HomeMy WebLinkAboutPermit Mechanical 2013-7-1 SPRINGFIELD 225 Fifth St
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(\' CITY OF SPRINGFIELD Springfield,OR 97477
( l� Phone: 541-726-3753
` OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01494
www.springfield-ocgov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 07/01/2013 EXPIRES: 12/27/2013
STATUS DATE: 07/01/2013 APPLIED: 07/01/2013
SITE ADDRESS: 6801 IVY ST,Springfield,OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1802031402500 TYPE OF STRUCTURE: Residential
•
PROJECT DESCRIPTION: Fan and Dryer Vent
OWNER: PADDOCK LEVI J Phone Number:
ADDRESS: 6801 IVY ST
SPRINGFIELD OR 97478
CONTRACTOR INFORMATION r
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor LITTEN INC GCB 123512 03/03/2014 541-688-7889
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 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.
Sr.- 7
Owner or .•• -ctor Signature II-te
•OOI113d 1�tl0 081
AN ATTENTION: Oregon law requires you to
H03 03NOCNV8d SI HO 033N31NWO3 follow rules adopted by the Oregon Utility
ION SI 111NH3d SIHI H3ONl O3Z180H1f1V Notification Center. Those rules are set forth
HHOM 3H1 dI 3HIdX3 11VHS llWa3d SIHI in OAR 952-001-0010 through OAR 952-001-
:33110N 0090. You may obtain copies of the rules by
• calling the center. (Note: the telephorri
number for the Oregon Utility Notification
Center is 1-800-332-2344).
•
Springfield Building Permit 7/1/2013 9:35:11AM Page 1 of 1
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SPRINGFIELD-- - CITY OF SPRINGFIELD
225 Fifth St
TRANSACTION RECEIPT Springfield,OR97477
OREGON 541-726-3753
811-S PR2013-01494
www.springfield-or gov 6801 IVY ST permitcenter@springfield-or.gov
RECEIPT NO: 2013001397 RECORD NO: 811-SPR2013-01494 DATE:07/01/2013
DESCRIPTION, _ ACCOUNT:CODE/TRANS,CODE:_- _, --_
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:JLARSON COMMENTS; AMOUNT PAID
Credit Card Litten Inc. 93.60
H22957
TOTAL PAID: 93.60
. . . . . . .... ..
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Mechanical Permit Application DEPARTMENT,USE ONLY
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SPRINGFIELD
0aYS 1sREGO — t
Permit no ec t zoc-. 0(Lt i Lt
'225 Fifth Street+ Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 lar". gitt " // A 3
Date:
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'l.V4V.IC:a0;?-it.E.O.D.R1:30k054,Stgi:0,70.01;11q1:411iticUg: g-gcsAlitatigtatift.00X010.-.01:104,1-itiViWid-40
eZt Residential D Government 0 Commercial t v i,•i,-'x,0.c,'::-^%1,-tii-,-r,4-iar..,:n"':f,i i:.i:i;:r."4. 4,114.2;2,.7.-f4;-1Di,”P•.c;.:=:,L:;;;Z,1 km,:.:e.t:FCtOa:, 4:,;lc'1■';:,-,r--ia- -l--cP-"-
,-if.-Alccost,re:
i:.#AtupeisiTEwr,pRmATIoNiam.iiice)! tiottil:*V First Appliance / $80.00 $
lob site address: 62.10/ 1-- Furnace/burner including ducts and vents
Up to 100k BTU/hr. $18.50 $
• City:Se•ir,40 Stata_ ZIP:
Over 100k BTU/hr. $22.00 $
Reference: Taxlot.:
- . ..„,,,,,,,.,, Heaters/stoves/vents
tcyr=r:4.1&5,-..f..,"E
't,;',Siz'7,N41011"0-EgidkiffieRgieePA/013}Sinitek;‘..5i.■ .4,.zt-A'
Unit heater $18.50 $
-4-0.-1/41..._ -441-1 7.. -4.1 an/ \\J.....CI— ' Wood/pellet/gas stove/flue $42.00 $
Repair/alter/add to heating appliance/
, refrigeration unit or cooling system/ $80.00 $
igaiMi;,,aftiatARQufirrowNErtiiantago absorption system
Name: Evaporated cooler $14.50 $
Address: Vent fan with one duct/appliance vent j . $10.00 $
Hood with exhaust and duct $14.50 $
City: State: ZIP:
Floor furnace including vent _ $80.00 $
Phone: - - 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 $
tirigAIXedi#MbtaftlifIVATIEAVONAManal Compressor/absorption system/heat pump
Up to 3 hp/100k BTU $18.50 $
Business name: Ly-Tru
Up to 15 hp/500k BTU $32.00 $
Address: c)--09a-sC9 Hoe(£11
Up to 30 hp/1,000 BTU $47.50 $
City: ar.4.4-.t._ State: CPI— ZIP:77.01---- Up to 50 hp/1,750 BTU $62.50 $
Phone:gt-ll -Cetic 78)0 Fax: - - Over 50 hp/1,750 BTU $104.50 $
E-mail: Incinerators
Domestic incinerator $22.50 $
CCB license no.: i 2.--;S P-1.1 ,ir:dZsrliiiiiiter' i al raniNacitegn.(:,c4,.4;t ::,:);`:ir, 11:X
Print name: ,,,k, I. .Th-Ter--___ Enter total valuation of mechanical system
Signature6‘ 1,,...Z7 :::,—...
,_./
(yr and installation costs$
Enter fee based on valuation of mechanical system,eta. $
. f litealWilWejaWl•VW.T'J iitg ;:41:C .g.t .I '.,:i?:101:2?>.
ckit,t.".4;::■0. .;•4,, .0.--4 ■ea.'1',": . cust:3'.%
Reinspection $80.00 $
Specially requested inspections(per hr.) $80.00 $
Regulated equipment(unclassed) $14.50. $
Each additional inspection: (1) $80.00 $
P. 1:259Aiiineratilib-E-WENtacerit
(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]) $
(D)Seismic fee, 1%(.01 x[A]) $
(E)Technology Fee(5%of[A]) $
440-2545-J(4/1/2013/COM) n TOTAL fees and surcharges(A through E): $ 73 612-