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Home My WebLink AboutPermit Mechanical 2011-7-7 Mechanical Permit Application - 225 Fifth Street. Sp,ingfield, OR 97477. PH(541)726-J75J . FAX(541)726-J6B9 <\.:'~::-'_, ",/_"..~;,- .'.,,;.. ) -'-',-"':'."J 'i';: ''- "",.w.,' '_ '1,.-" "~"'~_':'-"',ii> ",;'i "",',DE,PARTMENT: USE Ql>llY"':;:':1 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. ,';:?CAtEGORY:?OF.?coNsTRUCt'ION";;:' " J,' 'c, ,....'L .,.'.. "..", ,.,.,' - _'_'" d. .. Residential 0 Government D,Commercial ~);:if?j;)Q~~rl?[:rE':'IN'~ORM~'tIQN'::AND;j:l!ib'~~iJjQNi,)'~~ P:,'( V;J... p,w (k City: tiejcf2 State: (}tC ZIP: 97177 t7 Taxlot.OOGDD DESCRII'TioN, OF WORK ,', a. 61 e- ~~tWlb6~]i~?~~~~~~:~';~-P_B~RgB~~9W~:~R:t~!:.'%i1f~~\(if;*Y~$t:?1:~~]: Name: Address: ZIP:?7<f7? ,,;i;_;,;:'~l: ; ,; ,;; C" ~ ~,,+.~.,. Business name: Address: City: Phone: E-mail: CCB license no,: Print name: ZIP: f7'177 Signature: 440-2545-1 (lI/OB/COM) '-" ", " FEE SCHEDULE ~_R~#J~,~~!~~t;~:~~,'~~,~~{~);~~~;~':9';:"::'!'l~:'0~:/;:~~\~:' SJiY, ;'.' Cost:-"I' ,.-1ptill \ ~\;~/(ea:r.{~'~. ,....~~_~:cost:,;,..;; First Aooliance I $79.00 $ '79 Furnace/burner including ducts and vents Up to lOOk BTUlhr. $17,00 $ Over lOOk BTUlhr, $20,00 $ Heaters/stoves/veuts Unit heater $17,00 $ Wood/pellet/gas stove/flue I $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 $7.00 $ Additional outlets (each) $4,00 $ Air-handling units, iueluding ducts Up to 10,000 CFM $11,00 $ Over 10,000 CFM $20,00 $ Co m Dressor/ a bsorotion svstem/heat Dumn Up to 3 hp/IOOk BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Up to 30 hpll ,000 BTU $43.00 $ Up to 50 hpll,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95,00 $ Incinerators Domestic incinerator $20,00 $ -b-omrt1'efcl'aF:~"f:Y~/.~i'/:~\?y::~rU-";, ~~:iE'~~'~#.;'~:"!\~}-:};:y-:'; .;'.';t;~M'7< ::':t:y"~:}";:, :\'.;,". ,,". . '~', . ,. ..,,~ Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc, $ ~~),~F~1~~,~9.~:~rf~~,!;:0;'~;;:i\lIt:~:{~t~\~~~; :-~~m~ ~;~~]~~~~~ );~!p~8It:l ~, ';cost:',-;;., Reinspection ' $58,00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13,00 $ Each additional inspection: (I) $58,00 $ ~1~1~~~i~~t~t~~~"5A_'~_Ff~fc~Nm~~m.5'E~~1~1t~~1~; (A) Enter subtotal of above fees (or enter set ']"1 minimum fee of $ 79,00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+BD $";1 "'.J (D) Seismic fee, 1%(,01 x [AD $ (E) Technology Fee (5% o[[AD $ ')qO TOTAL fees and surcharges (A through E): $ '7.2t(~ !,/CXJf:> _ .f\Vv<= CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01697 IVR Number: 811155709820 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/07/2011 ISSUED: APPLIED: 07/07/2011 07/07/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspec/ion Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield , or. us EXPIRES: VALUE: 01/02/2012 $0.00 SITE ADDRESS: 992 RAINBOW DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342100600 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new wood stove Phone Number: OWNER: ADDRESS: BOX NEIL & KRYSTAL L 992 RAINBOW DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION I Contractor Type Mechanical Contractor Contractor Name OREGON CHIMNEY GUYS LLC Lie Type GGB # of Units: BUILDING INFORMATION I # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal J Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Site Information Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: Springfield Building Permit 7/7/2011 11:01:16AM Lic No 194093 Lic Exp 05/26/2013 Phone 541-232-2445 Lot Size: Sq Ft 15t Floor: Sq Ft 2nd Floor: Sq Fl Basement: Sq Fl Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: ~ ATTENTION' Ore follow rules ~do ?on law requires you to Notification Centtr e~ by the Oregon Utility In OAR 952-001-0010 those rules are set forth 0090. You may obtain /oU9h OAR 952-001_ 2ofif'ling the center (N opJes of the rules by number for the Or~ 0 ote:. the telephone Cent"'r i~ 1 ioon ~tJlity Notification v 3""-""'44). NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ~:UI HORIZED UNDER THIS PERMIT IS NOT .' "OMMENCED DR IS ABANDONED FOR >\IN 180 DAY PERIOD. . ~ . .