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Home My WebLink AboutPermit Mechanical 2010-12-21 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00954 IVR Number: 811122960534 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 12/21/2010 12/21/2010 Issued 12/21/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 1394 T ST, Springfield, OR 97477-2432 ASSESOR'S PARCEL NO: 1703252300605 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace heat pump and air handler Phone Number: OWNER: ADDRESS: FOSBACK HAROLD L 1394 T ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Contractor Name CHARLES ISAAC OSGOOD Lie Type CCB BUILDING INFORMATION ~ # of Units: o # 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! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 168942 Lie Exp 03/26/2012 Phone 541-988-5674 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: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: I ires you to Retaining Wall: ATTENTION: Oregon aw re6~e on Utility Soils Report Reqtiif\rd:/ rules adopteTdhbY the les aie set forth Notification Center. ose ru . in OAR 952-001-0010 through ~AR 952-001- 0090. You may obtain copies ollhe rules by calling the center. (Note: the telephone number for the Oregon Utility Notlflcalion Center is 1-800-332-2344). . - .......). NOTICE: FTHE WORK THIS PERMIT SHl\ll ~~~~~RM\T IS NOT AUTHORIZED UNDER FOR COMMENCED OR IS ABANDONED ANY 180 DAY PERIOD. Springfield Building Permit 12/21/201 2:21 :40PM Page 1 of 3 www.cLspringfield.OLUS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00954 IVR Number: 811122960534 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 1394 T ST, Springfield, OR 97477-2432 ASSESOR'S PARCEL NO: 1703252300605 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Replace heat pump and air handler DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING PROJECT DESCRIPTION: 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 Tvee Unit Cost Value FEES PAID ~ Descriotion Air Handling Unit up to 10,000 efm First Appliance Fee w State of Oregon Surcharge (12% of applicable fees) :!"echnology fe" (5% of permit total) Total Amount Paid Amount Paid $17.00 $79.00 $11.52 $4.80 $112.32 Date Paid 12/21/2010 12/21/2010 12/21/2010 12/21/2010 Receiot # 375204 375204 375204 375204 Springfield Building Permit 12/21/201 2:21:40PM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2010-00954 IVR Number: 811122960534 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 12/21/2010 ISSUED: APPLIED: 12/21/2010 12/21/2010 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@cl.springfield.or,us EXPIRES: VALUE: 06/19/2011 $0.00 SITE ADDRESS: 1394 T ST, Springfield, OR 97477-2432 ASSESOR'S PARCEL NO: 1703252300605 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace heat pump and air handler Plan Review ~ Department Application Acceptance Received 12/21/2010 Result Over the Counter Due Date 12/21/2010 Completed 12/21/2010 Reviewer David Bowlsby Not Required David Bowlsby Mechanical Review 12/21/2010 12/21/2010 12/21/2010 Comments: Over the counter permit Ilnitial Review -", '-'. ~ .Z12/21/2010 ".'12/21/2010'~:12i21/2010.' .: ,Over the-Counter:d . ' -' DaVid Bowlsby [ ::,;~~/_>' d ,~ ;,t"':'0,>;'^"'-';f~,,,t)';"~:;:r'":'.;; ;;'.':l"lk:,--"":,\,~,;;'::>:i;'~"f~::l%1_""""'_,-/':,-""?_"F'~:~~'~. .'~-.4,-_",_ . ComrTlI:fnts:.' OverJhe,"coLinte"rpermltthf" :4'4.7 "._ :,,,,~>~::f:.<ii 1;": ~ ~::'">c~~;~"".,+~,;,,;,,:;:-<~-^" ~ ~--~"'-" - ''-'\ : - ,;. ,~ . -,.'~ .. -.:::~_~":':_ ""..<.'~.,:,;_<<,".- c, ",' .."...."'.i?,;:::...._.._". ;:"'S~" ~-......'_-' ',~ '''"''. ;"t: , J ,-,,-'",,'..1' INSPECTIONS REQUIRED ~ y't:' " .. Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete, By signature, 1 state and agree, that I have carefully examined the c,ompleted 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 bf plans will remain on the site at all times during construction. .