HomeMy WebLinkAboutPermit Mechanical 2010-8-18
CITY OF ,SPRINGFIELD
Building I Residential Permit
PERMIT NO: 8;11-SPR2010-00084
IVR Number: 811134043792
www.ci.springfield.or.us
PROJECT STATUS: Issued
ISSUED: 8/18/10
APPLIED: 8/18/10
EXPIRES: 2/13/2011
VALUE: $0.00
225 Fifth St
Springfield,OR 97477
Phone: 541.726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permilcenter@ci.springfield.or.us
SITE ADDRESS: 889 LOCHAVEN Springfield
ASSESOR'S PARCEL NO: 1703272402100
, SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Heat Pump & Air Handler
Phone Number:
OWNER:
ADDRESS:
BURHAM VALERIE J & FRANCES H
889 LOCHAVEN AVE
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Contractor Name
PRIORITY ONE HEATING & AIR CqNDITIONING INC'
Lie Ty pe
ccs
BUILP~f':lG;INF,P~!'MTIPN ~
# of Units:
I
#ofStories: "r"
I Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
o
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
"r"l::::,:!' r:
Electrical SpecialtY CO,de Edition:
Spriil'gfield Fire Code Edition:
Mech-anical Specialty Code Edition:
Municipal I Development Code:
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
Energy Path:
, Site Information
Engineered Fill:
Fill Volume: '
Flood 'Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils'ReportjRequired:
'.) I ! l.~....
'lIS PERMIT SHALL EXPIRE IF THE WORK
tJTHORIZED UNDER THIS PERMIT IS NOT
lMMENCED OR IS ABANDONED FOR
'IN 180 DAY PERIOD,
."-.-. -- .-. ....~ ..
. ~"'-"'--"'----"". ....
LDi:~;. ':.!Nl-;'Gf~ri~ . :U.:;; .
',~~~~t" 'l\)~!.:;,k'd, :l' , . 1
.t!dHh'i
.." '.
Lie No
154686
Lie Exp
03/30/2011
Phone
541-689-1004
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
~
ATTENTION: Oregon law requiros you to
follow rules adopted by tile Oregon Utility
Notification Center. Tilose rules are set forth
in OAR 952-001-0010 througil OAR 952-001-
0090, You may obtain copies of tile rules by
calling tile center. (Note: the telepilone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
" : ',': \. I, '" ~'
.:gi :~: L i I::! .:: i:'I"
Springfield Building Permit
p,'d'hfic..:-: 'i ",r ,j;
.. --.-'"~'8118/2010 12:42:19PM
, ,
Page 1 of 3
i.L;?..~/id . \./.H
. '. 'I:~
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection 'Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfleld.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00084
. permitcenter@ci.springfleld.or.us
, '~.{ .'i
IVR Number:.81.1134043792
. p-'''.' ;"-', .....,)." '
. ;~GtJ.\. ' "
PROJECT STATUS: Issued
ISSUED: 8/18/10
APPLIED: 8/18/10
EXPIRES: 2/13/2011
VALUE: $0.00
SITE ADDRESS: 889 LOCHAVEN Springfield
ASSESOR'S PARCEL NO: 1703272402100
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Heat Pump & Air Handler
DEVELOPMENT INFORMATION
~
. '
REQUIRED PARKING
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Overlay.Disl:' , , "" ~N
# Strl.et"rees Reqd: "
Payetto,!,,;; Reqd:
% of L~t Coverage:
Highest point on structure to
north property line:
Total:
Handicapped:
Compact:
PUBLIC IMPROVEMENTS ~
~;.~ 11 ' .:
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
fliJf?1 >a i~'ll,:jq !:, \ -'.
~:-,et~ ,tNt;,t!,1' f:'
'~,'.~; ;"
Sidewalk Type:
liD: g: -'~..l'iO
.:t~~{..!:,-
Downspout/Drains:
" Valuation Description ~
DescriDtion
l\'-':}
Tvoe of Construction 'l\':~::" .
"'''.:-.' .:
." '(,_I
> Unit Amount Unit Tvpe
Unit Cost
Value
,Ii
[ -q
-" -"\.