> :;..:)., Page 1 of 3 SP~I...N..G..: I E.:~ ~,.... .~ft!Jh _,i-;~\; ~REGON www.ci.springfield.or.U5 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01697 IVR Number: 811155709820 225 Fifth 51 Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued ISSUED: APPLIED: 07/07/2011 07/07/2011 EXPIRES: VALUE: 01/02/2012 $0.00 07/07/2011 SITE ADDRESS: 992 RAINBOW DR, Springfield, OR 97477 . ASSESOR'S PARCEL NO: 1703342100600 S~OPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Install new wood stove 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: Valuation Description ~ Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Descriotion ~~h~~~~y'~e;: (5~~of permit total) ~ir~~ ~ppl~~n.ce Fee__ _., _ _ _ _. _ __._ _.._.._._.____"~..___ ~t~ _of_~re~<:n ~,~rcharg_~_~!-20~ of applicable fees) Total Amount Paid Amount Paid Date Paid Reciot # $3.95. 07/07/2011 2011001910 $79.00 07/07/2011 2011001910 -"$9:48-.-'-----.071071201,- ~- ---Wi 1 001910- -- ------- $92.43 Springfield Building Permit 7f7f2011 11:01:16AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01697 IVR Number: 811155709820 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 07/07/2011 07107/2011 Issued 07/07/2011 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: 01/02/2012 $0.00 SITE ADDRESS: 992 RAINBOW DR, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342100600 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install new wood stove Plan Review ~ Deoartment Application Acceptance Received Due Date Com DIeted Result 07/07/2011 07107/2011 0710712011 Over the Counter Mechanical Review 07/0712011 07107/2011 07/0712011 Not Required Reviewer Chris Carpenter Chris Carpenter Comments: Over the counter permit ln~ia~'~,€l~i~W., ">~J::,-~~-~A~,~:,,:~ Q~!QXJ~:9~i]~;~O,!.{9Y?2~1~ .~' 07/07/201,~ ': '1"i :Ove(the~Couhler~L" -~si~?"-ChrisC.arp-eriter -:.~ '1."",,: '>:~ ". . ct~m'ents:_ Over-ihe-couhferpermil:~ ""./" :;,,'; :.:C:;;tl .~:.:,~~;.'.~;/.I~~'< '~,~~_ff~:~:,'~~ Z'{r::._':.'~_::'.-7.--:~~.~:~:_......-l~.Jf)t5t :.~~'" ;:,,":<,~~: .:.:~;'J~';~~~( .,' ." '_ .,'og' ;' ""v.-",. -~,v-","'. ,tt"_.f _-:S0;:W~-::"",,~'e:" ' Jk, L ~..'" ..... "" ."m '_~ .', ';';"'~ ~' INSPECTIONS REQUIRED ~ Inspections 2140 Pellet, Gas, Fireplace or Wood Stove 2999 Final Mechanical Wood Stove: After Installation. ,..~. 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 will remain on the site at all times during construction. ~~ 7- 7- .2.or/ Owner or Contractor Signature Date Springfield Building Permit 7rrJ2011 11:01:16AM Page 30t3 S):RI..N. G...FI.E~ D . '.. .~. . . '-~~. . -OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01697 992 RAINBOW DR permitcenter@ci.springfield.or.us RECEIPT NO: 2011001910 RECORD NO: 811-SPR2011-01697 DATE: 07/07/2011 [tieS_GfiO!tIONg~~?o0t~t:t'f4i1I~ff~t~8l;:~~~s~;i+:w4:~E' ;::::G.-_':0-i::ii~Ap.cj5[j.Nrlc.o,o~-~iP*d:;;bit:tj(~P~;--;~:AMO.l.JNriDU_E-~'Y';,0'~ - First 224-00000-425604 79.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 9.48 Technology fee (5% of permit total) 100-00000-425605 . 3.95 TOTAL DUE: 92.43 F~i>.6:YI'JIEN"'ifYi>Er~'~~;i>Ay6RTI':~?CASHiEijjp'cl;R..~R~~GeMM~'btf'1\I1i';~';1~"'i~,1~:~,,~),MOI.JNT'PAID7 Credit Card BOX NEIL & KRYSTAL L $92.43 ;,)1;':1 -.J 21706B TOTAL PAID: $92.43