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Home My WebLink AboutPermit Mechanical 2010-9-27 Mechanical Permit Application . ':+If'i;;'V,,.!i,,,,,''''-'~C;,;,-;':;'':'l'f\''iY.!<'''<]}" 2'5i~:""!'i!P.,,";>,""~'~~'>~,'f :i-'.i' "DEPARTMENTUSE'ONLY:' s';. ;'.1'" '[,' ,~:;. :.,;-:",~:.:,.,:,,(., .', r.,-",,>~';;i'~_,~-'"'."_".r-,;."~" ,?',^.f: Pennit .$/ ~ . 0 c::" .3 7b no. Date: i- 2 ( - ( () This permit is issued uuder OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ~;',f"i(;..~~;:.t~;j;CA}EG'(jRYlWCl,,~IcoNs'rRl.JGJI()NT;~t;:';':, 'r' " Residential 0 Government 0 Commercial ;'%(j~\f;;iiioi3~s(fE':;;fN'~QRr.nJf1'IQN.1'l'ANDZ~gQeA:fi()N'~lj;i; 'i~i:ti ~'. "5 c; Sh~ City " l,,\. State: 0i2... ZIP: <;;7'1'17- D3.3 '51:J Taxlot.: D f(~o 'DESCRIP"tiOtf'OFWORi(':'" . '1"~~o-l~~)b D ) ~ ",^-J 225 Filii] Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 Business name: Address: City: ZIP: .. 'Phone: E-mail: CCB license no.: Print name; Signature: 440-2545-) (l1/OS/COM) , <} :. ,-:. .....' .. 'FEE SCHEDUL.E . ",'c .,. - ~~Bi!L~,~:~ii~'~,~~t:;~~~{~~l~t~~;:!;:i4i~~t~~~_i' Qty;. "';~ 'Cost~,;,T ....Total.. ,'".,}:.r,T ;'~;{lrea.:\'t:;,;l4; '~~{cost~~,y First Appliance r $79.00 $ 7'9 Furnace/burner including ducts and vents Upto lOOk BTUlhr. $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 systeml $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) I $4.00 $ Air-handling units, including ducts Up to 10,000 CFM $11.00 $ Over 10.000 CFM $20.00 $ Compressor/absorption system/heat pump Up to 3 hp/l OOk BTU $17.00 $ Uptu 15 hp/500k BTU $29.00 $ Up to 30 hp/l.OOO BTU $43.00 $ Up to 50 hp/l,750 BTU $57.00 $ Over 50 hp/I, 750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ ".F. Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ t~4"':,~,' ~>.:p.:~"\':;;:.":__;;:f....~,.;,;r.:;;-'!'c.~~,A:,:;'::';':&'x,;;.'i~'~;" ~tifu);~ ~~~~~[ftr~1~ \:"{Total-),;: ?:MiscellaneoList;fees~:;lt~%t1';f~1\_"'~'~it;Jf '~~"f. fost ?;,'<;; :':;"'''''_ }'_'=' ;,o":",,,:,';:'~',"/(>"'_"'(t,,\,,\,~,, ;,.:!~.", :,-".; .Ie;", ",_,~ \'~-"L~, '.--:-\:'.k"'" Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ ttt~~~t~r~I1#~,f'~!ifA~R;LI~'1,\N'_I~lus-~'~~~if;~~~l{41~~f~; (A) Enter subtotal of a 7r enter set 7'7 minimum fee of ~OO) $ (8) Investigati<<-fee(eqUal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of[A]) $ TOT AL.fe~s and surcharges (A through E): $ '7Zf) .. ' S.r.RI.N....G.__. FIE ~D .. ~';L\." . ~.,.,'- ,~ ,::'~'" ~OREGON CITY OF SPRINGFIELD 225 Fifth SI- Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.OLUS Building I Residential Permit PERMIT NO: 811-SPR2010-00376 IVR Number: 811103868500 permitcenler@ci.springfield.or.us PROJECT STATUS: Issued ISSUED: 9/27/10 APPLIED: 9/27/10 EXPIRES: 3/26/2011 VALUE: $0,00 SITE ADDRESS: 835 F ASSES OR'S PARCEL NO: Springfield 1703351301100 SCOPE: Wood Stove f Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding woodstove OWNER: ADDRESS: CUNNINGHAM-GOLlK ZACHARIA 835 F ST SPRINGFIELD OR 97477 Phone Number: Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No Lie Exp Phone BUILDING Ii/FORMA TION ~ # of Units: o # of Stories: I Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq F\2nd Floor: Sq Ft Basement: Sq F\ Garage: Sq F\ Carport: Sq Ft Other: Occupancy Load: # of Bedrooms: Sprinkled Building: Fire Alarms: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specially Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Energy Path:' Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: ATTENTION: Oregon law requires you to Retaining Wall: . follow rules adopted by the Oregon Utility SOils Report Requlred'Notification Center. Those rules are set forth In OAR 952.001.001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone numb.er for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE' .. ':. THIS PERMIT SHALL EXPlRE If 'nIE WOR1<i' AUTHORIZED UNDER THIS PERMIT IS NO~)::: COMMENCED OR IS ABANDONED FOR J;':Y' ANY 180 DAY PERIOD."