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Home My WebLink AboutPermit Miscellaneous 2011-1-4 ) ~ '. .' SP~~H~~:iJ .~~~, _"t:i'ts. OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00006 IVR Number: 811172594120 www.ci.springfield.or.us 225 Fifth St 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: APPLIED: 01/04/2011 01/04/2011 Issued 01/04/2011 EXPIRES: VALUE: 07/03/2011 $0.00 SITE ADDRESS: 1052 NANCY AVE, Springfield, OR 97477-1959 ASSESOR'S PARCEL NO: 1703272205500 SCOPE: Heating System WORK INVOLVED: Alleration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Electric Furnace Phone Number: OWNER: ADDRESS: LI SIU KONG & CHI LING 2783 RIVERWALK LP EUGENE OR 97401 Contractor Type Mechanical Contractor - Contractor Name ROBERT E HAGAN CONTRACTOR INFORMATION ~ Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure; Type of Heat: Water Type: Range Type: # of Units: o Forced Air Electric # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Haz"",t: \vv8c"c88'008' ~ 81 181U88 UO!leO!I!ION A!II!ln U06810 '841 10/ Jaqwnu aU04d8/a/ 84/ :8/0N) '18jUfJO fJ41 BUI eo Aq S8JnJ 8l!1ID <::;::'Il~r:"o 1.'\""...,. r.. ,,__ ./1 - '00 EI~ct"eal Speelalty'Code.Eolllon:lOA '0600 jo- ,-C:Sb I:f\in llDno 'lJl f) 11"\1"\. I no 41101 'Springfield,Fire Cooe Edition: "cS6l:J\iO UI +'"'.~ '-'....... ';'U/ J.l oSUl/l "J81U8'lIJOflBOI . Al! I!!(Meenan ieal,SReeialty,Code ,~dition: ,mO N ~ { _ "'" h,~,,'1 j- .:JfUVf-Ju ::tttl'IJ MOl/OJ 01 n(MunfCiPa'II/!Deile!Opmentsq~,'DIlN311\i Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lie No 30595 Lie Exp 07/21/2012 Phone 541-484-9258 Lot Size: Sq Ft 1stFloor: Sq Ft 2nd Floor: Sq Ft Basement: Sq FI Garage: Sq FI Carport: Sq Ft Other: Occupancy Load: o 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR /S ABANDONED FOR ANY 180 DAY PER/OD. Springfield Building Permit 1/4/2011 9:51 :42AM Page 1 of 3 - , www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00006 IVR Number: 811172594120 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 0110412011 ISSUED: APPLIED: 0110412011 01104/2011 EXPIRES: VALUE: 07/03/2011 $0.00 SITE ADDRESS: 1052 NANCY AVE, Springfield, OR 97477-1959 ASSESOR'S PARCEL NO: 1703272205500 SCOPE: Healing Syslem WORK INVOLVED: Alleration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install Electric Furnace DEVELOPMENT INFORMATION ~ Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure 10 north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: qownspoutlDrains: Valuation Description I Descriotion Tvoe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ DescriDtion TeChnOlogy_fee (5% of permit total) ~!!st Appliance Fee _ ~~ State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $3.95 $79.00 $9.48 $92.43 Date Paid ReciDt # 01/04/2011 2011000014 01/04/2011 2011000014 ..,-_.~,-----_.- ---_.- 01/04/2011 2011000014 Springfield Building Permit 1/4/2011 9:51:42AM Page 20f3 .( www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00006 IVR Number: 811172594120 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfleld.or.us PROJECT STATUS: STATUS DATE: Issued 01/04/2011 ISSUED: APPLIED: 01/04/2011 01/04/2011 EXPIRES: VALUE: 07/03/2011 $0.00 SITE ADDRESS: ,1052 NANCY AVE, Springfield, OR 97477-1959 ASSESOR'S PARCEL NO: 1703272205500 SCOPE: Heating System WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Electric Furnace Plan Review ~ DeDartment Received Due Date ComDleted Result Reviewer Initial Review 01/04/2011 01/04/2011 01/04/2011 Over the Counter Chris Carpenter Comments: Over the counter permit '.~ Permillssuance 01/04/2011 01/04/2011 01/04/2011 Issued Chris Carpenter l~eCha_D,lS~I,.Re,,~i~~::;'~. _ ,':-:- ."':.01134iiO\1 ,. . -, -....., ,_, .' ~"____..w,A" ;"-',,. Ik'y()~~_~ell!~~~~7~e;,~u~!er.per~tM ., 'O,1/04/201Irll01~Q~110~12q},1 ,.. '0NotReq~ir~~~' ~.~ - G~risca'rp~"iit~~-~~( ~ ....,....,' ",':;~;C+0~:~~~.'