HomeMy WebLinkAboutPermit Mechanical 2010-9-28
..
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-01047
IVR Number: 811000054229
WNW.ci .springFIeId .or. us
PROJECT STATUS:
STATUS DATE:
Issued
09/28/2010
ISSUED:
APPLIED:
09/28/2010
08/04/2010
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:
04113/2011
$6,000.00
SITE ADDRESS: 4102 FRANKLIN BLVD, Eugene
ASSESOR'S PARCEL NO: 1703344200400
SCOPE: COM
WORK INVOLVED: ALT
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
Replace ceiling unit with New 92% Efficiency Forced-Air Gas System (floor mount)
Phone Number:
OWNER:
ADDRESS:
GUTHRIE JAMES L
14755 BROOKLYN ST
EUGENE OR 97403
Contractor Type
General Contractor
Contractor Name
OWNER
CONTRACTOR INFORMATION ~
Lie Type
OWNER
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
N
Construction Type
Occupancy Type
Occupancy
Comments
IIIB
S-1
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
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:
N
Lie No
0000000
Lie Exp
08/12/2025
Phone
Lot Size:
Sq Ft 1st Floor:
Sq Ft 2nd Floor:
Sq Ft Basement:
Sq Ft Garage:
Sq Ft Carport:
Sq Ft Other:
Occupancy Load:
o
Site Information
~
Engineered Fill:
Fill VoJume:
Flood Hazard Area:
Land Hazard Area:
Retaining Wall:
Soils Report Required:
Springfield Building Permit
12f9/2010 12:18:20PM
J
Page 1 of4
SPRIN..G...FIEL~.
II.~..
I~ .~.t.
". ~
8j~ OREGON
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
WNW. ci. springfield. or. us
Building I Commercial Permit
PERMIT NO: COM2010-01047
IVR Number: 811000054229
permitcenter@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/28/2010
ISSUED:
APPLIED:
09/28/2010
08/04/2010
EXPIRES:
VALUE:
04/13/2011
$6,000.00
SITE ADDRESS: 4102 FRANKLIN BLVD, Eugene
ASSESOR'S PARCEL NO: 1703344200400
SCOPE: COM
WORK INVOLVED: ALT
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
Replace ceiling unit with New 92% Efficiency Forced-Air Gas System (floor mount)
DEVELOPMENT INFORMATION ~
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
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 Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
~
Descriotion
Bid
Tvoe of Construction
NA
Unit Amount Unit Tvpe
6,00000 Bid
Unit Cost
1.00
Value
6,000.00
6,000.00
FEES PAID
~
DescriDtion
Mechanical-Value
+ 5% Technology Fee
+ 12% State Surcharge
Copies - Ea Addtl @ 50 Cnts Ea
Total Amount Paid
Amount Paid
$97.00
$4.85
$11.64
$34.50
$147.99
Date Paid
09/28/2010
09/28/2010
09/28/2010
09/28/2010
Receiot #
374416
374416
374416
374416
Springfield Building Permit
12/9/2010 12:18:20PM
Page 2 of4
S~;~N~. ~~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Commercial Permit
PERMIT NO: COM2010-01047
IVR Number: 811000054229
WNW.ci.springfield.or.us
225 Fifth 5t
Springfleld,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
09/28/2010
ISSUED:
APPLIED:
09/28/2010
08/04/2010
EXPIRES:
VALUE:
04/13/2011
$6,000.00
SITE ADDRESS: 4102 FRANKLIN BLVD, Eugene
ASSESOR'S PARCEL NO: 1703344200400
PROJECT DESCRIPTION:
SCOPE: COM
WORK INVOLVED: AL T
TYPE OF STRUCTURE: COM
Replace ceiling unit with New 92% Efficiency Forced-Air Gas System (floor mount)
~
Decarbnent Received
Mechanical Review 09/28/2010
Comments: Over the counter permit
Due Date
09/28/2010
Com Dieted
09/28/2010
Plan Review
Result
Not Required
Reviewer
Kip Kaufman'
Inspection 09/28/2010 09/28/2010
Comments: Inspection in process
e€!riTliti:lssuance '
Initial Review 09/28/2010 09/28/2010 09/28/2010
Comments: Over the counter permit
~1~ctricaJR~vie",: : :09128/2010 . 09/28/2016/'09/28/2010
, Ct)In~Il~,:',,~,Qver'th~'co~,nteriPermit , J tLkC"'"''
Structural Review 09/28/2010 09/28/2010 09/28/2010
Comments: Over the counter permit
Pluf"bi~g Review " ,". :.09/28/2010
C~~ments: ',oyer;thecoun~er.perm!t.
