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Home My WebLink AboutPermit Mechanical 2011-7-13 . . Me'chanical Permit Application ti;TD~PART~'~N:f:YS~<3~i.:y?:;'~ Permit no.: 5//-0 17.3, Date: '7 I -:J f 225 Fifth Street. Springfield, OR 97477 . PH(54])726-3753 . FAX(541)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. ,:':!'cAT~GdRY;7QF?coNstR()CtI6N";i" .... Residential D Government D.Commercial l':?0':"JQB>>:$rrE"INF'bR~A11(j1\l~'AN[j;;:[t(),(;~:T:lqNj:;;)\X .' '...! Jy, 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. City: Phone: E-mail: CCB license no.: Print name: S ignahrre: , 11"\ 440-2545-J (11/08/COM) .. . .; FEE SCHEDULE - gO, - ',:,:._. ;.,-,j. . _.' '". ",; '::,,,,-,k' .. - -' "':':'i-1i~::'l .9~; .; Cos!;". ....Total, . .Resldenllal..'..,l..,..,;l!l:X.:........ 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First ADoliance \iT)' jJ f/'v I $79.00 $ 79 furnace/burner in~luding Aucts and vents ( Up to lOOk BTUlhr. $17.00 $ Over lOOk BTUIhr. $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/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, including duels Up to 10,000 CFM I $11.00 $ Over 10.000 CFM I $20.00 $ Co m nresso ria hsorotion svstem/heat numn Upt03 hp/IDOk BTU $17.00 $ Up to ]5 hp/500k BTU $29.00 $ Up to 3D hp/I,OOO BTU $43.00 $ Up to 50 hpll, 750 BTU $57.00 $ Over 50 hpll.750 BTU $95.00 $ Incinerators I Domestic incinerator I $20.00 $ ~:"i.. '..' .".."':'.," .... ,. Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc, $ {~)'~FJ~~~~6,~9:~~I.f~~,~:::f~~1;11~~!~~~i~1:: H~:T~ ,~~::~'i~~~j~~~ ......Tota], " \.~cos-t:;.<;; Reinspection . $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated e_quipment (unclassed) $13.00 $ Each additional inspection: (I) $58.00 $ ~t~~'1~~JiU%1;~::f{fi~A.e:~mC~NTt~W.sJ~J~;~tA.~~~I:~~rg:~~~~i~ (A) Enter subtotal of above fees (or enter set 79 minimum fee of $ 79.00) $ (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ Cjl(f (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of [A]) $ >YJ TOTAL fees and surcharges (A through E): $ 9;: n ."' .~ CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01737 IVR Number: 811158205156 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/13/2011 ISSUED: APPLIED: 07/13/2011 07/13/2011 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 01/08/2012 $0,00 SITE ADDRESS: 1149 M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264404800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add heat pump to existing system Phone Number: OWNER: ADDRESS: SALMONS MARGARET A 88454 4TH AVE FLORENCE OR 97439 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Contractor Name GRIFFINS HEATING INC # of Units: o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Electrical Specia(ty Code Edition: Springfield Fire Code Edition: ,Mechanical Specialty Code Edition: Municipal! DevelopmentGode: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 179858 Lic Exp 09/13/2012 Phone 541-942-8339 lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Fl Carport: Sq Ft Other: 0 Occupancy load: Site Information ~ Engineered Fill: Fill Volume: ~~On:d 'm''I't~qN: Oregon law requires you to R la' 'Jltlfle'~ ~lJ,ft:s adopted by the Oregon Utility 'S:il:~~!"~~~ter. Those rules are set forth , I ",,,ntl;:>,,-ul1'l'-0010through 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). 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 7/13/2011 11:17:17AM .-':,.; " :,:~~.. ;;,<"J:""" Page 1 of 3 .4 ..;: sp~. I.N.G... FIE.L~ ~- ... i!:J; ~i:O'~EGOrl www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01737 IVR Number: 811158205156 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitce nter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/13/2011 ISSUED: APPLIED: 07/13/2011 07/13/2011 EXPIRES: VALUE: 01/08/2012 $0.00 SITE ADDRESS: 1149 MST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264404800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Add heat pump to existing system DEVELOPMENT INFORMATION I 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 I Description Type of Construction Unit Amount Unit TVDe Unit Cost Value FEES PAID , DescriDtion First Appliance Fee Techn~ogy fee (5% of permit total) _ State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid $79.00 $3.95 $9.48 $92.43 Date Paid 07/13/2011 07/13/2011 ._--_.,.__...,-,._-, 07/13/2011 ReciDt # 2011002008 2011002008 2011002008 Springfield Building Permit 7f13!2011 11:17:17AM Page 2 of 3 .. .. 5P~INGFIE~ .'t:? ,r';ci; rJ)JJ ~c;?iJ~ OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01737 IVR Number: 811158205156 www.cLspringfield.or.us 225 Fifth SI 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: 155 ued 0711312011 ISSUED: APPLIED: 07/13/2011 07/13/2011 EXPIRES: VALUE: 01/08/2012 $0.00 SITE ADDRESS: 1149 M ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703264404800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add heat pump to existing system Plan Review Due Date 07/13/2011 ~ Deoartment Application Acceptance Received 07/13/2011 Comoleted 07/13/2011 Result Over the Counter Reviewer David Bowlsby Mechanical Review 07113/2011 07/13/2011 07/13/2011 Not Required David Bowlsby Comments: Over the counter permit n;'ltia'I' Revi.e~ir ~1':., -~,;,~.,-,~;.,~:'o7i13l201ftY:?b7/13/201:rC"'07,l13/201if~~- ",ove:Dlle --CoUnter -~i'~ ',D~vlCj186wlsby 'J~;1i [,; q~;m\~,~t~!~g:~~~~~;~~u~~t~r:~~Y~th~~'~::,~'}~:~~_\~,~~:,:' 'f~t :>i~ ,;.; ,~"C :::'~~,~l':;:: ;,~\ ~,,,;i~::~:f 1;~:~~:;!:;:5~- '::;*t#~r -'#i.' ' ,):rJ;;~-:, ~5'~;j w:;~:_'i.L, _ ~':,,'; --::-,":;:,;1;;:\,-;',;: f"1 INSPECTIONS REQUIRED ~ :1,'; 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. ) 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//0,// I Date Springfield Building Permit 7/13/2011 11:17:17AM Page 3 of 3 ... .. SP. RIN...G. .FIE~ ~\,'- "",,~ ~{,!. OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-01737 1149 M ST perrnitcenter@ci.springfield.or.us RECORD NO: 811-SPR2011-01737 DATE: 07/13/2011 >~ ,_:.::t~<'\"~';.;~~ACC0UN'ricobE"", '" . .hAMOUNI!DUEJ 224-00000-425604 79.00 821-00000-215004 9.48 100-00000-425605 3.95 ._-~'.-....-- TOTAL DUE: 92.43 1.'PAYMENf'TYP~':'::,L.BAYORJ " 'c/isHIER:,?B6~li.~;i~.:.'90IVlMENTS;",J,',,' ," "!:LAMOUNT,PAID' "" "':J Cash griffins heating $92,43 RECEIPT NO: 2011002008 lDES.CRIJ~.tION::,,:G., . <::.:i<ffil;\ First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) , '::1 TOTAL PAID: $92.43