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 '