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HomeMy WebLinkAboutPermit Mechanical 2005-1-13 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2005-00045 ISSUED: 01113/2005 APPLIED: 01113/2005 EXPIRES: 07/13/2005 VALUE: 225 Fiftb Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2212 BEVERLY ST ASSESSOR'S PARCEL NO.: 1703272207505 Springfield TYPE OF WORK: Wood Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Wood insert Owner: DANIEL WALKER Address: 2212 BEVERLY ST SPRINGFIELD OR 97477 Phone Number: 541-747-5869 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 0111012006 Phone 541-895-3593 BUILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: VN # of Stories: Lot Size: Height of Structure Sq Ft 1st Floor: Type of Heat: equires 'IOU to Sq Ft 2nd Floor: ~t5f\!rf}1egon \aW ~ Oregon Uti\it'l Sq Ft Basement: AllE\l~~ lrlD~ed b'l th \es are set to~ Ft Garage/Carport to\~~WEne~~l~ IhOSe ru h O,t>..R 952-00~'lJ Ft Other: N,. ot\t\c'S\\95w~~~0t6i..'n~ro~g t t'R~ru\es \11ccupant Load: '_ r\6R'g.::! " "nnleSO I ~wL~ir1i:if.~~:fhiN9fi~~;t\~n call1l'~ .' .- h Oregon U\I"~ number tor t .e. 1-500-332-234410 , 'UVe~5flS # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING R-3 Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: H01\CE: II S\-\All EXP\R~~~\.~rAj~ins: 1\-\\S PERM UNDER 1HIS PERM\1 IS NO AU1\-\OR\2ED OR IS ABANDONED FOR COMMENCED .^.Nv i p,n nAY PERIOD. I Valuation Description I Notes: Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Pal!e 1 of 2 '. Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2005-00045 ISSUED: 01/13/2005 APPLIED: 01/13/2005 EXPIRES: 07/13/2005 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone -541-726-3676 Fax 541-726-3769 Inspection Line I' Fees Paid. Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/ Adj ustment Mechanical Wood StovelInsert Amount Paid Date Paid $10.00 $4.50 $3.15 ' $15.00 $30.00 1/13/05 1/13/05 1/13/05 1/13/05 1/13/05 Receipt Number 1200500000000000055 1200500000000000055 1200500000000000055 1200500000000000055 1200500000000000055 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. Reouired Insoections . Wood Burning Inse'rt: 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. 1124 . - . /-f)-6.<' OUer'or Contractors Signature Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 5't1-72~-3759 Phone Job/Journal Number COM2005-00045 COM2005-00045 COM2005-00045 COM2005-00045 COM2005-00045 Payments: Type of Payment Check 1/13/2005 RECEIPT #: ~',"".J.':/;;',"~'.,'-.~,"'~ i...".,' Wit," I"~, I, ~ < if I ' ~ ""-",- .., - . :~.C i ~/,.1 "',;;,-er~~'"'7l"t',n:',~"'" ~, ,....~ty of Springfield Official Receipt ,velopment Services Department Public Works Department 1200500000000000055 Description + 7% State Surcharge + 10% Administrative Fee Wood Stove/Insert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Paid By YE OLD TOWN SWEEP Received By djb .. Page I of I Date: '01113/2005 Item Total: Check Number Authorization Batch Number 'Number How Received 16541 In Person Payment Total: 9:45:53AM Amount Due 3.15 4.50 30.00 15.00 10.00 $62.65 Amount Paid $62.65 $62.65 '