HomeMy WebLinkAboutPermit Mechanical 2010-6-30
Mechanical Permit Ap
225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(54/)726-36S9
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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City:
Phone5Yl
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:
Signature:
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440-2545-J (l1/OS/COM)
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.,~".:.~ 'p QtY? ."Cost., '-To~al :]
~''!'ea. costC!.:?
First Annliance I $79.00 $ '7lJ ~'
Wurnacelburner including ducts and vents
Up to tOOk BTU/hr. $17.00 $
Over lOOk BTU/hr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/pellet/gas stovelflue $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 I $
Additional outlets (each) I $4.00 I $
Air-handling units, including ducts
Up to 10,000 CFM II $11.00 I $ II :-.
Over 10,000 CFM I $20.00 I $
Comnressor/absorntion svstem/beat Dumn
Up to 3 hp/100k BTU I $17.00 sir
Up to 15 hp/500k BTU $29.00 $
Up to 30 hplt ,000 BTU $43.00 $
Up to 50 hpll ,750 BTU $57.00 $
Over 50 hpll,750 BTU $95.00 $
Incinerators
Domestic incinerator I $20~
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Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc. $
h ~ i ;:: Ilc';'s'<:~st,,~ IF',,,,,:
Reinspcction $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (unclassed) $13.00 $
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above fees (or enter set 79~6
minimum fee of $ 79.00) $
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $ 9,YJ'
(0) Seismic fee, 1 % (.01 x [AD 5
(E) Technology Fee (5% of [A]) $---1:)
TOTAL fees and surcharges (A through E): $ cr J '1-3
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00856
ISSUED: 06/30/2010
APPLIED: 06/30/2010
EXPIRES: 12/30/2010
VALUE:
, .
Status
Issued
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
SITE ADDRESS: 1120 FAIRVIEW DR SPAC!,;~"~; :,;;t',~~tingfi~ld TYPE OF WORK: Heating System
ASSESSOR'S PARCEL NO.: 1703273100600 "".; .,:..'" ..
.;:.,;..... " ...\.. TYPE OF USE: New
PROJECT DESCRIPTION: Replace electric furnace' & install heat pump
Residential
Owner: J 0 CAPTIAL L:LC
Address: 1700 ADAMS AVE STE 212
COST A MESA CA 92626
I CONTRACTOR INFORMATION ~
Contractor Type
Mechanical
Contractor :., License
ASSOCIATED HEATlNG'&'AIRCO~D1TIO 106275
1'-BlJlLiHNG INFORMATlON~
Expiration Date
08/31/2010
Phone
541-683-2590
# of Units:
Primary Occupancy Gronp:
Secondary Occupancy Group:
Primary Construction Type
Secondary Construction Type:
# of Bedrooms:
# of Stories:
Height of Structure
Type of Heat:
Water Type:
Range Type:
Ei\€rgy Path:
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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 DEVEL:OPMENT INFORMATION ~
REQUIRED PARKING
Frontyard Setback:
Side I Setback:
Side 2 Setback:
Rearyard Setback:
Solar Setbacks:
Overlay Dist:
# Street Trees Rqd:
Paved Drive Rqd: .
% of Lot Coverage:
Total:
Handicapped:
Compact:
I PUBLIC IMPROVEMENTS ~
Street Improvements:
Storm Sewer A vaiIable:
Special Instruction:
~ n'-~ r,.
Sidewalk Type:
Downspouts/Drains:
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Notes:
I Valuation Description ~
Description
Type of Construction
:,...
$ Per S9\Ft.'..:"" 'Square Footage
or mriltiP'if~r''''l.bi~~'~l:l.Jor:'Bid Amount
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Value
Date Calculated
Page I of 2 ,
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CITY OF SPRINGFIELD
Building/Combination Permit
PERMIT NO: COM2010-00856
ISSUED: 06/30/2010
APPLIED: 06/30/2010'
EXPIRES: 12/30/2010
VALUE:
Status
Issued
,'.'.
225 Fifth Street, Springfield, OR
541-726-3753 Phone
541-726-3676 Fax
541-726-3769 Inspection Line
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Total Value of Project
Fee Description
+ 12% State Surcharge
+ 5% Technology Fee
1st Appliance
I . Fees Paid ~.
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Amount Paid~-~::' Date Paid
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$9.48;;-4.' i (
$3.95
$79.00
6/30/10
6/30/10
6/30/10
Receipt Number
3201000000000000349
3201000000000000349
3201000000000000349
Total Amount Paid
$92.43
Plan Reviews ~.
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To Request an inspection call the 24 hotirtrecording a1"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.
L Reauired InsDect~
Rough Mechanical: Prior to Cover .'
..,
Final Mechanical: When all mechanical wor.~~t.c~~~W,~~"
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By signature, 1 state and agree, that I have carefulli': exiimined'the completed application and do hereby. certify that all
information hereon is true and correct, and I furthii'c~~tify 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..
I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on tbis 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 tbe permit card is located at the front of the property., and tbe approved set of plans will remain on the site at all
times during construction.
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r Contractors Signature
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Date
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225 Fifth Street
Springfield, Oregon 97477
541-726-3759 Phone
City of Springfield Official Receipt
Development Services Department
Public Works Department
RECEIPT #:
3201000000000000349
Date: 06/30/2010
9:06:2IAM
Job/Journal Number
COM20 10-00856
COM20 1 0-00856
COM20 1 0-00856
Payments:
Type of Payment
CreditCard
cReceintl
Description
1st Appliance
+ 12% State Surcharge
+ 5% Technology Fee
Paid By
KEVIN N BROOKS
Check Number
Received By Batch Number
nJID
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Item Total:
Authorization
,Number How Received
Amount Due
79.00
9.48
3.95
$92.43
Amount Paid
056495 Phone
Payment Total:
$92.43
$92.43
6/30/2010