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HomeMy WebLinkAboutPermit Mechanical 2013-7-19 SPRINGFIELD- , 4 - 225 Fifth St CITY OF SPRINGFIELD Springfeld,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01638 www.spdngfeld-or.gov permitcenterQspdngfield-or.gov PROJECT STATUS: Issued ISSUED: 07/19/2013 EXPIRES: 01/14/2014 STATUS DATE: 07/19/2013 APPLIED: 07/19/2013 SITE ADDRESS: 4155 STELLAR WAY,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802064108700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Add air conditioner to existing furnace home.AC ready. OWNER: FEGLES ROBERT Phone Number: ADDRESS: 4155 STELLAR WAY SPRINGFIELD OR 97478 OWNER: HARSHBARGER JOLENE A Phone Number: ADDRESS: 4155 STELLAR WAY SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name • Lic Type Lic No Lic Exp Phone Mechanical Contractor HENDRIX HEATING 8 AIR CONDITIONING LTD COB 95758 01/27/2015 541-753-6760 INSPECTIONS REQUIRED - Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: Wien 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. Owner or Contractor Signature Date ATTENTION: Oregon law requires you to NOTICE: , u ( _ - follow rules adopted by the Oregon Utility THIS P kelk 5S1rA�IRE IF THE WORK Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- AUTHO I,� ,&1INDER PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS A!3 ONED FOR calling the center. (Note: the telept:, r: ":v 1 cc) DAY PFRInn number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 7/19/2013 12:43:25PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD Iird 225 Fifth St TRANSACTION RECEIPT Spnngfield,OR97477 � 54 1-7253753 OREGON 811-SPR2013-01638 mew.spnngfield-or.gov 4155 STELLAR WAY permitcenter©spnngfield-or.gov RECEIPT NO: 2013001578 RECORD NO: 611SPR2013-01638 - DATE:07/19/2013 )e]X.agli1 J rat. ;�';; t . :: .- -.� .-' �ACCOUNSaCODE(FRANS CODE. '" ,?,&'r t • i o e §- 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 II.�-- TOTAL DUE: 93.60 pxP,AYMENTETYRE PAYORWcZMII fko . COMMENTS dMOUNT ADAIg• Credit Card HENDRIX HEATING&AIR 93.60 , 099208 CONDITIONING LTD TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY aMINGFIELO 4, rCI1' ' CiF Slit 9 GF[CLDOREGON Permit no Y'1,//Zot �D[bag urns J!.„...: v la dr..�.t �t:......, ., ,nom ,.rte .. ,_ f lJ� TB Fifth Sint•Springfield.OR 97477# P11(541)726-3753 •FAX(54117263689 • •'�',o4EGON Date: 7/9/-4• This permit Is issued under OAR 918-440-U050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE Cost Total caResidential I 0 Government I 0 Commercial Residential Qty. ea. c�os��ty�v� // JOB SITE ;INFORMATION AND LOCATION First Appliance 500.00 S )y/'� Job site address: ,. J/a��pe, Furnace/burner including ducts and vents 3 i , t.ma�_r�° Up to IOOk BTUlItr, $18.50 S City: / ��/f/ ZIP: Over wok BTU/hr. $22.00 s Rcfcren e; Taslo[.: Healers/slaves/vents DESCRIPTION OF WORK Unit heater $18.50 $ an / 01/0 •111,1 . i!l • 0— Wood/pellet/gas stove/flue $42.00 $ / 1 MI a. --.x . L Repair/niter/odd to herding appliance/ v �1��� refrigeration unit or cooling system/ Wino $ PROPERTY 0 -ER absorption system r Evaporated cooler $14.50 $ Name: I -r.I 1 '� MI I�L' 1 'rg�M1 Vent fan with one duct/appliance vent $10.00 $ Address: _ - 1�,"� l load with exhaust and duct 514.50 S /L City: /g�f �� Slate: emizit7 Floor furnace including vent Sa0.00 S Phone: A}/q--,,..,,LQ Fax: ---.— Gus piping E-mail: One to four outlets S7.50 S This installation is being made on property owned by me or a Additional outlets teach) $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 CFO $1200 S Signature: Over 10.000 CFtvl 522.00 $ CONTRACTOR INSTALLATION . Compressor/absorption system/heat pump e/Ijl��'�tliThi ireg // Up to3hp/100kl3'fu I $tu.50 :IS.!1? Business army: /�I� lip to 15 hp/500k B'R' S32.00 5 Address: •ti J s IL 451 I -1 Up to 30 hp/I.000 BTU 547.50 S • City: IIr _ State: jp ZInP:@7'r _ Up in 51)hp/I,750B'ru 562.50 $ Phone: a 0 r Fax: 4- �J [RN Over 50 hp/1.750 BTU $104.50 S ry��t qq r �+p/nn Incinerators E-mail: CYl?�1'RI� G L�L� �.!�. Li f1AI 1 ��17� Domestic incinerator I I 522.50 I .$ CCB license no.: ''''^^ Commercial Print name: MIhA �6e�_ 41Cft Enter total valuation of mechanical system Signature: Oe „ y X) dint, and installation costs S Enter fee hosed on valuation of mechanical system.etc. $ Miscellaneous fees Hems Cost Tolnt en. cast Reinspcclion $80.00 S Specially requested inspections(per hr.) 580.00 S Reaulalcd equipment(unclasscdl $14.50 S Ench ndditionnt inspection:(I) $80.00 $ ' APPLICANT USE (A)Enter subtotal of above fees(or enter set minimum fetal 580_00) $� , (B)Investigative fee(equal In[AD $ (C)Enter 12%surcharge(.12 x[A+B]) S qitiC) (D)Seismic fcc. 1%1.01 x[A]) $ ,v' IE)Technology Fcc(5%of[A]) $ V W 4411.2545-114/1/21113/COAT) TOTAL fees and surcharges(A through E): SCO(go l/ l ELOZ-61.-LO 'toe LS'94:80 D/V 9 SLJRCOH xl/puaH dogs ll