HomeMy WebLinkAboutPermit Mechanical 2010-12-8
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CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00853
IVR Number: 811196189529
www.ci.springfield.or.lJs
225 Fifth Sl
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
pe rmitce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/08/2010
12/08/2010
Issued
12/08/2010
EXPIRES:
VALUE:
06/06/2011
$0.00
SITE ADDRESS: 776 JANUS ST, Springfield, OR 97477-3624
ASSES OR'S PARCEL NO: 1703341202100
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New wood stove
Phone Number:
OWNER:
ADDRESS:
FG VENTURES LLC
2520 CHUCKANUT ST
EUGENE OR 97408
Contractor Type
CONTRACTOR INFORMATION ~
Lic Type
CCB
BUILDING INFORMATION I
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
Contractor Name
HERBERT M HENNING
# of Units:
o
--~-
Lie No
76785
Lie Exp
02/24/2012
Phone
541-342-3266
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other: 0
Occupancy Load:
Electrical Specialty Code Edition:
r - - -, '-''-''~I'
Springfield Fire Code Edition: .: ' . Ore!)on law requires you to
~~ adoptpd by the Oreg Ut'l'
Mechanical Specialty Code Edition: on Cent -Th on Ilty
. , ' .. er, ose rules are set forth
MUniCipal I Development Code: ,9,,2-001-0010 through OAR 95 _
'" " " 2001-
Plumbing Specialty Code Editi~~:rou may obtain copies of the rules b
(," I",n the ce"'-- (N thY
Residential Specialty Code Edition: t 2008 0 e: t e telephone
IIUlfloer or the Orego Ut'I't N " ,
Structural Specialty Code Edition: C t' n I I Y otltlcatlon
en er IS 1-800-:'J::l?-?~AA\
I Site Information' I
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
"JTHOR/ZED UNDER TH/S PERMIT IS NOT
'lMMENCED OR IS ABANDONED FOR
: 'f 180 DAY PERIOD.
Springfield Building Permit
12/8/2010 12:03:15PM
Page 1 of 3
www.cLspringfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00853
IVR Number: 811196189529
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
perm itce nter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
12/08/2010
ISSUED:
APPLIED:
12/08/2010
12/08/2010
EXPIRES:
VALUE:
06/06/2011
$0.00
SITE ADDRESS: 776 JANUS ST, Springfield, OR 97477-3624
ASSESOR'S PARCEL NO: 1703341202100
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
New wood 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:
DownspoutJDrains:
Valuation Description
~
Descriotion
Tvoe of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
~
DescriDtion
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
Total Amount Paid
Amount Paid
$79.00
$9.48
$3.95
$92.43
Date Paid
12/08/2010
12/08/2010
12/08/2010
ReceiDt #
375081
375081
375081
Springfield Building Permit
12/8/2010 12:03:15PM
Page 2 of3
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2010-00853
IVR Number: 811196189529
www.ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
ISSUED:
APPLIED:
12/08/2010
12/08/2010
Issued
12/08/2010
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.U5
EXPIRES:
VALUE:
06/06/2011
$0.00
SITE ADDRESS: 776 JANUS ST, Springfield, OR 97477-3624
ASSES OR'S PARCEL NO: 1703341202100
SCOPE: Mechanical Only
WORK INVOLVED: Alteration
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: New wood stove
Plan Review I
Deoartment Received Due Date Completed Result Reviewer
Application Acceptance 12/08/2010 12/08/2010 12/08/2010 Over the Counter Chris Carpenter
. ~
'">C.. : '.
Permit Issuance 12/08/2010 12/08/2010 12/08/2010 Issued Chris Carpenter
Structural Review 12/08/2010 12/08/2010 12/08/2010
Comments: Over the counter permit
Planning Review _; ':'" ',12(08/2?:I~C42!.28!?~10.;,}?I.Q~/2.0JQ!
Comments: Over the-coun!erpermi.t ~ :",. '_ ';' ':-':':'" :~' '2
'- .~ "'""'. -,,~.~
Not Required
": J~2tR<tqu.irg9('': ~~:i: ~"-
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INSPECTlONS'HEQUIRED I
Inspections
2140 Pellet, Gas, Fireplace or Wood
Stove
Wood Stove: After Installation.
