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
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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:
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225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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
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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
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.
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
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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 ~
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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.
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Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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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
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Mechanical Permit Applicatio~
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Permit no COM ww T
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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.
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o Residential 0 Government Commercial
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Job site address: ~ 3 .3 S +
City: ::; State(5'h ZIP: 97C;77
Reference: Taxlo!.:
, :!, DESCRIP.TioN"OF'WORK/i'
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Name: g<sYl >1
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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:
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440-2545-J (11/08/COM)'
,......,.'::.::(_..~...... FEE SCHEDULE' - , ,,"~, -',; '.~ . ,
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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 $
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Enter total valuation of mechanical system
and installation costs $~ ~ '.
Enter fee based on valuation of mechanical system, etc, $
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Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (unclassed) $13.00 $
Each additional inspection: (1) $58 00 $
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(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): $
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
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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:
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Page I of I
6/1/2010