Planning Review 09/28/2010
Comments: Over the counter permit
09/28/20JO',> 09/28/201 0
!:":;/'I"""""',, ,
" \
09/28/2010 09/28/2010
Public Woll<s Review 0912812010 09/28/2010 09/28/2010
Comments: Over the counter permit
Energy Code Heview ,:09/28/2010' 09/28/2010 ' 09/28/2010,
comrt:le,~~:,:.<;P.':j,~Ni,h~':toul1~~fpe"f!TIit; 'i}j;;;i;j'i, ,[!;:"..;n);'i '. \
, ~, "",
Application Acceptance 09/28/2010 08/04/2010
Over the Counter
Not Required. '
c' 'I, ,,~' ">
Not Required
NorRequired'~
,"^' , , '.
,'"
,j;h)
~", '
Not Required
Kip Kaufman
Kip Kaufma~
, 'I
Kip Kaufman
:'Kip Kaufman'
I
r"'"
'!;~,i
0':;
Kip Kaufman
Springfield Building Permit
12/9/2010 12:18:20PM
Not Required
Kip Kaufman
,:',:p,'" -I,,;
Not Requjr~cJ ? ~ , )> ':Kip,',~aufmCt~r;r:
J
Over the Counter Kip Kaufman
Structural'Review ' ; . 08/04/20" 0 WI' KLK '
, ,o;_f:"':, i _,,':,,' ::' : -, o:'~_,_;': ,'; ; ",-,;,,:,'" ;,;,0" _: _,'" _ -::i"
Comments:--, ,210d'cfm'Unitlocated on ground,f1oorheatin'g 1650 s{;:Schedule'40-pipe-with80' run,'3/4~,pip'e:is 900di(&100,000:-'
,'~r, ",.~,t~~~:::,":'" :',:'1, :,11,,'::': ,:,,'::-,::,0'::::)"1::',";-' ,;:;' A ;i!,,'"''-'. ,>',- - ,"
Routln9Jp.lans to'SUB., tnsf,!ectionsand f~es entered~ 'WI: SUB i' ~'.
Page 3 014
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield, OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
www.ci.springfield.or.us
Building I Commercial Permit
PERMIT NO: COM2010-01047
IVR Number: 811000054229
permitcenter@ci_springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
09/28/2010
ISSUED:
APPLIED:
09/28/2010
08/0412010
EXPIRES:
VALUE:
04/13/2011
$6,000.00
SITE ADDRESS: 4102 FRANKLIN BLVD, Eugene
ASSESOR'S PARCEL NO: 1703344200400
SCOPE: COM
WORK INVOLVED: ALT
TYPE OF STRUCTURE: COM
PROJECT DESCRIPTION:
Replace ceiling unit with New 92% Efficiency Forced-Air Gas System (floor mount)
INSPECTIONS REQUIRED ~
Inspections
2300 Rough Mechanical
2310 Rough Gas
2995 Final Gas
Rough Mechanical: Prior to Cover
Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
Final Gas: When all gas work is complete.
Final Mechanical: When all mechanical work is complete.
2999 Final Mechanical
4500 Rough Electrical
4999 Final Electrical
Rough Electric: Prior to Cover
Final Electric: When all electrical 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 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 of plans will remain on the site at all times during
construction.
