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Home My WebLink AboutPermit Building 2010-10-25 . . .: ' www.ci.springfield.OLUS PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: .811-SPR2010-00570 IVR Number: 811158533075 155 ued 10/25/2010 ISSUED: APPLIED: 10/25/2010 10/25/2010 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield,or,us EXPIRES: VALUE: 04/23/2011 $0.00 SITE ADDRESS: 660 KELLY BLVD, Springfield, OR 97477-3828 ASSESOR'S PARCEL NO: 1703341400606 SCOPE: Wood Stove f Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood insert Phone Number: OWNER: ADDRESS: FLOWERDAY MARY L 660 KELLY BLVD SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor CONTRACTOR INFORMATION , Contractor Name EMERALD SWIMMING POOLS OF OR INC Lic Type CCB Lie No 11294 Lie Exp 10/23/2011 Phone 541-688-1090 # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: o BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition:, Site Information ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). 1Qf25f201 9:40:54AM ~ NOTICE: ~~~~'~RK THIS PERMIT SHAll ETXHPI~~~~MlT IS NOT AUTHORIZED UNDER . . COMMENCED OR IS ABANDONED FOR; " ANY 180 DAY PERIOD. Page 1 of 3 . , SP~IH" G, F IEL~ .~-' ';?i!,\.~ . .0"":\ OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00570 IVR Number: 811158533075 225 Fifth St Springfield,OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/25/2010 ISSUED: APPLIED: 10/25/2010 10/25/2010 EXPIRES: VALUE: 04/23/2011 $0.00 SITE ADDRESS: 660 KELLY BLVD, Springfield, OR 97477-3828 ASSESOR'S PARCEL NO: 1703341400606 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION:. Install wood insert Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: f Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $79.00 $9.48 $3.95 $92.43 Date Pa id 10/25/2010 10/25/2010 10/25/2010 Receipt # 374686 ~-_._-- 374686 374686 Springfield Building Permit 10/25/201 9:40:54AM Page 2 of 3 ~.: . CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00570 IVR Number: 811158533075 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 10/25/2010 1 0/25/2010 10/25/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield,or,us EXPIRES: VALUE: 04/23/2011 $0.00 SITE ADDRESS: 660 KELLY BLVD, Springfield, OR 97477-3828 ASSESOR'S PARCEL NO: 1703341400606 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood insert Plan Review ~ DeDartment Permit Issuance Received Due Date Completed Result 10/25/2010 10/25/2010 10/25/2010 Issued Reviewer David Bowlsby Structural Review 10/25/2010 10/25/2010 10/25/2010 Comments: Over the counter permit Not Required David Bowlsby ::i' Public Works Review 10/25/2010 10/25/2010 10/25/2010 Not Required David Bowlsby Comments: Over the counter permit !Initial Review: :'~~~"#'+4 .~{i::~~~~1.c5(:Z5l:Z01P':' ~1 ~/~~12P1 Q'~,'~:! q/~5/~g19; ~ ;" >' C?veqti~~?u~!~~;\:~:yS:':" 'DaVia::Bowl~by j;'~) :ft:;'t~~~ "::-5' r:~C6~mn;e~tti. 'Ov~(the~co~~e(P\rri1'it-,'/:'" ;;c~~'-,_"-~~.i=f r::'.t;j:"'.: .~]"~~I~~'"i~,~;~~"~~::~ J:,'. ~,_",::",-"{ .::~,;;, '"( 7;'" ~ /' _". ~ .. 1::.""" . ...... .' ........ /"''''1' ....rl"::i',: '''0''''''01-h\?' .-"':.;' .,. _. ...~..,- "~a:->"'~~,,,,++,,: "'~~J~'r-~'" '.::=. '., ~,,'- .":L...~ ..~} ~ ..'",'.':''' ^" I _c < - -~,'. 1 INSPECTIONS REQUIRED I Inspections 2140 Pellet, Gas, Fireplace or Wood Stove 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 or 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 th front of the property, and the approved set of plans will remain on the site at all times during construction. Wood Stove: After Installation. /()~J~ I I Date ,. Springfield Building Permit 10/25f201 9:40:54AM Page 3 of 3 . ., ' s~;~~.~.m:~ .!:~EGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00570 660 KELLY BLVD CITY OF SPRING,IELD 225 Fifth St Springfield,OR 97477 541.726.3753 permitcenler@cLspringfield.or.us RECEIPT NO: 2010000650 RECORD NO: 811-SPR2010-00570 DATE: 10/25/2010 !Q!'SCRIRTION='"' .,,";:.'i',,~.;~}, "", c- ",..:;"~?Z;i.;mr";A'c;:C=QO~J,j::_QPE"" - c",~ji"7'~MoJt~j'JiJf~Y c C' <1 First Appliance Fee n-:i?~?00-~25604 $79.00 State of Oregon Surcharge (12%_ of applicable fees) 821-00000-215004 $9.48 Technology fee (5% of permit total) 100-00000-425605 $3.95 TOTAL DUE: $92.43 ba.i.RA'LII.'I!'J:l.IsT:Y1LEV' i";p~x.Oj:t T;( C-ASHIE"'~tiBY_~c.bMME:NJ:S~;'j~":y'i;++-.;r;''- ,'J .;AMO_lI!'l_tPAID :~_" ,il Check 2610 FLOWERDAY MARY L $92,43 $92,43