Descriotion
Air Handling Unit up to 10,000 cfm
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
- b
'l;f-,
.r.'
P',~--,. ",\, L
,- ~, ~"
-';Y',
Amount Paid
$17.00
$79,00
$11,52 .
iHFr:. :. .",',:-,"-.,$' 4:8,0 :,
~ .~,.::'~'
",J.',':';i,,' ..1:$112:32 : .
'..~Z::: H. ,,;,,)U
"'''IF:EE$:pA)D; "~~~~"--;~<_:~<: i~~~-1-~.." ,~~-*._T.
Date Paid
08/18/2010
08/18/2010
,08/18/2010
08/18/2010
'-'l/-'-~ '-,< ..r
. ._.' --==~J
''E..
., -,
. '~,' t.
Receipt #
299256
299256
299256
299256
r'f}f:..:.
Springfield Building Permit
. 8/18/2010 12:42:19PM
Page 2 of 3
'.
'''''' ..'.
,~',--'-""'.... :>.
S.PRINGFIEL~
tll~ -._
',~ ,
. .
- q,REGOl'o4
www.ci.springfieJd.or.us
PROJECT STATUS: Issued
CITY OF SPRINGFIELD
Building I Residential~Permit
-.' "<, ,. ,
'. '.,',N', )..
PERMIT NO: 811,SPR2010-00084
. . . >-I j ''l' . ' . ~ t: '
IVR 'Number: 811134043792
ISSUED: 8/18/10
APPLIED: 8/18/10
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,springfield.or.us
EXPIRES: 2/13/2011
VALUE: $0.00
SCOPE: Heating System
WORK INVOLVED: New
,1';;;1 '._c_ n:~~ O.F STRUCTURE: Residential
, :'iU' _:~",;::;~~f:" .....,' ,
PROJECT DESCRIPTION: Heat Pump & Air Handle;:~D-;:;. :"':ir'..' : .
~\~i~~i::t'-;~:s,~;~,~. '~',,~~~"^~; ..r~:,;,~,';'<';' ,. ;+~{,~;~'SfJRic1h'Revie';;';
- - ..~'t....:.--~_.
ComDlete Result
08/18/2010 Not Required
08/18/2010 Issued
08/18/2010 Over the Counter
08/18/2010 Over the Counter
08/18/2010 Not Required
08/18/2010 Not Required
SITE ADDRESS: 889 lOCHA VEN Springfield
ASSESOR'S PARCEL NO: 1703272402100
DeDartment
Structural Review
Permit Issuance
Application Acceptance
Initial Review
Planning Review
Public Works Review
Received
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
.~,'~::;q~, ~ i~'~l,~i~'"Jl~b~~~:;!:,~,~~i;~j;--\rr:;,Y~~,',': :~, ~
Due Date
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
08/18/2010
Reviewer
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Nancy Machado
Comments
Over the counter permit
Over the counter pennit
Over the counter permit
Over the counter permit
Inspection's
2300 Rough Mechanical
2999 Final Mechanical
INSPECTIONS REQUIRED ~
"."..,.
, . .~~~\: "ll..l" , I
1:'
1 ,.
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify thai 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 or 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 compli~nce with ORS 701,005 will be used on this project I further agree
to ensure that all required inspeclions are requested at the p"?per t~rl)~'llhat each. address is readable from the street, that the
permil card is located at the front of the property, and the approved:s~tof:plans-will remain on the site at all times during
. . <,',_~,;~",,^, ..'l'.~r;''''~,;,
construction, . f' , .
. ~'\, ','
:'i,tunj"\-;.,
';.~;~.~;'A ;'
Owner or Contractor Signature
Date
Springfield Building Permit
;
';':'
,,,:,;!,
, ~ ,I... ","I'~"". ~
~::' !
...::, ,_:r'~,,:,:
"1\
:' ,,~
-u{':!~,~r:,i:
. .,.~'.'
,;;1;~'~,~';~';~;~(:',; ,;' ".
.. ..,
';:';~i8/f8/201 0";'1 '2:42: 19PM
;gitt!~ ,.
