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Home My WebLink AboutPermit Mechanical 2009-11-23 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541- 726-3676 Fax 541-726-3769 Inspection Line , SITE ADDRESS: 3663 HA YDEN'BRIDGERD ASSESSOR'S PARCEL NO.: 1702194205600 CITY OF SPRINGFIELD Building/Combination Permit <PERMIT NO:cOM2009-01688 ISSUED: 11/23/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/2010 VALUE: Springfield TYPE OF WORK: Wood Stove PROJECT DESCRIPTION: ,. Woodstove insert Owner: LOHNER ARIC K Address: 3663 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Owner: LOHNER TONY A R Address: 3663 HAYDEN BRIDGE RD SPRINGFIELD OR 97477 Contractor Type Contractor # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Front yard Setback: Side 1 Setback: Side 2 Setback: . Rearyard Setback: Solar Selbacks: TYPE OF USE: New Residential I CONTRACTOR INFORMATION I. License' Expiration Date Phone BUI~DING INFORMATION I # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: n/a Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: I DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: Street I.t.\GQ-r~~ts: Storm STeW..). R(;iilMfi/'eSHALL E Special~h'sTHiCHdEW UNDER T XPIRE IF THE WORK COMMENCED HIS PERMIT IS NOT Notes:ANY 180 DAY pOR IS ABANDONED FOR ERIOD ATTENTIUN: uregon law I~Lj'JII"O ywu IW I PUBLIC IMPROVEMENTS 'allow rules adopted by the Oregon Utility Notifi<Slil~ailerrtype:Those rules are set forth In OAf;!. 952-001-001 0 through OAR 952-001- 0090. Llfdl1'^\\ij'~e?tiIl'!,Sjpies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center Is Hl00-332-2344). . ~, Paee 1 of 2 Status Issued Lit l' OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2009-01688 ISSUED: 11123/2009 APPLIED: 11/23/2009 EXPIRES: OS/23/20 I 0 VALVE: 225 Fifth Street, Springfield,OR 541" 726-3753 I'hone . 541-726-3676 Fax 541-726-3769 Inspection Line I V a1uation De~criDtion I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project Fees Pair! 1 Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid Receipt Number $9.48 $3.95 $79.00 11/23/09 11123/09 11123/09 2200900000000001320 2200900000000001320 2200900000000001320 Total Amount Paid $92.43 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, inspec'tions requested after 7:00 a.m. will be made the following . work day. I Re/luirf'r! Inspections' Wood Burning Insert: After installation. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all inform.trioD 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 ofany 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 . ".i;;~:"'~-,~ jJ(}I! 0'-1 09 owner'(jntnlctors Signature '. ,. ,I Date Paee 2 of 2 Mechanical Permit Application (I . 225 Fifth Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(541 )72&.3689 ~. 1!~~~~EP;6;RiMENT'USEVONly:!h41ii1il "-_~"O~,_,,~ ,,' 'rL."_on ;~-~'" ;;. --~- - ~ _,.;}?.LI~ .Y I Permit no.'c Cf 0 I&, 't J 1 I Date: ! I /2"7 / 0 'r I I -~/ This permit is issued uDder OAR 918-440-0050. Permits expire if work is Dot started within 180 days of issuance or if work is suspended for 180 days. . I f;~~~.' 1 CA1"EGORYfOF;COj.JSTRUCjJON::'W::';'i', '.':. ;:-1 I It Residential . I 0 Govemment I 0 Commercial I i:~;::~r~7~~{1~fi I Subdivision: _ I Lot no.: :P"V','-' ._._~. .... . . - -. -. - -~~.. . ~'. -, ~ ""vliDESC::.RII1JION. OF;,YVORKi :.;r -kJdoal (SL() v'e. ,'.r!gfa.J( ~:' ~I I I li'1i.;f,1~;wk;jJi(~~i;P,RO~ERTY;t()WNER:~%1~::~~. ";~;'I [Name: -A....,; Lo'v.V'\c>..