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HomeMy WebLinkAboutPermit Building 2010-6-1 Status Issued CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20I0-00700 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/01/2010 VALUE: $ 2,600.00 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line lli;:;":':,.j.,"~:"'\ SITE ADDRESS: 533 Q ST " , Springfield' ~~~K: Commercial Miscellaneous ASSESSOR'S PARCEL NO.: 17032642tlrolfllCf.:... \J~ll ~I'IRE~"t.A\'t~Ot - , IS p'ERtJ\\'T' Sf' ~R ):\-;\15 I'Ull'PIt, US,~; - Alteration Commercial PROJECT DESCRIPTION: Repl,ace IikJ~~'Nl~o\J~~rsA~'A'tlUQ~ eoI' less dead load ce;it'~"rl\lr.EO 0 t1'\16I3. " ' Owner: JENKINS MARLIN W TE fi,N'i ~ 80 O/W P Address: PO BOX 920 SPRINGFIELD OR 97477 Owner: JENKINS FAMILY TRUST Address: PO BOX 920 SPRINGFIELD OR 97477 I CON:rRACTOR INFORMATION ~ Contractor Type Contractor License Expiration Date Phone # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary' Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENrINFORMA T10N ~ Front yard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: 0/0 of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ / Sidewalk Type: Downspouts/Drains: Street Improvements: Storm Sewer Available: Special Instruction: Notes: " . " 'IV;: If;;"l: ': ,F~H~ . , ;11', <LY\' .. ""." .p..~. , Pa2e I of 3 s 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ". C,."" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00700 ISSUED: 06/0112010 APPLIED: 06/01/2010 EXPIRES: 12/0112010 VALUE: $ 2,600.00 Status Issued t.,. "I~. .,1 I Valuation Descriotion I Estimate Tvpe of Constrnction Estimate $ Per Sq Ft or mnltiplier $1.00 Square Footage or Bid Amount 2;600.00 Value Date Calculated Description \;Total Value of Project :4. ~ i' "., $2,600.00 $2,600.00 06/01/2010 ~ . Fee Description + 12% State Surcharge + 5% Technology Fee Buildiug Permit Mechanical- Value Amount Paid Date Paid Receipt Number $16.26 6/1/10 2201000000000000603 $6.78 6/1/10 2201000000000000603 $67.75 6/1/10 2201000000000000603 $67.75 6/l/1O 2201000000000000603 Total Amount Paid $158.54 .;"-. , 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. Re(J'''ii'reqjrN~nec.ti'ons ~ r)f;~:' ',. Framing Inspection: Prior to cover and after.all rough in inspections have been approved. Final Building: After all required inspections'have been requested and approved and the building is complete. Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. .',. :" "r Li.~ ~,~:~.: .;' Page20f3 .-.h ji ~.F~.,~_,F":.,' \ ,i, Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line ~\';: i~l~' . ~~., ,1:};~'" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00700 ISSUED: 06/01/2010 APPLIED: 06/01/2010 EXPIRES: 12/01/2010 VALUE: $ 2,600.00 By signature, 1 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 '01' Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure.without per.mission of the Community Services Division, Building Safety. I further certify that only contractors and employees,vho 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. er or Contractors Signature _....'_~ ~:J4 i~~:l,j,r~.i~~:,! b~~';:;., i ' . . ~;,~t ;' t:' I . i 1 ;., j~ ,,'.I ".-.,' ;i~~~~~ .,,; ~'i j , ,., I.tl ';' . ',' ~. . ,.: l~' :;n~ f.'~" P",2~'3 of3 G~/;o Date Mechanical Permit Applicatio~ ~""\';~r~::;ijj)*":';',ir"'l:;~ ,i,:'~',..._~,"t;<~,''''{');h,*,}ij''''''' -1-~'f-",,~,,"t,i(>4"j;~ ;~;"ff'D.E~A~TMEI\jT~USE<'9NlSy!