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Home My WebLink AboutPermit Mechanical 2010-6-30 06/29/2010 15:50 FAX 541 607 0287 ~ 0002/0003 Mechanical Permit Application ~1i~lllt~t~lil~I<<~"]~:":~I~lfi~; Permit no,; 225 Fifth Stl'cet . Springfield, OR 97477 . PH(541}726-3753 . FAX(541}726-3689 Date; This permit is i8sued under OAR 918-440.0050. Permits expire if work is Dot storted within 180 days of issuance or if work is suspended for 180 days. ZIP: First A liance uTDRcclburner including ducts and vents Up to lOOk BTUlhr. Over lOOk ETU/hr. Heaters/stoves/vents Unit heater Wood/pellet/gas stove/flue Repair/alter/add to heating appliance/ refrigeration unit or cooling system! absorption system Evaporated cooler Vent fan with one ducVappliance vent Hood with exhaust and duct Floor furnace including vent Gas i in One to fOUT outlets Additional outlets (each) Air-bandling units. iDcludin Up to 10,000 CFM Ovor 10,000 CFM Com ressor/absor tioD s stem/beat urn Up to 3 hp/ lOOk BTU Up to 15 hp/500k BTU Up to 30 hp/l ,000 BTU Up to 50 hp/l,750 BTU Over 50 hp/I,750 BTU Incinerators Domestic incinerator $17.00 $29.00 $43.00 $57.00 $95.00 $17.00 $38.00 $58.00 $13.00 $9.00 .$13.00 $58.00 $ $ $ $ $ $ $ $ $ $ $ $ II:'" $ $ I-'~ $ $ $ $ 11Ifi.!" ~., ~"::~~:i~J~I~j\i~~~;;\j~Ri~~W~~]i~j~~~!f~~~Ef!rr!ffii~I~~~mgf~~~m~Ir.~ffill~ $ &Jm"ZoJ D - dJ J'SS .~~~ V %'1j , ~V s:J 'Y \:~ !Y /\' '?~ ~~ (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) (B) Investigalive foe (equal to [A]) (C) Enter 12%surcharge (.12 x [A+B]) (D) Seismidee, 1 % (.01 x [A]) (E) Technology Fee (5% of [An TOTAL fees and surcharges (A tbrough E): 440~2545.I (II/Oa/COM) $ $ $ $ $ $ $ aa 'J '/P , ,,"'."'" CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2010-00855 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 541-726-376? Inspection Line '..".. SITE ADDRESS: 5335 Daisy St 67 . ';~;\:t; '::~.::'.Springfield TYPE OF WORK: Heating System ASSESSOR'S PARCEL NO.: 1702330001300 .,;'i;'~i!'!. .<1"' . ';r.<" ' TYPE OF USE: New Residential PROJECT DESCRIPTION: Replace electric furnace & install heat pump Owner: SANTIAGO ESTATES ASSOCIATES LLC Address: 11211 GOLD COUNTRY DR STE 100 GOLD RIVER CA 95670 I CONTRACTOR INFORMATION ~ ~ '~'. . Contractor Type Mechanical Contractor License ASSOCIATED HEATlNC'& AIR CONDITIO 106275 BUILDING INFORMATION ~ Expiration Date 08/31/2010 Phone 541-683-2590 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: ~.a~ge Type: tii~'r'H'"'PafIi~': ~ ,. ....-.. gy,.,...~."., .r, .Bprinkled B'Jildirig: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a .,,,,';C_.,.,.., ,,>i ,~ I DEVELOPMENT INFORMATION ~ Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: . Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS ~ ATTENTION: Ore'ij\!ew.alk IfyjWres you t.o. , :!: .,:r:, 'folloW rules ado>D~~~ft~~~;i~~~~~;rh NotificatIOn Center. 0 hOAR 952-001- in OAR 952-001-001 0 throug 0090. You may obtain copies of the rules by Notes: caliing the center. (Note: the telephone ,. nT'..... 0 - tilitv Notification . j'~ 'p-~' . C nter is 1-800-332-234 , . ,'.0 ERMIT SHALL EXPIRE IF THE uation Descri tion ~~rIlOHIZED UNDER THIS PERMIT IS ~IOT;';;'::';i-,:.~I"i' . D . '..! lI('nr:NCED tVl.d~tNJ ~Q)""tUl $'l'tr.Sq!Ft;;~._, '1'i,-Square Footage e;,;~":\!, 1"8'0 DAY PE 0 "",~I!) FOfbr mUlti/i(ier,"i(!ir,){I, o."Bid Amount RIOD ..,....." , .,', . >-(_.~,-. ." ............' ... Street Improvements: Storm Sewer Available: Special Instruction: Value Date Calculated '.'[(VI .' Pa2e 1 of 2 Status Issued 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Fee Description + 12% State Surcharge + 5% Technology Fee 1 st Appliance Total Amount Paid , " ";. ' .,.:,:"'" Total Value of Project I ','FeesPaid, I ' , . "~t:? . :.