HomeMy WebLinkAboutPermit Building 2003-9-10
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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
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. 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.
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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-"".~.~---~.'._--- .-. - . -
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-_......,,'~.-
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
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Item Total:
How Received
In Person
PaymeDt Total:
Amount Paid
$62.65
$62.65
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