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Home My WebLink AboutPermit Mechanical 2011-8-26 . \ , www.cLspringfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02013 IVR Number: 811133152615 225 FiHh SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/26/2011 ISSUED: APPLIED: 08/26/2011 08/26/2011 EXPIRES: VALUE: 02/21/2012 $0.00 SITE ADDRESS: 441 W D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341410900 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hood vent. part of COM201 0-00507 project. OWNER: ADDRESS: WEST MARIAN L MARIE 441 W D ST SPRINGFIELD OR 97477 Phone Number: Contrac~or Type Contractor Name CONTRACTOR INFORMATION. ~ Lic Type LicNo Lie Exp Phone BUILDING INFORMATION ~ # of Units: o # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: Lot Size: Sq Ft 1 st Floor: Sq Ft2nd Floor: # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 ATTENTION: Oregonoccupani:~r~8a\J~u to . . '.1' '.' ....Ies adopted by the Oregon Utility Electrical SpeCialty Cooe Edllion: Th I s are set forth !\In''flr.iltlon Center. ose ru e Springfield Fire Code ~di'Jjl.'ii 952-001-0010 through OAR 952-001- Mechanical Specialty 8e~'OEd,itjffi'nay obtain caples of the rules by Municipal I Developrnenf&,o:d.og the center, (Note: the telephone PI b. S . fty C ~lE~!t'"'' for the Oregon Utility Noliflcalion urn 109 pecl. oue ullon. . 00 332-2344) Center IS 1-8 - , Residential Specialty Code Edition: 2008 Structural Specialty ,Code Edition: Site Information ~ Engineered Fill: Fill Volume: Flood Hazard Area: land Hazard Area: Retaining Wall: Soils Report Required: . rt;'~., NOTICE: THE WORK THIS PERMIT SHAll EXPIRE IF OT . AUTHORIZED UNDER THIS PERMIT IS N .' COMMENCED OR IS ABANDONED FOR ANY i 80 DAY PERIOD. . Springfield Building Permit 8/26/2011 3:13:52PM Page 1 of3 SP~I~~:;;j ,f!J; OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-lJ2013 IVR Number: 811133152615 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 08/26/2011 ISSUED: APPLIED: 08/26/2011 08/26/2011 EXPIRES: VALUE: 02/21/2012 $0.00 SITE ADDRESS: 441 W D ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341410900 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback:. Hood vent - part of COM201 0-00507 project. 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 Tvee of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ DescriDtion Techn~~~y fe~J5% of permit tot..~I) FjrstApp~~..~~_._ _~_ State of Oreg~Surchar~"e (120/~ of applicable fees) Total Amount Paid Amount Paid Date Paid Redot # $3.95 08/26/2011 2011002328 $79.00 08/26/2011 2011002328 ..-.-.-.-,.--..-.--.-----..-.. ---- -.----......-- $9.48 08/26/2011 2011002328 $92.43 Springfield Building Permit 6/26/2011 3:13:52PM Page 2 of 3 SP=~NG~L~ .~~ w' in..: OReGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02013 IVR Number: 811133152615 WWI/ .ci, springfield. or, U S 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: APPLIED: 08/26/2011 08/26/2011 Issued 08/26/2011 EXPIRES: VALUE: 02/21/2012 $0.00 SITE ADDRESS: 441 W D ST:Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703341410900 SCOPE: Mechanical Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Hood vent - part of COM2010-00507 project. Plan Review ~ Deoartment Application Acceptance Received Due Date 08/26/2011 08/26/2011 Comoleted 08/26/2011 Result Over the Counter Mechanical Review 08/26/2011 Comments: Over the counter permit ;rni~~fJ~eview ~-',_ ,. ,:;-~-:'-=^O~~/20!r < ,,' ,-' ",:'" ,':'," '\ <.--- I, : Gbmments: .,-' 0_ ",vJ~t~e':c:9,un:t~r ~erm",it.;;~!, ~~_ M~ " .' _._._.:\, '-- _______~ 08/26/2011 08/26/2011 Not Required Reviewer Nancy Machado Nancy Machado 0812612!J1) ~ 08/261251 l' "::' Oveilhe:Co,untiil';1 ':,' ~Nancy,r."?childd,~-j:;,,, ", .~, '~~. '.~: ~,r~~~4 ,.~~:~; ,_ <:. .~: 11. ':~.:,.-:~:.; .:~~~t--",~.~'t-,,:q", ;~~~~0-.'~, ,'. ~~ ~'_~:': ~--- --. ,-".9", -" , . ::J ,'I INSPECTIONS REQUIRED ~ Inspections 2300 Rough Mechanical 2999 Final Mechanical Rough Mechanical: Prior to Cover Final Mechanical: When all mechanical work is co.mplete. By signature, I state and agree, that 1 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. (JVlt~ V)4J;f ~':U,,-/I Owner or Contractor Signature Date Springfield Building Permit 6/2612011 3:13:52PM Page 3 of 3 Mechanical Permit Application ,~:~"'".'