HomeMy WebLinkAboutPermit Mechanical 2011-6-6
CITY OF SPRINGFIELD
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If
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Building I Commercial Permit
PERMIT NO: 811-SPR2011-01268
IVR Number: 811138227269
www.cLspringfield.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:
APPLIED:
Issued
06/06/2011
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 1225 28TH ST, Springfield, OR 97477
AsSEsOR's PARCEL NO: 1702312200700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Replace existing split system
Phone Number:
OWNER:
ADDRESS:
CITY OF SPRINGFIELD
150 N 4TH sT
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Mechanical Contractor
Contractor Name
COMFORT FLOW HEATING CO
Lic Type
CCB
# of Units:
o
BUILDING INFORMA TION ~
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# 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:
Lic No
460
Lic Exp
06/27/2013
Phone
541-726-0100
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:
I Si~lnformation
Engineered Fill: '\:)'t,\ ~, ~~ .
Fill Volume: ~~ ~~~~ \\~
Flood Hazard Area: -^~~!l' ~~~.,\\\~~~\\\\.
Land Hazard Area: -~v "O\J \,,).-;)I.SO 0 -:J\'P ""-
Retaining Wall: ~~ ~\ ~~\\ ~~">j ~~~'\'6
Soils Report Required: ~~~ ~\- ~')) ~~~ ~ .~~
~~~~~~~\~~ '\~
~\~ ~~
\~~ ~ ;~\- -,~~:
.....~~, r~:a"'"
,: ::. ~-: ..,-
I
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 Utiiity Notification
." '. Center is 1..800-3322344).
. ...-.;c
Springfield Building Permit
6/6/2011 12:07:34PM
Page 1 of3
...
SP~II," ,',G.... FIE .l~
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.ir~ i~
~;;~,.OREGON
CITY OF SPRINGFIELD
225 Fifth SI
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: 811-SPR2011-01268
IVR Number: 811138227269
permitcenter@cLspringfield.or.us
PROJECT STATUS:
STATUS DATE:
, Issued
06/06/2011
ISSUED:
APPLIED:
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 1225 28TH ST, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1702312200700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace existing split system
DEVELOPMENT INFORMATION ~
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:
I
Valuation Description
~
Descriotion
Tvee of Construction
Unit Amount Unit Tvee
Unit Cost
Value
FEES PAID
I
DescriDtion
Amount Paid
State of Oregon Surcharge (12% of applicabl.: fees)
~:~~~nical Pe~_ibased on val~~~9~,~:..~~,_,,,,,_._,,"
Technology fee (5% of permit total)
Total Amount Paid
$18.84
$157,00
...._._._~.__._,._--_.
$7.85
$183.69
Date Pa id
06/06/2011
0610612011
06/06/2011
ReciDt #
2011001449
2011001449
,,~--
2011001449
Springfield Building Permit
6f6/2011 12:07:34PM
Page 2 of 3
SPillN~.IE.l~
L~&1
~OREGON
CITY OF SPRINGFIELD
225 Fifth SI
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: 811-SPR2011-01268
IVR Number: 811138227269
permitcenter@cLspringfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
06/06/2011
ISSUED:
APPLIED:
06/06/2011
06/02/2011
EXPIRES:
VALUE:
12/02/2011
$0.00
SITE ADDRESS: 1225 28TH ST, Springfield, OR 97477
ASSESOR.S PARCEL NO: 1702312200700
SCOPE: Heating System
WORK INVOLVED: New
TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Replace existing split system
Plan Review ~
DeDartment Received Due Date . ComDleted Result Reviewer
Application Acceptance 06/02/2011 06/02/2011 06/02/2011 Application Accepted David Bowlsby
,..lh""..;.,_",
Mechanical Review 06/02/2011 06/02/2011 06/02/2011 Approved David Bowlsby
INSPECTIONS REQUIRED
Inspections
2300 Rough Mechanical
2999 Final Mechanical
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical 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 wiff remain on the site at al/ times during
construction.
k(SlAt'il v,A i^""'j",,,
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Dati
Owner or Contractor Signature '_
S'f""...~n; .l~
0'-- 1'0 f'
Springfield Building Permit
6/6/2011 12:07:34PM
Page 3 of 3
. ,~.
MRY-18-2011 15:45 From:COMFORT FLOW HERTING 15419889954
To': 5417253589
P.2/13
Mechanical Permit Application
CITY or SJ>I~I:\GFI[LD, OnEGON
225 Fifth SIJC!:t . Spriugridd, OJ{.97477 . PH(."i41 )126-3753 . FAX{5"41)72b-3f1S9
~.,.
