HomeMy WebLinkAboutPermit Mechanical 2003-7-29
.
. CITY OF SPRIrliul'u,LD
Building/Combination Permit
PERMIT NO: COM2003-00679
ISSUED: 07/29/2003
APPLIED: 07/29/2003
EXPIRES: 01/29/2004
VALUE: $ 2,700.00
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1452 PLEASANT ST
ASSESSOR'S PARCEL NO.: 1703253206700
Springfield TYPE OF WORK: Mechanical Only
TYPE OF USE:
Addition
Residential
PROJECT DESCRIPTION: Fireplace Insert
Owner: PERKINS JAMES M & SUSAN D
Address: 1452 PLEASANT ST SPRINGFIELD OR 97477
I CONTRACTOR INFORMATION I
Contractor Type
Mechanical
SETBACKS
Contractor License
CHRIS B WINSLOW 5238!
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I BUILDING INFORMATIONl\\I.'\
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# of Stories'oll ~0~~0Q.0 0 'l>0~O '\. Lot Size:
Height~'Stq...:t'li~40'" 'l>~~ 9>~ ~0'O Sq Ft 1st Floor:
~Yl',o;l\lf !J~\~ 0 (,) '&< O~ ,&<0 ~~ 0~0 Sq Ft 2nd Floor:
VN \0\~\S\l\Tyi.>~:>'li ~0~Cf, ~ 0.... 'I'! ~0~~ 0-~0~ Sq Ft Basement:
"'~ '\ ~0<!{~n~~\p"~~ 0~\0. ~0 \.~o\~\C Sq Ft GaragelCarport
rj.' ,jl ~~ &Dfr~.U>8t~$' C 0\.0' 1\\~ ~",. Sq Ft Other:
\0\\0, c0-\.\O G.",;:J.S _, OY:J" ~.~ ~ '\j'S n.'2-'O Impervious Surface Area:
__'.\\: n.~ _1,:\.-, ....\0 ",,0 ^t2.;f,.o
\':\OEV~;(\OP.MENTs,JN"RoRMATION I
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C"" ':O0~ r>S'''
~~~erlfy uist:
# Street Trees Rqd:
Paved Drive Rqd:
Expiration Date
01/10/2004
Phone
541-895-3593
# of Buildings:
Primary Occupancy Group:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
R-3
REQUIRED PARKING
Front yard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Total:
Handicapped:
Compact:
% of Lot Coverage:
Street Improvements:
Storm Sewer Available:
Special Instruction:
~C\~\
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I PUBLIC IMPROVEMENTS ,,~'<. ~ ~'\ \~~
~"" '<.~~S '(~ct~~~ Type:
~~. ~ S~'<;\C\'<.~ ~~~~ownspoutsmrains:
~'\" ~~~ <;;.C\ ~ R- ~ ~.
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I Valuatio~\D~scriDtion ,
Notes:
Description
Type of Construction
$ Per Sq Ft
or multiplier
Square Footage
or Bid Amount
Value
Date Calculated
Total Value of Project
Pa!!e I of2
.
. CITY OF SrKll'lu1<lI!.LIJ
Building/Combination Permit
PERMIT NO: COM2003-00679
ISSUED: 07/29/2003
APPLIED: 07/29/2003
EXPIRES: 01129/2004
VALUE: $ 2,700.00
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
I Fl'l's Pair! I
Fee Description
-Mechanical Issuance Fe....
+ 10% Administrative Fee
+ 7% State Surcharge
MinimumlAdjustment Mechanical
Pellet StovelInsert
Amount Paid
Date Paid
Receipt Number
$10.00
$4.50
$3.15
$15.00
$30.00
7/29/03
7/29/03
7/29/03
7/29/03
7/29/03
2200200000000QOl317
2200200000000001317
2200200000000001317
2200200000000001317
2200200000000001317
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 Reouirer!lnsnections I
I Wood Burning 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 ofthe property, and the approved set of plans will remain on the site at all
times during construction.
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-
Owner or Contractors Signature
Date
Paee 2 of2
225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
Job/Journal Number
COM2003-00679
COM2003-00679
C0M2003-00679
COM2003-00679
COM2003-00679
Payments:
Type of Payment
Check
---.o..~,. .._..... .. ".
~..,
, ,
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-....... -
Receipt #: 2200200000000001317
Description
+ 7% State Surcharge
+ 10% Administrative Fee
Pellet StovefInsert
Minimum/Adjustment Mechanical
-Mechanical Issuance Fee-
Paid By
YE OLD TOWN SWEEP
Received By
djb
Check Number
Batch Number Authorization Number
City of Springfield Official Receipt
Development Services Department.
Public Works Department
Date: 07/29/2003 lO:lS:S3AM .
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
.
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