 ,~,(',ro: ..f')~ ~o <. '\: ,'_
~Qvef!~j.\D,i~t;,'O' _~i\\(>, . " '.."
#.Street-Trees Rqd:. o~ J "
,".....n. ,<. \" ,,\,-... _ '\
P'\Yed'!Wve ~9d: ,", .
% of Lotfoverage:
(\\.\\' .....
Contractor Type
Mechanical
'<
,. Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Street Improvements:
Storm Sewer Available:
Special Instruction:
Notes:
Description
Expiration Date
04/1912006
Phone
541-942-2941
REQUIRED PARKING
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS I
Sidewalk Type:
DownspoutsfDrains:
I Valuation Descriotion I
Type of Construction
$ Per Sq Ft
or multiplier
Date Calculated
Square Footage
or Bid Amount
Value
Pal1e I ofl
~
.
.
CITY 0.. ~t'I<1f\jt...u..LD
Status
Issued
Building/Combination Permit
PERMIT NO: cOM2005-01644
ISSUED: ] 1/2812005
APPLIED: 11/28/2005
EXPIRES: 05/28/2006
VALUE:
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
Total Value of Project
Fp.es tiW.I
Fee Description
-Mechanical Issuance Fee-
+ 10% Administrative Fee
+ 7% State Surcharge
Minimum/Adjustment Mechanical
Pellet Stovef1nsert
Amount Paid
$10.00
$4.50
$3.15
$15.00
$30.00
Date Paid
11128/05
llf28/05
llf28/05
llf28/05
11128/05
Receipt Number
220050000000000i6i9
2200500000000001619
2200500000000001619
2200500000000001619
2200500000000001619
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..isnuirp-d Insoections I
Pellet Insert: 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 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, 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.
~ ~;CU;Lt,
//- ~S-- Os-
Owner or Contractors Signature
Date
Pal!e 2 of2
. '2:Z5 Fifth Street
I Springfield, Oregon 97477
. ( 541-726-3759 Phone
Job/Journal Number
COM2005-0 1644
COM2005-0 1644
COM2005-0 1644
COM2005-0 1644
COM2005-0 1644
Payments:
Type of Payment
Check
'I
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~.
:(
Ii
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.!
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11128/2005
.
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Wir . 1
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----- .'
RECEIPT #:
~ty of Springfield Official Receipt
Wevelopment Services Department
Public Works Department
2200500000000001619
Date: 11/28/2005
Description
Pellet StovefInsert
Minimum! Adjustment Mechanical
-Mechanical Issuance Fee-
+ 7% State Surcharge
+ 10% Administrative Fee
Paid By
FRANCISCO FARIAS
Received By
jmp
Page I of 1
Item Total:
Check Number Authorization
Batch Number Number How Received
1685 In Person
Payment Total:
10:21:24AM
Amount Due
30,00
15,00
10.00
3.15
4.50
$62.65
Amount Paid
$62,65
$62.65