HomeMy WebLinkAboutPermit Mechanical 2003-06-16Building/Combination Permit
Status Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676Fax
541-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00495ISSUED: 0611612003
APPLIED: 06/13/2003EXPIRESz 1211612003
VALUE:
SITE ADDRESS: 3333 OSAGE ST
ASSESSOR'SPARCELNO.: 1802062108100
PROJECT DESCRIPTION: Add heat pump and air handler
Springfield TYPE OF WORK: Heating System
TYPE OF USE: New Residential
Owner: MICHELLE SMITH
Address: 3333 OSAGE ST SPRINGFIELD OR 97478
PhoneNumber: 541-747-7241
Contractor Tvpe
Mechanical
Owner
Contractor
PACIFIC AIR COMFORT INC
MICHELLE SMITH
License
39237
Expiration Date
0312s12004
Phone
541-672-9510
541-747-7241
v
# of Buildings:
Primary Occupancy GrouP:
Secondary OccuPancY GrouP:
Primary Construction TYPe
Secondary Construction TYPe:
# of Bedrooms:
SETBACKS
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Energy Path:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd:
oh of Lot Coverage:
Lot Size:
Sq Ft lst Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage/CarPort
Sq Ft Other:
Impervious Surface Area:
R-3
VN
REQUIRED PARJ(NG
Total:
HandicapPed:
Compact:
\\o
to$
Street ImProvements:
Storm Sewer Available:
Special Instruction:
Notes:
Square FootageDescription Tvpe of Construction $ Per Sq Ft
Paee I of2
Value Date Calculated
\
uuN I KAU r UK rl\r UKIYIA!$\I
Building/Combination Permit
Status Issued
225 Fifth Street, Spring{ield, OR
541-726-3753 Phone
541-726-3676Fax
S4l-7 26-37 69 Inspection Line
PERMIT NO: COM2003-00495ISSUED: 0611612003APPLIED: 06/1312003
EXPIRESz 1211612003
VALUE:
Fees Paid
Fee Description
-Mechanical Issuance Fee-
+ lOoh Administrative Fee
+ 7oh State Surcharge
Air Handling Unit Up to 10,000
Heat Pump
Minimum/Adj ustment Mechanical
Total Value of Project
Date PaidAmount Paid
$10.00
$4.s0
$3.15
$8.00
$12.00
$25.00
Receipt Number
2200200000000001070
2200200000000001070
2200200000000001070
2200200000000001070
2200200000000001070
2200200000000001070
6n6t03
6n6t03
6n6t03
6n6t03
6n6t03
6n6103
Total Amount Paid $62.65
To Request an inspection call the24 hour recording at 726-3769. All inspection requested before 7:00 a.m.
will be made the same working day, inspections requested after 7:00 a.m. will be made the following work
day.
I Rough Mechanical: Prior to Cover
2 Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with
the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and
that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety.
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project.
I further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the
street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all
times during construction.
/./6_ cR
leouired Insnections
Signature
Paee2 of2
Date
IET*ll
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 2200200000000001070 Dater 06/16/2003
JolrJourml Numlrer DgcrtDtiotr
COM2003{0493 + 10% Admilistrative Fee 4.50
COM2OO3{&+93 HeatPu$p l2-0n
COM20O3{0493 Minimurn/Adjustrnent Mechanical 33 00
COM20O3-0M93 -Mechrnical Issuance Fe* ,O.OO
COM2003{0494 + 7% State Surcharge 3.15
COM2OO3-00494 + 10% Admidstrative ree 4.50
COM2003-0M94 HeatPump 12 00
COM200340494 AnHa ling Udt Up to 10,000 8.00
COM2O03-00494 Minimum/Adjustnent Mechrnical 25 00
COM200340494 -Mechanical Issuafte Fee-" 10.00
COM2003-00495 + 7% StBt€ Surcharge 3 15
COM2O03-00495 + 10% AdmidsEative Fee 4.50
COM2OO3-00495 HeatPump 12 00
COM2oo340495 Air Ha liry Unilup ro l0,OO0 8.00
COM2O03-00495 Minimun/AdjustneDt Mechanical 25-00
CoM2003-00495 -Mechanicol Issuance Fee* 10 00
Item Total:$187.9s
Payments:
o
CreditCard PACIFIC AIR COMFORT INC djb 000095 016004 In Person
Payment Total:
187.95
-ffi
6lt6/2003 2:35:l2PM Page I of I cRcceipt.rpt
2 2 s F i tt hS rree r, * ",;;?"?j"3 y ;i;)i
54l_726-3759 phone
541_72G3676 Fax
December 02,2OO3
SMMH MIC}IELLE
3333 OSAGE ST
SPRINGFIELD OR
Job Number:
Location:
97478
coM2003-00495
3333 OSAGE ST
Project:Add heat pump and air handler
Dear Permit Holder:
The Springfield Building Safety Code Administrative Code provides that in order for a permit to
remain valid, the work which has been authorized by the permit must begin wthin 180 days of the date
of issuance, and an inspection must be requested at least every 1g0 days.
