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Home My WebLink AboutPermit Mechanical 2011-5-6 SPR. I.N.. G..FI.EL~. -. lii.~~ -- . -t., f,.~ ',/ OREGOl>( www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00767 IVR Number: 811155110568 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 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: . VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2663 NOVA ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224404300 PROJECT DESCRIPTION: SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential Relocate gas meter Phone Number: OWNER: ADDRESS: HANCOCK DAVID H & CAROLYN l 2663 NOVA ST SPRINGFIELD OR 97477 Contractor Type Mechanical Contractor # of Units: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: CONTRACTOR INFORMATION ~ Contractor Name J LOGUE GAS WORKS INC o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Lie No 147111 Lie Exp 03/06/2013 Phone 541-345-7599 Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal! Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2008 Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit Site Infonnation ATTENTION: Oregon law requires youto follow rules adopted by the Oregon ~~~~ih Notification Center. Those rules are se in OAR 952-001-0010 through OAR 952-00~- 0090. You may obtain caples of the rules y calJin the center, (Note: the telephone numb~r for the Oregon Utility NotificatIOn Center is 1-800-332-2344). 5/6/2011 10:40:43AM ~ M OTlCE: P\RE IF1HE WORK THIS PERMIT SHAll ~H\S PERMIT IS NOT NJTHORIZED UND~; ABANDONED FOR COMMENCED OR ft,I~Y 180 DAY PERIOD. Page 1 of 3 SP.RIN. GFIE~ .-- ?':\ ,~ . ~> \. OREGON www.cLspringfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00767 IVR Number: 811155110568 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitce nter@ci. springfield. or. us . PROJECT STATUS: STATUS DATE: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2663 NOVA ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703224404300 SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Relocate gas meter DEVELOPMENT INFORMATION ~ Overlay Oist: # 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 TVDe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Description Technology fee (5% of permit total) First Appliance Fee Stale of Oregon Surcharge (120~ of applicable fees) Total Amount Paid Amount Paid $3.95 $79.00 $9.48 $92.43 Date Paid 05/06/2011 05/06/2011 05/06/2011 Reciot # 2011000896 2011000896 2011000896 Springfield Building Permit 5/6/2011 10:40:43AM Page 2 of 3 sp.. RINGF IE~ - ?~. . .HYL . OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00767 IVR Number: 811155110568 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@cLspringfield.or.us PROJECT STATUS: . STATUS DATE: Issued 05/06/2011 ISSUED: APPLIED: 05/06/2011 05/06/2011 EXPIRES: VALUE: 11/02/2011 $0.00 SITE ADDRESS: 2663 NOVA ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703224404300 SCOPE: Mechanical Only WORK INVOLVED: Remodel TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Relocate gas meter Plan Review ~ Deoartment Application Acceptance Received Due Date Comoleted Result 05/06/2011 05/06/2011 05/06/2011 Over the Counter Reviewer Chris Carpenter ~~~,~~~~~l~~'V~~~f~-~:lyJ~r_;;~,90~t969~9r~t:':_05jQ6/20.1 l\?~mT~~t~.,~~~:':!T:'~~::-S~~t~~~:.~~~t Initial Review 05/06/2011 05/06/2011 05/06/2011 Comments: Over the counter permit Over the Counter Chris Carpenter INSPECTIONS REQUIRED ~ Inspections 2260 Gas Service Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. Final Gas: When all gas work is complete. 