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Home My WebLink AboutPermit Mechanical 2010-12-6 . .' Mechanical Permit Application CITY OF SPRINGFIELD, OREGON 225 Fifth Street + Springfield, OR 97477 + PH(541)726-3753. FAX(541)726-3689 DEPARTMENT USE ONLY .....~ ~ 00 '2.7 Permit no.: Date: / Z - b . (::) This permitis issued under OAR 918-440-0050, Permits expire irwork is not started within 180 days of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION w., Name: Phone: ) E-mail: ~ .......... <<.Io.,S C:~....... "';1":... '" This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS701.01O. . k-~ Signature: .-~1.---L CONTRACTOR INSTALLATION CCB license no.: Print name: t c." . Signature: 44D.2545-J (I liDS/COM) FEE SCHEDULE , Residential Qty. Cost Total ea. cost First ADDliance $79.00 $ lFurn8celbumer including ducts and vents Up to lOOk BTUIhr. $17.00 $ Over lOOk BTUlhr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stove/flue J $38.00 $slJ Repair/alter/add to heating appliancel retiigeration unit or cooling system! $58.00 $ absOlption 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 I $ Additional outlets (each) I' $4.00 I $ Air-handling units, including ducts Up to 10,000 CFM I $11.00 I $ Over 10,000 CFM $20.00 I $ Compressor/absorption systemlheat pump Up to 3 hp/lOOk BTU $17.00 $ Up to 15 hpl500k BTU $29.00 $ Up to 30 hp/l,OOO BTU $43.00 $ Up to 50 hp/l,750 BTU $57.00 $ Over 50 hp/l,750 BTU $95.00 $ Incinerators Domestic incinemtor I $20.00 $ Commercial Enter total valuation of mechanicaJ system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Miscellaneous fees Item Cost Total ea. cost Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ APPLICANT USE (~) ~nter SU~~OV{}.f~nter set $7' mmunum fee ~ (B) I~vestig~ ,equal to [AD < (C) Enter' 12% surcharge (.12 x [A+BD $ 71ft ~ (D) Seismic fee, 1%(.01 x [A]) $ (E) Techoology Fee (5% of [A]) . $ '? 7iJ TOTAL rees and surcharges (A through E): $C?t, ~ . It..- .. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00827 IVR Number: 811190979713 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: 155 ued 12/06/2010 ISSUED: APPLIED: 12/06/2010 12/06/2010 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 06/04/2011 $0.00 SITE ADDRESS: 841 ,B ST 1, Springfield,.oR 97477-4722 ASSESOR'S PARCEL NO: 1703354201100 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding woodstove Phone, Number: OWNER: ADDRESS: HARMAN MICHAEL E & KARIN M 841 B ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Contractor Name THERMALRESOURCESINC # of Units: o lic Type CCB BUILDING INFORMA nON ~ # 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: Lic No 161946 lie Exp 10/2912012 Phone 541-343~1131 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: land HazardfArea:NTION: Oregon law requires you to Retaining Wali,ow rules adopted by the Oregon Utility Soils RepoIiReqOired:' Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344)_ ..... "'.~.?'~" NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 12/6f2010 10:23:18AM Page 1 of 3 . ' SPRINGFIELD __'J. . !~. ~;r'''' OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00827 IVR Number: 811190979713 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us permitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: Issued 12/06/2010 ISSUED: APPLIED: 12/06/2010 12/06/2010 EXPIRES: VALUE: 06/04/2011 $0,00 SITE ADDRESS: 841 B ST 1, Springfield, OR 97477-4722 ASSESOR'S PARCEL NO: 1703354201100 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install freestanding wood stove DEVELOPMENT INFORMATION I Overlay Oisl: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Tolal: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Noles: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvpe Unit Cost Value Descriotion First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) Total Amount Paid FEES PAID Amount Paid $79.00 $9.48 $3.95 $92.43 I Date Paid 12/06/2010 12/06/2010 12/06/2010 ReceiDt # 375044 375044 375044 Springfield Building Permit 12/6/2010 10:23:18AM Page 2 of 3 SP~JN..G.F.JE L~ IMI?' .t:/J '7-+' "OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00827 IVR Number: 811190979713 www.ci.springfield.or.us 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnilce nter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/06/2010 12/06/2010 Issued 12/06/2010 EXPIRES: VALUE: 06/04/2011 $0.00 SITE ADDRESS: 841 B ST 1, Springfield, OR 97477-4722 ASSESOR'S PARCEL NO: 1703354201100 SCOPE: Wood Stove flnsert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install freestanding wood stove Plan Review ~ Department Application Acceptance Received 12/06/2010 Due Date 12/06/2010 Completed 12/06/2010 Result Over the Counter Reviewe r David Bowlsby Mechanical ReView 12/0612010 Comments: Over the counter permit IriitiaLReViev....:' \i'~',:<:'!1~,'" ., _, ~_ c'12/06/201 0 :.....~.. ~-_. ,'/',< " .. ':,',' :":,,",,:";, - >~_~.s;.;;;':.,,<_.:_. '< .. -'. 4'Com 'inentS:-- "Overithe:counle'r 'permit-~; ':'~"_"-' '-.''''. ........ " ~ ,...c.,.... ~..;i;.;..;:.~:;,,";,,;.. ~ 12/06/2010 12/06/2010 Not Required David Bowlsby .. ri.,p_ver:tfl:~~'~qounler,j_ _ ~~':;m~yiCf/B-~\ylsby~~" .'~ "~f~~;~::':';'~-;: ,; ',}~~j-':;rE?:~t-;~" .'~ -. .'. 'i" '~ ~J ':'12/06/2010. . : <>tt+c .. -.."'t.:..",.", Jf:iik:, ."'-" INSPECTIONS REQUIRED ~ Inspections 2140 Pellet, Gas, Fireplace or Wood Stove Wood Stove: After Installation. 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 1 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. " .~~ w.=---- 1"L-<c, - (<I Date Owner or Contractor Signature Springfield Building Permit 12/6/2010 10:23:18AM Page 3 of 3 S.P4~NG.:E.L~ ~ OREGON www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00827 841 B ST 1 CITY OF SPRINGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 permitcenter@cLspringfield.or.us RECEIPT NO: 2010000970 RECOIlD NO: 811-SPR2010-00827 DATE: 1210612010 !QESCRIPlfQN" c"~\+t~,. :,~;;;x.,. - ti;"4"".:,_!'"";,,..,,:.;. I. ':%'k.'C::,C:0.ui'JI.&OJ)E", ",'y, :'~AM.QI.J~I:.Q,l!E: .'" . . I First Appliance Fee 224-00000-425604 $79.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $9.48 Technology fee (5% of permit total) 1 00-00000-425605 $3.95 T0TAL DUE: $92.43 tC.eAll:ME!'!.T TYE!;.:~r:f8i0J~J. ':CASHIER)iB,<lWLSBY'f','{CqI\llI\llE~tS~;;<: ':, ." :C;""AI1IIO_l!NfpA/D '.'~" '...::.J Credit Card 078476 HARMAN MICHAEL E & KARIN M $92.43 $92,43 \