/c:J/
Own':;;r C;;~ Signature
~/
:3 V/(t
(
Date
Springfield Building Permit
12/9/2010 12:18:20PM
Page 4 of4
225 Fifth Street. Springfield, OR 97477 · PH(541)726-3753 . FAX(541)726-3689 Date: /3
REV~EW~lO fOR . O,FF~cl:
This permit is issued under OAR ~SA'\!l..lWiOfl'l;l~ ~rIA~ot staited wJtliifi} SQdays,of_issuance,or.if.work-is
suspended for ISO days, \I\\JI!J@ UVIIVUFIl.. .'
'",X,rj?:J:1~"ii~!~f~G'6~il!~~~9I~.fi!~j(R;ijQ.j1IQtfJ'~:>':t,'("? ""':-:", "':0;: "FE~$GHEDi:JLE' ." " . - ,.
o ResIdential I 0 Government [ W Commercial ~fi~~j~1~lJ~,!~tt~~~~~;~ii~~~~~iJ::~#,( ~~~~~;~%i" ,~i~~%i~!;{~:;
~;'1.'fJ11:~jJ:~~~e)m~'1NF,'@ltrlia\t[Q'iiI~~~:QI~~~I@'mif,j!i~;r;:,~i' First ADDliance $79.00 $
Job site address: :~O 2. ~I'\, K Ii n fllul. "'urnacelburner including ducts and vents
City:#/70 'I State: ~ I ZIP: Up tD lOOk BTUlhr,
. ~ _, , I Over lOOk BTUlhr, - ..
Reference: ~ ~ ~81e81 Taxlo!.:
u Heaters!stoveslvents
. '. "OE$CRlPtipN; pi: W9RK\J. ' .." Unit heater $17,00
A.b. J b^--.5 ~A - C~ I a/C-.~q . Wood! '1~~~aon law rehuir Y$38!6b
~~1Mt~~~a~~~~~~~~1I'~~'f~: ~~~~tl~~~~~r?h~~=~r~ ~~~' ~;h~~;~ $
~~~Jl:::~~~"~1I_~::~,~!",mwi~{~""'" Eva~VV ~h+~7;~.:~:1 ~~; e rm~fJll!J $
Address: 1-4-::; ~ =A ~QK:f...-Cf JJ >( Vent't;-n~. ' ~nq<N<l:ht: tete eph~91eo $
. '..::=-, _ , . . HDDd 'fli1Jrnllllau1loailllllIuElregon Uti hY 1~~I1i1$\'3!!1Ql $
CIty. ,UtE I State. bA. I ZIP. "f~3 FIDDrfurriace inQij!lilfgrVe'htHlUU- I I" $58.00 $
Phone: . - I Fax: - - Gas piping
E-mail: One to four outlets
CCB license no.:
Print name: k'to....
c~ ... \ Enter total vaJuation ofm.echanical system
~ ~r F./.. and installation costs $
Signature: /C-~./' - ,
---- ,'. ~----,""'. ~_-r-- Ef'!ter fee based on valuation of mechanical sys~em, etc. $
..,~ti~ -, i.~L"1,;_,'~"',,;..t.-. :"'::':.,.'::rr -
~l'~.",,'..~ ~.__.~_.. ~r&tliedfl&tr~i5~_~\m'It1U_~ft~~~%;~~.f.~ W;\~,~W~':!ir
UNiT ISI '1o';CIJPbNGY' ,un ~/J. .""",.".,''''"......h,<".."''''".;~fJi''~'~l1'!!:\',."#''I,,,,,~i'l.""1I{i""J,"c~~lo".
