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HomeMy WebLinkAboutPermit Mechanical 2013-6-14 SPRINGFIELD 225 Fifth St .4‘..a., CITY OF SPRINGFIELD Springfield,OR 97477 (1� i Phone : 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01290 www.springfield-or.gov permitce nter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/14/2013 EXPIRES: 12/10/2013 STATUS DATE: 06/14/2013 APPLIED: 06/14/2013 SITE ADDRESS: 38 KREMONT AVE,Springfield,OR 97477 SCOPE: Mechanical Only ASSESORS PARCEL NO: 1803023304700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Heatpump OWNER: SHAVER JAY D&SHIRLEY A Phone Number: ADDRESS: 926 ANDERSON LN APT 9 SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06127/2013 541-726-0100 L INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. 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 c. d is locat-• , - front of the property,and the approved set of plans will remain on the site at all times during constr. on. il 010, A —Al _ 6— iu - 13 Ow -r or Contractor Signature Date ATTENTION: Oregon law requires you to 3TICE: "i follow rules adopted by the Oregon Utility HIS PERMIT SHALL EXPIRE IF THE WORK , Notification Center. Those rules are set forth •,UTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 through OAR 952-001- ;OMMENCED OR IS ABANDONED FOR . - - 0090. You may obtain copies of the rules by calling the center. (Note: the teleph:a, : ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 6/14/2013 1:23:25PM • Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD hit�.mr... 225 Fifth St tONEGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01290 www.springtield-or.gov 38 KREMONT AVE permitcenter @springfield-or.gov RECEIPT NO: 2013001243 RECORD NO: B11-SPR2013-01290 DATE:06/14/2013 iDESCRIPTION_ 7? °--':' ';''''- ACCOUNT CODE/TRANSaCODE, ',-AMOUNT DUEJ First Appliance Fee � _ 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 TOTAL DUE: 93.60 LPAYMENT TYPE • - . PAYOR CASHIER:CCARPENTER COMMENTS €._ • rr• AMOUNT PAID . •. ..1 Credit Card SHAVER JAY D&SHIRLEY A 93.60 388473 TOTAL PAID: 93.60 • Mechanical Permit Application DEPARTMENT,USE ONLY iAe , y.ry .'r}.RA gsy.,. Wy,IfYi R ^` .*- .�„a SPRINGFIELD *1 W �"�rR�. wSE � � l ._..bXi earY+ rsw ..1r�a � e ,� � .,- flCLTI4Y OF SPRINGFIELDtOREGO Permit no.: S 3 — /2'i 0 ,ti4s'.ksar, zassacs'teYOalu, nme4.,,,,'Ifii,£fa±ir"C..mraswa5..i.?, ,:r ,x,4„..2,/:::: ,!S �'i 4`,, �e� /// 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753.• FAX(541)726 a689 .., Date: (o/ / Li///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. ;,;h;cATEGORY, 'OFCONSTRUCION, ` ' k " "FEE SCHDULE e a R a k `n:k ,-..,,,41 tC ost Total El J Residential ❑ Government ❑Commercial esidentil t., ,. 4 Qty..e y . i-.°^"aOB ,SITONFORMATION';;AND LOCATION's- First Appliance ( $80.00 s3 Job site address: 38 -Reexrinn4 nue, Furnace/burner including ducts and vents City: Spc,na 1;101 d. State: ZIP:37477 Up to 100k BTU/hr. $18.50 $ (` Over 100k BTU/hr. $22.00 $ Reference: Taxlot _�Y ryt d ,e; g „-, _�.,, Heaters/stoves/vents K.Vi, ; -I DESCF010N OFrfWORK; r $,- _ , v , -; Unit heater $18.50 $ . Wood/pellet/gas stove/flue $42.00 $ . Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00. $ ?; :;:Z rnJPPRoPERTYrowNER, R "' x„ '_ i*,,"cr absorption system Name: cJ ri- ,7hif\e.t.{ Stf Evaporated cooler $14.50 $ Address: ` ��'fff��� ' Ave t'k1/ Vent fan with one duct/appliance vent $10.00 $ ` v„ �L„ma, Hood with exhaust and duct $14.50 $ City: S�,flv\r,{ State:012.. ZIP: G��77 Floor furnace including vent $80.00 $ Phone: 1- � 775c_ gS] Fax: -a//4 Gas piping E-mail: NM_ One to four outlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immedia� ily, and is exempt from licensing Air-handling units,including ducts requirements der ORS T110. Up to 10,000 CFM . $12.00 $ Signature: )6° . Over 10,000 CFM $22.00 $ • ? 3§ ?? NATRACTORsINSTAI!LATICN c , 7,,;a Compressor/absorption system/heat pump l Busines , ame: Up to 3 hp/100k BTU $18.50 $Y/ � c , s OA ' `"'°t Up to 15 hp/500k BTU $32.00 $ Address: n5 I Dan Stfcp4 Up to 30 hp/1,000 BTU $47.50 $ City:S1 IP lA - State:o� ZIP:°m 17 Up to 50 hp/1,750 BTU $62.50 $ Phone: '12E,—oleo Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators - Domestic incinerator $22.50 $ CCB license no.: w k �� aCommerO at'iVti�`a'ei , F_,r`z to ,.,7_;�i i Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. . $ r ta'3@Ti gi } Rik} �3 TY.sa items ,.COgt < l-TOtal X - ,;Mtscellaneous fees,,'„ - ..�:. .-3. ,._r.. ,. n '!�rr4;t at .-;ea y t .scoost ; ^Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50 $ Each additional inspection:(1) $80.00 $ ;'".. t„g `!. •,y` -tlfa ar ANT USEettl e;'"?'l t se'`,",I,.'.3 SZ. (A)Enter subtotal of above fees(or enter set • minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ rc3 (D)Seismic fee, 1%(.01 x[A]) $ 45 (E)Technology Fee(5%of[A]) $ gO° 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 936°