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Home My WebLink AboutPermit Mechanical 2011-6-15 l\lec'hanical Permit Application II ;ti)1DEPAR,T~E~f~ys~"~N~Y~:1';W Pennit no.: Sf ( ,,- / ~O 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. .,';':;Yc:At~G6Ry;\'bF/c6,NstRilctI6N';"" '"", Residential 0 Government D.Commercial f',;;, ,:;;:;y:J6B~$.iJ'EnN'~.Q~M~if:(qN.:I~NDX(il!9'9~TIQNi;;~~'';,:, 225 Fifth Street. Springfield. OR 97477 . PH(541)726-J75J . FAX(541)726-J6B9 \ This insta lation is being ma n pr erty owned by me or a member of my immediate faml y, and is exempt from licensing requirements under ORS 701.010, Signature: ~~~;;~~~f~~,ji.,;;j<::Q~I~AQ1tQRJI",.$.TAtl.:~;tI<:1r{i/}i;i:~i;c',",;;il!'" ';" E-mail: CCB license no.: Print name: Signatur ~It SiI/-7J.1- g/q! 440-2545-1 (lI/OB/COM) Date: " - FEE SCHEDULE: . ~:B~#.J~,~~~~~~ti;~~Wlli~~~~~~:;;_~~(.;:!;b:;J:;:~>'J2:}',::i Qh'. :r2;~ "~~~k~ :.J.~tal,,,, 1,-.'-..,'"- ;, "-'\f'f:cost-~i-' First ADDliance I $79.00 $ '7Ci "'urnace/burner including ducts and vents Up to 1 OOk BTUlhr. $17.00 $ Over lOOk BTUlhr. $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/appl' tt $9.00 $q"'CT 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) $4.00 $ Air-handling units, including ducts Up to 10,000 CFM I $11.00 $ Over 10,000 CFM $20.00 $ Com nressor/ahsorotion svstem/heat DumD Up to 3 hpll 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/I,750 BTU $57.00 $ Over 50 hp/l,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 I $ ~,...,. '.-' ~""'''' '''''':. Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc, $ ,~~.i~;~~~~,;#ra,~9.'~~~r'~~~~ri~~%~r~;~t~w::~~~: 3~m~ '~i::'!'5~~/~.~;:~ :;~i~'~~~~~,,!;::~,' Reinspection . $58,00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58 00 $ ;~1.~~~~~RaTI~~iitfgpJ~_Fli$lc~Nt~~pS]:r~~i\ll~"{~~~~~~j}~1 (A) Enter subtotal of above fees (or enter set _. minimum fee of $ 79.00) $ CfS ~ (B) Investigative fee (equal to [An $ (C) Enter 12% surcharge (.12 x [A+Bn $ I I '10 - (D) Seismic fee, 1%(.01 x [An $ (E) Technology Fee (5% of [An $ },7 r. TOTAL fees and ~urcbarges (A through E): $/ll~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01450 IVR Number: 811173508621 www.cLsprjngfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/15/2011 06/15/2011 Issued 06/15/2011 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield.or.us EXPIRES: VALUE: 12/11/2011 $0.00 SITE ADDRESS: 2788 MANOR DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703233302400 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Gas log stove and gas piping for stove and gas clothes dryer Phone Number: OWNER: ADDRESS: FAIRBOURN CAROLYN J PO BOX 573 CRESWELL OR 97426 CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor Contractor Name BRIGHT FUTURE RESTORATIONS LLC Lie Type CCB # of Units: o BUILDING INFORMATION I # 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 192632 lie Exp 01/05/2013 Phone 541-729-8196 Lot Size: Sq Fl1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 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 nuZcsp.r for the Oregon Utility Notification o 6 Center is 1-800-332-2344). Site Information I Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: NOTICE: 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 6/15/2011 3:16:46PM Page 1 of 3 SPRJNGFIE.L~D. .