Chris Carpenter
.' Chrjs 9rpe.nte.r;':
. l
~J
.r:
By signature, I state and agree, that I have 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 ~ingfield 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 contracto~s anh employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required\inspJctions are requested at the proper time, that each address is readable from the street, that the
permit card is located at t froht of the property, and the approved set of plans will remain on the site at all times during
construction. /
i
i
I
S. I I
Owner or Contractor IgnU\lre
R(f.,lr6(t ~
((Ie/l v
Date
Springfield Building Permit
12/8/2010 12:03:15PM
Page 3 of 3
Mechanical Permit Application
.ti(j'~:"\";;"''''~'". 'I;''." , :t" .',,,,; :;':t'i;":;""!,i,"<~cq\c:;:>;:",:,,-~:p;:~~~W~:~,:
;<:~:': pEgA~TMENT',U~EOf\lL,yr"s,,r
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225 Fifth Street. Springfield; OR 97477 . PH(541)726.3753 . FAX(541)726.3689
Pennit no.: S; I 0 - J':;J'
Date: /.LJ' I V
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.
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Residential D Government D Commercial
~t~rI1l!::':JoB~,~ii(ElfIN'~9RM~tIQNW:t:~Qt\i!9:GAllQN~~~:!;:~'i
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Address:
City: :5
Phone: -5 - 0
E-mail: IV\.W.Mq \..r ~'. \'pto~
This installation is being made on property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 7 1.010,
, /
AJltIV b
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~~~.
S
440.2545.) (I1/08/COM)
;:'-, ,- ..""i' ''''''''i''' ...... ..... ... .., , . , , .
. .' . ,'FEE SCHEDULE '.
~$~iW:~l!~J,~~~J'~~~~~~;~a~t~~~,f~ f~1i;J~~v~~~4I~ ,,,;,TotaJ-.,,,,
~.~Tcostdi'.:/:
First Annliance , I $79.00 $
Furnace/burner including ducts and vents
Upto lOOk BTU/hr. $17.00 $
Over lOOk BTU/hr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/peliet/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 four outlets $7.00 $
Additional outlets (each) $4.00 $
Air-handling units, including ducts
Up to 10,000 CFM I $11.00 $
Over 10.000 CFM I $20.00 $
Comnressor/absorption svstem/heat pump
Up to 3 hp/100k BTU $17.00 $
Upto 15 hp/500k BTU $29.00 $
Up to 30 hpll,OOO BTU $43.00 $
Up to 50 hpll,750 BTU $57.00 $
Over 50 hpll, 750 BTU $95.00 $
Incinerators
" Domestic incinerator I $20.00 $
~'",i".;i":Y' fii: ....".. ....
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system. etc. $
!....,<,'f<.:;';,;;;;P''i.\'l2<cJe:'':c~fc~C:;t&f.''_;<;.ii€~<f~~T:'J::fit i~~:m; I1'CoSt"."" ~4~~l~~~~;?~~
~M Iscellan~'ous~fees~-j}2~4~Y~1~;:t~;\ryjp~' , '~'~':"'--Jf'!~.
:.-~:~" '.' """',".);' ,""':,,,),.,,-' '", -~"',,~'f\"~,,:, _> l...,:~"_".,,.- ",-"J."'J~, "j __.,'~" ';-.'",",ea.~,:;.~'t
Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (un classed) $13.00 $
Each additional inspection: (I) $58.00 $
1fE~;~~k5t~1t;~ftltrfi~Af?_Fl~tcAN.Jt~rJS'Ei~~~[~?;~1t~~~IZ
(A) Enter subtotal of above fees (or enter set $'79 ---
minimum fee of $ 79.00)
(B) Investigative fee (equal to [A]) $
(C) Enter 12% surcharge (.12 x [A+B]) $ 9"/&
(D) Seismic fee, 1%(01 x [A]) $
(E) Technology Fee (5% of [A]) $ )c,_~
TOTAL fees and surcharges (A through E): $ q 2:1-
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00853
776 JANUS ST
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726~3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010001000 RECORD NO: 81 I-SPR2010-00853 DATE: 12/08/2010
[PESCRIPTI@~3:'?",. '}-~:J" ,f:I.' "., ",,:~i, '; J"~.'A~_C.QUNTJ.C0.IDEr::,'.':~ "']....MQ.iJNTJ~QE';i:"' . '.' oj
First Appliance Fee 224-00000-4~5604 . $7~
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.48
Technology fee (5% of permit total) 100-00000-425605 $3.95
TOTAlIDUE: $92,43
Ee~Y~~NT,ToYl'~':;~PAY.OR":4:;."CASHIERfCC~RijENTER-:,::CQMMEjIIIS;::::;;;' '::;:"i'f;;;~;' . ,:,~,:';;,AM.9.l.i_NT,I'A![)' ',' .~
Check
1025
Matthew Mahr
$92.43
$92.43
"