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Home My WebLink AboutPermit Building 2009-1-22 ", CITY OF SPRINGFIELD' Building/Combination, Permit PERMIT NO: COM2009-0010S ISSUED: 01/22/2009 APPLIED: 01/22/2009 EXPIRES: 07/22/2009 VALUE: Status Iss u ed 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 254 73RD ST ASSESSOR'S PARCEL NO.: 1702353111800 .d"- , ~\I\o" PROJECT DESCRIPTION: replace hea~ pnmp Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Alteration Residential Owner: Address: EASON MATTHEW B & HEATHER,J...\CE' 254 73RD ST NV!, ,0 -' THE WORK SPRINGFIELD OR 97478 THIS PtRM!i SHALL ~XPIREIF aT ..' ~ _,~~~ """EO TkHC:: PI'RMIT IS N II\"lUlllL...":::~ ":>"~"""', OR I ~~NT~~~OR lNic;JMwtltiW\,;,D F , , " ,I r flNY H1Y hlM1 1"\,;,'\1,,'" License Contractor Expiration Date Phone Contractor Type BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Lot Size: Height of Structure . ~8Jlc1st Floor: TY"lfl)"ate,aflN: Oregon law reqUIreS q'F.t;td Floor: '" 't d by the Orego 'H'" W1tl~o(l7we~S adop e 9l'" Ilsement: '," , ' 'c t r Those rules are "~". Rli)Jge,'f,ype:l en e . h hOAR oSlI!IUlGarage/Carport Eitef'gy.fl1ii'(h:-001-0010 t roUgs of Ihe~~9f'n ltJ'ber: ",,,.~,, "00"0,,0>/ "blain COpI8), S..."n"leo'Du umg: (Note' ~le telef].~!:.YW1nt Load: ........lIinn trp. center. . -. ". ,'-- - ... ~.~.._...........,. "llllY I~V~"'V""'.'-" I DEVELOI?MElN'l'INFORMl\TIONol'_2344). --..,." . '.\ REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Sctback: Rearyard Setback: Solar Setbacks: Overlay Dist: #Street Trees Rqd: Paved Drive Rqd:' % of Lot Coverage: 'F"'-- ,.~ Total: , Handicapped: Compact: I PUBLIC IMPROVEMENTS' Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: DowospoutslDrains: Notes: I Valuation Descrintion I Description Type of Construction $ Per Sq Ft or multiplier Sq uare Footage or Bid Amount Value Date Calculated Page I of 2 Status Issued CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO: COM2009-0010S ISSUED: 01/22/2009 APPLIED: 01/22/2009 EXPIRES: 07/22/2009 VALUE: 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax ,541-726-3769 Inspection Line Total Value of Project Fees Paid I Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Heat Pump Amount Paid Date Paid Receipt Number $11.52 $4.80 $79.00 $17.00 1/22/09 1/22/09 1/22/09 1/22/09 2200900000000000085 2200900000000000085 2200900000000000085 2200900000000000085 Total AmountPaid $112.32 I Plan Reviews I 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 Rellllired Insnecti"ns, Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do bereby 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 inspectious are requested at the proper time, that each address is readable from the street, that the perm~ is located at the front of the property, and the approved set of plans will rem~in on the site at all times during c~/ction. . ~~~ L6~ or Contractors Signature .---- /~ Z.-Z - 01 Date Pa2e 20f2 Mechanical Permit Application ~;\i;~''''-'''''''''''''''''';'~''';'''''H~=''''''~ri'''"'~''-"''''"'-'''::'~'''''''''f'''~''1 k~,it';;ii5E'iiAR1iMENJj tisElONTI~~h:~ ..'"'-".,.."'..........,..... ,," - '.....,. "c,'~ ,- _. ," _', "'_~ ~ ,~' ".' '1>;j\4,,.~'A,::~:,:,,,,,1;."m,-,fu0P;_17,)j._ ~?'i7;.:."ii~~~L",*~~ I permitno:tP'I- /()) I IDatel/:2~/()/ I 225 F;fth Street. Spdngfield;OR97477. PH(541)726,3753. FAX(541)726,3689 This permit is issued under OAR 918"440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. I~CAiiEG1;rR~l6j~lrc0NsmRiiic't10N~ijf!11'i7f;;."'!J1 A .. ,,= ,.~_'".,;._.........'".............,'_~.._~~v__~:.>_,_.J!i!.,'-',_~...:;_.__,_~.m.,.,~~i~ '!.!MR"~ I 8fResidential I D Government I D Commercial ,I 1~:r"60BlslmEWiNiioRMAmf6.NfjANDi~0'CATi0N-;;j\'!iW,)~1 iRiil~.&._.___,,;;_~._<.l_.