HomeMy WebLinkAboutPermit Mechanical 2010-11-16
SPR..I...N ,G FI~L.,D
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, ..l\'OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00725
IVR Number: 811104891144
www.ci.springfield.or.us
225 Fifth SI
Springfield,OR 97477
Phone: 541.726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/16/2010
ISSUED:
APPLIED:
11/16/2010
11/16/2010
EXPIRES:
VALUE:
05/15/2011
$0.00
SITE ADDRESS: 3655 E 17TH AVE, Eugene, OR 97403-2309
ASSESOR'S PARCEL NO: 1703343401300
SCOPE: Mechanical Only
WORK INVOLVED: Alleration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New pellet stove
Phone Number:
OWNER:
ADDRESS:
WALTON MARVIN CRAIG
3655 E 17TH AVE
EUGENE OR 97403
WALTON SANDRA LEE
3655 E 17TH AVE
EUGENE OR 97403
OWNER:
ADDRESS:
Phone Number:
Contractor Type
Contractor Name
TED L HUFF JR
CONTRACTOR INFORMATION ~
Lie Type
.CCB
BUILDING INFORMATION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Units:
o
# 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 Spe.cialty Code Edition:
Structural Specialty Code Edition:
Lic No
73806
Lic Exp
06/15/2011
Phone
541-338-7850
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
ATTqJT''''', n.ogon la ' t
Sq Ft Garage:" W reqUires you 0
follo\'s' r'F't'f>C~ ~rllrt'[lted by the Oregon Utility
N t'f' q arpo.
o I Icallon \,;t!nter, Thosp. rules are set forth
in OA,~'!J~tOs~e,r'001 0 thr8ugh OAR 952-001-
0090. O~j:HP~!!.~Y<!-.9~Jl,il copies of the rules by
calling the oenter. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
2008
Site Information
~
Engineered Fill:
Fill Volume:
Flood Hazard Area:
Land Hazar~ Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
11/16/201 2:00:29PM
~!OTlCE:
THIS PERMIT SHALL EXPIRE IF THE WORK
; ITHORIZED UNDER THIS PERMIT IS NOT
r'"~MENCED OR IS ABANDONED FOR
, . ',' ISO [JAY PERIOD.
Page 1 of3
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00725
IVR Number: 811104891144
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pennitce nter@cLspringfield,or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/16/2010'
ISSUED:
APPLIED:
11/16/2010
11/16/2010
EXPIRES:
VALUE:
05/15/2011
$0.00
SITE ADDRESS: 3655 E 17TH AVE, Eugene, OR 97403-2309
ASSES OR'S PARCEL NO: 1703343401300
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New pellet stove
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
DEVELOPMENT INFORMA TION ~
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
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
Amount Paid
$79.00
$9.48
$3.95
$92.43
Date Paid
11/16/2010
11/16/2010
11/16/2010
Receiot #
374902
374902
374902
Springfield Building Permit
11/16/201 2:00:29PM
Page 2 of 3
S:i} ~.~.'"- F~E~
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:::::,= OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
. PERMIT NO: 811-SPR2010-00725
IVR Number: 811104891144
www.cLspringfield.or.us
225 Fifth St
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenter@ci,sprlngfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
11/16/2010
ISSUED:
APPLIED:
11/16/2010.
11/16/2010
EXPIRES:
VALUE:
05/15/2011
$0.00
SITE ADDRESS: 3655 E 17TH AVE, Eugene, OR 97403-2309
ASSESOR'S PARCEL NO: 1703343401300
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New pellet stove
Plan Review
I
DeDartment
Application Acceptance
Received Due Date ComDleted Result
11/16/2010 11/16/2010 11/16/2010 Over the Counter
Reviewer
Chris Carpenter
,
Mechanical Review 11/16/2010 11/16/2010 11/16/2010 Not Required
Comments: Over the counter permit
rni~:~~~i~t~7~y'~0~:~,;h;~i~~?~i~::0: 0., /~/1~~~01 ~~,1 )~6/~~~:~(~;!~th;;';:unter .... ,
t: - '~"'...J;~"-'" ,,,;._:.-__,;~,,'.,'7 .,' '. .,," "_b'.'~'~f""....:..__. ,-..""'.~_s.*. ,*0.:1;
Chris Carpenter
CQfis,'"C~rpenter< . "I' _.....,
< :1':,7,,',<'1)'7.:7'1
""''''''''''"",'',3'',:" 'I
,-,,"','; . ,~~ J' ..', j
INSPECTIONS REQUIRED I
~ 'Wo,"c'", ',"'" ,-"",/,;. .' ,... .
" '"""J,~'_~'
Inspections
2999 Final Mechanical
Final Mechanical: When all mechanical work is complete.