.L- I/KI M ~,_ _2. - ,;__ Reinspection ::: ... ~B.OIO $
STORIES v' \ ~ -, "1'VPE -U:OI'IISTRI CTI~ ::
~ I~pecially requested inspeclibn:(Jt.r ~r.) . . $%;B.jlO $
LEGAL DESCRIPTION J. -::f:e; .3 3 {F-egulated equipment (unclassed) .. $13.00 $
ADDRESS 11-lrz-- p-I2---IrlI~ &-vi7, I~ach additional inspeclion: (1) $58,00 $
OWNER P.1Al~e;. ~''"[ti''A:,,~j~M''
(A) Enter subtotal of ab~v~fee! "'r en~f jet: . . ::
~minimum fee of $ 79.00t. .. . $ .
{(B) Investigative ree (equal tD [A]) $
Ice) Enter 12% surchargc 4.' 2 x [;"~~J):: : : ~ :
~---. .-.-.
ICD) Seismic fee, l%(.Ol9C["-]} ..... .-. '" .
I (E) Technology Fee (5% of rAn . .. .. .. $.
440,2545-J(lJ/08/Cc:JMjTY Qr-SPi'!:!l\~GF~a:;:iJ), Cii'lEiGiO!\l jTOTALfees and surcharges (A through E): $
~ "'0""7\'7':;";'1 ~,~.. "";ffL2j!~
anical Permit Application
This insla1iation 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:
~~~i~$,:@~j'li8A:~]~1!~j~ii~g~~mjgii1~Jl}yfgSi~~\t:X;~\
Business name:
Address:
City:
Phone:
E-mail:
III' II''''
1665 IRVING R~:
- ~ll~~N~~9R.~~9l\x:
"'~~R'
1 ZIP:
.
THE CONTENTS HERE ON HAVE BEEN REVIEWED WITH
ALLITERATIONS iNDICATED ON COLORED PENCiL CHANGES
OR ALTERATIONS MADE TO THE APPROVED DRAWiNGS OR
PROJECT Jl.FTER THE DATE BELOW SHALL DE,APPROVED BY
THE BUILDING OFFICIAL.
~.~ ~~~t;~P'~~A~]M~~r:RW~~~~~~~!~fuji:
$17.00 $
$20,00 $
$
$
$7.00 $
$4.00 $
AdditiDnai outlets (each)
Air-handling units, including ducts
UptD 10,000 CFM $11.00 $
Over ](1& ':~"',::.,.",!".!,., "". "".., , ;;t'$20;e0 $
Com !. "-mr.miQll,."~tfntl{t!'811 : '~JnRJ(
Up to 3 ,rmQ ~ , TU to 'DC ,;0$1-7 ! I
UptD J 'ip!~ ,v,.:~v'';:'^D^ ,1M ~'J~illlb$"
Up to 3~l(Pli'. n'iI'fhv u" " $:1.3.00 :'$"
Up tDsO'l;'ph,l)U lITU $57.00 $
Over 50 hp/l,750 BTu $95.00 $
Incinerators
Domestic incinerator
I
I $20.00
$
::~qmrPEff~r~f~~~~~~i:~~~~~~:V~~r,-~~~(f::'7~~0:~~7:~~.g~~/l~~r
S~.PRINGFIEL~
.~EGOH
INWW.ci.springfield.or. us
TRANSACTION RECEIPT
COM201 0-01 047
4102 FRANKLIN BLVD
crTY OF SPRINGFIELD
225 Fifth St
Springfield,OR 974n
541-72&.3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000412
loeSCRIP..l]QNP:.. &.:: .
+ 12% State Surcharge
+ 5% Technology Fee
Copies - Ea Addtl @ 50 Cnts Ea
Mechanical-Value
RECORD NO: COM2010-01047
. AC.COUN'LCOOe ~
821-00000-215004
100-00000-425605
224-00000-425602
224-00000-425604
TOTAL oue:
DATE: 09/28/2010
- AMOUN:Loue
11.64
4.85
34.50
97.00
147.99
'AMOUNT pArD'
147.99
I 'pAYMI;NffYPE.
Credit Card
088875
PAYOR CASHIER:KKAUFMAN."
Commercial AirJ Ken Reimann
COMMENTS-
Phone Payment
TOTAL PAID:
147.99