HomeMy WebLinkAboutPermit Mechanical 2011-8-2
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. .'C',""'::'.:". OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01874
IVR Number: 811131007076
www.cLspringfield,OLUS
225 Fifth St
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.U5
PROJECT STATUS:
STATUS DATE:
Issued
08/02/2011
ISSUED:
APPLIED:
08/02/2011
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$0,00
SITE ADDRESS: 3253 RALEIGHWOOD AVE, Springfield, OR 97477
ASSES OR'S PARCEL NO: 1703221320000
SCOPE: Mechanical Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace air handler and heat pump
Phone Number: 736-0868
OWNER:
ADDRESS:
NOONAN MARTIN T
3253 RALEIGHWOOD AVE
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION ~
Contractor Type
Mechanical Contractor
Contractor Name
PRIORITY ONE HEATING & AIR CONDITIONING INC
Lie Type
CCB
Sq Ft 1st Floor:
Sq Ft2nd Floor:
AT Sq Ft Basement:
tOl/oTENT/ON' Ore Sq Ft Garage:
Notitl:a~u/es ~doPt~~n /a~q-5~5?rsgrt:
II) OAR 95~n Center. Th by S'q'1F.EOJh,(J/~lI to 0
0090. You ~001-0010 th~~e&bU'pa;gysLo,a!ty
CAI/i"~, ay Obtai Ugh OAR '" Orth
Electrical Specia\l!.uCodeiffdili<mint I) COPies at 952-001
'nb", fn, ~ er, (Not the rui .
Springfield Fire Code Edil!on: the Oreg e: the tel es by
, Geot",. . On II'i'" ephon
Mechanical Specialty Code Eaitio'n: l-aoO ,2010 Y Notific t' e
Municipal I Development Code: -";';2-2344). a 101)
Plumbing Specialty Code Edition:
Residential Specialty Code Edition:
Structural Specialty Code Edition:
BUILDING INFORMATION ~
# of Units:
o
# of Stories:
Height of Structure:
Type of Heat:
Water Type:
Range Type:
Hazmat:
# of Bedrooms:
Sprinkled Building:
Fire Alarms:
Energy Path:
lic No
154686
Lie Exp
03/30/2013
Phone
541-689-1004
Lot Size:
2008
Engineered Fill:
Fill Volume:
Flood Hazard Area:
land Hazard Area:
Retaining Wall:
Soils Report Required:
n,~l~ Information ~
-~ "lit;.
THIS PERMI
AUT/-IORIZ T SHALL EXPIR'
COMMENC~g UNDER THIS P~~ THE WORK
ANy 180 DAY OR IS ABANDONEMIT IS NOT
PERIOD. 0 FOR
Springfield Building Permit
8!2f2011 2:09:10PM
Page 1 of3
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~OREGOH
www.ci.springfield.or.us
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01874
IVR Number: 811131007076
225 Fifth SI
Springfield,OR 97477
Phone: 541-726-3753
Inspection Phone: 541-726-3769
Fax: 541-726-3676
permitcenler@ci.springfield.or.us
PROJECT STATUS:
STATUS DATE:
Issued
08/02/2011
ISSUED:
APPLIED:
08/02/2011
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$0.00
SITE ADDRESS: 3253 RALEIGHWOOD AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703221320000
SCOPE: Mechanical Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Frontyard Setback:
Interior Setback:
Sideyard Setback:
Rearyard Setback:
Solar Setback:
Replace air handler and heat pump
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
I
Street Improvements:
Storm Sewer:
Storm Sewer Available:
Speciallnstructon:
Subdivision Accepted:
Notes:
Sidewalk Type:
Downspout/Drains:
Valuation Description
I
Descriotion
Tvee of Construction
Unit Amount Unit Tvoe
Unit Cost
Value
FEES PAID
I
Description Amount Paid Date Paid
.i?late of Oregon Surcharge (~2% of applicable fees~ $11.52 08/02/2011
Technology fee (5% of permit total) $4.80 08/02/2011
Air-H;'d~ng-Ur;;t up~oo;,i~----- -----------$17.00 --- - - -as!oVi01'- -- ..
First Appliance Fee $79.00 08/02/2011
Total Amount Paid $112.32
Recipt #
2011002170
-_._---.---
2011002170
2011002170
2011002170
Springfield Building Permit
8/2/2011 2:09:10PM
Page 2 of 3
.
