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Home My WebLink AboutPermit Mechanical 2010-10-26 . 1\1echanical Permit Application i:;"'~"'; ;."t,l" "'~, ,'" " ,.', .... _,' ~ "..; ":-, ~~\;~l:r.~:,qF.:I~~l!~CF~~~D., QRE9P~:.r: ,.' >1;!F:p~P,ARTM.~Nr(USEO~'~Y~:;$! Permit no.: 510 - r? I SPRINGFIELD ., ~~~;!~~1r~ 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 ~"4~ ., 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. ,,:.iSli!jS/)'cATEG6RYN6i=,.0tqf\lSTRl.JCtlbN:;\':~.'.'.' ".',' o Residential I D Government ItO Commercial 0!,:;Xtj6.B~_~Ij:Ej'iNt(jRMAIIQ.N\'~Ntl;;.E99~Ilq.N'~;W.'!j/: Job site address:2J g 7 .X> . F' S-t City~f) rt nc,.' I t'! cl StateO IC . I ZIP((7 L( / } Referen'ce: , T J \ 00 I TaxlotO"O '\ . .bESCRlliTION.OFWb~K ' '. . AM t l f\\';- \ \ ~ ~t' C\ c;f1 r::: "I) \. ~ IC\.~- ~ ~:~";;:~E~ , ~ Address: X4/'18 -Sf 1 ++, Y\ Lcdo.. Dl/I vJ.. City: F'/(JYf 11 ( j StateO (? I zrp:na~ PhoneSZ/ j qq7 -f? ~( I ~ SL/I 9/I-:') /f.?7 E-mail:J()f\j//IIlo...J1WQsh~) bVI<:'Jt1 , /OVV\ This installation is being made on property owned by me or a member of my immediate family. and is exempt ITom licensing requirements under ORS 701~10'J ~ Signature //((1 ;1 /11"1 A rJ!)h Ef~:!:~:f!:i{~::c::qN:rr{AG]QR;I~~TArrQ\._IIQilt;'!j .... " ,:;,:o';;, Businessname:,J.c.-oC;1-U q(jS WrJfk:--S ,Me Address 'Pn 7301. ),12- ;roo!, City:~(J Cu In,} Stat<C) JP_ I ZIP?? 7!./()?" Phone5'-l-f' 34~--7 s-~q I Fax: - - E-mail: CCB license no.: 147 III Print name: JoAt\ 0G'7 U 6 Signature: 440-2545-J (l1/08/COM) I ......... "FEE SCHEDULE :";:".'i'::::';~," ,C'. "."'.""'-'.".' ,."."..," Qly.; :.';c:Fost':';',:'l'9ta!.'i; '5'~.,~~~ ... ,.; _,r 1_"~,,_. ea.,.'..,>.. _~,,_;:,cost _,':.' First Appliance $79.00 $ Furnace/burner including ducts and vents Up to lOOk BTU/hr. Over lOOk BTUlhr. Heaters/stoves/vents Unit heater Wood/pellet/gas stove/flue Repair/alter/add to heating appliancel refrigeration unit or cooling system! absorption system Evaporated cooler Vent fan with one duct/appliance vent Hood with exhaust and duct Floor furnace including vent Gas piping One to four outlets $17.00 $ $20.00 $ $17.00 $ $38.00 $ $58.00 $ $13.00 $ $9.00 $ $13.00 $ $58.00 $ $7.00 $ $4.00 $ Additional outlets (each) Air-handling units, including ducts Up to 10,000 CFM I I $11.00 I $ Over 10,000 CFM I I $20.00 I $ Compressor/absorption svstem/heat pump Up to 3 hp/IOOk BTU $17.00 Up to.l5 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 I I $20.00 $ .' ",,';"';".--- "-i'.",'., Ente,r total v~Juation of mechanical ~ystem and installatIOn costs $ ~ I 00 - Enter fee based on valuation of mechanical system, etc. $ :r~.i~t~l~B,~~~;~fi;~~~rif~'!Wi:f~I!)F ii~ni;~;;FJf~!i~iL <!~~~~I.:!. Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ J_t~t~@.w~i~~t~%;.*t&1\~@,~;~~A~.F?:'Ei'Q~Nt,~_~lfS'E;&:r4};~~~~~~~:if~d~:k~~~:;~jf;t\~~ (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.001 (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [MB]) (D) Seismic fee. 1%(.01 x [A]) (E) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through E): .' $ 'lf~f-' $ $~'1r $ $ ~~9r $ Cfiii! .. , CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00591 IVR Number: 811186816220 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennilcenter@ci,springfield.or,us EXPIRES: VALUE: 04/24/2011 $0,00 SITE ADDRESS: 2187 SF ST, Springfield, OR 97477-5216 ASSES OR'S PARCEL NO: 1803010003800 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: , Add unit heater and gas piping Phone Number: OWNER: ADDRESS: ASH JOHN J & NANCY A 89198 SUTTON LAKE DR FLORENCE OR ~7439 CONTRACTOR INFORMATION I Contractor Type Contractor Name J LOGUE GAS WORKS INC # of Units: o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 147111 Lie Exp 03/06/2011 Phone 541-345-7599 Lot Si'e: Sq Ft 1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: ATTENTION: Oregon law req'Jiros you!! . h 0 egon VII,' , foll<201oules adopted by t ,e I rare se[ te, b Notification Center. Those ,uh.e~AR 95A-001- . OAR 952-001-0010 throug "- ~090 You may obtain copiss 01 the rules by '. nter (Note: the telephone callmg the ce ' unity Notification number for the Oregon I ~ .._'__ ;0 1_Rnn_:'I:'I2-2344), Site Information I v......,..-. . Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: . -.. IF THE WORK THIS PERMIT SHAll ETXH~~~ERMIT IS NOT AUTHORIZED UNDER R COMMENCED OR IS ABANDONED FO ANY 180 DAY PERIOD, Springfield Building Permit 10/26/201 2:14:51PM Page 1 of 4 SP.