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Home My WebLink AboutPermit Mechanical 2011-7-8 i. '. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01707 IVR Number: 811184295428 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 07/08/2011 ISSUED: APPLIED: 07/08/2011 07/08/2011 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@ci.springfield.or.us EXPIRES: VALUE: 01/03/2012 $0.00 SITE ADDRESS: 4884 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702324400800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install furnace Phone Number: OWNER: ADDRESS: CHRISTENSEN JOHN MATTHEW 4884 CAMELLIA ST SPRINGFIELD OR 97478 Contractor Type Mechanical Contractor Electrical Contractor Contractor Name OWNER OWNER CONTRACTOR INFORMATION ~ Lie Type OWNER OWNER BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # of Units: o # 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 0000000 0000000 Lic Exp 08/12/2025 08/12/2025 Phone Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Vo)ume: Flood Hazard Area: Land Hazard Area: . t . , '^TTENTION' Oregon law requires you 0 Retammg Wan' I, lies ~dopted by the Oregon Utility SOils Report Iililf?ille!(!. C t Th se rules are set forth . NoliflcaliOn en er. 0 in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephO~j; number for the Oregon Utility NotlflCa.t~~ 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 7/8/2011 9:50:09AM Page 1 of 3 .. www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01707 IVR Number: 811184295428 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 07/08/2011 ISSUED: APPLIED: 07/08/2011 07/08/2011 EXPIRES: VALUE: 01/03/2012 $0.00 SITE ADDRESS: 4884 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702324400800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install furnace Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 ~ Descriotion Tvoe of Construction Unit Amount Unit Tvee Unit Cost Value FEES PAID ~ DescriDtion Amount Paid Branch circuits without service or feeder ~ 1 st circuit $55.00 -. - :>~,,!e of <?regon Surch,:,:ge (12% of ap~licable fees) ....-.-.---!16.80__ Technology fee. (5% of permit total) $7.00 First Appliance Fee .__________..____.__._.. $79.00 Branch circuits without service or feeder - each additional $6.00 Total Amount Paid $163.80 Date Paid 07/08/2011 07/08/2011 07/08/2011 07/08/2011 07/08/2011 ReciDt # 2011001925 2011001925 -.---."... 2011001925 2011001925 2011001925 Springfield Building Permit 7/8/2011 9:50:09AM Page 2 of 3 . SPhN:.~.E~~.. L~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01707 IVR Number: 811184295428 www.ci.springffeld.or.U5 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 07/08/2011 ISSUED: APPLIED: 07/08/2011 07/08/2011 EXPIRES: VALUE: 01/03/2012 $0.00 SITE ADDRESS: 4884 CAMELLIA ST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702324400800 SCOPE: Heating System WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install furnace Plan Review I Deoartment Application Acceptance Received Due Date 07/08/2011 07/08/2011 Comoleted 07/08/2011 Result Over the Counter Permit Issuance 07/08/2011 07/08/2011 07/08/2011 Issued Structural Review 07/08/2011 07/08/2011 07/08/2011 Not Required Comments: Over the counter permit ( Iplannif1QReview _ '. . ,,07108/2011: ,,0;/08/20.11 :07/08/2011 '''''NoIRecuired' L ~om.T:n~~: . Qv~~+c~~~~e~m.it " -~ '''.'"'