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HomeMy WebLinkAboutPermit Building 2011-2-22 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00273 IVR Number: 811109747401 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 02/22/2011 02/22/2011 Issued 02/22/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726~3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us EXPIRES: VALUE: 08/21/2011 $0.00 SITE ADDRESS: 5294 CYNTHIA CT, Springfield, OR 97478-6229 ASSESOR'S PARCEL NO: 1702333400109 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential , PROJECT DESCRIPTION: Heat pump replacement and Tub - to - shower conversion Phone Number: , OWNER: ADDRESS: TERRY JOSEPH D & SARAH K 212 POPLAR AVE HAYWARD CA 94541 Contractor Type Contractor Name LARRY KARL FOWLER CONTRACTOR INFORMATION ~ Lic Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o lie No 110961 Lie Exp 03/17/2012 Phone 541-953-3479 lot Size: Sq Ft 1st Floor: Sq Fl2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Electrical Specialty Code Edition: Springfield Fire Code Edition: " Mechanical Specialty Code Edition:\TTfNTI0N: Orepon law requires you to Municipal I Development Code: follow rules adopted by tile Oregon Utility PI b' S . Ity C d Ed't' Notilication Center. Those rules are set forth urn '"9 pecla 0 e I Ion: ". .. In OAR 952-001-00'10 through OAR 952-001- Residential SpecIalty Code Edltl'1,n-i90, YoJ~,q~y obtain copies of the rules by Structural Specialty Code Edition: calling the center. (Note: the teiephone Site Information . I~., '~r'ci~~t~~t;i~; ~~O~~3~l~~~3~~)l~ljLiduun # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Engineered'Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: . " \NO"'\<. . ?\"'t. W i\\t. ~01 t-101\Ct.. WI" S\\f\\..\.. t.'i:\-I\S ?t?WI\I \i,~ge1 of3 1\-11S I't\\ to \l~OE? 1 ~oo~t\) fO , )1..\)\\-10\\\1. 00\\ \S f\\)i\ "'(\hnIll\H~CE. nCP.\()\). Springfield Building Permit 2/221.2011 9:11:58AM CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00273 IVR Number: 811109747401 www.ci:springfield.or.us PROJECT STATUS: STATUS DATE: Issued 02/22/2011 ISSUED: APPLIED: 02/22/2011 02/22/2011 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: 08/21/2011 $0.00 SITE ADDRESS: 5294 CYNTHIA CT, Springfield, OR 97478-6229 ASSESOR'S PARCEL NO: 1702333400109 SCOPE: Interior WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Heat pump replacement and Tub - to - shower conversion DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Frontyard Setback: I~terior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Valuation Description Descriotion Tvoe of Construction Unit Amount Unit Tvoe Sidewalk Type: Downspout/Drains: I Unit Cost Value FEES PAID I . Descrivtion Balance of Mi~~::m Plumbing Permit Fees .stat~9~Qreg~~3_ur:c_~rge (12% of aPEl!.cable fees) Technology fee (5% of pe!"mit total) Showe~_Shower pan First Appliance Fee Amount Paid Date Paid 02/22/2011 02/22/2011 02/22/2011 02/22/2011 02/22/2011 $39.00 $16.44 '." ._._._----~ "..~_.,-~.--.- . $6.85 ~~,__w_ $19.00 -------" $79.00 $160.29 Total Amount Paid Springfield Building Permit 2/22/2011 9:11:58AM Recivt # 2011000319 2011000319 .---,------..- 2011000319 ._~_.._~.~~,--~ 2011000319 --......---.--. ._-~ 2011000319 Page 2 of 3 Plumbing Permit Application 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753 . FAX(541)726-3689 :~'(',$'i_".,""'j:r -<.,~R?,'-"",,4iY ,'-':" <;';V'!{:;;~;',' 1" ~"",("""""i'o;,;,'l'.~~:,,,,,,,, . .;' DEPARTMENTUSEONL:Y':f,;,tfi . . .. ". -'.- " "~-_ - .. ,"... .'" .., .~ " '.'" ' - "'i"~ :.; Permit no.: 511 - 2?S This permit is issued under OAR 918-780-0060, Permits are issued only to the person or contractor doing the work, Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. ;10.tiiiif!Wi:~I.!!O.CAL;;GOVERNMENTIMPPRovAlii~i%l'(~?llf\Y"1 Zoning approval verified? DYes D No . Sanitation approval verified? DYes D No CATEGORY OF CbNSTRUCTION,' .. Job site address: Ci : Reference: ~\i,~h~~~~i~(~J~~~:S~fdjD_ESCRIJ?;nbN:~rOF.,~W.oRKt~~~1;g:~~,~f$42')~:;i!::U: ""'-c 6Jtv SIr! ~el' Address: City: Phone: E-mail: CCB license no.:ll () Plumbing license no.: Print name: ZIP: BCD license no.: Signature: 440-2500-) (I 1/08/COM) New residential 1 bathroom/l kitchen (includes: first 100 feet of water/sewer lines, hose bibs, ice maker. under floor low-point drains and rain~drain