~, .; , f,!t;;'i~i '".,;:;~~, Amount Pai,ii:;.:' " Date Paid .. . I r :~, $9.48' . $3.95 $79.00 $92.43 . Plan Reviews ~. I ': ',I ~ 6/30/10 6/30/10 6/30/1 0 CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM20]0-00855 ISSUED: 06/30/20]0 APPLIED: 06/30/20]0 EXPIRES: 12/30/20]0 VALUE: Receipt Numher 3201000000000000348 3201000000000000348 3201000000000000348 . '. " To Request an inspection call the 24 houfi-e~ording 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. Reouired Insoections , Rough Mechanical: Prior to Cover . , . ,~~y; ,::~((tl:~'J':~;'O',J'1 ~. Final Mechanical: When all mechamcal worlhs,complete. ,,' :"~h,j';; :. ,f '!. I ' ,', ',!.[;,v-",,; 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 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 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. Owner . .,:..':", , ;ii;~'~i~' ,':~0 "~.i7~;'-~, . f,..<. j,l ,,:JlJ':I~P" 2 1'2 '"[;.1', !~~e 0 YL"" (0 ~J()-/O Date 225 Fifth Street . . Springfield, Uregon 97477 541-726-3759 Phone City of Springfield Official Receipt Development Services Department Public Works Department RECEIPT #: 3201000000000000348 Date: 06/30/2010 9:03:52AM Job/Journal Number COM20 1 0-00855 COM2010-00855 COM20 I 0-00855 Payments: Type of Payment CreditCard cReceinll Description 1 st Appliance + 12% State Surcharge + 5% Technology Fee Paid By KEVIN N BROOKS "Check Number R~ceived By _ .-Batch Number njm ',' ~+~;.~r' ~~~j~ ',t: t~.;~ f~';lnJ' i,'~:::~.i:; ,.~". ~Ii~,,,,'ij., I . -'n~i;~~~ ~ .',:"1" "';:,i.iil.': J > ..L:.~I', "'~. '::-.Q.' ":;1 :~,:~:,~~t '(~.''t;: (;f . ..i~.,\f'f _'~ '1 .~f'~->S "!. '/t..){. ; :jf1 .::r;,.. j.1. .:',;., !' ., Page 1 of I Item Total: Authorization Number How Received Amount Due 79.00 9.48 3.95 $92.43 Amount Paid 07461 s Phone Payment Total: $92.43 $92.43 6/30/20 I 0 Mechanical Permit Application This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;iL:;r;i[::~~t;,::(:;AIEGORYLoFScONSftR(jCftI0N;i;_i:L1;I_L!;; esidential D Government 0 Commercial '!;1ii;-;LitJo$iSIIIOLINIiORMAIIQNJ;ANILLOGAIION'! Job site address:$JJ::; J'f' # (d City: State: t1c 7 . .",......,,~". ,"'.'~.i."""''',,'~ ,.:';?':;,:T.:';~ -I- Name: ZIP: 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. Signature: -;:;t!;;;:;iii;;i;cQr.'lIRJl.crolfiNsTALLAftioN - " ,.,].,,' "". i",-~",._.,.;:M''"05;' City: Phone: E-mail: Print name: Signature: 440-2545-1 (I 1/08/COM) L,:,". .;..l"... ... ~ ',:..,;. ......;.5./.;. :4. :'\cCosf'-- Total Qij'. 'C:,',,,ca',,',",,; '-cost First Annliance I $79.00 $ 7qf" IFurnace/burner including ducts and vents Up to lOOk BTUlhr. $17.00 $ Over lOOk BTUIhr. $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 I $11.00 I $/J~" Over 10,000 CFM I I $20.00 $ Comoressor/absomtion svstemlheat onmn Up to 3 hpll OOk BTU . I $17.00 $ If~" Up to IS hp/500k BTU $29.00 $ Up to 30 hpll ,000 BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95.00 $ Incinerators Domestic incinerator I I $20.00 $ :!.;c.;;;',,' ...... Enter total valuation of mechanical system and installation costs $ Iti~~red on valuation ofmechanical:y~tem, etc. .. $ ~'77' It~nis .'i!. Total cost Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ ~~Aonal inspection: (I) $58.00 $ :,..l, G:' ...';....;;- (A) Enter subtotal of above fees (or enter set $ 7,00 minimum fee of $ 79.00) (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ q<lP , .- (D) Seismic fee, 1% (.Ot x [A]) $ , (E) Technology Fee (5% of [A]) $ UJ)' TOTAL fees and surcharges (A through E): s911/.1