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Home My WebLink AboutPermit Mechanical 2011-2-1 S~R...I.N. GFIE~D., ~~~- ;~~. "J0>~!('OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00152 IVR Number: 811146043960 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@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/01/2011 ISSUED: APPLIED: 02/01/2011 02/01/2011 EXPIRES: VALUE: 07/31/2011 $0,00 SITE ADDRESS: 205 S 54TH ST, SPACE# 9, Springfield, OR 97478-6262 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only New Residential PROJECT DESCRIPTION: Mechanical for Electric furnace Phone Number: OWNER: ADDRESS: ALLINGHAM GLADYS L 205 S 54TH ST #9 SPRINGFIELD OR 97478 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: Site Information I laW requires you to ATTENTION: Orego~ by the oregon Utilit\ lollow rules ado~;e ThOse rules arC set :~~\_ ~og~~~~~_g~~~OOi 0 throui~: ~~~e9;~es by In090 You may obtain ~~fe' the telephone o caliing the cente~'e (on Utility NotiticatlOn number for theO i_~00-332-2344), Center IS Contractor Type Contractor Name DEAN M SHULTZ CONTRACTOR INFORMATION ~ Lie Type eeB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ':nT'GE' , , . t - ~ . n~s PERMIT SHALL EXPIRE IF THE WORK \UTHORIZED UI~DER THIS PERMIT IS NOT ,;OMMENCED OR IS ABANDONED FOR "NY 180 DAY PERIOD. Springfield Building Permit 2/1f2011 10:11:14AM Lie No 183169 Lie Exp 08/09/2012 Phone 208-573-4714 lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Fl Other: 0 Occupancy Load: / / Page 1 of 3 . www.cj.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00152 IVR Number: 811146043960 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 02/01/2011 ISSUED: APPLIED: 02/01/2011 02/01/2011 EXPIRES: VALUE: 07/31/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 9, Springfield, OR 97478-6262 ASSESOR'S PARCEL NO: 1702330001200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only New Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Mechanical for Electric furnace DEVELOPMENT INFORMATION' Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properlY line: REQUIRED PARKING Total: Handicapped: Compact: , PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description ~ Description Tvee of Construction Unit Amount Unit Type Unit Cost Value FEES PAID ~ Descriotion First Appliance Fee Technol~_~y_fee (5%~_~ermit total) State of Oregon Surcharge .(12% of applicable fees) Total Amount Paid Amount Paid $79.00 $3.95 $9.48 $92.43 Date Paid 0210112011 0210112011 0210112011 ReciDt # 2011000199 2011000199 2011000199 Springfield BuilCling Permit 2/1/2011 10:11:14AM Page 2 of 3 SfRIN. GFI, El~",. -~ ~:"i!l1' , .0.., OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00152 IVR Number: 811146043960 WWW.cl.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone. 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/01/2011 ISSUED: APPLIED: 02/01/2011 02/01/2011 EXPIRES: VALUE: 07/31/2011 $0.00 SITE ADDRESS: 205 S 54TH ST, SPACE# 9, Springfield, OR 97478-6262 ASSES OR'S PARCEL NO: 1702330001200 SCOPE: WORK INVOLVED: TYPE OF STRUCTURE: Mechanical Only New Residential PROJECT DESCRIPTION: Mechanical for Electric furnace Plan Review ~ Department Application Acceptance Received Due Date Completed Result 02/01/2011 02/01/2011 02/01/2011 Over the Counter Reviewer Nancy Machado Mechanical Review 02/01/2011 02/01/2011 02/01/2011 Not Required Nancy Machado Comments: Over the counter permit ~~,~'r~-~~t~[t:~~~-~;t:~~~;~;,~~f~~f~:~';-~~~~~~~;~1&-.:} ~~/~1~~O~ ;~," ":j~~~,',~;~~~?_.:~.'~t,!:~,-::+:~_::,~ :~~.~~_~~,y>:~M,~_<,,~,,"~,~:~~ '"" ,'~. ..""."....".t....,'_._..,.,..--_::.""."_,;.-~...'I~..-'7q . _ ..... ..... '~_" _ INSPECTIONS REQUIRED I Inspections 2300 Rough Mechanical ,- 1, ~~, . . j ", ~, .' Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. 