The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2011-8-25 Mechanical Permit Application "~'&f::'- ,./"'1 ,'~J:_j;"i";:'.-""",_""":<,:~,,,~: ... '_I c.-,-.~' '~"""."'~; '.i^\';'if"~t;': ~.:;;;; '. DEP.ARTMENr,USEiONLY"-+,.: ,'."'-" ,,,. '''' !."'~-../'.;; 1,,: ;;' r-.,;", ~:;:""~';'_""~";:~' ,~;<,,", Permit no.: SII-61..co r Date: 5-Z- S' - I ( 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'':1~;:~''i{;?CAtEqORY4Qi;:i'c:QN$tRUCtlqN!i'';;t, ~t;;;:. \' '; esidential 0 Government 0 Commercial '4, .... "'i!$:....... ',' "-V'~-""'-'."" 'Y'- ...... -,-""".' .,,'-0 '.- '.--',""7'~_'",""'" ',',' """,f""r -'_'--'^_"_' -", '-",i:"'."~'",)!(:'-''.''' ;;i;[:~;t;';JQB\:!)I;r;E~INFQRIVI~'!iIQ~;;ANg~,LfqC:Jl.l)IQN:~** "i:1;:1 53 +r 225 Fifth Street. Springfield, OR 97477. PH(541)726-3753. FAX(541)726-3689 City: ZIP: z."Jl.f/ :r Taxlot6C3r J '. DESCRfPcTIOf{OFUWORi< ..,. rwt E-mail: This installation is being made on property owned by me or a member of my irn ediate family) a d is exempt from licensing requirements un de ORS 01.0 I O. City: . Phone: E-mail: CCB license no.: Print name: Signature: 440-2545.J (ll/08/COM) -vh " .. '-:,..-.,:,:'. " FEE SCHEDUl.E ,.',., }, .. t~ "., : ~ ..~ ,: >.' -'- r'~',;;;5~j~" .i~;:':- 00.';'0': ,.Joil.1t't10~7~,:.~'-i, . '.,1,' Cost", ",.;r,~till, . ~ Resident al 'wAiJ;".\1 "''}''\i';:;'',fi'.'';:>-#0'''_\~~:: Qty.) ;;P~_..,,'-J-.~',\'r r1;-,.;, ",,'""""":!-');'.:"1:''''-;, "~'f"''''_!;~l.:~g~;.._ 'f':!'5",+1!;i.j!'-;:,:,';:,<)-:',,, ..~ "l:.._'J;' r..~,,~ea...~...-,:o_.} "-$~icost;(~;;~ First Appliance I $79.00 $ Furnace/burner including ducts and vents Up to lOOk BTU/hr. $17.00 $ Over lOOk BTU/hr. $20.00 $ Heaters/stoves/vents Un;! heater $17.00 $ VWooJl4>cl1eVgas stove/flue / $38.00 $ 1tepair/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 $7.00 $ Additional outlets (each) I $4.00 I $ Air-handling units, including ducts Up to 10,000 CFJv! I I $11.00 I $ Over 10.000 CFM I I $20.00 T $ Comnressor/absorntion svstem/heat numn Up to 3 hp/IOOk BTU $17.00 $ Up to 15 hp/500k BTU $29.00 $ Up to 30 hp/l,OOO BTU $43.00 $ Up to 50 hp/l,750 BTU $57.00 $ Over 50 hp/l,750 BTU $95.00 $ Incinerators Domestic incinerator $20.00 $ ',Coml Enter total valuation of mechanica! system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ :':x'M:;"'~:':':M-il",,",r;;i~'ir1~tG,';'ZC"'l6\!~';"~':f:"-:;~htR~>;~:~::;} ~j';'(,,0'J 6~;\':Costf,,;,-' '-\Total\'~;i ~ Isee aneOUSi; ees,~~:1': 1/,~;,.~\1tt':i~;;;; ~~tr",~~ ~~i;,i~~'eitF'~k-: .1-~C'OSg1~;; ..:: ,''',~;,~';' ';~"""":'-:'~~""~.'_'''''',}'.+:'_'''~~'' r-i-'/'~ ':i\'" -;.-lv.!-,,",",c"; ,,',::0>> Reinspection $58.00 $ Specially requested inspections (per hr.) $58.00 $ Regulated equipment (unclassed) $13.00 $ Each additional inspection: (1) $58.00 $ ""\if'~'~~~r,""''Zf'tlMZ(W'-g'''' '. ,--~". ~ <~~""r'~' -""':"'J'~~ '-'''''''"Ii$'''''''''1J':;~<t;.~' ~t"",~!,>",!),\\\j;;,'IA'kiiiiJl.F.'.Rlfl C/i.NT~~lJSE"~".l;.l'Iijlii;:lJt1di!i~lb'j,1'ir'i (A) Enter subtotal of above fees (or enter set $7'7 minimum fee of $ 79.00) (B) lnvest;gat;ve fee (equal to [A]) $ (C) Enter 12% surcharge (.li x [A+B]) $ ,'f8 (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of [A]) $ '3n TOTAL fees and surcharges (A through E): $921.{ SPRING~IE~ ~'~ -~, No ""~ It;g *;,15~'\~ ~REGON CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02005 IVR Number: 811107190259 www.ci.springfield.