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Home My WebLink AboutPermit Mechanical 2004-5-25 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: COM2004-006I5 ISSUED: OS/25/2004 APPLIED: OS/25/2004 EXPIRES: 11/25/2004 VALUE: SITE ADDRESS: 959 PRESCOTI' LN ASSESSOR'S PARCEL NO.: 1703341106616 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Pellet stove Owner: HAMNER GEORGE C III Address: 959 PRESCOTI' LN SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor MIDGLEY'S # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: I CONTRACTOR INFORMATION I License 019364 BUILDING INFORMATION I Expiration Date 11/13/2004 Phone 343-1131 # of Stories: Height of Structure Type of Heat: VN Water Type: f itlc 'l'JO?\C.. ~01\Ct.. i ~A~t t~~~?t<\li IS ~Oi itllS ?t?t<\lns~~ltj:~,,,,,l.UCO fOR nla ., \'n\O?lltu. ~o Ie, p.oW,\!l"6'l;' ,,- -."' "'J ~. - CO~\lf\DEv'E"'OPMENf INFORMATION I p..\'I'{ IUU - REQUIRED PARKING Overlay Dist: Total: # Street Trees Rqd: Handicapped: Paved Drive Rqd: Compact: % of Lot CovJJ.'1~NTION: Oregon law requli'CO yeti to follow rules adopted by the Oregon UtlliiV F_ ~.'\~enu~r. 11IU~ IU.O" "Ig' G'O' ;",.Ju I PUBLIC IMPROYEMENt.....001.001 0 through OAR 952.(101o 0090. You may clIitk'llllllklJ1~ the rulsa blf calling the celj)llw.mgm;~~tftl,phon:il number for the OregOn Utili"ty 1\lbttficat1Oll1 Center is 1-800-332.2344). R-3 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Description Type of Construction. Total Value of Project Pa!!e 1 of2 . . CITY OF SPRIN\JNJ<..LD Building/Combination Permit PERMIT NO: COM2004-00615 ISSUED: 0512512004 APPLIED: 05125/2004 EXPIRES: 11/25/2004 VALUE: Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726.3676 Fax 541-726-37691nspection Line I F~~s Pairl I Fee Description -Mechanical Issnance Fe.... + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Pellet StovelInsert Amount Paid Date Paid Receipt Number $10.00 $4.50 $3.15 $15.00 $30,00 5/25/04 5/25/04 5/25/04 5/25/04 5/25/04 1200400000000000798 1200400000000000798 1200400000000000798 1200400000000000798 1200400000000000798 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. R~ouir~rI Jnsn~~tion'lJ 1 Freestandiug Pellet 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 ofany 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. J~ll; 1- :5k~c/ d'w;er or Contrfct;;rs Signature Date Pa!!e 2 of2 225 Fifth.Street Springfield, Oregon 97477 541-726-3759 Phone . .~,--~ ---_._"' '.' ~i Ia-. J /iiiD of Springfield Official Receipt _elopment Services Department Public Works Department RECEIPT #: 1200400000000000798 Date: OS/25/2004 IO:20:25AM Job/Journal Number COM2004-00615 COM2004.00615 COM2004-00615 COM2004-00615 COM2004-00615 Description + 7% State Surcharge + 10% Administrative Fee Pellet Stovennsert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Payments: Type of Payment Paid By Item Total: Check Number Authorization Received By Batch Number Number How Received Amount Due 3,15 4,50 30,00 15.00 10,00 $62,65 Amount Paid Check MIDGLEYS djb 8063 In Person Payment Total: $62.65 $62.65 5/25/2004 Page 1 of 1