2995 Final Gas 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 wil! remain on the site at all times during construction. ..----- vb-/I Date Springfield Building Permit 5/6/2011 10:40:43AM Page 3of3 www.cLspringfield.or.us TRANSACTION RECEIPT 811-SPR2011-00767 2663 NOVA ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 perrnitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-00767 DATE: 05/06/2011 41:.;'0'::'; ~''''~!;6.0C'0Ullitlc;0bE'P -;:, ;,,,,:riU"cAMOUllitblJE .,' ',' :'J 224.00000-425604 79.00 821-00000-215004 9.48 100-00000-425605 3.95 TOTAL DUE: 92.43 ~PAYLNle:~I:tYPc~7;.;.t:(-,-: PAY..QJ~fj\~"ASHIER:f"CARPliNfER;; F~~~OMMEtffs~"':" ,-':-<7z-r-; ,; ;:;I'.MPUN.! PAID. __ : Credit Card J LOGUE GAS WORKS INC 92.43 216043 RECEIPT NO: 2011000896 'D"E' SC'R""P" T'ION" -y if . ',,<t :;:;-''''-''"',-'"''''+*''';':-' ~'., l. . ' .:4,. - 1 " ii....."'...:.- ...r ." "'>E.Jh1-',<, '.' .,~-''''',i'' First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) -"'-' j ".... . TOTAL PAID: 92.43 . . -, . Mechanical Permit Application ;\;\".DEPAR:{ME~T'us~'d~'~~',W&; Permit no.: - '7 c., 'l 225 Fifth Street. Springfield, OR 97477. PH(541)726-J753 . FAX(541)726-J689 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. ":';:''', ';:"CA'rE90Ry,\:o.i':;,:'Cqt-lSTROC)"ION'Ci;" o Residential I 0 Government I D.Cornmercial 1';;;iJ'::!'JOB~$@E "'iN'I;QRM41T!QN;:A.ND~(Eq'G./I.f:iqNfql("'(:; Job site address: 2/_ 1.'...'<. N6l/a City C,lllf1n P I State: ('\~ I ZIP: f7{).7 22-'-11.( '[ Taxlot.: {)t[)'()O ,. DESCRIPTioN,OF WORk ,,€.'-cLi)<>Al[; G \1-J r'I'Lt:--n-7-- Reference: ~~n'~~~;-;~d~1;~~~'p_,Bge~:R.tY.V9W.N:~B~t~:%t~1{J?li(k~~:R~;~1\~RfY$~:'~ Name: n A- ,,() 9> c Mou (,...-' 1+# rvLOC/L- . Address: ?-& G '3 j'--t'JVtA- City: <;: f'Fl.-\'::> I State: cJd-- I ZIP: 11 '-{ n' Phone: - . I Fax: - - E-mail: This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010, Signature: ~2;~:tJi,~~;~;"Tf!:9()NTR.AC;ifQR~j,IiI:$JAt:I.i;4tIQN_'i!;)~';j;c'" .;;; ';';,..,'., Business name: ::-\! _f)(., /1 'T ,.., 11", f ,'Y'Jt) k<, l~ Address: 9r-.R AI::U d . City: bnlll 11.h I State:O(L I ZIP:Q7cA".>9- Phone:~ _U - I Fax: - - E-mail: CCB license no.: / !.tit ( ( Print name: I..UN (u,-' - Signature: J / <..L/f) t/ t// . - 440-2545-) (1I/08JCOM) ,.. "FEE SCHEDULE '.' ~~~~#..i~,~r~.!,~'I{f,~,~~'~ti;)~~f.K:;},;i.-;,:,;:;'~)}~;:;~}g:~~:~'k' ,9,~~ ~.i;~,,!'~~~f~j:-'r, First Aooliance / $79.00 urnace/burner including ducts and vents ,:rotal . '~,:~\cost},~~ ' $ rpf $17,00 $20.00 $ $ Up to lOOk BTUihr. Over lOOk BTUlhr. Heaters/stoves/vents Unit heater Wood/pellet/gas stove/flue Repair/alter/add to heating appliance! refrigeration unit or cooling systemf 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 Additional outlets (each) Air-handling units, including ducts Up to 10,000 CFM I $11.00 I $ Over 10,000 CFM $20,00 I $ Comnressor/absorption system/heat pump Up to 3 hp/l 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/l ,750 BTU $95.00 $17,00 $38,00 $ $ $58.00 $ $13,00 $ $9.00 $ $13.00 $ $58.00 $ / , $7.00 $ $4.00 $ $ $ $ $ $ Incinerators Domestic in~erator :ial .....' Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ ~~J~f~~ff.~~~~9~~rf~:~~}~:~:f,{i&E~i~:~j~:~:a~~ n~~~l~ ,~f~J~'~~~\~J);i:'~~;~~ri~~~;~::;- Reinspection ' $58,00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) . $13.00 $ Each additional inspection: (1) $58,00 $ )t~~~~J~!1i-:t~~~\t~~.~ijl!lIC.t!.NT~Jj,SE~~i~~~ft~rf,s'~YBi~ I $20.00 I $ ,''''I.'' ",' '.,' (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% (.01 x [A]) (E) Technology Fee (5% of [A]) TOTAL fees and surcharges (A"through E): $ 10 , $ $ ti '0- $ $3~ $ 02'1--:3