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Home My WebLink AboutPermit Mechanical 2010-2-9 Mechanical Permit Application 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 [!~ ~- ' 1:~':;n8~r^~JJ~~Ji(~~~;',qH~~~~~m Permit no.: (t 9 ,... DO 6? -1 Date: 9/1//d I 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. . 1;!'):i'\~t:?:;';i~.cj\tEGbR~~~iQ-F;;'tQ,~~'tROCYlqr:f'\7;:F"::t"'1 I ~ Residential' I 0 Government I 0 Commercial' ~~if.f~fIJ9i3~'$Iff;E',;TN'~9:RMA;rJQN1;~N:P\\i;9.~~TIQNti\{;;:,t;;H I Job site address: 6fj.ff5.,)( ttW ,J;1;A..uJ I I City+Mj~L I State: 0",,' I ZIP:<9N7t I I Reference: I '1.tfJ"F. 'DfL., . . I TaxlotDl5n\~ 1 " "DESCR,pnm-LoF WqkK'" ",' . I"~ r j~Jlil~~:t~~f;~:~J3"~ijJ~J~I~Y~}.9w;i~B{~~~~~'~~~~;nJl I Name: PI/0d E'o!t~ W~4-<.J I I Address: ~ J3 ff ln~ 4T" I City: ~ I State: t'-<-_ I ZIP: "f7<f7( I Phone:~<lf-l46 71S 7 I Fax: I E-mail: 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 701.0 I 0, Signature: Im~W~i)~19:0~}fRAGLtQI;{~jf.J~'I!AJf~j\X'0N:li'R?(;~i";i,'1i?::~;:!.\~iil I Busin~ss name: I /~ "--... ,.~ddress: ./ I CitY>......." ./I'State< I --......,.' .... I Phone: - ----:::><.. ....... Fax: I /' ..... E-mail:./ . .' '--...--... I CCB licer\;"ii~.: I Pririhi~me: I' Signature: ./ ",' -' .,.~"'" ..,.......... I ZIP: ~,. '.......... CU~~& -rtc\t,w\~ ~-\O(~~) ~O.\O ~~~ 440-2545.) (11/08/COM) \S- I'" ';'.' -':'.' "FEE SCHEDULE' ,.... .,. .. I 1!i'R~ii id~~tiali;~'~~M),-"'.~i~~i:iJiJ:;,..iJ(i:";~.I'Q~ "li"'of~11;;ii, I ,:i,>?!"!" : I ~;;';;t~'~~~~'i~'~~;'~"~df,~r.1~'~t' _,I..,.,'cJA~;,'~~"" /-,- ~i"~ j';';9~~~""!\' '~~~'~;~!r'~' Wurnace/burner including ducts and vents I Up to lOOk BTUlhr, I $17.00 I $ II Over] OOk BTU/hr. $20.00 $ Heaters/stoves/vents I Unit heater $17.00 $ Wood/pellet/gas stove/flue $38.00 $ 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 Floor furnace including vent Gas piping One to four outlets I I Additional outlets (each) Air-handling units, including ducts Upto 10,000CFM I I $1'.00 I $ Over 10,000 CFM $20.00 $ Comoressor/absorotion system/heat oumo Up to 3 hp/1 Oak BTU $17.00 I $ Up to IS hp/500k BTU $29.00 I $ Up to 30 hp/1,OOO BTU $43.00 $ I Up to 50 hp/1, 750 BTU $57.00 I $ lOver 50 hp/1,750 BTu $95.00 I $ I Incinerators I Domestic incinerator $20.00 I $ :~C'ohiijl'efcl:aV~;i;fF~);~~~;\;ii;.~;{~r(;,:fi~~~;~~t!j;f~~:;,:;~!,~~~~(;;!pr~~!'}~17.;.~W.7;~:~;~';~!1 $58.00 $ $13.00 $ $9.00 $ $13.00 $ $58.00 $ $7.001 $4.00 $"1; .. $ Enter total valuation of mechanical system and installation costs $ I Enter fee based on valuation of mechanical system, etc. $ Ik"""M''::I~.\'i, ;;;;:':'IC,',Xll). ~A~.';~q.~;-'"Gf".:''i,;i:~;:~l.;t"~~::_;~_~:';i~~~~?JWt~:j1.:'' ;~tt; CoSt ~;:.;-' ;,~:. 'T ot81 '..~~ I rr~":1~f,~,,,g.~.';2~r~;:;,,~.~.~,_:r~_ff,~.~~;r~~~~if~f;I~,~~.~~ r.i:~?ea:~t~~; 3~,'~C'ost~';~~.i I Reinspection ' I $58.00 $ I Specially requested inspections (per hr.) I $58.00 $ I I Regulated equipment (unclassed) .. I $13.00 $ I 1.~:~~~~~~t:::~~~~t~,o~,,~]~,~__,^L.._,.,,~;~;: .,~. ,I 11.ill~~~~~m:.~:~~1YAfl.P.:~I.C_A_r-fr.~U.SE;~~~;~r~~~~~~!I~1 I (A) Enter subtotal of above fees (or enter set . I minimum fee of $ 79.001' $ 't\lP I (B) Investigative ree (equal to [A]) $ I !