=- "... i!;b . :/i*'OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01450 IVR Number: 811173508621 www.cLspringfield.or.us 225 Frfth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541.726.3769 Fax: 541-726-3676 Issued permitce nter@cL springfield. or. us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/15/2011 06/15/2011 06/15/2011 SITE ADDRESS: 2788 MANOR DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703233302400 EXPIRES: VALUE: 12/11/2011 $0.00 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Gas log stove and gas piping for stove and gas clothes dryer DEVELOPMENT INFORMATION I Overlay Dist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north property line: Frontyard Setback: Interior 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: Sidewalk Type: Downspout/Drains: I Valuation Description Description Tvpe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID I DescriDtion ~rst Ap~~~nce Fee St.'!~ ~fO!,:~onSurchar!'l,:~~2.% _of.a?P.!icabl:..~:~____. ~,::~~~~~x.r.e.e2'/' of ~:~~I) ~I~~ vent for water heater or gas fireplace Gas Piping up to 4 outlets Amount Paid $79.00 $11.40 $4.75 $9.00 -- ----_.q---'-..-_.- $7.00 .$111.15 Date Paid 06/15/2011 06/15/2011 06/15/2011 06/15/2011 06/15/2011 Total Amount Paid Springfield Building Permit 6/15/2011 3:16:46PM Reciot # 2011001637 2011001637 --.-.-.----- 2011001637 2011001637 2011001637 Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01450 IVR Number: 811173508621 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 06/15/2011 06/15/2011 155 ued 06/15/2011 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: 12/11/2011 $0.00 SITE ADDRESS: 2788 MANOR DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703233302400 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: New Gas log stove and gas piping for stove and gas clothes dryer Plan Review I DeDartment Application Acceptance Received Due Date ComDleted Result 06/15/2011 06/15/2011 06/15/2011 Over the Counter Mechanical Review 06/15/2011 06/15/2011 06/15/2011 Not Required Comments: Over the counter permit lriitial~e~je~:,~; ~'~):'~<~'>:,:'i,. '06(,1 ~!~Z1~ t <'}q6115/.~9t'1~,>~~L1-~1201-1 Cofnments:y....Overithe~counter..permitz4; "~,-'; ,,';;~f~~"'.,~ . '"1"~ '. "">";"""_' . .."..'.....;.';.",.,-;.._,.,.;;,..._':/,..+:i>/.:~<..l.''.,,' .., :i,'C,<"''''' '" Q'verthe 'C~9~te-r! ~, ,-y~'f,.'f< \',;: .' ~~i~. .;+ INSPECTIONS REQUIRED I Inspections 2250 Gas Piping 2300 Rough Mechanical 2999 Final Mechanical Reviewer Chris Carpenter Chris Carpenter , ',~. 'ehris.Carpenter'.;" :/i"':;"';'-'::: .::~ !;'-!t~~i,~~:,',l~';i>:,: :...;..:.' _ ", "'~'JF"*> "-d', __ 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 employees who are in compliance with ORS 701,005 will be used on this project. I further agree to ensure that all required nspe tions are requested at the proper time, that each address is readable from the street, that the permit card is located at he fron of the property, and the approved set of plans will remain on the site at all times during co )ruction. '<" t/;~[))/ Spri~gfield Building Permit 6/15/2011 3:16:46PM Page 30f3 . TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726-3753 www.cLspringfield.or.us 811-SPR2011..o1450 2788 MANOR DR perrnitcenter@ci.springfield.or.us RECEIPT NO: 2011001637 RECORD NO: 811.SPR2011.01450 10ESCRII'1.TIC>N/'c"C'j,',;i;, ;";:. ~,1!,,:!\';; ",:., '.' !.f.:~t,' 1;,:;WCCC>UNLCC>DE'..;L;.:';' "'Co?; , First App!iance Fee 224-00000-425604 ~~ vent for~ater heater or gas fireplace 224-00000-425604 __~ping--"E.!o 4 outlets 224-00000-425604 State of Oregon Surcharge (12% of applicable fe~~) 821.00000-215004 Technology fee (5% of permit total) 100-00000-425605 TOTAL DUE: ~i~Yj:)B-';F;CAS14YER: CCARI'ENtER"t",'< ". _ q~~ME_!'!IS""; ",,3"-;"q:. ", ," -. FAIRBOURN CAROLYN J DATE: 06/15/2011 AMoUNT.buE 79,00 9,00 7,00 11.40 4,75 111.15 AMOUNT. PAID '. , .... ...... ........ ._.. ...~ 111.15 LPAy:&i.E~T",lXPE- ;. ' Check 237 TOTAL PAID: 111.15