SP~I(G_.FIEL~
~~
~OREGON
CITY OF SPRINGFIELD
Building I Residential Permit
PERMIT NO: 811-SPR2011-01874
IVR Number: 811131007076
www.ci.springfield.or.\Js
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
08/02/2011
ISSUED:
APPLIED:
08/02/2011
08/02/2011
EXPIRES:
VALUE:
01/28/2012
$0.00
SITE ADDRESS: 3253 RALEIGHWOOD AVE, Springfield, OR 97477
ASSESOR'S PARCEL NO: 1703221320000
SCOPE: Mechanical Only
WORK INVOLVED: Repair
TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Replace air handler and heat pump
Plan Review
~
Deoartment Received Due Date ComDleted Result
Application Acceptance 08/0212011 08/02/2011 08/02/2011 Over the Counter
Comments: Tara Jones wighed in on property line qu€stions- unit is to be 3' from PL
Mechanical Review 08/02/2011
Comments: Over the counter permit
!~~ial, Reviewii:;~ ""7 ...~,'+; '':;, "'" g~/q2J~O~J\;"
?:c'o-h,men~_:'~ -'dver:the:~90_unterrp~mlff'!Y'
"" _::_x-'.'r_.~,',: m',~,~',:..~. ' ,,_ __~ ; ","', .' __,.,_,_..'
08/02/2011 0810212011
Not Required
08/021201 t 9,8~0~~~011'-' Over the Counter" ~
.:._:~._' ~_~" ~~"~ ,~"_~~~. ,_' ~ "m~~xi~~>::;: ~.~-~~~ ,,,"
INSPECTIONS REQUIRED ~
Inspections
2300 Rough Mechanical
2999 Final Mechanical
Rough Mechanical: Prior to Cover
Final Mechanical: When all mechanical work is complete.
Reviewer
Chris Carpenter
Chris Carpenter
',Chris'Carpenter-
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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. 1 further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. 1 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.
Date
Springfield Building Permit
8/2/2011 2:09:10PM
Page 3 of 3
. Mechanical Permit Application
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225 Fifth Street. Springfield, OR 97477. PH(541)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.
Residential 0 Government 0 Commercial
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75J e 2-
Address:
City: EC.
Phone: f1f( 6&9-1 (Joy
E-mail:
CCB license no.:
Print name:
ZIP: Cf7 '(<JL
Up to lOOk 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/appliance vent $9.00 $
Hood with exhaust and duct $13.00 $
Floor furnace including vent $58.00 $
Gas piping
One to four outlets $
Additional outlets (each) $
Air-handling units, including ducts
Up to 10,000 CFM $11J00 $ (
Over 10,000 CFM $20.00 $
Com ressor/absor tion s stem/heat urn
Up to 3 hp/IOOk BTU $17.00 $
Up to 15 hp/500k BTU $29.00 $
Up 10 30 hp/I,OOO BTU $43.00 $
Up to 50 hp/I,750 BTU $57.00 $
Over 50 hp/I.750 BTU $95.00 $
Incinerators
Domestic incinerator
City:
Phone'
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.
Signature:
,s3/1i00NrFRA0[OR"INSj;Ai!!iYA:j;IoN:';:iT9::'~;!j,;i".:1~t ;....1.>;
, t"""".,""",__,,_ ",,_'.*" ',-,," ~ _' _;h,,~__,,_, ,'**" W'., "',' _~,..u,_"_.,,,_..,_"'..'-_.._,"_ibdj//V!,i:"~" '
Signature:
440-2545-) (I l/OS/COM)
(A) Enler subtotal of above fees (or enter set
minimum fee of $ 79.00)
(B) Investigative fee (equal to [A])
(C) Enter 12% surcharge (.12 x [A+B])
(D) Seismic fee, 1% (.01 x [A])
(E) Technology Fee (5% of[A])
TOTAL fees and surcharges (A through E):
$1 --
$
$ /( s;
$
$
$'
.
TRANSACTION RECEIPT
CITY OF SPRINGFIELD
225 Fifth St
Springfield,OR 97477
541-726-3753
www.ci.springfield.or.us
811-SPR2011-01874
3253 RALEIGHWOOD AVE
perrnilcenter@ci.springfield.or.us
RECEIPT NO: 2011002170
lDESCRleIIONr;r~ ':," _.H..",.,>_
Air Handling Unit up to 10.000 cfl11
First Appliance Fee
State of Oregon Surcharge (12% of applicable fees)
Technology fee (5% of permit total)
RECORO NO: 811-SPR2011-01874 DATE: 08/02/2011
':-,~-;::Z-:-'!0-~;,'\.';.h;CCOUN:tCODE; ,ft "'4i ;;AMoI.JNrtDIJE '-,!l*}- .--Jl
224-00000-425604 17,00
224-00000-425604 79.00
821-00000-215004 11.52
100-00000-425605 4.80
TOTAL DUE: 112,32
~~"-~. '-:~AMOUNTPAID --~'; ;'----~--,!
112.32
! ..:;fiAYMENiJ'X~E--::*;'~AXOR~1S'!'lm~~lH'-fl;::_L:_c()M~ENt~;--; '.
Credit Card PRIORITY ONE HEATING & All
060586
TOTAL PAID:
112.32