~"liJj >t '_''i'.~' '":'..,v,,,,' .y:, -''', _,':0;;- _!>'~;' ,1:;"R', ''';'''~!Y.;.1:' "'~..:".:J_<<'.".,. .,I'1'r~)'; Permit no COM ww T ./ . Date: -- 1- - Jv t:) 225 Fifth Street. Springfield, OR 97477 . 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. ~,~?;~)~}tl~;!~Jf!%'~CA]~G'(j',R~_Q~~}r_Q',9NSiiR.""q:JJQ:~!~:~:it:.cir:;'.' ~-~f:; o Residential 0 Government Commercial ~~1*~~QI3~:sif1:\~lfit.ilfo.RMe.illfQf.l~;P;r\jp~i!QGA'liIQN~i:'0;!~i Job site address: ~ 3 .3 S + City: ::; State(5'h ZIP: 97C;77 Reference: Taxlo!.: , :!, DESCRIP.TioN"OF'WORK/i' _.. _ _, .. ',',' ,. '. _, ~ _,. .... _. __ ,. _ .c_.. -...." ". ,J. . (~ ,:-'\" , ~t!ff~]7!~~~~~R.,t~QR~I~mY~:~W~'~,B~1~~t~~~~f!WS;~ffi[~ Name: g<sYl >1 )J City: Phone: 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. Fax: CCB license no.: Print name: Signature: ~A-;V1 G- 0/1.... l.--&55 PG:: A-P J-.oAr> :;;.\ et?::f;1:= iA)J ;rr t\ ~~ \ <t,COc3\<t-.\ \ ~~~ \\.C0 440-2545-J (11/08/COM)' ,......,.'::.::(_..~...... FEE SCHEDULE' - , ,,"~, -',; '.~ . , .'-.. ,. ~ - '. "";.' - '; ;', \ : '.' " IB~~~~l!'~X~f~~b~ti~~;~tf~~~.!.~ -"'\,Ir Cosl'.r' ~/!:!,jatlj\, Ign:~:I'~~'ii~eatr~~i;t ~.d:::CoSt~~t;{{ First Annliance I $79.00 $ Furnace/burner including ducts and vents Up to lOOk BTU/hr. $17.00 $ Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pelleVgas stove/flue $38.00 $ Repair/alter/add to heating appliance/ 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 I $7.00 $ Additional outlets (each) $4.00 $ Air-handling units, including ducts Up to 10,000 CFM $11.00 $ Over 10.000 CFM $20.00 $ Comnressor/absorption system/heat numo Up to 3 hp/I OOk BTU $17.00 $ Up to 15 hp/500k BTU Ix $29.00 $ Up to 30 hpil,OOO BTU $43.00 $ Up to 50 hpil, 750 BTU $57.00 $ Over 50 hpil,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ ~ -,,, ."c' Enter total valuation of mechanical system and installation costs $~ ~ '. Enter fee based on valuation of mechanical system, etc, $ "'M;,;,"s><'"":"';'''<:'''jf'H'~:,J,'''fl'':'''tl:*''f:_':'Tijtal'~! 1% Isee aneous>: eeSt;-:,~."k.t!'~'i{';';~ :<r~i' -,,- ,;',ii;;' ~:~-<'~I":~',0l;1....,.".",..,.C:l:.:.,..,'th:":'_h~"",.-',,,,:- .~:-:__ ..f.2}!~~",-1;_",..; .::..\,..,costii:':;'"'' Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58 00 $ 'ill'&~~"!f~_"':!!.WIl:."~'. ~. '-.,....'\l..~'~~~ r1G;~"S}~~~tt: l '. ::~,J,ii,;~..~e_RIE!GJ,\r'FrfAJ.!JS.Elh;AC.zi;"; ~i: ,~~it:'!,,_'. ,..;.,~ (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (0) Seismic fee, 1%(01 x [A]) $ (E) Technology Fee (5% of [A]) $ TOTAL fees and surcharges (A through E): $ TO I? \' ~ ~ ~ -l>. ' ':t, "" "- '-J '. 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone $),~..''''.'''''I'J-iii' .... ~ .. ..~. '..." " '_'_._m~_ . '~'_ City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 2201000000000000603 Date: 06/0112010 2:31:55PM Job/Journal Number COM20 I 0-00700 COM20 1 0-00700 COM20 10-00700 COM20 1 0-00700 Payments: Type of Payment CreditCard cReceintl Description Building Permit Mechanical-Value + ] 2% State Surcharge + 5% Technology Fee Paid By EUGENE HEATING INC Item Total: Check Number Authorization Received By . Batch Number" Number How Received Amount Due 67.75 67.75 16.26 6.78 $158.54 Amount Paid KLK $ J 58.54 $158.54 KLK 3] 3057 In Person Payment Total: l)-/I" ,. - b " '.\.t;'c:"iv ., t':\l\d\' :-,;",<, Page I of I 6/1/2010