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HomeMy WebLinkAboutPermit Mechanical 2010-11-16 SPR..I...N ,G FI~L.,D ~"~"'_ ~. '+A t'f:'~ , ..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~ ~'.rri>'" ^~"'':iiiU :::::,= 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 $92.43 Mechanical Permit Application ~~-;' I ~ .-~JI ,.., : i':c.t~;"'T~.l'~ ~ ':'j"',,;~1"~ '~TCHY OFSPRINGFIEl;D:OREGON",,~ ~,"~e;,. '. .,,~"~ " .:.~.,.-- .,-n'"""_;'. ~..' ..,........,. " '.' ',-'''''P''f'1<';J'"'~ 225 Fdlh Street. Springfield, OR 97477. PH(54])726-3753 . FAX(54])726-3689 "'.'S'- '.'":, ,::,; ,_;,~,,~:;: ",'; :;":'-''','"' ".' :."~" '-:"":~. 'J-:'Y~\_._:','.',~ ,'X':'I,'" ,,0 ,~i.': . ,:, ",'D~PA~"T~ENT;LJSE. ONL'f",/ ;"PAINGf'IELD ~~'1 ~:~~ Permit no.: ....... Date: / { This permit is issued under OAR 918-440-0050, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . '\'.";("({;'~CATEG()RYl!ciF2C()NSi:Rilcflo~{\, '. esidential D Government D Commercial 4';:n,:;;jQB~'$.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 -