The URL can be used to link to this page

Home My WebLink AboutPermit Building 2010-3-15 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00322 ISSUED: 03/15/2010 APPLIED: 03/15/2010 EXPIRES: 09/15/2010 VALUE: ',.,:{ Status Issued .','\" 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 345 MANSFIELD ST ASSESSOR'S PARCEL NO.: 1703233405300 Springfield TYPE OF WORK: Heating System PROJECT DESCRIPTION: Heat pnmp installation TYPE OF USE: Addition Residentia' . #01' Stories: Height of Structnre Type of Heat: Water Type: Range Type: Energy Path: Sprinkled BUildirrg'rf n/a "OJ r.E' "r"' . I DEVELOPMENT INFORM~ v I f7 IZED HALL EXPIRE REQUIRED PARKING COMM UNDER .F:E Overlay Dist:A/V\-,: ENCED OR THIS PE. . WOR/( # Street Trees Rqdf 80 DAY PE IS ABANDO ilSlN&): Paved Drive Rqd: RIOD, : 0/0 of Lot Coverage: PUBLIC IMPR 5J : Ore /11 O/j~lIt/OIl ~ lIdop;f~~\J<rJype: 0090, ~9S<-oOellter. 0,.,:tl~~iff:fi~ . ','l,,:~t._.:.\; ~"illri Ou rn/f,}-0010th e rUles gOIl /J;t~ to - . .,ilUn'ib .. the c" Obtain rOllgh qre s ilJty " ,i . er fOr th enter. (/oJ.COPies o?A.R 9S~t fOrth . Center ~s OregOn Oir ~he t:he rllle~01- I ' I - '3<-<3 Otific !'Ie Valuation Description I 44), Ilt/On Owner: PHILIPS ALFRED R & LA THERA Address: 345 MANSFIELD ST SPRINGFIELD OR 97477 Contractor Type Mechanical I CONTRACTOR INFORMA T10N I Contractor License VALLEY HEATING 173447 BUIt,~INGJNFORMA T10N I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: FroIltyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Street Improvements: Storm Sewer Available: Special Instruction: Notes: Dcscription Type of Constrnction $ Per Sq Ft or multiplier Square Footage or Bid Amount Paee I of 2 Expiration Date 12/15/2010 Phone 54 I -485-0 123 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: Value, Date Calculated CITY OF SPRINGFIELD Status Issued Building/Combination Permit PERMIT NO: COM2010-00322 ISSUED: 03/15/2010 APPLIED: 03/15/2010 EXPIRES: 09/15/2010 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 j Fee Description + 12% State Surcharge + 5% Technology Fee 1st Appliance Amount Paid Date Paid $9.48 $3.95 $79.00 3115/10 3/15/10 3/15/10 Receipt Number 1201000000000000231 1201000000000000231 1201000000000000231 Total Amount Paid $92.43 I Plan Reviews ~ 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. ReQuired Insnections I :!", ;; 1.':1_ Rough Mechanical: Prior to Cover '"'-.' Final Mechanical: When all mechanical work is complete. By signatnre, 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 J 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, Bnilding Safety. I fnrther 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 JJ'if";'" "')-lo-tJ Owner or Contractors Signature Date i.};;di "':'.'.r. .:,B. 1-<,' ,1.; Pa2e 2 of2 Mechanical Permit Application :'{j'l~Q':"~:f,'P:':""'t.';l~oli. ';;'1."%"'I'..~<f<<':: V\';'4~6'~~~~,':: :i,~~,';L;.';j~i>~,'~~'" ,~,':':DEP. ARTMEN:J':USE'ONbY:~,~';'~ .'_ .,"'- ,,- ~",<!:,." ,". ':.: :"'.):" .:P',' 1;:.;;"\', ,>' :~. '!'...." ;J"-::-~~!.<i.~'/ ,-I; l",.l' 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Pennit no,: Date: 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, ~~:?:)'\~~~11:i%~:cAfri~GO.R~JQ'f.J1,CQN~tRO~!IQ]~J?~~~!:~Y:,'rJr~,:"'/~; II] Residential D Government D Commercial ~~t\~~fjQB;f~)mE"';IN~QR~~'tIQNftAr;j!It~ilrQ:GAijIQf\l~~\','~'j,'ii Job site address: ->:'1.-/'" iVt"I1S{; e City: S (; t;('/ StateOf'l ZIP: <17-l!l-'1- \ D'O Taxlot: D oW; "", '''" ".-- '" "" ..- ",.' ',-' -, , . ,-- ' "',' .,_..