,."...."
Page 3 of 3
08/18/10 WED 11:34 FAX 5416074457
Priority One Heating
~001
Structural Permit Application
. CITY OF.SPRINGFIELD, OR~G()N :.
225 Fifth Street. Springfield, OR 97477' PH(541 )726~3753' FAX(54 1)726-3689
~~
If
Date:
-tu
This permit is issued under OAR 918-460-0030. Permits expire if work is not stsrted within 180 days of issuance or if wo k is
suspended for 180 days.
lmw)jjjjj~H:i;m~~i~Bti~~'~~~1j;,~;, ~'I~e,~J~J..~~~fflrlii~~:";. r~l~i$ff~p,fi~ti;r~l~~i~;if!1!Jfl:
This project bas fmalland-use approval.
Signature:
This project has DEQ approval.
Signature:
Zoning approval verified:
Property is within flood plain:
Date:
Date:
DYes
DYes
DNo
DNo
Construction type:
Square feet:
Cost per square foot:
Other information:
Type of Heat:
Energy Path:
o new D alleration
(b) Foundation-only permit?
Tollll valuatton:
~~,:I!~!~gr~w'
(a) Permit fee (use valuation table):
(b) Investigative fee (equal to [2a]):
(c) Reinspectioll (5 per hour):
(number of hours X fee per hour)
o addition
DYes
DNo
IT:1IT~;ii:;'IT!W~lmm:~~;~~1~!~1fj'~~R~ltl~,'ffil~1~~~~ti~~~i~:]gllmHl~ij~J!if!1i\t~ijim~~~i1
s
s
E-mail:
This installation is being made on residential or farm property owned by
me or a member afmy immediate family, and is exempt from licensing
requirements under ORS 701.0]0.
$
Sign here:
(d) Enter 12% surcharge (.12 x [ia+2b+2cD: S
(e) Subtotal of fees above (2a through 2d): S
~~~OO(:~~~~~t~;[~~~ml!1~~t~~mijUi~~~1i:jli;ijj~!~j!j~~!1i!m!Ji~j~~K~m~%[;~~~ij~
(a) Plan review (65% x permit fee [2a]):
(b) Fire and life safety (40% x pennil fee [2a]):
(e) Subtotal of fees above (3a and 3b):
City:
Phone-
E-mail:
(a) Seismic fee, 1 % (.01 x permit fee [2a}):
TOTAL fees and !lurcharges (2e+3c+4a): S
Name
Electrical
Plumbing
Mechaniul
CCB License Number
Phone Number
..j.:".
.' ',~ "'.
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
permitcenter@ci.springfield.or,us
RECEIPT NO: 2010000080
RECORD NO: 811-SPRlofO-00084
DATE: 08/18/2010
:,~~?~~~~:?:~~3r;~"';7~7Jt~~:i:f2~;gG:C~O:(jNJ,;*QOQE~' :.~if:^4;''''?4~':~~Mo).r~JJ:)*U,eL..~'~ 'f, 'q'~""'d
. . - 224-00000-425604 $17.00
224-00000-425604 $79.00
,----- -"
821-00000-215004 $11.52
---,---,.,"'--~-------*----~_._.
100-00000-425605 $4.80
,TOTAL DUE: $112.32
t;'tiJ>AYMEN:tTygE"'~~AYOR~~CASHrERNMAC:H!iD():J:;';C_QMMg~Is~:~"i2iy-':::t';'<" .;", , 'AMO@C:Lg~!D~',~" .,-
Credit Card Tina Milligan $112.32
I 'DES"'R I'PT' 'IO"N'<j'c:~' if' .,' '" ";",ii:~;;_
!l~_' ;'??Eh"ifjiPY, "'-~. -':!0iJL~~;r
Air Handling Unit up to 10,000 cfm
first Appliance Fee
5itate of Oregon Surchar.gej12% of applicable fees)
Iechnology fee (5% of perm~ total)
I
016033
. ~; "
~..:~.. '~ i ~ '
, ;', ~
../,!,;" ':. ,i~'::
','
".'