, DEPARTI'!lENT USE QNL Y
Pcrrnit 1\0,; 511- /Z-f:,g
Dale:
This pt:rmit is issued under OAR 918-440.0050. Pcrml(s expire if work is uot started within"ISO days ofissuNnce or if wurk is
suspended for J 80 d~ys.
CATEGORY OF CONSTRUCTION
o Rc:-;idcmial 0 Governmtnt Cnmmerd,JI
JOB SITE INFORMATION AND LOCATION
Job site address: 1)
Cily:
Subdivisj n:
E~m8il:
This inSlallation is being made on properlY owned by me 01' a
member of my immediate f"mily, and is exempt from licensing
requjrc::me.nLs unda ORS 701. 10.
Signature: hJve. .
CONTRACTOR INSTAL
Addrc.<o;s:
Cily:S
Phone:
E.mail:
Print name:
Signature:
440-2,4'_J f IIIO!)/l'UM)
FEE SCHEDULE .
Residential QI)'. Cost Total
ca. to'llt
Fin,! Aoolinmll; 579.00 $
I<'urnlllce/burner fncludinw: ducb and vents
Up 10 lOOk BTlJIhr. $17,00 $
Over lOOk BTU/l\r. $20,00 $
HeQters/slovesNents
Unil healCJ' $17.00 1
WIM)l1Jpclletlglis stoVe/flIle. $38.00 $
Rl..l'tli,-lElhcr/Z\dd 10 healing appliaul:e1
rc:frigt:tation unit or cooling systemJ $58.00 $
ab$Mpticln ~)':::tcm
EYllporated l.':ooJer $13.00 $
Vent fan with Olle dUL;l1i:1p('llionl:e Vt;n1 S9.00 S
Hood wilh e:dmu$! and duel $13.00 S
FIt)ot' furnace including vcnt $58.00 S
GAS piping
One tl,l fallf outlets I $7.00 S
AddititlTlI\J Cillllcrs (each) I $.&.00 S
A.ir~handlln2 units. includine ducts
Up to JO,IlI)O CFM I I $11,00 S
OYer 10,000 CFM I I $20,00 S
Compressor/absorption system/he fit pum"
lip It> J hpll OOk BTlI $17.00 S
Up 10 15 hp/l00k BlU $29,00 S
Up fa 30 hpll,llllll BTU $'3,00 $
Up to 50hpll,750 Bn] 157,00 $
Over 50 hpll, 7 50 BTU $95.00 1
Incinerators
Domc-slie indnerntor I I 120,00 $
Commercial
Enter h,IOll vllluatir.m of qc~h~jc~stem
and inslall1Jlilln t.':1)1:i{~ $ \
Emcr fce based on vahlalioll of mechanical ~y~tem, etc. $
Miscellaneous fees tom CoSl Total
.., ('OSt
Rejl\spe~li,m $58,00 $
Specially requested inspections (per hI'.) $58,00 $
Rcg~datcd cquipmclll (uncJassed) $13,00 S
EBCh ~dditionl'l inspe('.tiOll: (I) 158,00 1
APPLICANT USE
(A) filter sublCltal nr ahlwc: fees (I,IT r;nicrr Sl;f 1~7
minirnum fee (If $: W,Q) $
(B) 11I....~tig1Jlive fee (~lUl1l fl,1 [AD S
(C) Enter 12% ~urthar~o(.l:Z :llIA+SU S I Sf'
(D) SeisllIiu rbe: 1% (.01 x [AD S
tE) Technology fee (5% uf [A)) S 7E;:>
TOTAL fees And surc.huges (A (hrolJgh R)i S
$IS>~
..
S~:tN,\~
~~
~OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2011-01268
1225 28TH ST
CITY OF SPRINGFIELD
225 Fifth 5t
Springfield,OR 97477
541-726-3753
permitcenter@ci,springfield,or.us
RECEIPT NO: 2011001449 RECORD NO: 811-SPR2011-01268 DATE: 06/06/2011
lDESCRip..tl()N~f,J<. "1.;';-;-'-*;.',JJ /-.:','~,,1::!~~:;;;'.' ::'::ACC0lfN:T.COOE-,0':J;" ,. ,';";.'; "AivlbUNLOIJl:2- ,---,--J
__~~chanical Permit fee (based on value of work) 224-00000-425604 157.00
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 18.84
Technology fee (5% of permit total) 100-00000-425605.. ..... _____~_.. 7.85
TOTAL DUE: 183.69
L"-/1..>r:ME:NJ~1X~I;'::- :;;'PA..iOR:<:JiCASHIER:OBO~nS'By:/~;,,:~V;._CQ"I\!.M!'Nfis~;x:'''':''':' '.'f".;.0i_Z;e:~9N'J"PAID..~' .'0
Credit Card melany noel 183.69
058520
TOTAL PAID:
183.69