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Home My WebLink AboutPermit Mechanical 2011-8-31 . .' .Mechanical Permit Application 07" u,:\._ ~ " . ""~'"'V' ;,", ClT~ OF SPRINGFIELD~ OREGON " \'iMMl\ ,,,#,,'",~, ,,~Bl + ~!"iG.i&h 225 Filih Street. Springfield, OR 97477 . PH(541 )726-3753 . FAX(541 )726-3689 SPRINCFlE!LD "\; ,...,_~____./-"J ."" DEPARTMENT USE ONLY Penn it no.: 5/1- 0 ZO s 7 Date: 7-"3- 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 CONSTRUCTION Residential D Government "X: Name: 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: CONTRACTOR INSTALLATION l 5 ltt. "Co Dz. Print name: Signature: 440.2545.) (II/OS/COM) FEE SCHEDULE Residential Qty. Cost Total ea. cost First ADoliance $79.00 $ Furnace/burner including ducts and vents Up 10 lOOk BTUthr. $17.00 $ Over lOOk BTUthr. $20.00 $ .. eaters/stoves/vents 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 . .. I I $7.001 $ Additional outlets (each) I I $4.00 I $ ,Air-handling units, including ducts Up 10 10.000 CFM I I $11.00 I $ Over 10,000 CFM I I $20.00 I $ Compressor/absorption svstemtheat pumD Up to 3 hp/IOOk BTU $17.00 $ Up to IS hp/500k BTU $29.00 $ Up to 30 hp/I ,000 BTU $43.00 $ Up to 50 hp/I,750 BTU $57.00 $ Ovcr 50 hpll,750 BTU $95.00 $ Incinerators Domestic incinerator I I $20.00 I $ Commercial Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Miscellaneous fees terns Cost Total eo. cost Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (uncla<;sed) $13.00 $ Each additional inspection: (1) $58.00 $ ... APPLlCANT'USE (A) Entersu~t~ (or enter set 7r minimum fee 79.00\"'" $ (B) Investigar;.,.,,-ree (equal to [A]) $ ,J (C) Enler 12% surcharge (.12 x [A+B]) $ 7' (D) Seismic fee, 1%(.01 x [A]) $ - (E) Technology Fee (5% of(A]) $ :t .- TOTAL fees and surcharges (A through E): $ 97 'I r> , CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02037 IVR Number: 811130101818 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 08/31/2011 08/31/2011 08/31/2011 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: 02/26/2012 $0.00 SITE ADDRESS: 1445 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300109 SCOPE: Pellet Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Pellet insert Phone Number: OWNER: ADDRESS: SMITH STEVEN R 1445 CHEEK ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Contractor Name THERMALRESQURCESINC # of Units: o Lie Type eeB BUILDING INFORMA liON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: # 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 161946 Lie Exp 10/29/2012 Phone 541-343~1131 Lot Size: Sq Fl1 st Floor: Sq Ft2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: 2010 Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard m!=NTION: Oregon law requires you to Retaining V'{{I11~~w r~'es adopted by the Oregon Utility Soils Repo81R~~iIli\!lI1n 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: ".; '''''''"''''f':'ll>;'. TH IS PERMIT SHALL EXPIRE IF THE WORK . AUTHORIZED UNDER THIS PERMIT IS NOT 0' COMMENCED OR IS ABANDONED FOR ),,-;:\' ANY 180 DAY PERIOD. ',C,', ,". '. Springfield Building Permit 8/31/2011 10:38:22AM Page 1 of 3 SP.~I.N...G...F IE~.D . lI~- .~. ~ " '~OREGOl-l www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02037 IVR Number: 811130101818 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 pe rmitcenter@ci.springfield,or.us PROJECT STATUS: STATUS DATE: 155 ued ISSUED: APPLIED: 08/31/2011 08/31/2011 EXPIRES: VALUE: 02/26/2012 $0.00 08/31/2011 SITE ADDRESS: 1445 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300109 SCOPE: Pellet Stove / Insert WORK INVOLVED: New lYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Pellet insert Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: 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 , Descriotion . Tvpe of Co~struction Unit Amount Unit Tvpe Unit Cost Value FEES PAID I DescriDtion Technology fee (5% of permit total) First.Appl~nce Fee State of Oregon Surcharge (12~ of applicable fees) Total Amount Paid Amount Paid $3.95 $79.00 $9.48 $92.43 Date Pa id 08/31/2011 08/31/2011 08/31/2011 ReciDt # 2011002356 2011002356 2011002356 Springfield Building Permit 8/31/2011 10:3B:22AM Page 2 of 3 CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02037 IVR Number: 811130101818 www.ci.springfield.or.us PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: 08/31/2011 08/31/2011 Issued 08/31/2011 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perm itcenler@ci.springfield.or.us EXPIRES: VALUE: 02/26/2012 $0.00 SITE ADDRESS: 1445 CHEEK ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703243300109 SCOPE: Pellet Stove /Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Pellet insert Plan Review I DeDartment Application Acceptance Received Due Date ComDleted Result 08/31/2011 08/31/2011 08/31/2011 Overthe Counter Reviewer David Bowlsby Mechanical Review Comments: Over the counter permit iTnitiaT~ev~e~oo"';~t -~,;777:' 9..8'!3112PT1- ; Conlrii'~rits: OverJhe cou-nterpermit :.:. ..<;t _' .'.. :::.~_.<,:.",,,,,:;} _""'C',.' ~ ~"vit}'.--~-~*~~- Overthe"Counter. ~~'* DaVid Bowlsby ___,,__:~"~__:.~~.:'i~~:/,_'" .t ."t: - ..\.... '-""',,' , 08/31/2011' "08/31/2011""" ~ _~, 'C-"--- -~'l- ,', " I -i _ ~__.-J INSPECTIONS REQUIRED ~ Inspections 2140 Pellet, Gas, Fireplace or Wood Stove 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 con~ractors 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 ~:u~s \\d at the front of the property, and the approved set of plans ;'11 re7'" on the site al all times dUring ~--A~ ") '6/?///1 , . Wood Stove: After Installation. Owner or Contractor Signature Date Springfield Building Permit 8/3112011 10:38:22AM Page 3 of3 SP... ~!~ G,~',FIELD~," ~.;"'" ,. .. =~ .~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 8t Springfield,OR 97477 541-726~3753 www.cLspringfield.or.us 811-SPR2011-02037 1445 CHEEK ST perrnilcenter@ci,springfield.or.us RECORD NO: 811-SPR2011-02037 DATE: 08/31/2011 " !~-~; ,,;.j"':j/' i:::k)bf'h! ~ '''i\C'C0liNTj;ODE l ';,;ck",CAMOUNTJDUE:i,i-Jf"',k, '1 224-00000-425604 79,00 821-00000-215004 9,48 100-00000-425605 3,95 ---~--'....." TOTAL DUE: 92.43 b.Pe.XMENLty.eE~.:::.g~iQ~~it~Vth~~-",2;.L9QMivtE~TS~~i':'::;; "J_ ,~A~60N]:PAJD;~;'-~' .; Check SMITH STEVEN R 92.43 6624 RECEIPT NO: 2011002356 f[:iESCRII:tTIClN.""-- """,',:,;: :"'i'2, _~_First Appliance Fee State of Oregon Surcharge (12% of applicable, fees) Technology fee (5% of permit total) i TOTAL PAID: 92.43