~,.. -,- '---,,,,',',. "t"' DESCRI~TION5)F WQRK..'", (.ttt,+ p" J. 11~-\-\'cY\ a;'il;J!;"",~'\;~~~i1iPROPERt,y,,j:6w'N' ER\t:il'''''1'\;W!W~4>l''''1;iIJ &1'i{~,-JWt~,',~i*,:4~"l'>;:':",';;';.l,J~ .":~, ~ ',,0, '~;""""_ :,;_i~.. '__..M', _,-," \+'J.::0:l@:;c.~",~~tt~Jty;jL.~-'/I'J.l! Name: 14L ph?! i ? Address: ~'l-\-I'h,,\'\":>t,cl City '.fi PdJ Phone:'?'-II.7Iq:;- ;;(oCjI 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 701.010. ZIP:"t 1i-f'Fi- ZIPh1-l-l~ E-mail: CCB license no,: n'ilift Print name: .M.({Lf. l<<>tL.. Signature: ~ ,0 t\.\~' \'0- ' ~w .$) ~sr ~, ,\) H \to: '\ 440-2545-J (11/08/COM) <,"'''.- "';>",: -:,;"FEE' SCHEDULE ....; -'.' ',:. , '. t~~!,@~6!~~Iit~;i~~~kj~~~tt~ Qty;. ~;i Fg~~', "3,otill,, ~-.. 'i,/" {'I;:.~,:ea; .,'}!'ji{' ~~:cost';,} First Annliance $79.00 $ '1'1 Furnace/burner including ducts and vents Up to lOOk BTU/hr. $17.00 $ Over lOOk BTUlhr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stavelflue $38.00 $ Repair/alter/add to heating appliancel refrigeration unit or cooling system! $58.00 $ absorption system Evaporated cooler $13.00 $ Vent fan with one'duct/appliance vent $9.00 $ Hood with exhaust and duct $13.00 $ Floor furnace including vent $58.00 $ Gas piping One to four outlets $7.00 $ Additianal outlets (each) $4.00 $ Air-handling units, including ducts Up ta 10,000 CFM $11.00 $ Over 10.000 CFM I $20.00 $ Com;;;.essor/absorotion svstem/heat numn Up to 3 hp/IOOk BTU $17.00 $ Up ta 15 hp/500k BTU $29.00 $ Up ta 30 hp/I ,000 BTU $43.00 $ Up to 50 hpll,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95.00 $ Incinerators I Damestic inciffiifor ~ I $20.00 $ :":~ ,:,..;.' Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc, $ ~"'-".:;;'-til--l;0';<'i:';';;);i.}:'<'>'~..;,-<V!~'<-;i-'(fj;"'~}ij;j'~':;ii:'i.,'_:~1;;$'IN it~ffi~ ~Costi,~, rpotal;.~, ~Mlscellaneous'.fees""'''i:;":,,,,~,'iii(' ;_ ;'~Yea:~~'.~; c":"O_>\.l!'~'o!'~"'''''''-'C'i.":,,,,,,,,.r';:'''!c''"'';^''~'~f~',-:.--;,.','1"~, . :<1,"1: "."_":,',i" .. t:cost:'.!., Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58,00 $ ,~,:;j"""~~"""~'tt1:i~'"'' r ,,'r"l'i'-'-~l"',;t"~ ~rr~i~~~'~~~",i;et~l'-",_4'~~..-.A~ R:l.::tC~NT~~.US Er..-,:~~~~llt~~ '.I,rt,0~L'; ,~~) (A) Enter subtotal of above fees (or enter set $ rv:J....ttJ minimum fee of $ 79.00) (B) Investigative fee (equal ta [AD $ (C) Enter 12% surcharge (.12 x [A+BD $ ,. (D) Seismic fee, 1%(.01 x [AD $ 3 rJ~ (E) Technology Fee (5% af [AD $ TOT AL fees and surcharges (A through E): ~9..\...: :/ , 225 Fifth Street Springfjeld,.Oregon 97477 54].726-3759 Phone City of Springfield Official Receipt Development Serviees Department Publie Works Department RECEIPT #: ]20]00000000000023] Date: 03/]5/20]0 II :44:03AM Job/Journal Number COM20 I 0-00322 COM20 I 0-00322 COM20 I 0-00322 Payments: Type of Payment Cash Change Description I sl Appliance + 12% State Surcharge + 5% Technology Fee Paid By VALLEY HEATING ;.':.: \1 ,.r Amount Due 79.00 9.48 3.95 $92.43 Item Total: Check Number Authorization Received By Batch Number Number How Received lIh In Person In Person Payment Total: Amount Paid $ J 00.00 ($7.57) $92.43 Job/Journal Number COM20 I 0-00322 COM20 I 0-00322 COM20 \ 0-00322 Payments: Type of Payment Cash Change cReceintl Description J sl Appliance + 12% State Surcharge + 5% Technology Fee Paid By V ALLEY HEATING Received By lIh Check Number Batch Number Item Total: Authorization Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid In Person \n Person Payment Total: $100.00 ($7.57) $92.43 Page I of 1 3/1512010