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Home My WebLink AboutPermit Mechanical 2011-4-13 ..... -. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00592 IVR Number: 811196957421 www.cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 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: 10/10/2011 $0.00 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200214 SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Moving interior gas piping and adding new kitchen hood. Phone Number: ,541.746.8400 OWNER: ADDRESS: JORDAN THEODORE H & DIANA J '1232 ISLAND ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Contractor Name COMFORT FLOW HEATING CO Lie Type CCB # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Occupancy Type Construction Type R-3 Type VB # 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: Lie No 460 Lie Exp 06/27/2011 Phone 541-726-0100 Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 O~cupancy Load: 2008 Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: ;wnCE: THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 4/13/2011 11:40:10AM ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Page 1 of 3 www.cLspringfield.OLuS CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00592 IVR Number: 811196957421 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 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 04/13/2011 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200214 SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Moving interior gas piping and adding new kitchen hood. DEVELOPMENT INFORMATION I Overlay Dist: # StreetTrees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer: Storm Sewer Available: Speciallnstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description I Descriotion Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I Descriotion State of Oregon Surcharge (12% of applicable fees) !echnology fee (5% of permit to~al) .~.~s Piping up to 4 outlets First Appliance Fee Total Amount Paid Amount Paid $10.32 $4.30 $7.00 $79.00 $100.62 Date Paid 04/13/2011 04/13/2011 04/13/2011 04/13/2011 ReciDt # 2011000707 2011000707 2011000707 2011000707 Springfield Building Permit 4/13/2011 11:40:10AM Page 2 of 3 Sp,RING..FIEL~.. . .- ^~:^0 ~. "^~ ~REGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00592 IVR Number: 811196957421 www.ci.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@ci.springfield,or,us PROJECT STATUS: STATUS DATE: Issued 04/13/2011 ISSUED: APPLIED: 04/13/2011 04/13/2011 EXPIRES: VALUE: 10/10/2011 $0.00 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200214 SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residenlial PROJECT DESCRIPTION: Moving interior gas piping and adding new kitchen hood. Plan Review ~ Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Final Gas: When all gas work is complete. Final Mechanical: When all mechanical work is complete. Deoartment Application Acceptance Received 04/13/2011 Due Date Comoleted 04/13/2011. 04/13/2011 Resull Over the Counter Mechanical Review 04/13/2011 04/13/2011 04/13/2011 Not Required Comments: Over the counter permit fthitiar R.~vi.ewf -=~~~: "'..:.-: .~ ~..C O~[13J2QH j0::01l1~/20Ht;=04j1 :3J2q"fL .",' Over" tile ~o.unter,lt l c:~~~-hi~hts; _ 6y~r -t~e count~siR~r~]f:_~~J- " ~- ~.~~~ :;::B'~;{;Z;;;~::- ,i{(;< "-;;--,~';;~-::;~ ~ :\~ -; 01} INSPECTIONS REQUIRED ~ Inspections 2310 Rough Gas 2300 Rough Mechanical 2995 Final Gas 2999 Final Mechanical Reviewer Kip Kaufman Kip Kaufman -;>~~t<ip.K~ufn\an'.: " )<~c-' '-:'-(~_~,/'. t" ",' ,>, '^-,:vt'Ii1:,-,;. , "'-~ '1. "'J -' ~ -,. 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 ~) > 4-/13/11 Owner or Contractor Signature Date Springfield Building Permit 4113/2011 11:40:10AM Page 3 of 3 Mechanical Permit Application ",~ >:;";t"ii'>''''!'''-''''';j''''''. ~_J"""-ii:,,"'''''~t'~,~~'f1'';:Ij,;'. ,;,,_~ '"4?.<,',"',,"-"; ;;;'i "'~":\;DEPARTMENT'USE'ONl';Y':"({f:, ~" " , ._". .. ".,.;.