.'' _~ ~ ___:~,. ;~{S:_'~_:j:e:m~~r~"' ~~.1 G' ~~ INSPECTIONS REQUIRED I Reviewer David Bowlsby David Bowlsby David Bowlsby Inspections 2300 Rough Mechanical 2999 Final Mechanical '. " D~vid Bowl~by , "..';'.... '''1'..,'./,,/ ' ;,. ..J>':f ';;~''1't'' 7 ,j .... '7'''; ~ '++fi'-.'''L~ .1 ,.; ~~;_~~J.",-...::- ...:",.,....... ".::: _m~._~"_ '. 1 Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover 4500 Rough Electrical 4999 Final Electrical Final Electric: When all electrical 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 701.00~ 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. ~ _ tJ4?b-'7 7/ 'i - /1 diner or Contractor Signature Date Springfield Building Permit 7/8/2011 9:50:09AM Page 3 of 3 Electrical Permit Application 225 Fifth Streett Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 - (- ,.""-."", '- ~ . . '-, tiE~~RTMENTUSE ,ONlY , Perrnit no,SII ~() /70 '7 Date: 7- 8-11 ::;:{ This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 'i> ',' ":I1'OCAL'GOVERNMENT<AI'.PRO.\tAL;;::W;i>:lY"'~~' Zoning approval verified? 0 Yes 0 No ;,:,\;.';:,\;,;i!f~CATEGQRy!:aOF'<CQNSTRUCTIQN~;4;., 1M ResidOntiai 0 Government 0 Commercial !~(r1~!JOElgsITE,11'NI;ORI\IIA;rION~\'AN[)m[OC'A;r,10N~~'Ji!: ell,' 7K E-mail: This installation is being made on residential or farm property owned by me or a member of my immediate family, This property is not intended for sale, exchange, lease, or rent OAR 479,540(1) and i79560~ '---J Signature: (M.. ~ CONTRACTQR'INST ALLATION', Business name: Address: City: Phone: E-mail: CCB license no,: Signing supervisor's license no.: Print name of signing supervisor: Signature of signing supervisor: ZIP: Fax; BCD license no,: " ~ ,\.I~~.~ ~- 440-2584-) (9/08/COM) It ~~f~~~~~~~~~~~f~~~SqH~bij~E~~~0~~;f~~~*~~~ . ",' . "',:- " _ .";>:'", "<~;, ;,>~' , COst ' Total ;Nu"1b.er ~f)nspe~!io:nsp~riti"1(.) ;>/ Qty. s;,',~ea;'!t' <',:'-t,()$t':(,.:, '" ",'L" .. ;'-. . ",', "".,~J"...... >-" . ,t"'. 'L_<.J.. ..j".... Residential, per unit, service included: ] ,000 sq, ft, or less (4) $134,00 $ Each additional 500 sq, ft. or portion $ 25,00 $ thereof Limited energy (2) $ 32,00 $ Each manufactured home or modular $ 63,00 $ dwelling service or feeder (2) Services or feeders: installation, alteration, relocation 200 amps or less (2) $ 81.00 $ 201 to 400 amps (2) $ 95,00 $ 401 to 600 amps (2)' $158,00 $ 60] to ] ,000 amps (2) $205,00 $ Over 1,000 amps or volts (2) $469.00 $ Reconnect only (2) $ 63,00 $ Temporary services or feeders: installation, alteration, relocation 200 amps or less (2) $ 63.00 $ 201 to 400 amps (2) $ 87.00 $ 401 to 600 amps (2) $126,00 $ Over 600 amps or 1 ,000 v~lts, see services or feeders section above Branch circ'uits: new, alteration, extension per pane! () " a. Fee for branch circuits with purchase ofa service or feeo'er"fee: 'i. Each branch circuit $ 6,00 $ . b, Fee for branch circuits without purchase of a service or feeder fee: First branch circuit (2) T $ 55,00 $5'S"' Each additional branch circuit I $ 6,00 ${-., Miscellaneous fees: service ~rfeeder ':lot included Each pump or irrigation cir~ie' (2) $ 63.00 $ Each sign or outline lighting,(2) $ 63,00 $ .. F. Signal circuit or a limited-enet-gy pim'd, . alteration, or extension (2) \ . $ 63.00 $ Each additional inspectio~';'(l) , $58,00 $ .1.. 'N}7'''V''~1:t~~8<J.;.-'''':1;N'8ht''".,~ -".... '1r?", _u", "-'.;<-',' ""f')""";"'''''~''''1''''~:' ,,' ">,.-,,,.., 'I 'IiJ;;" '~'ff(" ""ii.8"':~"'ARPmCA:N"'jJUSE"".;"''''' -"""'n@,""''''"'''-''' ;. \';u'- .":z;:,, :,",,'_::-. "~r'",, '.'--~i:V-'...>.\ '- .,"e. .;;__ , ..... ,..', S", .. .. "'.:i',';.\f;,'t;...,. "1-1..:;;... .. 'i~;;-,.,<tc .