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Home My WebLink AboutPermit Mechanical 2011-8-18 lVlechanicall'ermIt ApplIcation : '"~:eJX'~~~fSP~~E~~~~ii~A~~.~,~'; ,~' 225 Fitlh Street. Springfield, OR 97417 . PH(541)726-3753 . FAX(541)726-3689 SPRINCFlELD;::- " n A. /''''': I~~ t_. J::~:~~ ~ """. "::'. ,DEPARTMENTUSE'(:lN[Y-'''-- V 5' Permit no.: Date: 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. . ,,-,R';CATEG0RY OF,'CONSTRbcTION"d:~" . .,-~'"'" <'; . .............. . . '.- .' ._..~_..... - .....~,.:. $ Residential 0 Government 0 Commercial ,;;:'tJ0B,SITEINF,9RMAn(!)~ANO :LOCA'f19!'l E-mail: This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirem ts under ORS 701. O. E-mail: CCB license no.: Print name: Signature: 440-2545-J (11/08/COM) , " ,,-""." ,:FEE 'SCI;lEOULE ,'".,:,;e:'tF" , ",.,...~_." - .. ." ,. -,Cost Total I Resident!!!",?",;' " . Ql~, ea. : ",cost First Annliance $79.00 $ Furnace/burner including ducts and vents Up to lOOk BTU/hr, $17,00 $ Over lOOk BTU/hr. $20,00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stovelflue 1 $38.00 $~ Repair/a]ter/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 $ Additiona] outlets (each) $4,00 $ Air-handling units, including ducts Up to 10,000 CFM $11,00 $ Over 10,000 CFM $20,00 $ Comnressor/absorntion system/heat pump Up to 3 hp!lOOk BTU $17,00 $ Up to 15 hp/500k BTU $29,00 $ Up to 30 hp!l ,000 BTU $43,00 $ Up to 50 hp/I,750 BTU $57.00 $ Over 50 hp/I,750 BTU $95,00 $ Incinerators Domestic incinerator I $20,00 $ '~ommercial' '.-;;f,zi '";',:,': . .,;~. /,.,. ",.'it= Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Ml;~l!lIa~e~ijs ftr~s .' ,~Ri'Y~ Items ;>i:-Cost ,\ Total, ""~':;' ea."""", cos't-"".- Reinspection $58,00 $ Specially requested inspections (per Ilr.) $58,00 $ Regu]ated equipment (unclassed) $13,00 $ Each additional inspection: (I) $58,00 $ I'.r,.,,';;'~':~c"- :: I>.PPL1CAl'~t::GSE,;' :~ ,. .", (A) Enter subtotal of above fees (or enter set $ ~ qc minimum fee of $ 79,00) (B) Investigative fee (equal to [Aj) $ I '7 (C) Enter 12% surcharge (.12 x (A+Bj) $ ~..<:l (0) Seismic fee, 1% (.01 x [A]) $ Gr (E) Technnlogy Fee (5% of lAD $ ~.L TOTAL fees and snrcharges (A through E): $-'(/'7 ~ rJJ , ~ ~ ;. ,.' SP.,.~~N~:i] ~~ ~OREGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01965 IVR Number: 811137864881 www.Cl.springfield.or.us 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pennitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/18/2011 08/18/2011 Issued 08/18/2011 EXPIRES: VALUE: 02/13/2012 $0.00 SITE ADDRESS: 3786 OREGON AVE, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702314208201 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Removing Woodstove and Adding Pellet Stove Phone Number: OWNER: ADDRESS: PARKER lARRY P & CARMEN l 3786 OREGON AVE SPRINGFIELD OR 97478 Contractor Type Contractor Name CONTRACTOR INFORMATION ~ Lie Type Lie No . Lie Exp Phone # of Units: BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: o Occupancy Type Construction Type R-3 Type VB # of Bedrooms: Sprinkled Building: No 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: 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: 2010 2006 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: 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 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 8118/2011 1:47:32PM Page 1 of 3 . V' SP11~~;ij ~,~ ~ORfGON CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 www.ci.springfield.or.us Building I Residential Permit PERMIT NO: 811-SPR2011-01965 IVR Number: 811137864881 permitcenter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/18/2011 ISSUED: APPLIED: 08/18/2011 08/18/2011 EXPIRES: VALUE: 02/13/2012 $0.00 SITE ADDRESS: 3786 OREGON AVE, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702314208201 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Removing Woodstove and Adding Pellet 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 Type of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID ~ Descriotion Technology fee (5% of permit total) ~~s~_Applianc:. Fee State of Oregon Surcharge (12% of applicable fees) Total Amount Paid Amount Paid Date Paid $3.95 08/18/2011 $79.00 08/18/2011 --..-.-. ------- ----- $9.48 08/18/2011 $92.43 ReciDt # 2011002272 2011002272 -- 2011002272 Springfield BUlIding Permit 8/18/2011 1:47:32PM Page 2 of3 ) - . ' CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-01965 IVR Number: 811137864881 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/18/2011 ISSUED: APPLIED: 08/18/2011 08/18/2011 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: 02/13/2012 $0.00 SITE ADDRESS: 3786 OREGON AVE, Sprin9field, OR 97478 ASSESOR'S PARCEL NO: 1702314208201 SCOPE: Mechanical Only WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Removing Wood stove and Adding Pellet Stove Plan Review ~ Deoartment Permit Issuance Received Due Date Completed Result 08/18/2011 08/18/2011 08/18/2011 Issued Initial Review 08/18/2011 08/18/2011 08/18/2011 Over the Counter Comments: Over the counter permit AppllcatiOil'Acceptanceii ,,:~,::x;, '08/18/?0.11" 'OP18/?01,1i, ,,08/) 8/?g11 h" Over the CoUnter '<~ . . ,,~<,~~,:". ~y -',~. ~is:,,~ ~ i L;~-:'\T ~.,~ j:;~~~~;:,t~--'5..:.__~;11.-~~:~l~~,: ,-i ,..,~ INSPECTIONS REQUIRED ~ Inspections 2140 Pellet, Gas, Fireplace or Wood Stove Wood Stove: After Installation. Reviewer Kip Kaufman Kip Kaufman --{KiR'KaLlfm~h"i::'m<C c,. _^ ,,~ ;~:">~~":~:'f~<?t~:;-"':.:.~,""~~.,,",,,,., .'>,4,,' , 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. ~\JJI~~ Owner or Contract r Signature &/;8; 4 Date Springfield Building Permit 8/18/2011 1:47:32PM Page 3 of 3 www.ci.springfield.or.us TRANSACTION RECEIPT 811-SPR2011-01965 3786 OREGON AVE CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 pe rmitce nter@ci.springfield.or.us RECEIPT NO: 2011002272 lbESCRIR.TION ',~,,,,,," :'~" First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permiI total) RECORD NO: 811-SPR2011-01965 DATE: 08/18/2011 , 'If - 'ic',;' , 'i<;;';A6:60UNTjioDE';; - ,,' , AMO:UNJiDUE;', '1 224-00000-425604 79,00 821-00000-215004 9.48 100-00000-425605 3,95 TOTAL DUE: 92,43 "PAY()R,~CASHIER:I<KAl"'MAN;{l'clj.;":':g:()MM(NTfSri':;"!-",; ,,' ",. , ,f" ,,A,MOUNJII'lAI[j!ffij]'" :--','rY:/ Claxtons Inc 92,43 I '~~rMEI'1TJYPE Credit Card 213495 TOTAL PAID: 92.43