-;': .' .' Springfield Building Permit 9f27f2010 9:29;4BAM Page1of3 www.ci.springfield.OLuS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00376 IVR Number: 811103868500 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 54 t -726-3769 Fax: 541-726-3676 S~I~N..G",=-. IEtij.O- ~..t... ~.~ . ti! :::>~ OREGON permilcenter@ci,springfield.or.us PROJECT STATUS: Issued ISSUED: 9/27/10 APPLIED: 9/27/10 EXPIRES: 3/26/2011 VALUE: $0.00 SITE ADDRESS: 835 F ASSESOR'S PARCEL NO: Springfield 1703351301100 SCOPE: Wood Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding woodstove DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Overlay Dist: # Street Trees Reqd: Paved Drive Re,qd: % of Lot Cover~ge: Highest point on structure to north property line: Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: . Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Oescriotion TVDe of Construction Unit Amount Unit TVDe Unit Cost Value p. ;;"'~".,,-' ., ",~ ~, """gT,==~..~h;;'f~~~~' ;"?i? "f~~~' '~.;~~iF~~tf'sJi~.ip~r.T':;S*,,-i;~~~,:',\:lj<t;f"~':lf~\-:;:;_~: Amount Paid Date Paid $79.00 09/27/2010 $9.48 09/27/2010 $3.95 09/27/2010 $92.43 :~];~~?"~~iG'. ,'- '.~~.'4 Description Receipt # 374401 374401 374401 First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid r" - -:~.~: :"'+i-~'i":'~_::E~:,'T:Ri~l:;~'l'?:"'~'- -~~::~~'fi~N~~~.~j~:::~-fPI~',fB~~~,~~~~:;~;<\j'_~~f4~~~~)~! :f, ' .... ;-.~ ""- . ~~._-~n1 "'."" "..'. , ..~. '~"" Department Received Due Date Complete Result Reviewer Comments Application Acceptance 09/27/2010 09/27/2010 09/27/2010 Over the Counter David Bowlsby In(tial Review 09/27/2010 09/27/2010 09/27/2010 Oyer the Counter David Bowlsby Over the counter permit Planning Review 09/27/2010 09/27/2010 09/27/2010 Not Required David Bowlsby Over the counter permit Public Works Review 09/27/2010 09/27/2010 09/27/2010 Not Required David Bowlsby Over the counter permit Structural Review 09/27/2010 09/27/2010 09/27/2010 Not Required David Bowlsby Over the counter permit Permit Issuance 09/27/2010 09/27/2010 09/27/2010 Issued David Bowlsby Springfield Building Permit 9/27/201:0 9:29:48AM Page 2 of3 www.ci:~pringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00376 IVR Number: 811103868500 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspeclion Phone: 541-726-3769 Fax: 541-726-3676 pe.rmilcenter@cLspringfield.or.us PROJECT STATUS: Issued ISSUED: 9/27/10 APPLIED: 9/27/10 EXPIRES: 3/26/2011 VALUE: $0.00 SITE ADDRESS: 835 F ASSESOR'S PARCEL NO: Springfield 1703351301100 SCOPE:'Wood Slove flnsert WORK INVOLVED: New TYPE OF STRUCTURE: Residenlial PROJECT DESCRIPTION: Install freestanding woodstove INSPECTIONS;REQUIRED ~ Inspections 2140 Pellet, Gas, Fireplace or Wood Stove By signature, I state and agree, that I have c~refully 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 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 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. ~j:,~.~",~ l!z,r /10 Date Springfield Building Permit 9/27/2010 9:29:48AM Page 30f3 S~4~N~~ ~~~. ,.>.".... OREGON www.ci.springfield.OLUS TRANSACTION RECEIPT 811-SPR2010-00376 835 F ST CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 permitcenter@ci.springfield.or.us RECEIPT NO, 2010000398 RECORD NO: 811-SPR2010-00376 rn~SCR(I'"FION,>-ei'r:::~,-:;~;:_::_~-', t-.F-*irQt'~?:-g:;;,; ~,:'~9S:QlJ~jic.Q[)J~~~;-~,'>if:';" First Appliance Fee 224-00000-425604 State of Oregon Surcharge (12% of applicable fee~) 821-00000-215004 ~ology fee (5% of .e.ermit total) ~~_______~~0000-425605 TOTAL DUE: DATE: 09/27/2010 h__J~!}Y_M;NJ,:.JY~E~- : !'.~y'QK ;-.' CAS,H'-E~BOWLSBY &-t'~:::C~O:MMEriI:(S%~;l- -~-'~\~ 'i?/t,;' "~: 'AMQ.Oril:r~R.\J,g,,': .:; '-. . $79.00 $9.48 $3.95 $92.43 'AIV!9_U}lT. PAID,' ^,' I -OJ "'1 Cash CUNNINGHAM-GOLlK ZACHARIA $92.43 $92.43