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HomeMy WebLinkAboutPermit Mechanical 2013-7-19 SPRINGFIELD- 225 Fifth St af CITY OF SPRINGFIELD Springfield,OR 97477 qgc Phone: 541-726-3753 R OREGON Building / Residential Permit • Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01635 • www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/19/2013 EXPIRES: 01/14/2014 STATUS DATE: 07/19/2013 APPLIED: 07/19/2013 SITE ADDRESS: 2091 HARBOR DR,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1803112201200 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install DHP OWNER: ARNOLD LOWELL T&DONNA J Phone Number: ADDRESS: 2091 HARBOR DR SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor KENT WITHAM AIR INC CCB 189283 01/20/2014 541-543-6580 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 construct/ . // /. ` J 7— IA— /-3 � ��r er'�-ontractor Signature Date • • ATTENTION: Oregon law requires you to NOTICE: follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telep:".,;tr: number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • Springfield Building Permit 7/19/2013 9:21:25AM Page 1 of 1 • • • SPRINGFIELD °'- - CITY OF SPRINGFIELD -- 225 Fifth St ` E�oN TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 • 811-SPR2013-01635 www.springfield-or.gov 2091 HARBOR DR permitcenter@springfield-ar.gov RECEIPT NO: 2013001574 RECORD NO: 811SPR2013-01635 DATE:07/19/2013 -#7,S ':JYACCOUNT,CODEFIRANS CODE _' ,ea • OUNTEDUE j 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 -!WIrl N'LTYPEx P.AYOR eigiii JLARSDR _ .. COMMENTS . , _ AMQUNS PAID Check KENT WITHAM AIR INC - 93.60 2261 TOTAL PAID: 93.60 • • • • Mechanical Permit Application DEPARTMENT USE ONLY '14'CV.1' M nra xKYv:rr''k Ni:R'W '4 rr:' •`t M £c SPRINGFIELD G4�rP,'P Permit no.: l ZOO ���� � �IT, X�OSPyy1tINGFIELD� � REDO = � - p � _-: . `�( 3 a 6.-<5 d v.NMI'-^... &d, 'If iSA�°+YJ}AK.-:za'aY}t'X�ItKt$U b +a+C$+i.,k&M1✓�`fl LTz`RS`�. ^. �` ut'> as, 225 Fifth Street• Springfield,OR 97477 ♦ PH(541)726-3753 • FAX(541)726-3689 -3 ` g Date: 7//!/,' 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. v , ,t `, ' CATEGOR'4OF.x,CONSTRUCTION ` „y ,#,Lt 1FEE SCHEDU_L'Ett" ;i3F - , zs Ir . trox r .+, x t i Cov Total , El Residential ❑ Government ❑Commercial Residential *z^�WtsetaVil!t`Iris QTye� ;'ea} tfkcost_ .z„' JOB1;SITE II11NFOpRMAT1ION'�AND tLOCATION,= r First Appliance $80.00 $ Job site address: QO-) 1 Henkr 5 o'c 13v- Furnace/burner including ducts and vents City: ,5'pj yis'kei c State:©e ZIP:5-pi 77 Up to ]OOk BTU/hr. $18.50 $ Over 100k BTU/hr. $22.00 $ Reference: Taxlot ? '`o"` _ Heaters/stoves/vents t ¢. MDESCRIPr TO F WORKt+ � .s Unit heater $18.50 $ 04A.0-1--)e ) ct,}- O(1,W1? .2 i,nGib- Wood/pellet/gas stove/flue $42.00 $ �"PwQS 0 Repair/alter/add to heating appliance/ h y f X _ j ^ r , : y a refrigeration unit or cooling system/ $80.00 $ t *iir �t .mot£. ietii„RO_PERT**;O,WNER z X-T c .r ) 'a M absorption system Name: 61,-,A.f-^9 u sf`<,-5}0 Evaporated cooler $14.50 $ Address: 9 1 7 r g irk. ...1'(�j h R Vent fan with one duct/appliance vent $10.00 $ City: ri�i• ^ 04? q t`-7 8 Hood with exhaust and duct $14.50 $ Ci �/ State: ZIP: T 7 Floor furnace including vent $80.00 $ Phone,. - ig3 a8 (-3 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 $ `I. ,§Ki {CONTRACTORINSTALLATION, ` -" vti ry Compressor/absorption system/heat pump Business name: Ken-l- % -��..Gm �tj J� Inc Up to 3 hp/100k BTU $18.50 $ Up to 15 hp/500k BTU $32.00 $ Address: Po Boy 17 Up to 30 hp/1,000 BTU $47.50 $ City: tr;yt9-(=`C/fJ) Stater ZIP:Q 'P41 f Up to 50 hp/1,750 BTU $62.50 $ Phones-gi-513-,(5RO FaxSt[(,C - yC? Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no.: /2672 3 �..(� Commer,'cial ``5{�r,.s§ xxC� 4 Print name: i 1 yv\ et." ./ / Enter total valuation of mechanical system 1 _g and installation costs$ Signature: /I. r Enter fee based on valuation of mechanical system,etc. , $ < '`t?gSS .. ."!'O'E' ,Z}, rU'`Ya cr.i i 'Cost :Total `;MISCe118Oeg9s fees h, r" v ltems w -ea `' . .cost-;; Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ , ' 'AP.PLICANT3/USE tgcMtt aiK (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]) $ 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $73 S-