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HomeMy WebLinkAboutPermit Mechanical 2013-6-28 SPRINGFIELD' 225 Fifth St _" CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • • Fax:541-726-3676 PERMIT NO: 811-SPR2013-01450 • www.springfieldar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/28/2013 EXPIRES: 12/24/2013 STATUS DATE: 06/28/2013 APPLIED: 06/28/2013 SITE ADDRESS: 4082 S REDWOOD DR,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802061113900 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace furnace. OWNER: MEYER STEPHEN&KAREN P Phone Number: ADDRESS: 4082 S REDWOOD DR SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor HENDRIX HEATING&AIR CONDITIONING LTD CCB 95758 01/27/2015 541-753-6760 INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: When all mechanical work is complete. �. r•� �n law/ requires you to By sign t and agree,that I have carefully examined the completed application arfdTdcEnNe1 Wclerci tRat all H o "IQ regon Utility informs to re s Cy r�����QQQrr t any and all work performedfsiinglbd8bf 6 ia�ee�'Crd hviird g are set forth Ordinar �f�bf��Hl �.p or Oregon pertaining to thin,�rk¢te enb�d-'h�etin, 9'tRa�'N l���r� l "` 'rat t1tmn� AR952.001- OCCUPl ilp levR 'EIBauB�1? ItMu Ission of the Community Servic t i ®.�f$fll ft hrf9rihef the rules by certify thatlov lyi¢gQ r®�14�r (ip' ��( �} pl'bmpliance with ORS 701.005 will jgppdy.�RititeayoritkiP Lfihk'?a ee • to ensure that al�frqu Ons are requested at the proper time,that each address is a{9 e teleph:.:tiG a efett>z erre Utility Notification permit card is located t e front of�the property, and the approved set of plans will remain�I}�tSeff�l'dltlttrr(dg&'9(� construction. Center is 1-800-332.2344). Owner or Contractor Signature Date _ \G� ■s• at cy� v • Oct"' r v' • . Springfield Building Permit 6/28/2013 8:18:00AM Page 1 of 1 SPRINGFIELD'--- CITY OF SPRINGFIELD 225 Fifth St `OREGGN TRANSACTION RECEIPT Spnngfield.oR 97477 541-726-3753 • 811-SPR2013-01450 www.springfieldor.goy 4082 S REDWOOD DR permitcenter @spnngfield-or.gov RECEIPT NO: 2013001376 RECORD NO:811-SPR2013-01450 DATE:06/28/2013 1s1 4y:Ird1P1∎(; ;t ta4 = 't7..w k.tiz h1 xi..'_,Lctit:- "ACCOUNT`CODElT- NS CODE 2JFLL 1 'AMOUNTDUE:t 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 P PAYMEN—Nria - ,FAVOR c 1171471Ma COMMENTS AMOUNT{PAID Credit Card HENDRIX HEATING&AIR 93.60 02560B CONDITIONING LTD TOTAL PAID: 93.60 • Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD 4 CITY dF,Sk'RIl�(GFI Lb, QR GON i Permit no.: S2l(Zo(3(914E° ). ,,, .,.u_ ffi .iv., - n., nrwxr; _ , .,...rs r.•. `TSr 6....; ��Fifi11 Sired •Springfield,OR 97477 o Mt(541)726-3753 s FAX(541)7261689 1 k r .,.. eGON Date: 6 I" A') ■ 1 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 ISO days. CATEGORY OF CONSTRUCTION FEE SCHEDULE . Residential 1 ❑Government ❑Commercial Residential Qty. Cost Total en. cost JOB SITE iINFORMAT aN AND LOCATION First Appliance 500.00 Sg Jab site address: I ' Fortune/burner including ducts and vents City: l r1l � �om ZLP: & up to look BTUmr. 518.50 $ Over IOM BTU/hr. 522.00 $ Reference: Tax1nt.: Heaters/stoves/vents DESCRIPTI•N OF WORK Unit heater $18.50 S ardi _4 1 / / r / Wood/pcllet/gas stove/flue $42.00 $ /)' t_o 7/1 1}, P . Repair/alter/add to healing appliance/ n ie�SJ C.Y) refrigeration unit or coaling s stenJ $80.00 $ PROPERTY OWNER absorption system Nome: 11" J. _/ / Evaporated cooler $14.50 $ Address: �/��/�//�/}/!�%r 'r Vent fan with one duct/appliance vent 510.00 s r�/�' ��,/"""'""�� I food with exhaust and duct $14.50 $ City: 0 Ada - State: �Larit��� Flour furnace including veal 580.00 $ Phone: UI 4 Cig70a Fox: Gas piping E-mail: 1 One to four outlets $7.50 S This installation is being made on property owned by me or a Additional outlets(each) $4.50 S member of my immedialc family, and is exempt from licensing Alr-handling units,including ducts requirements under ORS 701.010. Up to 10,000 CM 512.00 $ Signature: 1 Over 10.000 CFM $2200 , 5 CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Business name:-N? x 1, / t 11 L Up to 3 npn 0ok BTU $18.50 $ Up to 15 hp/500k BTU $32.00 5 Address: i�I _' .I v I !/�f//II • I. Up to 30 hp/1,0(10 BTU $47.50 S City: 1 j 5 State: `T1 ZIP:n Up In 501m/1,750 BTU $6250 $ Phone: 4. / , tfrIMI Fax: I le11L Over 50 hp/1.750 BTU 5104,50 $ 1 Incinerators E-mail: r111�?rn'a @ 1,<e it rl ! �, . . .i n Domestic incinerator I 522.50 I $ CCB license no.: ;"a. '{S ft-46z. Commercial Print name: )�n6t, Enter total valuation of mechnnieal system Signature: tenet s'rs, rr) i a ! and installation costs$ r 1r'/C//yll�i V.�/ Ll Enter fee based on valuation of mechanical system.etc. S ' Miscellaneous fees Items Cost Total en, cast Reinspeclion $80.00 $ Specially requested inspections(per hr.) 580.00 S Regulated equipment Outclassed) S14.50 5 Each additional inspection:(I) Sa0.00 $ APPLICANT USE (A)enter subtotal of above fees(or enter set minimum fee of 5 80.00) $ (B)Investigative fcc(equal to(Al) $ (C)Enter 12%surcharge(.12 x(A+B)) S q.lie • 7 ID)Seismic fee. 1%(.01 x(A]) S • (E)Technology Fee(5%of IA]) $ 4411-15454 OM/20hJ/CO1It TOTAL fees and surcharges(A through C): a Z/Z ELOZ-9Z-90 'aid OE:ZE:EO DIVV 6u14eaH sigma){ dogs LL