packages) 2 bathroomsll kitchen $374.00 3 bathroomsl1 kitchen $439.00 Each additional bathroom (over 3) $95.00 Each additional kitchen (over I) $95.00 Residential fire sprinklers (includes plan review) o to 2,000 square feet $58.00 2,001 to 3,600 square feet $116.00 3,601 to 7,200 square feet $174.00 7,201 square feet and greater $232.00 Manufactured dwelling or pre-fab (circle one) Connections to building sewer and water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $238.00 $ $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees 100' storm, sewer, water line Each fixture, appurtenance, and piping Storm water retention/detention facility Irrigation systems. Piping or private storm drainage s stems exceedin the first 100 feet Specialty fixtures Reinspection (no. ofhTS. x fee per hr.) Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (I) $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ M~nimum fee $ (A) Enter subtotal of above fees (Minimum Permit Fee $58.00) (B) Investigative fee (equal to [A]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A]) TOTAL fees and surcharges (A through D): $ $1l~ $ $ iPj.!! $. z.. :.--- $ . 7~ 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. ;Pi\;,i\'it~:;:'~i\j.CA']j1: G6RYil'Qf,)yc;brll$tRUCJj(jtif~~.~:~\;;"" .': Residential 0 Government 0 Commercial U':;\'i.~fi,ilJO~~sif!iE,'?INFQFl,i\Ii~iifIQrIlI1ANR:$Ki!6~GA'tIQN:t1~)t.~?:,,; Job site address: - ~ rJ Mechanical Permit Application I 225 Fdlh Street. Springfield, OR 97477 . PH(541)726.3753 . FAX(541)726-3689 Business name: Address: ZIP: -1{?'-3L/71 E,mail: CCB license no.: Print name: Signature, 440-2545-J (II 10SICOM) ,;,i,1';~r'.-"'._' ;,..~-:~>' :!:t",i .. 1""",',,,,,,,.,,,-, "',''7''',~''':", "\', ~ ':-:'P" _ ."b';if',' .::-., ~\"j;;PE~ARyMEN;r'USE'ONLy,:;".,:t\ .'.,' ....,'c~ i." .~",'_, '.', "'~'-'~',I'C_,,'1f".:-.I.~", .o).'-.'~ '.' -<: ('-' FEE SCH'EDUL.E .. ~ft~.~d,:~r,~~~~(~~~~!!;~~1~~~~~~<::~~(~~:Ai~*: ,9ri/ r~f4-:fi~~,~~~ ".;,l,~.tal",", f.""7:COSt~;i.Y First Appliance T $79.00 $ 'l'i Furnace/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 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 furnace including vent $58.00 $ Gas piping One to four outlets I $7.00 $ Additional outlets (each) T $4.00 $ Air-handling units, including ducts Up to 10,000 CFM $11.00 $ Over 10,000 CFM $20.00 $ Compressor/ahsorption svstern/heat nurnn Up to 3 hp/1 OOk BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Up to 30 hp/1,OOO BTU $43.00 $ Up to 50 hp/1, 750 BTU $57.00 $ Over 50 hp/l ,750 BTU $95.00 $ Incinerators Domestic incinerator T I $20.00 I $ :cOI :f ;'f"T C', ,e."/'," Enter total valuation of mechanical system and installation costs $ Enter fee based on valuatiori of mechanical system, etc. $ ~i~ii~:{~f~~]~~~~~!~tf~!!~~%~[i~J,~~~1 it ',::i~XGI~,tCost~!;,- ~~ T.o,taly:( ,.:~~~ ;'~;i:;Vea:r.'2:'\7~ -, -"cost~,;.,..; Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58.00 $ "iI'iif!;ililll"""ii!;l'~",("'"'APPi!iC:4NtCli'" "';I,i'%~''''''''~'':~'''!I~ ~,?:X,;;.:;:,~\~!'ji},"l.;:',,~", )"ii,\8:ldsl., ',' ,,_ , " "",' ~:"tJS EJ;$i;:"".:;.\'r,f~t\c,.:,,.,~!lfJt~<<i, j'ill;~.., (A) Enter subtotal of above fees (or enter set I)q~ minimum fee of $ 79.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ i"!J (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of [A]) $ 14..f. TOTAL fees and ~,ur~~~rges (A through E): $ 02"1 rlOI'l ~ I ~v-r- jl.\il'i \0" - s:~~~~~~~ l~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 51 Springfield,OR 97477 541-726-3753 www.ci.springfield.or.U5 811-SPR2011-00273 5294 CYNTHIA CT permitcenter@ci.springfield.or.us RECEIPT NO: 2011000319 RECORD NO: 811-SPR2011-00273 DATE: 02/22/2011 tOESC RlaTION' ;:' \ ; f;;;il 0. -:,l..~..' r/": 1'fCt.."..i, $.;c~coUNfJcOOE' n ," """, i ';'hoIVlOliNTcD.UE i :",,, Balance of Minimum Plumbing Permit Fees 224-00000-425603 39.00 ----'2'st Appli~nce Fee 224-00000-425604 79.00 ~~_~~~~)?~n 224-00000-425603 19.00 _~~ate of Or_~gon Surcharge (12% .of applicable fees) 821-00000.215004 16.44 Technology fee (5% of permit ~tal)_ __.__100-02OO0.:.~2_5605 6.85 TOTAL DUE: 160.29 ti"';illlrENTi"Y~Ei..i"':ii::~~iQRi-~CASHIERcCAIlP.ENTER.l:.:t;':Y.;;zC.ciM.MENjtJii~:::.:~F:"ii' : ",> ;:.,AI\10ilLN}:PAI~' '.. :.:;;~ :i!'j "J Credit Card TERRY JOSEPH D & SARAH K 160.29 010712 / TOTAL PAID: 160.29