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilcenter@ci.springfleld.or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 6534 EST, Springfield, OR 97478 ASSES OR'S PARCEL NO: 1702341300313 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood stove Phone Number: OWNER: ADDRESS: GREEN ROBERT L & SANDRA G 6534 E sT SPRINGFIELD OR 97478 CONTRACTOR INFORMATION ~ Contractor Type Mechanical Contractor Contractor Name .GOOD DEAL METAL PRODUCTS INC Lie Type' GGB lie No 26743 Lie Exp 09/19/2012 Phone 541-746-6221 # of Units: BUILDING INFORMA nON ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: 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: Lot Size: sq Ft 1st Floor: sq Ft2nd Floor: Sq Ft Basement: sq Ft Garage: sq Ft Carport: sq Ft Other: 0 Occupancy Load: Site Information ~ Engineered Fill: Fill Volume: Flqod Hazard Area: Land Hazard Area: Retaining Wall: Soils Report Required: I requires you to ATTENTION: Oregon aw Utility follow rules adopted by the ~~e~~~et forth Notification Center. Those ru~ OAR 952-001- in OAR 952-001-0~t~~~~~~i~S of the rules by 0090., You may 0 (Note: the telephone calling the tChentoe:~gon Utility Notification number for e 44) Center is 1_800-332-23 ' Springfield Building Permit 8/25/2011 2:24:02PM . ","fi <' :."'''~iJ.;' NOiler.: ' " P1RE \nHE WORK TH\S PERMIT S\-l)l.~~ ~\S PERMIT \S NOT, AUTHORIZED UNO S ABANDONED FOR <,:: COMMENCED OR \ '.",' . ANY 180 DAY PERIOD. ' Page 1 of 3 SPR.IN.G I'IELtij ~-h""""'- . ..~ :,.~ . . f5'.> , OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02005 IVR Number: 811107190259 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 6534 EST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341300313 SCOPE: Wood Stove f Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install wood stove Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: DEVELOPMENT INFORMA TION ~ 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 Tvpe of Construction Unit Amount Unit Tvoe Unit Cost Value FEES PAID I Description ~~...9LS'regon Surcharge (12% of ap~licable !ees) First Appliance Fee Technology fee (5% of permit total) Total Amount Paid Amount Paid $9.48 $79.00 $3.95 $92.43 Date Paid 08/25/2011 ---oa!2si2011 08/25/2011 Recjpt # 2011002316 2011002318 ~-"-- 2011002318 Springfield Building Permil 8/25/2011 2:24:02PM Page 2 of 3 SP~I;~~ ~,~ ~OREGO'" CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-02005 IVR Number: 811107190259 www.ci.springfie\d.or.us 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 perrnitce nter@ci.springfield.or.us PROJECT STATUS: STATUS DATE: Issued 08/25/2011 ISSUED: APPLIED: 08/25/2011 08/25/2011 EXPIRES: VALUE: 02/20/2012 $0.00 SITE ADDRESS: 6534 EST, Springfield, OR 97478 ASSESOR'S PARCEL NO: 1702341300313 SCOPE: Wood Stove I Insert WORK INVOLVED: New TYPE OF STRUCTURE: Residentia' PROJECT DESCRIPTION: Install wooq stove Plan Review ~ DeDartment Application Acceptance Received 08/25/2011 Due Date 08/25/2011 Comoleted 08/25/2011 Result Over the Counter Reviewer David Bowlsby Mechanical Review 08/25/2011 08/25/2011 0812512011 Not Required Comments: Over the counter permit -c~'_.~:-..~.~..... ,"~^'.-'~~ ,,_..._..~"~_ ",,_. " .v>. Initial'Revlew .. . " '08/25/201.1 .08/25/2011,;08/25/2011.> Over;theCounter" ".' ''''b~in~~~~:~ ~C)_Y~~ the-'GO~~t~J pefl:nit~;~- '. "i/~~: :~_ ~?- ,.~~< ':" .:~ 'c ~ ~ .._. "~ ~--.- ~.;". ::;, INSPECTIONS REQUIRED ~ David Bowlsby CJ,avidE!?~"ilsby __" c ,i";..., .. .""';."..-'" ;"~. ~> }. 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 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 cae: is located at the front of the property, and the approved set of plans wjJ1 remain on the site at all times during construct n. Wood Stove: After Installation. 18/d[ /iI , Owner or Contractor Signature Date Springfield Building Permit 8125/2011 2:24:02PM ~age 3 of 3 S~=~\N~?ij ~~ ~OREGON TRANSACTION RECEIPT CITY OF SPRINGFIELD 225 Fifth 5t Springfield,OR 97477 541-726-3753 www.ci.springfield.or.us 811-SPR2011-02005 6534 E ST pennilcenter@ci.springfield.or.us RECEIPT NO: 2011002318 lDESCRI~TION ' First Appliance Fee State of Oregon Surcharge (12% of applicable fee~L_ Technology fee (5% of permit total) RECORD NO: 811.SPR2011.02005 DATE: 08/25/2011 , .'ACCOUNTcCODE:.',n. ., AMbuNtbUE: 224.00000-425604' 79.00 821-00000-215004 9.48 100-00000-425605 3.95 TOTAL DUE: 92.43 ,-,AMOUNT PAlq i2~Y-I'!1E:NI:.I.YPE~..,,_PAYQR ~SHIER: DBowLSB~,~C_Q!\l.MENl~;';' . '. Cash sandra green -- 92.43 TOTAL PAID: 92.43