By signature, I state and agree, that I ha~e 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 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
~zw<Akn
Owner or Contractor Signature
11;/& /~J()
I I
Date
Springfield Building Permit
11/16/201 2:00:29PM
Page 3 of3
www.ci.springfield.or.us
TRANSACTION RECEIPT
. 811-SPR2010-00725
3655 E 17TH AVE
CITY OF SPRINGFIELD
225 Fifth 81
Springfield,OR 97477
541-726-3753
permitcenter@ci.springfield.or,us
RECEIPT NO: 2010000843
RECORD NO: 81 I-SPR2010-00725
DATE: 11/16/2010
[DESCRIPTION'., '" ';:.:.~.; ..... ---
~,.~~..,---,.",-..,-,~...,_.,-~_.----,,,.
Firs~Applia~ce Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
.:",'ciJ,.- :-r - - _" -":-,--Ac_c_6:tJNlj~_OOE ,;',:c.__;,,~::;d\MO:UN:tD_U_E-- " .. _:-::_.::J
224-00000-425604 . $79.00
821-00000-215004 $9.48
100-00000-425605 $3.95
TOTAL DUE: $92.43
(t;; !tAY@B~;;CASHiER CCARPENTER;;;C.aMME"l1.S:'.-.j8';;,: -"c; " '2,'; ';.AMOUNT'pAlb;c,;.; " ,
L _ PAYMENT TYPE
Credit Card
406083
WALTON SANDRA LEE
$92.43
$92.43
Mechanical Permit Application
~~-;' I ~ .-~JI ,.., : i':c.t~;"'T~.l'~ ~ ':'j"',,;~1"~
'~TCHY OFSPRINGFIEl;D:OREGON",,~
~,"~e;,. '. .,,~"~ " .:.~.,.-- .,-n'"""_;'. ~..' ..,........,. " '.' ',-'''''P''f'1<';J'"'~
225 Fdlh Street. Springfield, OR 97477. PH(54])726-3753 . FAX(54])726-3689
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",'D~PA~"T~ENT;LJSE. ONL'f",/
;"PAINGf'IELD ~~'1
~:~~
Permit no.: .......
Date: / {
This permit is issued under OAR 918-440-0050, Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days. .
'\'.";("({;'~CATEG()RYl!ciF2C()NSi:Rilcflo~{\, '.
esidential D Government D Commercial
4';:n,:;;jQB~'$.i.:tE'\:INF9.RIVI~IipNtANQ;;;E99Ni'IQN}1i;',;{i
V
DE$CRIPTIONOF' W.oRK'
\Je:..c..LE.- ,
E-mail:
This installation is being made on Peoperty owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010,
Signature:
~t'i!~%!!lfiiZ;,,!iC9NTRACTQR;JN$TA.IlLA.tION~;.:';::i,:;:,,:,,:,::;,;:;':!1:
ilL ervl
Y1
City:
Phone:
E-mail:
CCB license no,:
Print name:
Signature:
440-2545-J (II/DB/COM)
':" , ' FEE S~HEbuLE ,
il~~,~i_4~r~i~I~!;;);~:;'0f;'8)i-.!l;::"->-'!2':' QtYi' ~~,::~~~t~J;t:i::: ,.,:1:otal,.
,'",':,-';C ~:;:'~:c'ost,;;,(.~
First Aooliance { $79.00 $'7'7
Furnace/burner including ducts and vents
Up to lOOk BTUthr, $17,OD $
Over lOOk BTUlhr, $20,00 $
Heaters/stoves/vents
Unit heater $17,00 $
Wood/pellet/gas stove/flue $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 fOUT outlets $7,00 $
Additiona] outlets (each) $4,00 $
Air-handling units, including ducts
Up to 10,000 CFM $11,00 I $
Over 10,000 CFM $20,00 $
Com Dressor/a bsorntion svstem/heat Dumo
Up to 3 hp/J Oak BTU $17,00 $
Up to ]5 hp/500k BTU $29,00 $
Up to 30 hp/J,OOO BTU $43.00 $
Up to 50 hp/J,750 BTU $57.00 $
Over 50 hp/J,750 BTU $95,00 $
Incinerators
Domestic incinerator I $20,00 $
, :,t,. ,,:::,!!" >,,'.-- ,---,
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc. $
::~)~(:~I}#t1~()~~-t~~$0f~i:f\'Wi)~';j!;,F :JA~~ .....C"t ' '.,Total::,
)J.::';~~- ; e?l~,j:~J;~ \.'";c'ost:-::'
... -,
Reinspettion $58,00 $
Specially requested inspections (per hr.) $58,00 $
Regulated equipment (unc1assed) $13,00 $
Each additional inspection: (I) $58,00 $
;t~~t:::\{{~;~tlt::1~~~T~~\W;~~1]iAPP.tJicANff,~Ju~S'E1f~~'lt1r~'~i.i~*,:~r~l~\}IT}~:YIr{;::
(A) Enter subtotal of above fees (or enter set '7Q-
minimum fee of $ 79,001 $
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (,12 x [MB]) $ 'It(.l-
(D) Seismic fee, ]%(,01 x [A]) $
(E) Technology Fee (5% of[A]) $ '3 tJ.,.
TOTAL fees and surcharges (A through E): $ 0') l{ J
-