~~\N.G.:E~ ~(.~ ~OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 Phone: 541.726.3753 Inspection Phone: 541.726.3769 Fax: 541.726.3676 www.ci.springfield.or.us Building I Commercial Permit PERMIT NO: 811-SPR2010-00591 IVR Number: 811186816220 pe rmitcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 EXPIRES: VALUE: 04/24/2011 $0.00 SITE ADDRESS: 2187 S F ST, Springfield, OR 97477.5216 ASSESOR'S PARCEL NO: 1803010003800 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add unit heater and gas piping DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion Tvee of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Descriotion Mechanical Permit fee (based on value of work) State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Permit Fee Adjustment. Mechanical State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid Amount Paid $58.00 $6.96 $2.90 $21.00 $2.52 $1.05 $92.43 Date Paid 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 10/26/2010 Receipt # 374708 374708 374708 374708 374708 374708 Springfield Building Permjt 10/26/201 2:14:51PM Page 2 of4 CITY OF SPRINGFIELD Building I Commercial Permit PERMIT NO: 811-SPR2010-00591 IVR Number: 811186816220 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 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: VALUE: 04/24/2011 $0.00 SITE ADDRESS: 2187 SF ST, Springfield, OR 97477-5216 ASSESOR'S PARCEL NO: 1803010003800 SCOPE: Mechanical Only WORK INVOLVED: Alleralion TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add unit heater and gas piping Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted Result 10/26/2010 10/26/2010 10/26/2010 Over the Counter Reviewer Nancy Machado Electrical Review 10/26/2010 10/26/2010 10/26/2010 Comments: Over the counter permit MeCll~rl[cal:Re_vie:w-'f"$~:i'F- ~ 10( -w;s"""","",,_ ?'-S:~?:"0i_~ .:: . ,"'>i !. S<?HHn~~~_:~='l.QV~r;t~~"co..u!:1te~R_ Plumbing Review 10/26/2010 10/26/2010 10/26/2010 Comments: Over the counter permit Not Required Not Required Fire Review 10/26/2010 10/26/2010 10/26/2010 Not Required Comments: Over the counter permit Energy Code Review 10/26/2010 10/26/2010 10/26/2010 Comments: Over the counter permit Rf~~~~~~~j~s;S,~1~!~:<~~~ubt~r~~~~~~ ! ...,.'.":'...."',,.:. .' ^'-,:-"""".-"''''-''-':.', Structural Review 1012612010 1012612010 1012612010 Not Required Not Required Nancy Machado INSPECTIONS REQUIRED ~ Inspections Nancy Machado Nancy Machado Nancy Machado Springfield Building Permit 10/26/201 2:14:51PM Page 3 of 4 SP~.liNG_.F IE~. ~~$.~ 'T'" ~ . CU" OREGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Commercial Permit . PERMIT NO: 811-SPR2010-00591 IVR Number: 811186816220 . permitcenter@ci,springfield.or.us PROJECT STATUS: STATUS DATE: Issued 10/26/2010 ISSUED: APPLIED: 10/26/2010 10/26/2010 EXPIRES: VALUE: 04/24/2011 $0,00 SITE ADDRESS: 2187 S F ST, Springfield, OR 97477.5216 ASSESOR'S PARCEL NO: 1803010003800 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Add unit heater and gas piping By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that aU 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. . ~0~n::tSi99::h I D ' 2-& - / () Date Springfield Building Permit 10/26/201 2:14:51PM Page 4 014 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2010-00591 2187 SF ST CITY OF SPRINGFIELD 225 Ftfth SI Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010000671 RECORD NO: 811-SI'R2010-0059I DATE: 10/26/2010 ltiESC RIP:rI()N:.;s,,],,~::; '#'4-- '" Yi".-i:",t0:i:~'."-',:' " :J;;j~;z~.'::l/ - ,WA" 'C'C"0,'U"N':r'-C"0"D' E':' #"'.'-'K, .,,','.;;:=A'~.'.[VI'...0. ,-U' _'tl':r'.dO' U_: ;;;E'. ,:;:;,---::,:,'#'y;.J t~.._...._~..-......~.,.,_,._'-T"""-_.'---'-~--'~;':~'" "".-......-....-.".,.,. ~,..-.,-__;0::'..~~.,..._. ..,,~.';;'.__............--~. _ ~.. _'.'_ _ .... "'" Mechanical Permit fee (based on value of work) 224-00000-425604 $58,00 State of Orejlon Surchacg_~2.% of applicable fees) 821-00000-215004 $6,96 I.echnology fee (5% of permit total) 100-00000-425605 $2.90 Permit Fee Adjustment - Mechanical 224-00000-425604 $21.00 ~tate of Oregon Surch~cge (12% of a""licable fees) 821-00000-215004 $2.52 Technology fee (5% of permit total) 100-00000-425605 $1,05 :r0:rAL DUE: $92.43 1;1""I'~Yi'lf.~!>i:rl'YPE"T),:;>P AY0R:-:S;;CASHrE~1C:CARP.E.NTER'~ iG..OMMENrs;,.;;:+."i;di;",t -'.- .,<,' ',IAM9J!.tlJ:JIAIQ" ;;,' ,--- Check 4629 ASH JOHN J & NANCY A $92.43 $92,43 ,