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Home My WebLink AboutPermit Building 2003-9-10 '. . . CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO: COM2003-00877 ISSUED: 09/10/2003 APPLIED: 09/10/2003 EXPIRES: 03/10/2004 VALUE: 225 Fifth Street, SpriDgfield, OR 541-726-3753 Ph ODe 541-726-3676 Fax 541-726-3769 InspectioD LiDe SITE ADDRESS: 1612 RAMBLING DR ASSESSOR'S PARCEL NO.: 1703252209200 SpriDgfield TYPE OF WORK: Single Family Residence TYPE OF USE: New Residential PROJECT DESCRIPTION: Wood stove insert Owner: TENHAEFF STEVEN C & ELAINE B Address: 1612 RAMBLING DR SPRINGFIELD OR 97477 I CUI'. KACTOR INFORMATION I Contractor Type Mechanical Contractor CHRIS B WINSLOW License 52381 Expiration Date 01110/2004 Phone 541-895-3593 BUILDING INFORMATION I # of Buildings: Primary Occupancy Group: Secondary OccDpaDcy Group: Primary CODstructioD Type Secondary CODstructioD Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: EDergy Path: Lot Size: Sq Ft 1st Floor: Sq Ft 2Dd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Impervious Surface Area: SETBACKS , DEVELOPI\-."'I" ",,;'ORMATlON I Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: HaDdicapped: Compact: I PUBLIC IMPROVEMENTS I Street ImprovemeDts: Sidewalk Type: Storm Sewer Available: qUires you 1__ S 'l'I-,Jjll~I' ":,j'Uregon law re pee.,!. n ct 00: ' h 0 on Utility follow rules adopted by t e reg N " , . C nter Those rules are set fOI NOTICE: ot::"~f~C;:~~~_0~1'001 0 through OAR 952-0C THIS PERMIT SHALL EXP~R~ _I~ _~H_E ~~~K o y u may obtain COpl"''' v' ",r "..~~ , :',~' : runlLCU Ul~ucn 1111" r L' II'" I h,l "V f 009 ilin~ the center. (Note: the telElr.ValUation Descrin(j6D.~11ENCED OR IS ABANDONED FOR c':nber for the Oregon Utility Not,,,,,,,,'"v,, ANY laD DAY PERIOD, .n~ ,'_ . ~"'., '>'>O:-.?344) $ Per Sq Ft Square Footage I>cscraphoD CelIYpelofConstruction . It' Ii B'd A t Value Date Calculated or mu Ip er or I moun DOWDSpoutslDraiDs: Total Value of Project Pace 1 of2 . . CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2003-00877 ISSUED: 09/10/2003 APPLIED: 09/10/2003 EXPIRES: 03/1012004 VALUE: . Status Issued 225 Fifth Street, SpriDgfield, OR 541-726-3753 Ph ODe 541-726-3676 Fax 541-726-3769 IDspectioD Line L.F""s Pllid I Fee Description -MechaDical IssuaDce Fee- + 10% Administrative Fee + 7% State Surcharge MiDimumlAdjustmeDt Mechanical Wood Stove AmouDt Paid Date Paid $10.00 $4.50 $3.15 $33.00 $12.00 9/10/03 9/10103 9/1 0/03 9/10/03 9/10/03 Receipt Number 2200200000000001496 2200200000000001496 2200200000000001496 2200200000000001496 2200200000000001496 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. I Reouired Insn"~tion,LI 1 Wood Burning IDsert: After instaUation. By signature, I state aDd agree, that I have carefuUy examiDed the completed applicatioD and do hereby certify that aU iDformatlon hereOD is true aDd correct, and I further certify that aDY aDd aU work performed shaU be dODe iD accordaDce with the OrdinaDces of the City of SpriDgfield aDd the Laws of the State of OregoD pertaiDiDg to the work described herein, aDd that NO OCCUPANCY will be made ofaDY strDctDre without permission of the CommuDity Services DivlsioD, BuildlDg Safety. 1 further certify that oDly cODtractors and employees who are iD compliance with ORS 701.005 will be used on this project. 1 further agree to ensure tbat aU required iDspectioDs are requested at the proper time, that each address Is readable from the street, that the permit card is located at the froDt of tbe property, aDd the approved set of plaDs will remaiD 00 the site at aU times during construction. ~~~----~ ~' 9/fO!a '3 Date Owner or Contractors SigDature Pace 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003-00877 C0M2003-00877 COM2003-00877 COM2003.00877 COM2003-00877 PaymeDts: Type of Payment Check - T~nfli. Wir-"".~.~---~.'._--- .-. - . - . . -'"A!.: i. ...~. , ",,,. . -_......,,'~.- Receipt #: 2200200000000001496 Description Wood Stove MiDimum/ AdjustmeDt Mechanical -Mechanical Issuance Fee- + 7% Slate Surcharge + 10% AdmiDistrative Fee Received By dIm Check Number Batch Number Authorization Number Paid By YE OLD TOWN SWEEP 15280 City of Springfield Official Receipt Development Services Department Public Works Department Date: 09/10/2003 9:14:JOAM Amount Paid 12,00 33_00 10,00 3,15 4.50 $62.65 . 1 I Item Total: How Received In Person PaymeDt Total: Amount Paid $62.65 $62.65 . .