-t' I I Address: 3,CnCn'3 ~('~AOA' ~c~A~_Qd I I CitY~ri~J:;..Jd' rCs;ate: 01< I ZIP: 971/-717 I PhoneS</I-7'J:'7. Qa..72,' I Fax: ' , 1 1 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 ~r ORS 701.010. IJS,i;[;j;:i*:C()j.JT~i~~~~h;~:\i~Crf44.: ~ I Business name: ~ I Addre~:~"'_,_ _-"~"- I City:"'--,,-,-_ I State: /----.-::.I.zlp,.-........ I Phone: .....?1:;F~::..- - I E-mail: ~.......;.~:::;.._. -..............-. I CCB lice~_~e-n({;- ~ I Prin:f'"ii~e: I Signature: , 440.2545.' (I lIOS/COM) Floor furnace including vent Gas pipin~ One to four outlets I I Additional outlets (each) Air-handlin~ units, includin2, ducts Up to 10.000 CFM I I $11.00 I $ Over 10,000 CFM . $20.00 I $ I Compressor/absorotion system/beat Dumo I Up to 3,hp1l00k BTU I I $17.00 I $ I Up to 15 hp/500k BTU $29.00 $ I Up to 30 hp/I ,000 BTU I I $43.00 I $ 1 Up to 50 hp/I, 750 BTU 1 1 $57.00 1 $ lOve, 50 hpll,750 BTU I I $95.00 I $ I Incinerators I Domestic incinerator 14Commercial j:t,; Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. I."M isc~i'lar1E!Ouli]ies,:,:j-~~;;_:;',;-~~llt~h.j~ ';', ::_:,_,,:.:_}~,d:,,'~,"_''"''''':. ::=CC'''', ;~j11tifu'Y\1h"..>~.:J'"} dNffi'!"j I Reinspection I Specially requested inspections (per hr.) I Regulated equipment (unclassed) ., I Each additional inspection: (I) I"!;'APPLICANT~USE I (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) I (8) Investigative fee (equal to [AD (C) Enter 12% surchacge (.12 x [A+BJ) I (D) Seismic fee, 1% (.01 x-[AJ) (E) TechnologyFee (5% of[AJ) I TOTAL fees and surcharges (A through E): .. 'J!'":~~F;EE:$CtlEDI.n:E1,;;' . :"I'QI' Coif; . ,,", ,t)'t ,- ~,; ea:,;; I First Aooliance I I I $79.00 lFurnacelburner including ducts and vents I I Reslci'ential Up to lOOk BTUlhr. Over lOOk BTUlhr. Heaters/stoves/vents Unit heater. Wood/pellet/gas stove/flue Repair/alter/add to heating appliance/ refrigeration unit or cooling system! absorption system Evaporated cooler Vent fan with one duct/appliance vent Hood with exhaust and duct -t-.. I~~~~;.:! I I 1 I $ I -$38""'1- I 1 I $17.00 I $ $20.00 1 $ $17.00 $38.00 $58.00 $ $13.00 $ $9.00 $ $13.00 $ $58.00 $ $7.00 I $ $4.00 $ I $ ',': .TotaP J l:"~c(}s:t)f $58.00 $ $58.00 I $ $13.00 I $ $58.00 I $ I 1 I I $71.~ .-- $ 3.(J") $ q - ..1/6" $ --... --I : '~L/:J 1 -. 22:;. Fifth Street Spri";gfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-0 1688 COM2009-0 1688 COM2009-0 1688 Payments: Type of Payment Cash Change Job/JournalNumher COM2009-0 1688 COM2009-0 1688 COM2009-0 1688 Payments: .- Type of Payment Cash Chang~ cReceintl RECEIPT #: Description 1 st Appliance + 5% Technology Fee + 12% State Surcharge Paid By TONY A LOHNER TONYA LOHNER Description I st Appliance + 5% Technology Fee + 12% State Surcharge Paid By TONY A LOHNER TONYA LOHNER 2200900000000001320 City of Springfield Official Receipt Development Services Department Public Works Department Date: 11/23/2009 Item Total: Check Number Authorization Received By Batch Number Number How Received njm njm .,. Received By nJm njm Check Number Batch Number Page I of I In Person In Person Paym~,nt Total: Item Total: Authorization Number , How Received In Person In Person Payment Total: 2:37:02PM Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $100.00 ($7.57) $92.43 Amount Due 79.00 3.95 9.48 $92.43 Amount Paid $100.00 ($7.57) $92.43 11/23/2009