~",:,_':'..< ..,'" -.;... "'.."; ". - .:.. ". ';.~ '.' ~ .... . '..... . , . ',_' _ ,t'.~.';;>>' ~., . y.....,-'-- - ',." ,... ...:~-_..--.~--,.;.., ~- -. ., : " 1 CJ INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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 Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be mad~ 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 th~ approved set of plans will remain on the site at all times during construction. /-3-// Date Springfield Building Permit 1/4/2011 9:51:42AM Page 30f3 ~echanical Permit Application II ~?i't~'::,-' !c'.,.,;'\''''_i"ji.r,_'1.,,,,'''.nr,wi' "'" >, ''''if -",';f[,J~';'-"_':>" ':s~)-'~ ~,",: ~}"'DEPARl'MENTWSE ONLY':':~{ :"'" .. ''', "i-;" '., >..~, ,.1",.,": '/.< c', '''',: ",I'I'.!.]...."i:..'.j~ ~-':. ,--;""~, 225 Fifth Street. Springfield. OR 97477 . PH(541)726-3753 . FAX(541)726-3689 {J(j r;. cLEC-1 (JoN >10-/007 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] 80 days. ';';~"~>~':!,:!~C'At~G'6RY2JQI;'Ii'C6NStRQC:tiQNj:\~":'i';-' D Residential D Government D Commercial .. ""i\;}',,\';;':"'''''' .....-..1'. -. . -- .w..,'_t.._.... ',,' y--', .'-'~'--""'--~" "":~:'-". ,- "---'<:'--1"-' ."~_. t'T" -' - '''--'''''^-'~;j "':;-':; "-, ~~'f0'0:jQB~'~IJi,E"INF,QRIVI~I1()N~iANPA;I!()C~TIQN"I'&A{if; Job site address: <(77 City: Reference: Taxlot: DESCRllitioN '0FWORK"("" .. _ _ _ __ _ .. .. "",,_ .. _ .." d_ ,,':'~_ <Z E-mail: 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 701.010. Signature: ~S?~*~~i~~I~QN;r:r{AG;j;~(jr{y':INS"tAi:fEA'ttQNi!tlt~R,'Ri:iJ\1t#ri!:;1:: City: Phone: E-mail: Print name: Signature: 440-2545-J (J 1/08/COM) , ....... ,''':''::':'FI::I: SCHEDULE " ." - iR~~i>' 'j~'jitt~;~t''; i" Qry:: \\,'i;Costo,{";", "',Total,,, a.;:::-"-_-' ~"::F1I; ea';\~:$: ~~~cl)'st~:r.7': First ADDliance K $79,00 $ '1'7 Furnace/burner including ducts and vents Up to lOOk BTU/hr. K. $17.00 $ Over lOOk BTU/hr, $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 furnaceincJuding vent $58.00 $ Gas piping One to four outlets I I $7,00 I $ Additional outlets (each) I I $4.00 $ Air-handling units, including ducts Up to 10,000 CFM $11.00 $ Over 10,000 CFM $20.00 I $ Comoressor/absorption svstem/heat OUffiO Up to 3 hpll OOk BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Up to 30 hpll ,000 BTU $43.00 $ Up to 50 hp/I)50 BTU $57.00 $ Over 50 hpll)50 BTU $95,00 $ Incinerators ~rator ~:,': I $20.00 I $ '!fir,',:; Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ ~]!i!~~Ol!t~~Jl!~~~~;J~~~~\'1 rti~{~ 'V-<1tC"-Y - . ~~~J~taly~_ ;~'" .. os "N&~ ".,"i}."":." _j1'F#~:ea~\.!i.~ :..,,;;cost,:'::;, Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58,00 $ '\'"'"~~~~"tjiittt~-~'~~-'--'''_'"~'~ ":"., ~ ~- '"'ff'-' "_ -'~~jr'Rj$~r'-'~~1'~I..lt~.;.~P;Y" i~';kko1z.~,' )~' ,'~~~~~AeRmCANli~tJ_SE:. ~et'f;f;;:;~11fi1't4fB~~~~:iii}7<~~;~ (A) Enter subtotal of above fees (or enter set 71 minimum fee of $ 79,00) $ (B) Investigative fee (equal to [AD $ (C) Enter 12% surcharge (.12 x [A+BD $ q '!.L (D) Seismic fee, 1%(.01 x [AD $ (E) Technology Fee (5% of [AD $ -:A'15= TOTAL fees and surcharges (A through E): $q} '!l . www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00006 1052 NANCY AVE CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permitcenter@ci,springfield.or.us RECEIPT NO: 201 ]000014 RECORD NO: 81 I-SPR201 ]-00006 DATE: 01/04/2011 l!lE;$CRIPTION:':';~ ',: , First Appliance Fee State of Oregon Surcharg_e (12% of applicable fees) Technology fee (5% of permit total) "-:::~C_C_O_UN:(C:Qi:lE'--~01> "__';8N1QuN-UHJE;,~-=--::'~,J 224-00000-425604 $79,00 821-00000-215004 $9.48 1 00-00000-425605 $3,95 TOTAL DUE: $92.43 - CASHIEKccARPENfER':::'C_QIV1N1gNJ:S,_~;?;'-';: c!',-:;- ,""*.!'1LClJ.JN5:I:AIIJ",:y"c .,J ';:',,:.i'-.":"'ir~';;~ i ~ ~. ~_"PAYMENT rY"pE;:; ':,1:8Y&B' Check 13795 ROBERT E HAGAN $92.43 $92.43