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HomeMy WebLinkAboutPermit Mechanical 2003-02-14Gity of Springfield Mechanical Permit Status: Issued 225 Fifth Sheet Springfield, Oregon 97 477 541-726-37 59 Phone 541-726-3676Fax 541-7 26-37 69 Inspection Line PERMIT NO.: ISSUED: APPLIED: EXPIRES: MEC2003-00010 2n4t2003 2n412003 8t14t2003 SITE ADDRESS: ASSESSOR'S PARCELNO.: 440 35TH ST 1702312412200 Springfield TYPE OF WORK: TYPEOF USE: sU to New Residential PROJECT DESCRIPTION: Install Free Standing Pellet Stove .j OWI\ER/APPLICAITIT: ALLEN DONALD C 440 35TH ST SPRINGFIELD OR 97478 CARTERMARIE 440 35TH ST SPRINGFIELD OR 97478 o irrtes st tne \lrc 54r-744-9319 \ne \he Amount Paid 4.s0 3.15 10.00 15.00 30.00 n Receint Number 220020000000000048 I 220020000000000048 r 220020000000000048 I 220020000000000048 I 220020000000000048 1 Descriotion + l0% Administrative Fee + 7Yo State Surcharge -Issuance Fee- Minimum/Adiustments - Mech Pellet Stove/Insert 02n412003 0211412003 02114t2003 02tr4t2003 0211412003 To Request an inspection call the 24 hour recording at7264769. All inspe ctions the same working day, inspections requested after 7:00 be Required Inspections: 1 Freestanding Pellet By Signafure,I state and 1 Stove: After installation a.m. will be made agree, that I have carefully application and do hereby certify that all information hereon is true and conect, 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. I further certify that only contractors and employees who are in compliance with ORS 701.055 will be used on this project. I fu1her agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, and that the approved set ofplans, if applicable, will remain on the site at all times during construction. Date lofl 3FBU{A'IILD lEN \s 1s0 (D"#zn/A- Owner or Contractors Signature 2/14t2003 3:19:24PM City of Springlield Development Serrices Department Public Works Department Oflicial Receipt 225 Fifth Street Springfield, Oregon 97 477 541-726-3759 Phone Receipt #z 220020000000000048 1 Date: 0211412003 Line ltems: Job/Journal Number Description Amount Paid MEC2003-00010 MEC2003-00010 MEC2003-00010 MEC2003-00010 MEC2003-00010 Pellet Stove/Insert Minimum/Adjustments - Mech -Issuance Fee- + lYo State Surcharge + l0o/o Administrative Fee Payments 30.00 15.00 10.00 3. l5 4.50 Line Item Total:$62.6s Tlpe of Payment Paid By Received By Check Number Confirm No How Received Amount Paid Check C MARIE CARTER djb In Person 62.65 Total:$62.6s Page I of I cReceipt.rpt .tlr*lf*crir-*Lt| 225 FIFIT{ STREET . SPRINGFIELD, OR 97477 o PI{:(541)726-3753 o fAX: (541)726-3689 Citv.loU Number tl{t<Zoot -oe/o Job Assessors t7oz7 Iz1 'ax Lot / zzo<) Owner Address Z City {^o/tvD Q,./J State OK zip/' 6 Or4Value of Wood (please circle applopriate appliance) Prelim ina ry In specti on i s $-15. 00,(pri dr to= inseft ) Wood Stove/Pellet/I nse rt Pe rnt(t1s $62. 65 (iucludes & Admin Fee.) Yal\. Address Ci Construction Contractors Regi stration !s \l'str By signing this permiVapplication, I agree information on this application /permit is information for wood burning appliances and of Environmental Quality or the Federal approval number to the inspector at the time 69). I state that all Stove Safety standards as set by the Oregon Department Agency and I agree to provide the testing I also understand that ifI am requesting a Date OZrTof preliminary inspection, the wall covering may be required to be removed . ( S For Office Use Date of Application oztvo3 Checked for Delinquencies L/ Checked for Historical Qf efrrc Shrcd Drive(T:),rBuilding FomsA[ood Stove Pemitl-03.doc CITY OF SPRINGFIELD. OREGON Phone 714 ' ? 3/ ? 7: i ,-r '"'est?Y''Ilt'{ 9e\ Con#actor Ixforruation {ne t\9 ^o\.ec 7in- City of Springfield 225 Fifth Street Springfield, Ox-97477 541-726-3759 Phone 541-726-3676 Fax July 18, 2003 ALLEN DONALD C 440 35TH ST SPRINGFIELD Job Number: Location: oR 97478 MEC2003-00010 440 35TH ST Project:Install Free Standing Pellet Stove Dear PermitHolder: The Springfield Building Safety Code Administrative Code provides that in order for a permit to remain valid, the work wtrictr has been authorized by the permitmustbegin wthin 180 days of the date of isuance, and an inspection must be requested at least every 180 days. According to our rccords, you obtained a permit for a projeet at 440 35TH ST which is set to expire on 811412003. Our records indicate that you have not requested an inspection within ttre past five (5) months. This letter is written to notify you that your permit$) wiil be expiring shortly. If you are ready to request an inspection for your project, please phone the inspection line at 541-726-37 69. If you do not request an inspection prior to the expiration date, your psrmit($ will expire and additional permit fees will be required in ordsr to complete your project. If you have any questions, please feel free to phone me at 541 -726-3790. Sincaely, Lisa Hopper Building Safety Supervisor