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Home My WebLink AboutPermit Building 2011-1-13 . t;." . _ l www.ci.springfield.or.U5 PROJECT STATUS: STATUS DATE: CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00070 IVR Number: 811191633495 Issued ISSUED: APPLIED: 01/13/2011 01/13/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 07/12/2011 $0.00 01/13/2011 SITE ADDRESS: 236710TH ST, Springfield, OR 97477-2368 ASSESOR'S PARCEL NO: 1703261107700 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Heat Pump Phone Number: BRANFORD JACQUELINE M 'res you to No gon law reqUl 236710TH ST ATTENTIO : re b the Oregon Utility SPRINGFIELD OR 97477 follow rules ~~~~,te~te rules are set forth ~1~'~';~<i~1RA€J1i~~NFO~~fJf~~ Contractor Type Contractor In . '(ou may OOla I ~',"~ th ~EJiyp",ne HARVEY & PRICEC@,lingn"v,' 1ll',I'ltv F-'l!\.ificatIOn 77 ~~-:- f"\~"""'l""\n __ == nUI'''J~':'~", q~~ItOOlIlMJ>:fjb'/.J')' I OWNER: ADDRESS: # of Units: Occupancy Type Construct~on Type # of Bedrooms: Sprinkled Building: Fire Alarm's: Energy Path: Engineer~d Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Rep,ort Required: Springfield Building Permit o # of Stories: Height of Structure: Type of Heal: Water Type: Range Type: Hazmat: R-3 Type VB Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development tode: NOTICE: P~l['/'ttxpeeioJ~fI:E~IIi'Ji\K' THIS PERMIT ~~~~~Atij'~~~~~f1m.qW4~diill>h: ,', AUTHORIZED Yl~.Yc r I SpecialtvIC~f!'l<Rtion:" r>nrdIIlIlCl\lri= l, BAI'lUV1\1l-,., ~ _ vv......-.. ERIOD. Site Information' 1/13/2011 1:47:04PM lie No lic Exp 10/31/2012 Phone 541-746-1621 Lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Page 1 of 3 www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00070 IVR Number: 811191633495 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrn.itcenter@ci.springfield.or,us PROJECT STATUS: STATUS DATE: Issued . ISSUED: APPLIED: 01/13/2011 01/13/2011 EXPIRES: VALUE: 07112/2011 $0.00 01/13/2011 SITE ADDRESS: 2367 10TH ST, Springfield, OR 97477-2368 ASSESOR'S PARCEL NO: 1703261107700 SCOPE: Single Family Residence WORK INVOLVED: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Heat Pump Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMATION ~ 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 Im~rovements: Storm Sewer: Storm Sewer Available: Special Jnstructon; SUbdivisi?n Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Descriotion' Tvoe of Construction Unit Amount Unit Tyoe Unit Cost Value FEES PAID ~ Amount Paid Date Paid Reciot # $3.95 01/13/2011 2011000101 $79.00 01/13/2011 2011000101 ~'-~---.~_.-""'-'-_.~--"-----~-"-_._"~'-"-"" -'''-''" $9.48 01/13/2011 2011000101 $92.43 Description Technology fee (5% of permit total) __.i--______ ~irst!_J?plia'nce Fee ~_"._.,,__,_..~_ State of Oregon Surch~rge (12% of applicable fees) Total Amount Paid Springfield Building Permit 1/13/2011 1:47:04PM Page 2 of 3 -. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00070 IVR Number: 811191633495 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permltcenter@cLspringfield.oLus PROJECT STATUS: STATUS DATE: Issued 01/13/2011 ISSUED: APPLIED:. 01/13/2011 01/13/2011 EXPIRES: VALUE: 07/12/2011 $0.00 SITE ADDRESS: 236710TH ST, Springfield, OR 97477.2368 ASSESOR'S PARCEL NO: 1703261107700 SCOPE: Single Family Residence WORK INVOLVEO: Addition TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Heat Pump . Plan Review I Deoartment Permit Issuance Received Due Date Comoleted Result 01/13/2011 01/13/2011 01/13/2011 Issued Reviewer Kip Kaufman rMe'chanic~R:view'~'1J(f;~~~0 ;$10"1613/ J.-.."t'~++fjj " i:~~n' "l"i";~ii""'1f40Att,,::$%:~;;s:~if" l::cflrn~~~e71ts:_~:9i~[;,t_g~'c6lintffG?ei Initial Review 01/13/2011 01/13/2011 01/13/2011 Comments: Over the counter permit Over the Counter INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 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 Ore90n 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 certif~ that:only c. tractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 further agree to e s re that required inspections are requested at the proper time, that each address is readable from the street, that the p mi card is ocat~d at the front of the property, and the approved set of plans will remain on the site at all times during c ns uction. /')/ - (~ ' \ \ Date Sprjngfield Building Permit 1/13/2011 1:47:04PM Page 3of3 Mechanical Permit Application -:: - . C'ITX OF-_spiiINBFIiLD;4iOREdo~~~:~- 1> ~ '''1... ~"{,. 10" t "'~b ~ ~ -0>$.",,",,", ", ~ ~ '., T. -,., .-'. ., """" 225 FIfth Street + Springfield, OR 97477 + PH(541)726-3753 + FAX(541)726-3689 . ;;%'~t~1;r~':'!'P~,..",;;,jJl:""'~, ;!w<";\\;X,-(~..,;;:";'-i;~.i.l:"":iC':;l,t.'''j:,<ir:.:'~:; ,/i'"DSPARTMFNT"LJl?E O~LY,;.,;:,r; ._' _" _'~ .,,' ".' ,',.. ..,'.".;.' ',. .~ ''''~_''_ .c,,_.,.~..~.,_t},.. .'~. - "5PtL.?-e J-l- Date: L - 13 - 11 This permit is issued under OAR 918-440-0050, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 1""'-""'){f,Y,,'~i~~,'IC'A:fE-G'ORY,,"ibl':;rCONstRUCTlojiFi~;;':Fe:;:,;,'" I';.,~;~';;/.,,;:'-;"';""":_"''.'''_ _,','u ___'__ ._'.....~..<...,.,:..._.,..,._ . >.. ..,. .....-.'_,.~:_",j-,'.- ,- , aResidentiaJ I 0 Government I 0 Commercial 1'h1f#l''',.............,' -'~~---' ."-:'~- v.,....--m__.^,:'.,.., '-'-"-"'~~'-"'.', '~;i~~' ''''~'~'', ",' "'~'!.b'ff,;('I';1l'~ '~: ,',,";i"tJQ~!/~lmE?IN.IiQRI\II.~,!,IQ~1t~NDJ,IEQ.G~7JjIQNj:,;%(,j~:);~ Job site address: 1;:2,t-, "7 J h -r >.-1-. City: ~,Ar.L Stat~ I zIPc774'7'7 Reference! ,'1D.IJ)J.P II I Taxlot.: DllW [DESCRIf?,TjON'OFWORK:<.:';:" F' / . ... d _ _. . _d .. iltllIJ:"ldI II) I//H :/ - ~ Jff/ t:2, A <::>../, /. ?">,,d ~ ~1d~~!~~~f~~;~~W~ffB.Q~~'~my~tQ\OC~:.~R~~~81~~~ Name: /" "",/C/, /0 //,/} ~ 1-71"/1//7 //- 7 Address: -z-- '3c" 7- ~.J t?'17I- ::>C ' City: ..:>P I-JJ&~ State: /)J1~ I ZIP: 1-fAf'l1 Phon<:;--<!fr- -,"', J h ~Q I Fax: E-mail: This installation is being made on property owned by me or a member of my immediate family, and is exempt /Tom licensing requirements under ORS 701.010. Signature: li~jK\l,iJ~~'G:QNmRA'p;jioJ~;,H~$fi;~j!:@A'tI!:>fi,jAI.