~,':; (A) Enter subtotal of above fees ~" (Minimum Permit Fee $58,00) $ fr( (B) Enter ]2% surcharge <-]2 x [A]) , $ f7l.l.r " (C) Technology Fee (5% of [A]) , L $ a~o ') ~~ . TOTAL fees and surcharges (A through C): $1'11 '" I 1 .. .' ,,' '" .~~.... Mechanical Permit Application ..;.",.7_>_~',,,'""" '_._,',i' ""._.,'_":.- ~'." ,:~',<,. '. 'i, '-',,:-':i":'"-i~;"" ',,:., .:~J,'bEPARTMEN:rUSE ONLY',,",., '. ',. . '-'-.-',,. .,'..." Pennit no.: s.t/- 0 f 70 7 Date: 7- g - II 225 Fifth Street' Springfield, OR 97477 , PH(541)726-3753 , FAX(541)726-3689 Tbis permit is issued under OAR 918-440-0050. Permits expire if work is not started witbin 180 days of issuance or if work is suspended for 180 days. .';'H::AJE<.iORY;'QF?CoNSTROCtION\'" ..'. iMResidential 0 Government o Commercial j!(;'f[0'~J(jB~'~TTE 'fIN'F.9Rr.n~itI9N~AND(;~(),GA'ti9Ni;)~;;; "Ci Ca. City: S ZIP: i7'( '/ Pbone:$"91-5: 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 und OR~~~O~~. Signature: ~ l!~:,~~~~;;,;;,t".,cj~IRAC;:ffORi;;IN$TA.l::l:';4.tIQN'h~)':'}c:"".\~,,?cy;, Business name: Address: City: Phone: E-mail: CCB license no.: Print name: ZIP: Signature: 440-2545-J (l1/08/COM) " . .., " FEe SCHEDULE , ~ft~ffi..l~~~ri;!~~~~}~lJ,:~Ji1;k~f_~:~~,:~\:;;';'::;~;:1Wx:r~~J Ql)'; ,. Cost.,. ...Total., \:~l?;~' ea'r~\ \., t'~,~;,cost' .~',',,' First ADDliance / $79.00 $""1 't Furnace/burner including ducts and vents f Up to lOOk BTU/hr. I $17.00 $ .kir Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Unit heater $17 .00 $ Wood/pellet/gas stoye/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 I $7.00 $ Additional outlets (each) I $4.00 $ Air-bandling units, including ducts Upto 10.000 CFM $11.00 $ Over 10.000 CFM $20.00 $ Comoressor/absorvtion svstem/heat numn Up to 3 hpll OOk BTU $17.00 $ Upto 15 hp/500k BTU $29.00 $ Up to 30 hpll.OOO BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hpll ,750 BTU $95.00 $ Incinerators Domestic in~rator I $20.00 I $ '!"'" -"'j ;'-,j" ...... ....",' Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ ~~)~g~I~~a~:~~~J.f~?,~:~:~~t.i;~~,d:~nr~~~~g~-:! :~~.~:f Wt:~,~~~~~,i~;~::i ':~;~~6ttk';.~:- Reinspection . $58.00 $ Specially requested inspections (per hr,) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (I) $5B.00 $ 1~~tf~M~~if~i;{~~;;'e.~:~~j'C~_Nl~~w.sIE&~~~~~N~{f~~~1! (A) Enter subtotal of above fees (or enter set 7'7 minimum fee of $ 79.001 $, (B) Investigative fee (equal to [A]) $ g (C) Enter 12% surcharge (.12 x [MB]) $C\ .AP (D) Seismic fee, 1%(.01 x [A]) $ r:;r (E) Technology Fee (5% of [A]) $ ~ -(,{~ TOTAL fees and surcharges, (A tbrougb E): $C in ~ " .' TRANSACTION RECEIPT CITY OF SPRTNGFIELD 225 Fifth 8t Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-5PR2011-01707 4884 CAMELLIA 5T perm itcenter@cLspringfield.or.us RECEIPT NO: 2011001925 RECORD NO: 811-SPR2011-01707 DATE: 07/08/2011 lbESCRIP.tl()N~'~0,,-- ,_:~';jj':'h";f'-;-'_i,~,7::;-? :,.~~-,-'- 'ACCOaNf~c6tie: ' ,-,+"" Al\IIoUN:f.!tiae:. . "," 'j Branch circuits without service or feeder -1st circuit 224-00000-426102 55.00 Branch circuits without service or feeder - each additional 224~OOOOO-426102 6.00 First Appliance Fee 224-00000-425604 79.00 State of Oregon Surcharg.<: (12% of applicable fees) 821-00000-215004 16.80 Technology fee (5% of permiI total) 100-00000-425605 7.00 TOTAL DUE: 163.80 tJ~AYMENT :fYPE",~;lJj;PAYQR1. ','",-~6BOWUlElY_ r _. CQ!ViMIWI.!?:.. -> .' ., f;;:?I',I~M.0aN::fPAjb':;;t-_,_ J Credit Card CHRISTENSEN JOHN MATTHEW $163.80 36863b TOTAL PAID: $163.80