~"i''"''",,''\<'" l'(:;'-',:fi>.;;'i'{_<!;' .,."." '..~:"";'p'''''. ,."1' - .,'~,~. _1':'''''''''":0",, -,if'>:OEP ARTMEN;LUSE 'ONLY:;V:[~: ..... i-" ~~';.">;,'."-."'" ,;,....,,_.. M,._:"""..:~~,'.,':'f>).'" This permit is issued under OAR 918-440-0050. Permits expire if work is not started within] 80 days of issuance or if work is suspended for] 80 days. ':tf)f;'i\;:';:~~cA"'t~G'ORY~Qf}CONStROCJjON!l;.;:;,\. Residential 0 Government 0 Commercial ~;;1:~r'$1:jQB~$lillE:"IN'~'9RiiIi~;f:fc>N;tANjj~(j'gQ.G~:j)IQN}~~! Job site address: S'l- City: 225 Fifth Street . Spring~e]d, OR 97477 . PH(541)726.3753 . FAX(541)726-3689 ~~~~t7~?;:;t:~:;;1~&"':';C;ORQOEm-R- +V7t'QWN' 'E-R""j,j:j;~~~~~#';~~{;7;t;k;nT!i~~-1~ ~~':>:l#":76~,,,,,:;;,ryi,:,,,/"..~j,le-~r::'.._ E',1Jj _.. ,,_:I,~srL__, _ _m,_, ..",'ilc~a.~...$1~,,~j~-d";(?:I:~:':,'f~,~:"l: Name: Address: 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: 11 M ~1tl;i1i~~~Y<:::9~m.~C.Ti:c:>R~jN:ST;a:tT::~;r,1.0N!~~1~i,i'i~:~.iS~ Business name: Address: ZIP: City: Phone: E-mail: CCB license no.: Print name: Signature: 440-2545-J (11/08/COM) Date: <;?- Permit no.: (;. 7 .. c"'-;',,/ FEE SCHEDULE ",- .c, .' ~~~~.L~~:Q.~!~!'~~~~lf~~w,t.~~~~?~~::;;~1~' Qiy:: N~:~~~~,l!i1. "",.Total, f~ l -';" "'\IC'OSt.;;:;:: First Annliance I $79.00 $- /7 urnace/burner including ducts and ventr Upto J OOk BTU/hr. $17.00 $ Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Unit heater $17.00 $ Wood/pellet/gas stovelflue $38.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling s%stem/ $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 fOUT outlets $7.00 $ Additional outlets (each) I $4.00 I $ Air-handling units, including ducts Up to 10,000 CFM I $11.00 $ Over 10.000 CFM I $20.00 I $ Compressor/absorntion svstem/heat numn Up to 3 hpll OOk BTU $17.00 $ Upto 15 hp/500k BTU $29.00 $ Up to 30 hp/1,OOO 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 $ ':::": "i.. ' {"{,I Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ !V~~1:'G,':J!in'\\rl.'. 'Oq~l,;';\;i!f'.f':;'Ji~f,,;;:~j,~:*'<:'^q!;~~:~:; rtffil1 rt:!J;1~~~~i .r'i..,Total'd .MtSce.llal1eous,.fees~'\.'li1.,fl:,""""~; "-':<:c'ost~_.,.,:: 't.-c.o";,,,,: ;...-,<'.~.v.'""'1''''',''.f.\..,,,,:.-,.j:..,.,,,,-,.,...,,...,,,,,.;./i~)''>l'_J.' '''.~'~'.'i': Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58.00 $ ~I,.;~'~;.<rtYcri"g~~")' 'N~' ,', ""'.,""-"~' ~~'*"""'~_~~~--"" '~j'f,i,"-''''i''''''''~~~'' \~~~c.;I_,;,.J,>.'iT?}~~~f;;,,;:~~fA'R:P'llICAN;r~I2JSEui'" -:~Br~~~~1:;;.'~,If~;~,! (A) Enter subtotal of above fees (or enter set 1715- minimum fee of $ 79.00) $ (B) Investigative fee (equal to fA]) $ (C) Enter 12% surcharge (.12 x [A+B]) $ q "!.l- (D) Seismic fee, 1%(.01 x [A]) $ (El Technology Fee (5% of [A]) $ J~ TOTAL rees and surcharges (A through E), $ 12 "!L p\J SPRING..F IEL~ .~' c.~ . . ,"', OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth St Springfield, OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-02013 441 W 0 ST permitcenter@ci.springfield.or.us RECEIPT NO: 2011002328 lDESCRIP~TiONPW PpHlRHi11 First Appliance Fee State of Oregon Surcharge (12% of applicable fees) Technology fee (5% of permit total) 'T':(:i)1'~i!iHcl RECORD NO: 811-SPR2011-02013 DATE: 08/26/2011 .1 tIY"!!"iii'np'TY'.Hil'"iill'" 1""!!UlI*'c. '."""'.""".""". II"" "'''''i'IX!!III'lR'lR' ",....'....,'. "'.. m_ ,.., '.' ',,:,! I HII"i",'I, .," ""ibillh~ '1',~l>J';.OJ)NJ;:.C_OOE' mil"", ".' ,,'v., ,mil !r/,l.MO_UNJ~EtUE' . 224-00000-425604 79,00 821-00000-215004 9,48 100-00000-425605 3,95 TOTAL DUE: 92,43 ::1"""',' ""'. ...<>jHtmhH1Tjr;T"r,"\'HmHAtn#lllPl1'1f~rf"ft'~"H%1/*'~"""'""""'~&lfNlI!llt~~Ulm'lri1Fl':r:;:;!!!F!~n(~~j1nlj)II~1VI0UNj:lDA.lb_ ,'PAYOR"""CASHIER:,NMACHAOO' ,,' hm;;fh ';,COMMENTS:J;JIj,1Cj;i'/ '~w,'J" lm1i11!;ci'MJLIf;r,'J.i",. ,,_,,' ;,\,;2i~, 'T' . LPAYMENTirY~F'E >"','iI Credit Card 01502C WEST MARIAN L MARIE 92.43 TOTAL PAID: 92.43 -'