(C)EnterI2%surcharge(.12x[A+B]) $10,3), . I (D) Seismic fee, 1% (.01 x [A]) $ I I (E) Technology Fee (5% o[[A]) $ t.-I. ')'V I I TOTAL fees and surcharges (A through E): $\OO.~'2.-i Sta tus Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/2412009 APPLIED: 06116/2009 EXPIRES: 07112/2010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 6838 MAIN ST ASSESSOR'S PARCEL NO.: 1702353205313 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Addition PROJECT DESCRIPTION: 784 s.f. Covered Porch Addition- Hydric Soils. Residential Owner: WEINHOLD ROBERT N & DONNA K' Address: 6838 MAIN ST " SPRINGFIELD OR 97478 Phone Number: 541-746-7157 I CONTR;\CTOR INFORMATION I Contractor Type Contractor License Expiration Date Phone General OWNER Electrical EASTSIDE ELECTRIC INC 117770 10/04/20 II 541-9 I 5-9828 Mechanical OWNER Plumbing SHAD CHASAN SURRETT 158295 02/14/2010 541-741-3553 . I BUILDI.NG INFORMATlO~.1 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: R3 # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: 1 Lot Size: 17.00 Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: n/a Occupant Load: 10,454 VB 784 I DEV~LOP;vtENT1NFORMATlON I Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Sethacks: 11.00 9.50 62.00 42.50 Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING rotal: Handicapped: Compact: 18.70 Storm Sewer Available: Special Instruction: .. , I PUBLIC IMPROVEMEN 1 !l1t:rITION: orego; :~;:O~;g~ilty 1liiliow r~I,e,S adopte :Se rules are set forth Fully Improved \N:l!ltiflcatlO'tl'CW~~irm hrough OAR 952.()()1- . Yes lmOAR 9ti~#\I!.1;e~\~r~llS oIthWlllBlm Gutter Storm water to tie into exisitng system to stree(lONa. n~~11t~r.r ~. the telephone , i< . 'calling the ce . Utility NotillcatiOft . Notes:NOTICE: L EXPIRE If THE 'lV~~1 number for the.~;~g~_332_2344). "i-\\S PERMli SH"'~R lHIS pERMI! \5 Center I ,UiHORlIED U~~ IS r>.6M-lDONF-O ~OR OMMENCES nERIOD. ,tV <f1.(} D{l\l r ' ,1\ \- Street Improvements: . Paee I of 3 .j", ."i wi,,:, n! ,.", ," +, -'r.,~,~, tl Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/2412009 APPLIED: 0611612009 EXPIRES: 0711212010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspeetion Line I Valuation Descril/tion I PatiolPorch Tvpe of Construction Use Bid Amount $ Per Sq Ft or multiplier $1.00 Square Footage or Bid Amount 15,000.00 Value Date Calculated Description Total Value of Project $15,000.00 $15,000.00 06116/2009 L..;Fpp<,p~ilU Fee Description Amount Paid Date Paid Receipt Number Fire SF Fee - Residential $39.20 6116109 2200900000000000680 Plan Review Residential $120.09 6/16109 2200900000000000680 + 12% State Surcharge $22.17 7124109 1200900000000000836 + 5% Technology Fee $15.19 7/24109 1200900000000000836 Building Permit $184.75 7124109 1200900000000000836 Plan Review Minor - Planning $119.00 7124109 1200900000000000836 + 12% State Surcharge $8.76 12/28109 1200900000000001362 + 5% Technology Fee , $3.65 12128109 1200900000000001362 Add, Alter, Extend Circ $55.00 12128109 1200900000000001362 Add, Alter, Extend Circ Ea Add $18.00, 12128/09 1200900000000001362 + 12% State Surcharge $11.40 ' 1111110 1201000000000000030 + 5% Technology Fee $4.75 1111110 1201000000000000030 Fixture $95.00 1111110 