According to our records, you obtained a permit for a project at3333 OSAGE ST which is set to expire
on 1211712003. Our records indicate that you have not requested an inspection within the past tive (S;
months. This letter is written to notify you that your permit(s) will be expiring shortly. If you are ready
to request an inspection for your project, please phone the inspection line at 541-726-3769. If you do
not request an inspection prior to the expiration date, your permit(s) will expire and additional permit
fees will be required in order to complete your project.
If you have any questions, please feel free to phone me at 541-726-3790.
Sincerely,
Lisa Hopper
Building Safety Supervisor
\rs,
Dec-L9-Ol 04:46p
225 FtrTIJ STREET
65
t.
2. CONTRACTOR INSTALLATION ONLY B.
P -O2
PERMIT
FEE SC}IEDI'LEBELOW
Nen Rssidertinl-Singlc or
I[ulti-Family pcr dnelling unit.
Service Included:
Iterns Cost Sum
1000 sq.fl. or less
-
$10(r.00 _
Each addirional 500
sq. ft orportion
_ $ 19.00 _
Honrc or
Elearicat
Exsiration
"Consrr Contr.
Expirarion
PItone
Uqfnsclftmtcr
2l)0 anps or less
201 aupc to4{l0 arry
40I afips to6flI ampf
601 arrps tri l0lX) amps-
$ 5U.00
s 63.00 _
s 75.00 _
$125.00
: 3163.00
_ $ro.0o __ f,5O.OO __ $25.m .-_ $,ts.oo _
0q
.r I . ItrSillrtior,
aled{ lfniaarior:
: -&rcr l0fi)am$i/volrs _31?i.OO_
.. "'$wnnet0nty S 5O-OO-
Ci,faiiporery Scrriccr r Ficrlcrs
- . ''Installition, Alter{im or Rchcetiur l
- :'
,; ..". zqf agrys.to.am.arps
-
969-00
-
:-'' Oh6{ll'b6fi)ams $10.00
Otftrflnimgsor'lfiXlwltss .l '' ..' .1'' i'
"8" *o*e : .-' '.,
:-
ElGclricien
Cktuits
OWNERIIIiSTAIII\TION
Thc insia[flion is bciqg D& oa
ProPGIt,' I o*n w[iicl isnotire*be
for sale,'fcase'or rEL
0rvncrs Signffirr:
orErleusion FerPaEl
OniCimait
Eadr Aditisal Ciurit or uith SerYiccwFe*krPermit $ 3.0O'--' ;..
E mislhiaru (Scr:rh/ltrdcr not included)
I -r.r.*BP
ob I'Ifie flttt'
. -Erl{rin*allnion
n4np or irrigation
QignortuincLiehting
Limited Bbrar/Res
LimitedEmgr/Cmm
Miuimtm Elcctric Permit Inspcclion Fcc
4. SUBTOTAL OIf ABOVE
?9/o Sttrts Surcharye
87o Administratiuc Fee
TOTAL
!\so'$S\NnL+\o\\3\
5n. toS
Perruits arc non-trirnstbnlble
if uork is nol stnncd lyithitr lEO dals
of issuance
180 days.
