HomeMy WebLinkAboutPermit Mechanical 2008-6-10
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Status
Issued
CITY OF SPRINlYl'1ELD
Building/Combination Permit
PERMIT NO: cOM2008-00834
ISSUED 06/10/2008
APPLIED 06/1012008
EXPIRES: 12/]012008
VALUE:
225 Filth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
SITE ADDRESS 2780 33RD ST
ASSESSOR'S PARCEL NO 1702193100308
Sprmgfield TYPE OF WORK Smgle FamIly ReSIdence
TYPE OF USE New
ReSIdentIal
PROJECT DESCRIPTION Gas plpmg and tankless water heater
Owner JEFFREY MICHNA
Address 2780 33RD ST
SPRINGFIELD OR 97477
Phone Number 541-736-0879
I CONTRACTOR INFORMATION I
Contractor Type
Mechamcal
Contractor
AMBASSADOR PIPING INC
License
121469
ExpiratIOn Date
03/27/2009
Phone
541-726-5723
BUILDING INFORMATION I
VB
# of Stories
HeIght of Structure
Type of Heat
Water Type
Range Type
Energy Path
Sprinkled BUlldmg
Lot Size
Sq Ft 1st Floor
Sq Ft 2nd Floor
Sq Ft Basement
Sq Ft Garage/Carport
Sq Ft Other
Occupant Load
# of Umts
PrImary Occupancy Group
Secondary Occupancy Group
PrImary ConstructIOn Type
Secondary ConstructIOn Type
# of Bedrooms
R-3
nla
I DEVELOPMENT INFORMATION I
On la'll re~u\re~~ -UtM.V
Frontyard Setback :TTEtmON: ore~ed '0'/ tne O~Prely(rtlll~\t\
Side I Setback 1("0'11 ruleS adOPr ,.nose ruleFJn~~'Rqd
Side 2 Setback :ot\flcat\On ce~go~otnIO\lgn ~l'tIW ~\Wqd
Rearyard Setback \fI Op..l'\ 952..00 O'ote.ln COP\esJ1 tl!\~~erage
Solar Setbacks O()90. '{ou may nter. (Note' ~ \'/ NotifICation
""I:'.1g}re ~e ':',:"i~n ~~~~'"c.:. ',\
IIl1mb!1 ,01 'Ell \$ ~-afJPU1i'tIt IMpROVEMENTS I
C~, .
REQUIRED PARKING
Total
Handicapped
Compact
Street Improvements
Storm Sewer AvaI1ahle
SpecIal InstructIOn
Sidewalk Type
DownspoutslDralUs
Descnptlon
Type of ConstructIon
\f i\\'t. 'NO\\\<.
M01\Ct:.~_ ... c:\.\f>..\..\.. t'^~~'t. t:p.t.J\\1 \S_~OI
,IS y\:("\'!?" \l~i)t.1' \ II~" I' ~'t.O rUI\
I ValuatIOn DescrintionltlI-10\\\7.'t.1) 0\\ \S r.-Br.-~OO
Mt.J\t.~Ct.O \00.
S Per Sq Ft Square ~~)iI\'eO Or.-'i Pt.~alue
or multIplIer or BId AMlIun\
Date Calculated
Notes
Page I of 3
-ii(~
Status
Issued
225 Fifth Street, SprIngfield, OR
541-726-3753 Phone
54 I -726-3676 Fax
541-726-3769 InspectIOn Lme
Fee DescriptIOn
-Mechamcal Issuance Fee-
+ 10% AdmmlStrahve Fee
+ 12% State Surcharge
+ 5% Technology Fee
ApplIance Vent
FIXture
Gas Outlets 1-4
Mlmmum/AdJustment Mechamcal
Mlmmum/AdJustment Plumbmg
Total Amount PaId
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00834
ISSUED, 06/]0/2008
APPLIED 06/]0/2008
EXPIRES' 121] 0/2008
VALUE
Total Value of ProJect
Fpp<, P~uLI
Amount Paid
Date Paid
Receipt Number
$20 00
$1000
$12 00
$500
$700
$1600
$500
$38 00
$34 00
6/10/08
6/10/08
6/10/08
6/10/08
61l 0/08
6/10/08
6/10/08
6/10108
6/10/08
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
1200800000000000629
$14700
I Plan Reviews I
To Request an mspectJon call the 24 hour recordmg at 726-3769, Allmspections requested before 7:00
a m, Will be made the same workmg day, mspections requested after 7,00 a.m, will be made the followmg
work day,
~rPJl Tn<,'lPd~
Rough Plumbmg PrIor to cover and mcludmg reqUIred testmg
Fmal Plumbmg When all plumbmg work IS complete
Rough Mechamcal Prior to Cover
Rough Gas After lIne IS mstalled and reqUIred testmg and capped If not attached to an applIance
Fmal Mechamcal When all mechamcal work .s complete
Paee 2 of 3
-Iir ...d.
CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: cOM2008-00834
ISSUED: 06/10/2008
APPLIED: 06/10/2008
EXPIRES' 12/]012008
VALUE
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 InspectIOn Lme
By SIgnature, I state and agree, that I have carefully exammed the completed applIcatIOn and do hereby cerlIfy that all
mformatlOn hereon IS true and correct, and I further cerlIfy that any and all work performed shall be done m accordance with
the Ordmances of the City of Springfield and the Laws of the State of Oregon pertammg to the work deSCribed herem, and
that NO OCCUPANCY wIll be made of any structure wIthout permISsIOn of the Commumty ServIces DIVISIOn, BUlldmg Safety
I further cerhfy that only contractors and employees who are m complIance With ORS 701 005 WIll be used on thIS proJect
I further agree to ensure that all requIred mspectlOns are requested at the proper lIme, 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 remam on the SIte at all
IImeSdn?~dh~~ 67() ~ r
Owner or Contractors Signature
Date
Paee 3 of 3
225 F,fth Street
Spnngfield, Oregon 97477
541-726~3759 Phone
c,ty of Sprmgfield OffiCIal Rece'pt
Development ServIces Department
PublIc Works Department
Job/Journal Number
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
COM2008-00834
Payments
Type of Payment
CredltCard
cRecelOtl
RECEIPT #,
1200800000000000629
Date 06/10/2008
DeSCriptIOn
Fixture
Mmuuuml Adjustment Plumbmg
Appliance Vent
Gas Outlets 1-4
Mmlmum/AdJustrnent Mechamcal
-Mechamcallssuance Fee-
+ 5% Technology Fee
+ 12% State Surcharge
+ 10% AdmInistrative Fee
Paid By
MA TTTHEW CLEMENT
Item Total
Check Number AuthOrizatIOn
Received By Batch Number Number How Received
dJb
025918 In Person
Payment Total
Page I of I
2 27 56PM
Amount Due
1600
3400
700
500
3800
2000
500
1200
10 00
$14700
Amount Paid
$14700
$14700
6/1 0/2008