1201000000000000030 Sanitary Sewer - Improvement $88.19 1111110 1201000000000000030 Sanitary Sewer - Reimbursement $115.97 1111110 1201000000000000030 SDC SanitarylStorm Admin $10.21 1111110 1201000000000000030 + 12% State Surcharge $10.32 219110 2201000000000000128 + 50/Q Technology Fee $4.30 219110 2201000000000000128 1 st Appliance $79.00";~ 219110 2201000000000000128 " Cas Ontlets 1-4 $7.00.,!o,J, 219110 2201000000000000128 " Total Amount Paid $1,011.95 Publie Works Review Plan Reviews I 0611812009 WE Left msg for owner to caU.... 0611712009 ' 0611812009 APP LLH 06/24/2009 06/24/2009 APP LKW Storm water to tie into exisitng system to,street. No new surfaces, no SDC's. 06118/2009 '0612512009 APP DDK 0611812009 0710212009 WE CJC need engineering for non-prescriptive waUlines Pa~e 2 of 3 Initial Review Public Works Review Plan nine: Review Structural Review Status Iss u ed , ,i" CITY OF SPRINGFIELD. Building/Combination Permit PERMIT NO: COM2009-00873 ISSUED: 07/2412009 APPLIED: 06116/2009 EXPIRES: 07112/2010 VALUE: $ 15,000.00 225 Fifth Street, Springfield, OR 541'726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line' Initial Review 07/15/2009 07/16/2009 APP LLH Revisions Structunil Review 07/16/2009 07/24/2009 APP CJC Revisions- Approved as noted on plans 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. RelllJired Inspecti~n~ I Footing: After trenches are excavated. Foundation: After forms are erected hut prior to concrete placement. " ., Shear Wall Nailing: Before covering.sheathing with finish materials. Framing Inspection: Prior to cover and after all rough' in inspections have heen approved. Final Building: After all required inspections have been requested and approved and the building is complete. Storm Sewer Line: Prior to filling trench. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Mechanical: Prior to Cover ,.Final Mechanical: When all mechanical work,is complete. By signature, I state and agree, that 1 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_ 1 further certify that only contractors and employees who are in compliance with ORS 701.005 will he used on this project. 1 further agree to ensure that all required inspections,,~re requested at the proper time, that each address is readable from the street, that the permit card.is located at the front of the.prope'rty, and the approved set of plans will remain on the site at all times during construction. .~. ' oer~~ r(~~ '1~ d-"s- /.?J Owner or Contractors Signature Date Pa~e 3 of 3 225 Fifth Street Springfield, Oregon .97477 541-726-3759 Phone Job/Journal Number cOM2009-00873 cOM2009-00873 cOM2009-00873 cOM2009-00873 Payments: Type of Payment Check cReceintl RECEIPT #: Description 1st Appliance Gas Outlets 1-4 + 12% Statc Surcharge + 5% Technology Fee Paid By ROBERTN. WEINHOLD City of Springfield Official Receipt Development Services Department Public Works Department 2201000000000000128 Date: 02/09/2010 Item Total: Check Nu-mbcr Authorization Received By Batch Number Number How Re~eived nJITI 4708 In Person Payment Total: ,<. ~. . ~.'... "". ." '"j" :'!'i' Page 1 of 1 I :46:45PM Amount Due 79.00 '7.00 10,32 4.30 $100.62 Amount Paid $ J 00.62 $100.62 2/9/20 I 0