~ -------- /C- 2/-/# Owner or Contractor Signature Date Springfield Building Permit 12121/201 2:21:40PM Page 3 of 3 . . Mechanical Permit Application ,j """~'; ,:'~ ~ ,'" , " .-,~i>.,. .....f.,. ,,;". <.~'tt"" "'~ . .-_ ,"~1}~:"""""" ""::"'f-" ,.. ""it "t;t"'..," .;;;;''t.n1.::' c;: r;~_L- "',,'i'~ -'Ir:.t'l,-.l -"" ",;t~. ;! ,.j'@'rE\::@E'sBRIN@FJJ<J,ErD"@RE60iN'-,;;,c - 'It "".I:i}~ >" . ~~- "'. ",,\iF'}:' \'\,1"'"" 'i{-""':)C'P'f.-.-' -...."" ''l ~""'";I:, ""'""""i '. -,.;1:1 ""*',' ".., "'" cl,... 225 Fillh Street. Springfield, OR 97471. PH(541)72f>,3153 . FAX(541)126,36S9 ,~~~~D~li~ti~:il~ . Permitno.:SI'ltZC>/O.C:>O ?S4 Date: /2-tl-1 U This penult is issued under OAR 91~ Pennits expire ifwork is not started within 180 days of issuance or if work is suspendedJor 180 days. itlt~.'l:c.A[t;~!'tf!Q,*:C;Q~tRi:.!~tJQN~~~ Residential 0 Govemmerit 0 Commercial Wi-1~llti':tQ$~~lm~!~!i:QBtAAiTIQN1ANi)jliQ~tJQtjl&~ ,Job site address: 9 ~/ City: S ( Reference: 0 ~ li~}i~_~\~~~j~1.~\lQN1Q~i"g~~~{4k'1. ;~f~.~~m~~!~ii~eftQgf;_f(~~QWN~R~iil~~r~1tJi~[~Ji~ Name: !ll4rVl" oS ui{ Address: I J"l'l. C. ""-~-' , , lty: ~r ,_. Phone: E,mail: This installation is being made on PJUI""\y owned hy me or a. member cif my immediate fanuly, and IS ex:empf from licensing requirements Wlder ORS 701.010. , Signature: , f~E_WgQ&1MqjJ~R~j!~I~~lIitgijf~I,~~:il ZIP: ., )t{ 77 Print name: Signature: 44O-254H (I 1I0%ICOM) ~~~_~~l p,..<,,,,,,,;;;..--=,,,~.<>,, -- flf~~~T.QtiJu:"" g.~j!p ~~~am-~ ~~ttiSt~ First ADDliance 579.00 5 Fumacelbumer including ducts ad "mts Up to lOOk BTUIhr. 511.00 5 Over lOOk BTU/k 520.00 5 .Heaters/stoves/vents .. . Unit-heater 511.00- 5 WoodIpel1etlll"S stove/llue $38.00_ 5 Repairfalter/add to heating appliance! refrigeration unit or cooling system! 558.00 5 absmpti<Xl'system Evapornted cooler 513.00 5 Vent fan with one duct/appliance vent $9.00 $ Hood with exhaust and duct $13.00 $ Floodu11l3Ce" inCluding vent $58.00 5 Gas piping One to four outlets $7.00 $ Additional outlets (each) $4.00 $ Air-hand6ng units, inciudinl!. ducts Up to ]0,000 CFM I /'I $11.00 I $ Over 10,000 CFM I 520.00 I $ Compre5sor/ahsomtion svstemlheat DumD Up"l3 hpltook BTU " $11.00 $ Up to 15 hpl500k BTU $29.00 $ Up to 30 hpll,OOO BTU $43.00 $ Up tn 50 hpll,150 BTU $51.00 $ Over SO hpll,150BTU $95.00 5 Ineineraton Domestic incincmtor I $20.00 I $ .. ~~~~lfJ'JtI#:~ll~k~~I~],i~~I~~~~~~Wl1ii~~~~l~~!~~ Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation ofmccbanical system, etc. $ [[~!~1I!~Uil~'f.l~li~ i,t<,g~~' l~fll tlr~1 ,~iil~ ""<'-~;'""," Reinspectioo $58.00 $ Specially requested iDspections (per br.) $58,00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection:(l} '$58:00 '$ &~Q'_-ilt;l\lRPP#l~E~~ (A) Enter subtotal Df above fees (or enter set ,Q \ ~ minimum fee of S 79.00) $ , (B) Iuvestigative fee (equal to lAD $ cr ' (C) Enler 11'/0 surcbaJge(.12 x IA+Bl) $ \ ."'!J' (D) Scismic fee, 1%(.01 xlA]} $ ~ (E) Technology Fee (5% orrAl) $ A ..!j:q. TOTAL fees and sunharges (A througb E): $ /( Z. 12- www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2010-00954 1394 T ST CITY OF SPRINGFIELD 225 Flfth SI Springfield,OR 97477 541-726-3753 permitcenler@ci.springfield.or.us RECEIPT NO: 2010001114 RECORD NO: 811-SPR2010-00954 DATE: 12/21/2010 t DESCRIPTION"-'; ,'j,::';"~' f'\ :' :~r'.~,,+;f ++-J"---"" ;~; -':;:-'k .f(c::OlJr{r",-C:QDE;'-+;'~::?;'):<\M9_UNJ~pJIE ',: .+:':' j Air Handling UniI up to 10.000 cfm 224-00000-425604 $17.00 First Appliance Fee 224-0000~:~25604 $79.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $11.52 Technol~gy fee (5% of permit total) 100-00000-425605 $4.80 TOTAL DUE: $112_32 1:.PI\VIVIENT ,TYPE,4+~PI\Y6R~--: -CAS'HIER~DBOWLS'By?;,'''c6iiitrvrEr.fTS7fS'''i1Ji+".;;+, -;;;:AMO"i-nw:ID- iT" ,.('. '1 __~. ..,.,." ";..;L0" "'''''~'''''~'''~' ",.,.."~._"_,..,, ..".............."L...~.",... '. V ."" "'. '._ Credit Card 171714 charles osgood $112.32 $112.32