The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2009-5-22 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00718 ISSUED: 05/22/2009 APPLIED: 05/2212009 EXPIRES: 1112212009 VALUE: Status ' Issued 225 Fifth Street, Sprillgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 961 MCKENZIE CREST DR ASSESSOR'S PARCEL NO.: 1703234406800 Springfield TYPE OF WORK: Mechanical Only PROJECT DESCRIPTION: Install Rinnai water heater TYPE OF USE: New Residential Overlay Dist: .. # Street Trees Rqd:v... Paved Drive Rqd: w- "(\1t \)\I()?; "Oi\Cttlf Lot €~'f;.'t~~y,,?\?~t?l-J\\"( \S ~O"( 1U\C, ?~~~i~. \~l\\nt.:- ~~~~.~nNH) fO? I m\llme'I~~'''~ME S . .. I I. I P""'I)",u . \JVI'''''- p..'1r\:.I'\" p.,1'\'I'\ \)0 D Owner: ,LEWIS WHITE Address: 961 MCKENZIE CREST DR SPRINGFIELD OR 97477 I I CONTRACTOR INFORMATION ,. Contractor , s Iou to License AMBASSADOR.fl~I~,G,)'NG:'" re~I:~nA Utilit'l21469 :fTt.N \ 1'-'''. -,~ ......'! 'I'.... ---'t.HHH'. A rules a<IOBUtLD'INGIINFORMA J:~. N I 101\OW" ",.., , "h "l'i\, Notilication Ce;"001 0 thr.DUg, v{tii rules b'1, # of Units: , OAR 952-00 ,- t ~ ?t~\9..re" '" e hone Primary Occupancy Group: In090R~~uma'1 ob f4!.1eig!lt[Of<Sff~c~u~le,ation 0' enter:' \' '''\ , !\IOlH " Secondary Occupancy Group: ailing the c O~*Pj\-p't)l'fl'iH. 44\ Primary Constructioll Type ~unYdtr lor the is 'ra!e.r-3'~€:3' , Secolldary Construction Type: center Range Type: # of Bedrooms: Energy Path: Sprinkled Bllilding: Contractor Type Mechanical n/a I DEVELOPMENT INFORMATION I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Pholle Number: 541-746-7185 Expiration Date 03/27/2011 Phone 541-726-5723 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: REQUIRED PARKING Total: Halldicapped: Compact: Sidewalk Type: Street Improvements: Sto'rm Sewer Available: Specialll1stru~tion: Downspo;uts/Drains: Notes: I Valuation DescrilJtion I Description Type.of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amoullt Paee 1 of 2 Value Date Calculated Status Issued 225 Fifth Street, Sprillgfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project F~e~ Paid I Fee Description , + 12% State Surcharge + 5% Technology Fee 1st Appliance Fixture Millimum/Adjustment Plumbing Amount Paid Date Paid $16.44 . $6.85 $79.00 $19.00 $39.00 5/22/09 5122/09 5/22/09 5/22/09 5/22/09 Total Amount Paid $160.29 I Plan Reviews I CITY OF SPRINGFIELD' Building/Combination Permit PERMITNO: COM2009-00718 ISSUED: ' 05/2212009 APPLIED: 05/2212009 EXPIRES: 11122/2009 VALUE: Receipt Number 1200900000000000519 1200900000000000519 1200900000000000519 1200900000000000519 1200900000000000519 To Request an inspection call the 24 hour recording at 726-3769. All inspections 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 ,~evuired Insne~.tio~~ I Rough Plumhing: Prior to cover and illcluding required testing. j Filial Plumbing: Wben all plumbing work is complete. Rough Mechallieal: Prior to Cover Final Mechanical: When all mechanical work .is complete. By signature, I state and agree, that 1 have carefully examilled the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any a.nd all work performed shall be done in accordance with the Ordinances of the City of Sprillglield and the Laws of the State of Oregoll pertaining to the work described hereill, alld that NO OCCUPANCY will be made ofany structure without permissioll of the Community Services Division, Building Safety. I further certify that ollly contractors and employees who are in compliance with ORS 701;005 will be used on this projeci. I further agree to ensure that all reqllired 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 "..'"rl#i~-)C0~. ) Owner or Contractors Signature Date Paee 2 of2 12S Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-007l8 COM2009-0071S COM2009-007l8 COM2009-0071S COM2009-0071S Payments: Type of Payment CreditCard cRcccintl RECEIPT #: ir~' City of Springfield Official Receipt Development Services Department. Public Works Department 1200900000000000519 Date: 05/22/2009 Dc.~scription Fixture Minimum/Adjustment Plumbing 1st Appliance -I- 5% Technology Fce + 12% State Surcharge Paid By MATTHEW CLEMENT Item Total: Check Number Authorizlltion Received By Batch Number Number How Received djb 03533b In Person Payment Total: Pa,ge I of] 8:34:05AM Amount Due ,19,00 39,00 79,00 6,S5 16.44 $160.29 Amount Pllid $160,29 $160,29 5/22/2009