~'_.M~-'~O"'..:...:.:..:..;;:~W,.,,"~_,.~.V,~~.._~.___..._.q__,..J.~~'f~' I Job site address: I I CitySr.-,.c\d." I State: O~ I ZIP:Q1l\l '6 I I Subdivi~ion: I('~o-.\l\.(,.e. t<\v\; A\.t l*O-~\-e...<: ~ I 'J II;i!'~~~~,-. '--":r.''''''''''''.'''.'''''''''"~''CBY'''''''''-11 ~~~31t;i1t1BB~~~E~T~~QWN~R~~~~~$l0I:~:;;~~ZJi1~~ I Name: MCK..-\~ ~~S6V\ I I Address: ;;t5 L.\ -p"J-. 9\- I I City: <;b~ \ c\ I State: 0 (\ I ZIP: '1 '1 1...\.1 &1 I Phone:5c.j1-7<1b 5LJ(..,'Z- I Fax: I I E-mail: I This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing, requirements under ORS 701.010, Signature: 1;)lSI!~ri:lJt:;;'1'fC~0NmRA'Cm0Rt'ifNSm~~I!Ami0N~"~JJ&]lI~ k~~",.....~...."..~<.,...L.L'~""""'~M",._~.~...'ilL._,._~_:A:",_,.....__.._.__...."",._<..,.,;__.._...,li!WJS~:fJf&~_".,!t:k\t:t;;, I Business name: ~Y-i\.<;e* ~v\..j ~ kr T,^, <.... I I Address: <::7Z.ct w...w:'t\. S+ *' -z..<4.V' I ,I City: <)~\cA I State:Oo--' I ZIP:'\'ll.\IY I I Phone: ,,'-11-59/-<:(>> I I Fax: 9<69: ,31 "6'L... I I E.mail: I I CCB license no.: I I Print name: ''&-lo..\^,'~ .e.S:-.s I I Signature:~_~~ J r -:7- 440-2545.) (I 11081COM) _"'lW~,'l'l~'&l&"fjijJli~F.EE;rscHEDUi!El4!lW;~~"'l':~ >."""",..lliIl!!;T~s,..~m ,_,,,,,,' .",_".."""",,~!!ml<_'illl,m'i: :;;l~:!Jk? ~'<<C?OSfl-~II- "'rrotar~0 Qt. vij ~,,~"""'" ," 'e.. ,"~, JiI, '";,,,';;,1;:& ;f.ts'\:fea:;~'\r.: '. , cost~'3~~ I First Appliance ' I $79.00 $ 7~J I Wurnace/burner inc.1udingducts and vents I I Up to lOOk BTU/hr, $17,00 I $ I lOver lOOk BTU/hr. $20,00 $ I I Heaterslstoveslvents I I Unit heater ' $17,00 $ I Wood/pellet/gas stove/flue $38,00 $ I Repair/alter/add to heating appliance/ I refrigeration unit or cooling system! $58.00 $ absorption system I Evaporated cooler $13.09 $ I I Vent fan with one duct/appliance vent $9.00 $ I ,I Hood with exhaust and duct $13,00 $ I I Floor furnace ;nclud;ng vent $58,00 $ I Gas piping I lOne to four outlets I I $7,00 I $ I I Additional outlets (each) $4,00 $ I I Air-handling units, including ducts I IUptoIO,OOOCFM' I I $11.001 $ I lOver 10,000 CFM ' I $20,00 $ I I Compressor/absorption system/heat pump I I Up to 3 hp/lOOk BTU ' $17,00 $ 1'1 I I Up to 15 hp/500k BTU $29,00 $, I I Up to 30 hp/l,OOO BTU $43,00 $ I I Up to 50 hp/l,750 BTU $57,00 I $ I I Over 50 hp/l,750 BTU $95,00 I $ I I Incinerators I Domestic incinerator I Enter total valuation of mechanical system ' and installation costs $ Enter fee based on valuation of mechanical system, etc. $ fMi~Eijl"iit1ircm~t:ii*~I~~a~~~{i'[f~,'~~t!~~ ~1;,~:~:a![[@ if!or.,.,.tg;.;+ii'iiY1FXYld!Cnin:~;;r.'d.t~,"~r:~1~">~11~ ':(<P4J6'. ~ea'~lK!Ii: ~'iiicost~ Reinspection $58,00 $ I Specially requested inspections (per hr) $58,00 $ I Regulated equipment (unclassed) I I $13,00 $ Each additional inspecHon: (I) $58,00 $ I fJ;."l~J!ll_~'lflW~P.'m~t:~mlW!:J$L:D~~t~1 (A) Enter subtotal of above fees (or enter set . I minimum fee of $ 79,00) $ ') 1 <./0 I (B) Investigatiye fee (equal to [A]) $ I I (C) Enter 12% surcharge (,12 x [A+B]) $ il S"'''l (D) Seismic fee, 1% (.01 x [AD $ _ I I (E) Technology Fee (5% of[AD $ 't t U I I TOTAL fees and surcharges (A through E): $ if 2. ~ 225 Fifth Street Sp~ingfieJd, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-00 1 05 COM2009-00105 COM2009-00 I 05 COM2009-00 I 05 Payments: Type of Payment Check cReceiotl RECEIPT #: . Description , lsi Appliance Heal Pump + 5% Tecltnology Fee . + 12% State Surcharge Paid By SUNSET City of Springfield Official Receipt Development Services Department Public Works Department 2200900000000000085 Date: 01122/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received cJc 3359 In Person Payment Total: Page 1 of 1 2:30:54PM Amount Due 79,00 ]7,00 4,80 11.52 $112.32 Amount Paid $112.32 $112.32 1/22/2009