~:;"K;~~tt~jl,.g; Business name: mnLL/t ~. / ./ , Address: ~ ,",-J.. t. t J I/Z///A . City: ..t5u'''- ad,,( ,., Stat& I zlN"'1Cf'b5 Phone: ~t, I" -7, , I Fax: E-mail/J/Jh '-/~j,Ll;/;h& - /7."1 CCB lic'en~e no.! ":( "7 / Print name: // r/3;;:':;"'./'?~,,,-- \ t /J. (7) ~ .-V/ 7- JJ- .A Signature: - ') 440-2545-J (11/08/COM) ,;':"!'l'FEE'SCHEDUL.E~" - "'.. ~;;f;.ilfi,ii:,Y.\:i!ll')1j1);:';;#;:ti!;1k):;"IQtY, )iii~ ,~"~Wi: t",!Rtal", .,,,,,,,'" ..,7_1t..ea;-:;<il<'....,,~ ,_~~~COSH:i/', First Annliance I $79.00 $ G'urnace/burner including ducts and vents Up to lOOk BTUlhr. Over lOOk BTU/hr. Heaters/stoves/vents Unit heater Wood/pellet/gas stovelflue Repair/alter/add to heating appliance/ refrigeration unit or cooling system! absorption system Evaporated cooler Vent fan with one duct/appliance vent Hood with exhaust and duct Floor furnace including vent Gas piping One to four outlets $17.00 $ $20.00 $ $17.00 $ $38.00 $ $58.00 $ $13.00 $ $9.00 $ $13.00 '$ $58.00 $ $7.00 $ $4.00 $ Additional nutlets (each) Air-handling units, including ducts Up to 10,000 CFM $11.00 I $ J Over 10,000 CFM I $20.00 I $ Comnressor/absorntion svstem/heat numn Up to 3 hp/I OOk BTU $17.00 Up to 15 hp/500k BTU $29.00 Up to 30 hp/l,OOO BTU $43.00 Up to 50 hp/l,750 BTU $57.00 Over 50 hp/I, 750 BTU $95.00 Incinerators '"-9omestic incinerator Enter total valuation of mechani~ system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ ~Mj'i)d~'ITin~;6'~l1f'~~$i;\~..11t\1>{'?:~1~fJ~ fti~ ~~P~~~(~i~ ~~~:rgta~~~~l,' ;,:<!,~'n:~,\;'~ ":""'~"""\f';:J>,""'~&"'''''-'''''~'' .,.g;-:,,, J3iL\t;>J ';Jr;_:,;-,,;A~:'f ,.: ",'.' :"q ,~.,-; f:' ea. ?'::1~ "t:., cost :~- .,,- Reinspection ... $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ ~~~"i~~~~~A'Pi?~jC'~N,T*~,.(JS'E~~~~~~~J1~;;m$ (A) Enter subtotal of above fees (or enter set minimum fee of $ 79.00) (B) Investigative fee (equal to [A]) (C) Enter 12%-surcharge (.12 x [A+B]) (D) Seismic fee, 1 % (.0 I x [A]) (E) Technology Fee (5% nf [A]) TOTAL rees and surcharges (A through E): $ $ $ $ $ I $~.oo I $ $ $ $ $ $ $ TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00070 2367 10TH ST permitcenter@ci,springfield,or,us RECORD NO: 811-SPR2011-00070 DATE: 01/13/2011 ,;>",iJ":A:\,\i:.3!~,'/?!i~!i~gcCQUND;OOE"';' "5,,,;:';' .AMOUNT.OUEA,';' ;-,,1 224-00000-425604 79.00 821-00000-215004 9,48 100-00000-425605 3.95 TOTAL DUE: 92.43 ~,PAYi\llENT::FYPE:;;-;:;:cffAY0R~-"-."7Gi\:sl-jlE.R?Kt!AuF"~N;;~;;:~;;C9nilllii.fNis~~ll':,!".~;'~' " ?!7~;~~M9UNT PAID;, '.';,;&i7'jl" ',e'J Check Harvey and Price Ck #025459 $92.43 RECEIPT NO: 2011000101 rDES-CR-iFitl-oN:~: ~~~'1'i~f;;;,,,,~w,isi4~~)t~4~:{t\t First Appliance Fee State of <?!egon Surcharge (12% of applicable fees) Technol09Y feeJ5% of permit total) 025459 TOTAL PAID: $92.43