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Home My WebLink AboutPermit Mechanical 2003-9-26 . . CITY OF ~n-ur~lJt<l~LD Building/Combination Permit PERMIT NO: COM2003-00975 ISSUED: 09/26/2003 APPLIED: 09/26/2003 EXPIRES: 03/26/2004 VALUE: $ 2,500.00 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726,3769 Inspection Line SITE ADDRESS: 3946 RICHLAND ST ASSESSOR'S PARCEL NO,: 1802064106700 Springfield TYPE OF WORK: Pellet Stove TYPE OF USE: New Residential PROJECT DESCRIPTION: Install pellet stove Owner: RHOADES WILLIAM D & JOANETTE Address: 3946 RICH LAND ST SPRINGFIELD OR 97478 I CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor License EMERALD SWIMMING POOLS OF ORE IN 11294 I BUILDING INFORMATION' Expiration Date 10/22/2003 Phone 541-688-1090 VN # of Stories: OU \0 Lot Size: Height of Structure o.U\tas':l \}\\\i\':I Sq Ft 1 st Floor: Type of Heat:,a:'II ta ote~Ot' 0\110(\ Sq Ft 2nd Floor: Wat!\5~P '0':1 \"a as et0 s 5'l..J::JO' Sq Ft Basement: ~,f{lI~i~ OSe {U\ Op.E' 9 u\'0'O 'sq Ft Garage/Carport I'-i\~ u~i'gy~~}" r.tou9" 0\ \"e t o"eSq Ft Other: \0\\0'11 t. Ot' Ca .J:j0\0 ~ 09\e$ \0\09'r:< a:\idfupervious Surface Area: ,. ~,,\\ ,,0'\ I .$\ C , \ne .,'\C NfD&.wiuP.MENT,INilef&~'mf)i{i$, · - " "'J! lit '... gO, . 0 \"avo ote !!>'3 '- 00 "\\~!?-i"t \\,0 . ..eoo c... ie'l "'] ~~\S \ t'u~ tr(etl1frees Rqd: Paved Drive Rqd: REQUIRED PARKING # of Buildings: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R-3 SETBACKS " Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: % of Lot Coverage: -, --- , t.l\r \:-T- ,\: \\-\\~ ~~~~ I PUBLICi-\lMPiiQY,J!:~\\-\\S ~cRWI \ QR \~~~OR\lcQ \l~~\S t-.Bp,'lI~itP-lype: CQt-M,^c~Ck~ ~cR\QQ. DownspoutslDrains: t-.~'1 ~8Q Qfl' Notes: I Valuation Descriotion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Page 1 of2 . . Ll1 i' OF ~rK11~'-d'1~L1J Status Issued Building/Combination Permit PERMIT NO: COM2003-00975 ISSUED: 09/26/2003 APPLIED: 09/2612003 EXPIRES: 03/26/2004 VALUE: $ 2,500.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line I ,Fp.p.~ P,llirll Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 7% State Surcharge Minimum/Adjustment Mechanical Pellet Stove/Iusert Amount Paid Date Paid Receipt Number $10.00 $4.50 $3,15 $15.00 $30,00 9/26/03 9/26/03 9/26/03 9/26/03 9/26/03 1200200000000002217 1200200000000002217 1200200000000002217 1200200000000002217 1200200000000002217 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 R~?"irp.1 In~l]p.ctions I 1 Freestanding Pellet Stove: 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, aud that NO OCCUPANCY will he 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, ;:'/~ ~<<.-Rb/ ~ne<f: Contract!rl'S Si~ q 1:2(; Ja1 I I Date Pal!e 2 of2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2003,00975 COM2003,00975 COM2003-00975 COM2003-00975 COM2003-00975 Payments: Type of Payment CreditCard -- ~' .-.' Receipt #: 1200200000000002217 ," Description + 7% State Surcharge + 10% Administrative Fee Pellet Stove/Insert Minimum! Adjustment Mechanical -Mechanical Issuance Fee- Received By djb t:beck Number Batcb Number Authorization Number Paid By TREVOR HUSSEY 000180 740294 City of Springfield Official Receipt Development Services Department' Public Works Department Date: 09/26/2003 lO:23:24AM Amount Paid Item Total: 3,15 4,50 30,00 15,00 10,00 $62,65 How Received In Person Payment Total: Amount Paid $62.65 $62,65 . .