Loading...
HomeMy WebLinkAboutPermit Building 2013-6-25 SPRINGFIELD 225 Fifth St iittc,. �- CITY OF SPRINGFIELD Springfield,OR 97477 c?....; Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01379 www.springfield-or.gov permitcenterespringfield-or.gov PROJECT STATUS: Issued ISSUED: 06/25/2013 EXPIRES: 12/21/2013 STATUS DATE: 06/25/2013 APPLIED: 06/25/2013 SITE ADDRESS: 219 S 70TH PL,Springfield,OR 97478 SCOPE: Manufacturing ASSESOR'S PARCEL NO: 1702353406402 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: New HVAC mini split OWNER: KEPHART RONALD G 8 MINDY A Phone Number: ADDRESS: 2656 33RD ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor KENT WITHAM AIR INC GCB 189283 01/20/2014 541-543-6560 L INSPECTIONS REQUIRED • Inspections 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 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. . / / I. nie— Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth 'IOTI CE: . in OAR 952-001-0010 through OAR 952-001- HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by UTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephr::n number for the Oregon Utility Notification ;OMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). xNY 180 DAY PERIOD. Springfield Building Permit 6/25/2013 9:31:19AM Page 1 of 1 • SPRINGFIELD • CITY OF SPRINGFIELD TRANSACTION RECEIPT Seri Fifth 97477 i- OREGON 541-726-3753 - 811-SPR2013-01379 www.springfield-or.gov 219 S 70TH PL permitcenter©springfield-ar.gov RECEIPT NO: 2013001336 RECORD NO:811-SPR2013-01379 DATE:06/25/2013•[[DESCRIPTION , _ _. z - __:ACCOUNT CODE/TRANS'CODE,L AMOUNT DUE- 1 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 CASRIER:CCARPENTER COMMENTS_ • _ -AMOUNTPAID -. '- 1 Check KENT WITHAM AIR INC 93.60 2236 TOTAL PAID: 93.60 • • Mechanical Pa#?erm."sit�+uA4�mprv�pliF,tc.»ra.#it....i�,.on 1a� DEPARTM ENT.USE ONLY Y CA .11::+E3 v " t II: �" c ril it 3 SPRINGFIELD r ��1" re�YO SPRINGFIEL „?`OREGON��. p 1 I. ,p,: ZI*, Permit no.: J( ) -/.3 7 225 Fifth Street• Springfield,OR 97477 • PH(54I)726-3753 • FAX(541)726-3689 fir. Date: 6/2)//: 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. .% F, „ „CATGQRYy,OFCONSTRUCTIONI, _ =' , , ",, ,s,4:;x 0,., '"FEE ,SCHEDULE/f ',+, '' a0.i JR Residential ❑Governmen`t ❑CCommercial Resld , f < 4 : r w: , WY yCost s;Total , ,,,, „ ; _h ea :cost ' upB;SITE INFOMATION AND,€LOATON z - a I First Appliance l $80.00 $rd Job site address: 9.10k L 7014\<J., Furnace/burner including ducts and vents CitY,SIN j Y9 Pre'id State: oR ZIP: 9 717 8- Up to 100k BTU/hr. $18.50 $ Over 100k BTU/hr. $22.00 $ Reference: Taxlot 4 Heaters/stoves/vents � , DESC R]PTON F WORKag a u. : Unit heat„ $18.50 $ TINS Si—a I\ Duct' N Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ . refrigeration unit or cooling system/ $80.00 $ i:A gia tiP,ROPER-ry4oWER„' K m N* ti absorption system Name: FkoV\ K e Qk r-- Evaporated cooler $14.50 $ Address:n 9,(o,�j(p 33 R� Vent fan with one duct/appliance vent $10.00 $ City: $ r rs @ Q Id. State: Of. ZIP: 87477 Hood with exhaust and duct $14.50 $ / . Floor furnace including vent $80.00 $ Phone: -7V9- 0470 Fax: - - - Gas piping E-mail: 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 immediate family, and is exempt from licensing Air-handlr I its,including ducts requirements under ORS 701.010. U•. o 10,Stt CF/cf ------ $12.00 $ Signature: "Ov- , 1,111 $22.00 $ n` e0.`€ .CONTRCTelklii TALLATIONI "„n 'n,t uy„ Cympressor/absor tion system/heat pump Business name: K evv-F (,0,'}-{uzrn Air 'fib\C (Up to 3 hp/10 $18.50 $ 9 n, Up to 15 hp/500k BTU $32.00 $ Address: l 0 •�O)C I?5-K Up to 30 hp/1,000 BTU $47.50 $ City: 5?-1--:1) State: oft,_ ZIP: 97477 Up to 50 hp/1,750 BTU $62.50 $ Phone9♦1 • 3- ‘,-j gO Fax:: j(-6 & '/ 92,' Over 50 hp/1,750 BTU $104.50 $ E-mail: Kc,So e 0 y g 440+be x I ,63 on , Incinerators g 9 3 Domestic incinerator $22.50 $ [ CCB license no.: :70ORlrfl2rClalj.ri{"ASV;0 x yR. t! P'.ax-•` .., r# - tts „''Jxu Print name: K- ...-t Enter total valuation of mechanical system and installation costs$ Signature: A / A/Dfj r Enter fee based on valuation of mechanical system,etc. $ "aa* fir.�'`` is ;'i3:,,: + F '.O.'l r :Cost '';r°6114; Mlscellavneous feej1Ittr a�rr Iroi,4,:ea r�;cost`if; Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) - $80.00 $ ( E ,APPLICAN:Mt ElliAtialailliiitil (A)Enter subtotal of above fees(or enter set r�'�'�� minimum fee of $80.00) $ d �-' (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ g60 • (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ �j 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 4 J