- 'i.," ."'~ _~ '. i1: '. .i"" .! : ""'~'" .....''';;,.;Ix ",;C-. ' ;.'.;,.~t Permit no.: 2Ll -51'1<..7811 -512 Date: -f - 1 3 - 1 1 225 Filth Street. Springfield, OR 97477 . PH(541)726-3753 . FAX(54])726-3689 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. ';:J';;':i:;~:~~CATEGOR1(11QF'}~t)NSTRiJCTI()N"':'; , esidential D Government D Commercial "'-, '';\.-- .~.,--, ,.. .,.-".-.-, .,~- - -,~'- ,..-"'" -,- ""--"""-"" ,....... "" '~'f:"-' c...._.~,c.~-.'r..- .. - ,,_. .-...:........"..1'. .,~ ~:~1f,"~'jQI3~~m'E,'INF'QBI\II~1:19I11MND\;l!():GAII()N;r{~':' ~~tf Job site address: I City: "Reference: I'M Taxlo!' : , DESCRIPtloN~ OF WQRK'" -0 Name: '"Ii Address: \~2- City: PhoneSf!- 74:(,- ?l{.gf) E-mail: This installation is being ma 0 member" of .. , an IS exem ents under ORS 701.010. ZIP: Cf.11-77- icensing Signature: (l';E~<-!1;~i;ii'!{1J1"C6N:rRAC:nOR!;jNSl7AUl:'AtI6N~~''i.j.',l1;rli,~it)l:'~j . ",,,,..,n/1>,;;';'''o:t ;i",.~.. .",_.. __'.' '.. ~ ""_M,.....__' .''', _.-,._........,,' ,. _ .-,.,. _...."'...... ~ ,""',"~~,'-'-_, "~"'- .~ .!,<,. Business name: ~ 't\~...,",... Address: 1-- is 1- tV City: 5P1L./Ik;rPJ.9 ZIP: Phone: . E-mail: CCB license no.: Print name: Signature: 440-2545-J (J 1I08/COM) -,:" ~.', ....'.-".,." "F'.' , FEE SCHEDULE .'" 0 , " ~ft~!L~:~J6J,,~~'!~~~;~!iitJt~~~~'~f4~~~j~i Qf ~i~1~~;:'~c' ",T~~l' . ;'i..r~': i;{lf;co:';i)~ First Aooliance I $79.00 $ 'Ii Furnace/burner including ducts and vents Upto lOOk BTUlhr. $17.00 $ Over lOOk BTUlhr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellei/gas stovelflue $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 $7J Additional outlets (each) $4.00 $ , Air-handling units, including ducts Upto ] 0,000 CFM I $11.00 I $ Over 10.000 CFM $20,00 I $ Co m oressor/a bsorotion svstem/heat oumo Up to 3 hpll OOk BTU $17.00 $ Upto 15 hp/500k BTU $29,00 $ Up to 30 hp/1 ,000 BTU $43.00 $ Up to 50 hpll, 750 BTU $57.00 $ Over 50 hp/ 1,750 BTU $95,00 $ Incinerators Domestic incinerator $20.00 $ 5CO'~Tffjl'e(~faf~~::Y;I~~!~~Y:~~~~~V~:~:~5~~?:~,\~~;~~~~~~~t:~~~1lj%,?~:i,':\i;!V~k"~"r-;:~' Enter total valuation of mechanical sy~tem and installation costs $ Enter fee based on valuation of mechanical system, etc, $ f/J<:t:!:~:;~1-"l.'J:~)?,Ll)'':;~f'''01~,C~X;;~j!l~_~~.,~~~''1J-~l,:~'f,:; .,It:If!: l~;~ '~Costk,:", ;::l;.,r~Jal'<L' ,Mlscella neous,.feeS;;;>l1H'""i;'o,""" Items ?It1:':.ea:~~; '1:.,> -':". .-!. .;;""v-,,,,.";~.-.....,.,,,.,,~:_,.\,,,...-,~,.,~...,-.<. <,'<., -;'-0>-1 :;!.~";;,It;f:. 1';'_'4. :',,, , ~'cosn';~\ Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ ""~i1ir~~"'''<''''*~''-'''''-'' ."0' " ,. ".".'''''!:Il'''''~~'''''''''*''_'flI ~~!:%~";.~.>.",x,:tx~~~~f~~~AP,R~ICANrl<!USElfr:;:,;G~,,;~~~~t.tt' :<'~ ':.." ' (A) Enter subtotal of above fees (or enter set $>iLo.iJ ) minimum fee of $ 79.001 (B) Investigative fee (equal ]0 [AD $ 1?f (C) Enter 12% surcharge (. 12 x [A+BD $/n .::W.... (D) Seismic fee, 1%(,01 x [AD $ ,g (E) Technology Fee (5% of[AD $ A- .'!-l 1'2- TOTAL fees and surcharges (A through E): $/rY).ll TRANSACTION RECEIPT CITV OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541~726.3753 www.cLspringfield.or.us 811-SPR2011-00592 1232 ISLAND ST permitcenter@cLspringfield,or.us RECEIPT NO: 2011000707 lDESCRII'.TI6NC~;"' ';;"'" ,",""':';"" ___!,irs~~~ppliance Fe~,_ Gas Piping up to 4 outlets State of Oregon Surcharge (12% of applicable fees) Technolo~} fee (5% of permit total) RECORD NO: 811-SPR2011-00592 DATE: 04/13/2011 ; j\i"';,:"';>; ~"';'<:::'" :i,\;.." L_ACCOONt:CODE'.'S'; ',.,,'c..L'-.AMOUNLDUe'::....':,--c-J 224.00000.425604 79.00 --,-_.._- 224-00000-425604 7.00 821-00000-215004 10.32 100-00000-425605 4.30 TOTAL DUE: 100.62 ,,_ .j:c'QQi~)\It~~&Isi;;:;.,2;W~"~;<';';:_'j '; 7;A'_~:'" ;AMOUNT\P~.!p. 100.62 t'2P A V=Mg-r'iJ n.'gE:f'=':;~ 'PA:j'_ORr:;c';'SHIERO:KKAUFMAtii', \ Credit Card Rose Interiors and Design -... ~ ..-J 158869 TOTAL PAID: 100.62