2999 Final Mechanical 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 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 v~2~ .,.~.. '". "',00 ... ~::(';""'7/"'" ';m..",'~ Owner or Contractor Signature. Date Springfield Building Permit 2/1/2011 10:11:14AM Page 3 of 3 Mechanical Permit Application af"~~t>'w~..-'~~.ih'.....,,; ..:.",^~ ..'.....~~(~" r:t ~r~.:.;:" ~~._." F*~~~--:'",";;''''-' %<1> .:-~CI'F>M' OF SRRINGFlIEI!Jl)~'OREG()N ,~'1.:" '''"<" , ~, ,~"'t'" ctw't\'"~'fi#~w"'-:-""~'i"'W-~,,*, -';. ~r "--;Jf<^"'~',, ' 225 FIfth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 :ft~fft~'~~r;~J:~~~Hr;J~'~'~~j,9~~r~?~~:~ SPRINGFIELD ~ :;e.. Pennit no,: [)ate:~ ;f II 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. :{'r;;~);j~;:;r~jii',;\!Cft.:!1EG6Ryi1c>f!;GONS]~OQtIQ~!j::."'!~,!;y\"";" '; '0 Residential 0 Government 0 Commercial t'f0j{~4:'4p.I3~:~i;rE!fiN'EQRM~f:IQ~~'~ND'''-i!cj'GA]-QN~~l'!!~11 5 Fax: 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: rll~:ii~~W~i!:;'Q~;JiRA<;m.QRi~I~~)'~Li~Aif,IQN~~:1~;';:;i~:t~~,:,&j a~~ E-mail: Print name: Signature: 440-2545-J (I 1/08/COM) " - , ''':.; ':,'FEE SCHEDULE ,,"<'~ ., L.,"".,,;"1<i',;',,,>;;:,,:,j,..:~,..: ",P-,".i,-..",:~i,;i-/'" -1:,\' . ~,J~:".~.l,.,f":!-: ,. ",:I~", CosLi" ~~~;~~~~~J::i "'ReSldentlal~->;rf.;1J~};~~~J:t~~"f~~l';'f,~ Q1Y,'ltl''''.<I,...""if;> ~.<'~~!' ,';;--"""'.h"'.:"1':/:-~ ..~:~!:;,~;"'liJ:+,/",,~.;.,~~'J:,'l~.,L.,;,,r ,,"" ;"''''MiB. !"',,;,'h (--!:,.iiiea.':%';{! First Aooliance I $79.00 $ H'urnace/burner including ducts and vents Up to lOOk BTUlhr. / $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 ~nit 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 Upto 10,000 CFM $11,00 $ Over 10.000 CFM $20,00 $ Compressor/absorntion svstem/heat numn Up to 3 hpllOOk BTU $17,00 $ Upto 15 hp/500k BTU $29,00 $ Up to 30 hpll,OOO BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hpll,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ 'i'~ Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ ~u'-':-'~'~~F-"'~""\i.l!j''::''''N-~Yt~':r-i:;'~9':-N~:;:;{;;0~'S~__E ej','ke:;';A'! \lil'C" /; .Totah,;: '."" "()sC(!'" "M Iscella neous,fees'f,1li.,'jl"",~,.,,",, Items "Y"""~' ~~~ c'o'st ~~'),~', ~::'.'-"".. J!..::.'.f!, ~",:!';'."",.,~,,-,,,,, i>\'~~~;.e1n".'-(;,_,' /'':1, "~'-',d'0: ,,',i':-;,-. '. .';i". fr;.,,:,,,, ',"'i!1 ~..d~:ea:,,'''~) Reinspection $58,00 $ Specially requested inspections (per hr.) $58,00 $ Regulated equipment (unc1assed) $13.00 $ Each additional inspection: (I) $58.00 $ f~~,!A.it~"'~~7AP.I?GiCANfJ!USEil'J(~:i!!i\'I'~l'_\II 1 ,"'"',.>'M.....!'!',"'-"""" ..'. "Y".T ;......, '$..'1; .-" .,.__:...... ' .-,..3~b_,,-....,,'t ~~.~"",D..... ,," (~=s~fiiliove fees~ter set $-;1- ? ~ ml urn 1" $ 79.00) (8) In 've-fee-('e'Cfual to [A]) $ j), I, '/ (C) Enter 12% surcharge (.12 x [A+B]) $ /;" I, U/ (D) Seismic fee, 1%(.01 x [A]) $ .-5 -, > (E) Technology Fee (5% of [A]) $ 8 TOTAL fees and surcharges (A through E): $ 1.2 ,L / -. SPRINGFIELD- ~it",_" ;"t* H ';t, OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 81 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-00152 205 S 54TH ST. SPACE 9 permitcenter@ci_springfield.or.us RECEIPT NO: 2011000199 RECORO NO: 811-SPR2011-00152 DATE: 02/01/2011 roES-CRIP-TI6N40''':;-0;?F-;,;:2'4_~~;:;' t:,.v: :;;;':'d:2li.<,tT'r.T,4T_::-~,;AcC0UNj~C0[)E;"": "'" !" AMOUNT-DUE' First Appliance Fee 224-00000-425604 79,00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 9048 Technology fee (5% of permit total) 100-00000-425605 3,95 TOTAL DUE: 92.43 t',' 'PAYMENT'TYPE,',;,','PAYOR', "CASHIER.NMACHAD6"""< /,; COMMENTS:',;!';','" -,' ; -f, - AMOUNHAID ~_"'.'_"'~ ___" '~'_M'_"_'_'_'___ .,_._ _. .._.__._____~.~,_.____. ~__~_..~...._....,...H...~_~"""kL"'"'_"'.~__.......~_'_.... ..~.."W_.,.""'.~ Cash DEAN M SHULTZ 92.43 -] , . .. 'j '. - -- - .~ ---'- TOTAL PAID: 92,43