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HomeMy WebLinkAboutPermit Building 2013-6-24 SPRINGFIELD 225 Fifth St hi:a.— CITY OF SPRINGFIELD Springfield,OR 97477 v Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01368 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/24/2013 EXPIRES: 12/20/2013 STATUS DATE: 06/24/2013 APPLIED: 06/24/2013 SITE ADDRESS: 1438 9TH ST,Springfield,OR 97477 SCOPE: Kitchen ASSESOR'S PARCEL NO: 1703264304600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Kitchen remodel and WH install OWNER: KATHLEEN MCCARTY REVOCABLE LIVING TRUST Phone Number: ADDRESS: 1438 9TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION j Contractor Type Contractor Name Lic Type Lic No - Lic Exp Phone Mechanical Contractor J LOGUE GAS WORKS INC i CCB 147111 03/06/2015 541-345-7599 General Contractor SIGNATURE KITCHEN 8 DESIGN INC CCB 180485 02/11/2014 541-686-3356 SIGNATURE KITCHEN 8 DESIGN,INC (PB)Plumbing Col PB1043 07/01/2014 541-686-3356 INSPECTIONS REQUIRED II Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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. • 6)- 2c-l- (3 Owner or Contractor Sig Date uires you t0 P1RE1P'IF16�NOR on law req utility NOTICE: Mit 1S NOl EN„ow Ot eted by the Or are set ert SN DER THIS PER A� rules s as- 52-00" THIS PERNIIl IS pBANp0NE0 I::OR r.:, ter. Those rules TOMS by AUTHORIZED UN follow thro 9 COMMENCED OR u h 14611C62,2001MGA° res of the ERIOD. OAR 952rn Y obtain°°e, tele2. et\ ' y 18 DAY P In You a No the 1\10010 au°n AN Springfield BS,�Itl9ie ithe center. (.1$0 332,23441. 6/24/2013 11:53':00AM Page 1 of 1 rtuzmbercenter is 1.800 SPRINGFIELD CITY OF SPRINGFIELD it3/4.401i 225 Fifth St TRANSACTION RECEIPT S pringfield,OR 97477 hiltS.LOA:EGON 541-726-3753 811-SPR2013-01368 www.springfield-or.gov 1438 9TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013001326 RECORD NO:811-SPR2013-01368 DATE:06/24/2013 /DESCRIPTION;, : ._ , ._ ;;::-: ACCOUNT,CODE/TRANS,CODE,,,__.;. ,AMOUNT,DUE .. First Appliance Fee 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 4.00 • --- ------ - --_- ------ ----�--TOTAL DUE: 93.60 ; PAYMENT TYPE PAYOR_.cdswER:JLnaSDN COMMENTS_,. AMOUNT PAID-" i Credit Card adam arowcavage 93.60 028318 TOTAL PAID: 93.60 • Mechanical Permit Application DEPARTMENT,USE ONLY t �3 `43ililvgi `NFa: 4:af t-Weir l "agiva r- ".S sr: * SPRINGFIELD s,.-....,._ S/3 U I3 �� gCITY OFD++ SPRINGFIELD >�REGOO N ESS Permit no.: -,,cy.,S .xx..,., -mom.# sy k:* ,., ,,-.:...sn a...t.-.am5_.-a r an'.;.,„.h-47a / / 225 Fifth Streets Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 P.=,`,-,a __,.x_ - _ Date: Ol 2 f 3 This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . ',i . ,-,.CATEGORY'OF CONSTRUCTION,,, ,' fish 'Cu q„ y-FEE ,SCHEDULEt ,xr '• 'ti,. Ridtial ' est cil.esidential ❑ Government ❑ Commercial esen -4 ? Q u s J ,tos " Z JOB$ITE'=rIINF,O��RMATIONi,ANDFLOCATION , m gc.., First Appliance / $80.00 $ Job site address: j -I 3. p 1 S 1. Furnace/burner including ducts and vents (f C Up to 100k BTU/hr. $18.50 $ City`�f tC�.r�()1 e( State ZIP of 7y77 Reference I 7630 6 ci 3 �Taxlot Q y6� Over look BTU/hr. $22.00 $ 'DESCRIPTION,".OF WORKU v Heaters/stoves/vents .F.;,. . `v,, -x{-,,, ...(.. __ ._. -.I_K'-£ K� nnn. .4Nr i. 3'. Unit heater $18.50 $ l Ut�� 1 Q S V( 0 0 [� 'Ui Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ r'%,trs-`r"'{ "`�` 3 „hs q. r refrigeration unit or cooling system/ $80.00 $ (+T:,,1;,,x�,> , „s; .,PROP ettOWNER ,Ap P--ligv' A absorption system Name: yTh. M a Evaporated cooler - $14.50 $ Address: ���`¢, / 4 ! '�� QO \� Vent fan with one duct/appliance vent $10.00 $ City: S f �l State: 0 ZIP: 7 7 Hood with exhaust and duct $14.50 $ Floor furnace including vent $80.00 $ Phone: f 7�2, -it( Z 1 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-handling units,including ducts requirements under ORS 701.010. Up to 10,000 CFM $12.00 $ Signature: Over 10,000 CFM $22.00 $ '.+ , ,'aCONTRACTOR INSTALLATION `-,,r,a (r fi,k,"� `, Compressor/absorption system/heat pump Business name: L\ 0 ,L t,Q S'4-) O'S<< 5 Up to 3 hp/100k BTU $18.50 $ l © r ,1 Up to 15 hp/500k BTU $32.00 $ c Address: V [ �,t nn�� \\ Up to 30 hp/1,000 BTU $47.50 $ City: \ct�C.UI� State: V$-, ZIP: ���v Up to 50 hp/1,750 BTU $62.50 $ Phone: s� t - 4s"- T 4s C. Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no.: t.4� I j 1 "Commercial ? at�ami 043 x • g Print name: A. r J _t C o V S S ..5:z_ Enter total valuation of mechanical system and installation costs$ Signature: --_'v Enter The based on valuation of mechanical system,etc. $ k.Mlscellaneous fees ' 'T`, gItems !Cost ; Totaf Reinspection - $80.00 $ ' Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ u'.ks. 7"5is ,,";,,., ..AAF.PLICANTUSE t - ltaer', u,•ifs (A)Enter subtotal of a.• - fees(or enter set minimum fee of :. :0.00 -- $ 8 0 (B)Investigative ee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ f 6 v (D)Seismic fee, 1%(.01 x [A]) $ (E)Technology Fee(5%of[A]) $ L 6C 440.2545-1(4/i/2013/COM) TOTAL fees and surcharges(A through E): .$ S3---