or ifrvork is suspendcd for
or
of
225 Fifth Street
Springfield, Oregon 97 477
541-726-3759 Phone
City of Springfield
Development Services Department
Public Works Department
Official Receipt
Receipt #: 220020000000000 1 073 Date: 0611712003
coM2003-00495
coM2003-00495
coM2003-00495
coM2003-00495
Add, Alter, Extend Circ
Minimum/Adj ustment Electrical
+ 7%o State Surcharge
+ l0%o Administrative Fee
43.00
2.00
3.15
4.50
Item Total:$s2.65
Payments:
o
CreditCard CROW VALLEY Ih 000097 61 13 13 In Person
Payment Total:
52.6s
$52.6s
6/17t2003 9:28:33AM Page I of 1 cReceipt.rpt
,, \ ,l i . ttlAIJCH EI'IGINEEFiNG; J- 16-98 3:sOPltl; 5417460389 =>503 726 3689;
3'1 D 5r'r Srneer
Spr'rr,gfierlrJ, flr'9196rr 97 477
r5411 746.t]t,37
Fex [541) 746-O3Eg
#i;1
Bnanch Engineening
it1 ( )crohcr. lqt)8
folr. Ertb Barnharl
l'i, :ld Inspecttrr, (-i11, of Spnnglield
?:< Sth Streer
5 Jiri nulicld, Ol\ L)7 4'17
Poehit' I-ax Note 7671 ttarcy -t//b
ar{
I
Itl.: llA\'I)1,:N HOltlES, 3333 OSA(; t:r .)r rrr, t\rt rr_:r_u
i)car iVlr lJarnhurt:
Brrlrult h.ltginecrint ltas conduu,tcd an inspcction rrl'the placemcnt ot'rrvo htrld rlor+,n anchors lor
Hrvdcn Httnres. 1'he insprcction inclutlcd noting thc placenrent of the anchors. relcr,'ant etlr,,c
tlr:,rlrrces and placemenl ol'thc epox1,
tlrc anchclrs \vcre- 7'8 inch threadcd rods crnhcCded l2 5 inchc-s irr a rrne rnch rliarmctcrholr,
Thc nrinimum distancc Lo the edgc of thc concrcte sr.emu,all rvas I 3i.{ inches end thc mininrum
crrii distancc rras _lu int:hcs lhe- manulactursr's stated rnininrunr r:dge arrd erid distarrr,;c.r rrc I
i .r rnchcs and 5 inches- ruspcctivc'ly lirr 7iE rnch rod. The epo.x-y uscd tv:r.s "l)oll'ers Rawl"
I rrt rt cr-Fa sI ad hc--s i v c-
llrlrrrtotlteplaccrrrr';nLoIthcepoxy.thchtrlcsu,creblow'nclcanu,ithconlpresscdirir hrushctl,
.Inrl bl(rwn again Tlrc holes !\'cre thcn lillcd approxirnatcly hall'('ull of epoxv and thc anchor,i
lurirte(l in to Ih"'full embedrnent, lt rvas noted that epox1, llowed out the top of thc holc durinq
thc placcnrL'nt ol'ths anchor
iiiou lta'"c ltnl lunher (luestions. plcase don't hesitale to call
Srrrccrclv
I(tr k Hcrnandcz. EI I
Il;tYdcrr Iitrrncs
>I
paqeJ-_firs ?**,+ro
L)r: r)gP[ Fe Lr|T]
F =i_@*tbr*ryrq;e _t'R?4<r E)c.
Ptrurt,r $Fhr:nr t 'Hc #uf=
Ftrr I Azv - 3a.5'7
IFIANSPOR]ATION Ctvtt SUFIVFt' .JIJ
/l/tD&
gPlBEEAglae
SENT BY: BBANCH ENGINEERING; 10-19-98 3:43PM; 5417460389 =>
Bnanch Engineening
541 744 6968;#1 l1
16 (Xtober, 1998
31O Srh Scr.eet
Srx'irrgfiehJ, Olegu, t 97 A77
a5,41) 74e.CE,37
Fax (541l746-0.349,
Post it. Fax Note 7671
Mr. Bob Barnhan
Ficld InsJrector, (litry ol' Springfield
225 5th ^Street
Springficld. OR 97477
R]l; IlAYDEN txrrtirl'l],|Jt'
Dcar Mr. Barnhart:
Brarrch F.ngincering ha-s crmducted an inspcction of the placemcnt ol'two hold down anctrors for
llaydcn Home-s. The inspoction included noting the placcment of thc anchors, relevanl cdgc
distances, and placcrncnt of thc epoxy.
Thc anchons were 7lE inch thrcaded rtxls embcddcd 12.5 inches in a onc inch diamercr holc.
l'hc minimum distance to the edgc of the concretc stcmwall was I 3/{ inchcs and the minirnum
end disrancc was 30 inches. 'l'he manufacturur'$ stated rmioimum edgc and cnd distance.s are I
3/4 inchcs and 5 inches, respectivcly for 718 inch rod. Thc e;rcx-y used was "Poners Rawl"
Powcr-Fast adhesivc.
Prior to thc placement ofrhe cpox.v, the holes werc blown clean with comprcrsed air, brushc4
and blown again. 'l'hc holcs werc thcn filled approximately half full of cpoxy and the anchors
rwistcd in to rhe l'ull embodrnent. lt was noted that cpoxy llowed out thc top of thre hole during
the placemcnt ol'thc anchor. - "
lf you have any furttrer questions, plcase don't hesitate to call.
Sincerely.
Rick llernandcz. UIT
cc: llaydcn Honrc.s
aPmEB!{l.aD
Iffit
w_o"'fi'p*a *''
Pho.ra i Ptaoet ?Vb.obg
Fat I
TRANSPOFITATION CIVIL SUFVEYING
'" l/lto:.