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HomeMy WebLinkAboutPermit Mechanical 2005-11-28 . . 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 u :, ~. :( Ii n 't. .! I. \ 11128/2005 . ..PA~_'''N~Q_.P1no....... "__.... Wir . 1 ; i ----- .' 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