HomeMy WebLinkAboutPermit Mechanical 2013-8-1 SPRINGFIELD - 225 Fifth St
Itt ._.t CITY OF SPRINGFIELD Springfield,OR 97477 skis
�L Phone: 541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-01726
www.springfield-or.gov perm itcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 08/01/2013 EXPIRES: 01/27/2014
STATUS DATE: 08/01/2013 APPLIED: 08/01/2013
SITE ADDRESS: 2551 17TH ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703243400127 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: ME-Relocate dryer duct and range hood.Relocated plumbing and electrical under
associated permits.
OWNER: STERN MARK J&LORI A . Phone Number:
ADDRESS: 2551 17TH ST
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
-
Contractor Type Contractor Name Lic Type Lic No. Lic Exp Phone
General Contractor PERRY CHARLES SWARRINGIM CCB 108833 10/15/2014 541-741-6027
I, 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
-.nstruction.
lirr /Ads- .....(4.1 / f-/ - z0i3
Own-r or ' ontractor Sig/ ure Date
ATTENTION: Oregon law requires you to .,.. :
NOTICE
follow rules enter. Those by s the rules are Oregon THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set forth
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 teleph:x;e ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 8/1/2013 11:12:35AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
:c OREGON TRANSACTION RECEIPT Spri gfield,OR97477
541-726-3753
811-S PR2013-01726
www.springfield-or.gov 2551 17TH ST permitcentergspringfield-or.gov
RECEIPT NO: 2013001678 RECORD NO:811-SPR2013-01726 DATE:08/01/2013
;DESCRIPTION . ACCOUNT CODE/TRANS CODE'_ __AMOUNT DUE_J
First Appliance Fee 224-00000-425604 1006 80.00
Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 10.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80
Technology fee(5%of permit total) 100-00000-425605 2099 4.50
TOTAL DUE: 105.30
`__PAY,MENT TYPE _ _ ,_PAYORCASHIER:ccARPEHTER 'L. COMMENTS _ ' _ _ AMOUNT PAID ' • ti
Credit Card PERRY CHARLES SWARRINGIM v�! 105.30
09306A
TOTAL PAID: 105.30
•
•
Mechanical Permit Application DEPARTMENT USE ONLY
s
SPRINGFIELD—
C* TV,OF'tS`PRINGFLE ti OREGON >4=1 _ ^ Permit no.: 97 —/72c
225 Fifth Street♦Springfield,OR 97-177 • P11(541)726-3753 • FARL(541)726-3689 ktp FGON Date: �O/1 / 3
1
i
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 i
t
suspended for 180 days.
CATEGORY OF CONSTRUCTION FEE SCHEDULE
Vi Residential I El Goveimnent ❑Commercial Residential Qty. Cost Total
ea. cost
JOB SITE INFORMATION AND LOCATION First Appliance / $80.00 $p)
Job site address: 2cs/ /777/-, ST Furnace/burner including ducts and vents
City: SPRINcrietb State: the_ zi 9747 / Up to I OOk BTU/hr. $18.50 $
Over 100k BTUihr. $22.00 $
Reference:L-20 70 7 z L Taxlot.ttj 2 7 Heaters/stoves/vents
DESCRIPTION OF WORK Unit heater $18.50 $
b4' a ✓t&1 ftQt'E Wood/pellet/gas stove/flue $42.00 $
,>/U✓C/ y //,1 Repair/alter/add to heating appliance/
` � vim/ '-`y ✓� refrigeration unit or cooling system/ $80.00 $
PROPERTY OWNER absorption system
Name: wlAct 57-5- `l Evaporated cooler $14.50 $
7W- d
Vent fan with one duct/appliance vent ( $10.00
Address: ZSlt( /7 / - cr
Hood with exhaust and duct f $14.50 $
City: S,PR/NG,I ,o State: CR ZIP:97777 Floor furnace including vent $80.00 $
Phone: ( / 337- W 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 $
CONTRACTOR INSTALLATION J Compressor/absorption system/heal pump
Business name: Red,gcek reycpat:nai Up to 3 hp/1500 13 $18.50 $
"7 Up to I5 hp/500k BTU I $32.00 $
Address: Nti9 cery,,,„„et Up to 30 hp/1.000 BTU $47.50 $
City: 524Y6-E7�i)_f StateO/2_ Z P75/77 Up to 50 hp/1.750 BTU $62.50 $
Phone: cly 729-1/3 Fax: - - Over 50 hp/1,750 I3'I'U $104.50 $
E-mail: - .b- marl ca P'1 Incinerators J ;
Domestic incinerator $22.50 $
CCB license no.:
Commercial
Prin •- - '2P✓ S'uat22 I ML '/h{ Enter total valuation of mechanical system
( -� and installation costs$
signature: C
���� /r/� Enter fee based on valuation of mechanical system.etc. $
/ ' Miscellaneous fees Items east Total
Reinspection $80.00 $
Specially requested inspections(per hr.) $80.00 $
Regulated equipment(unclassed) $14.50 $
Each additional inspection:(I) $80.00 $
APPLICANT USE
(A)Enter subtotal of above fees(or enter set cro
minimum fee of $80.00) $ li(]l
(B)Investigative fee(equal to[Al) $
(C)Enter 12%surcharge(.12 x[.A+BJ) $ /D 8S
(D)Seismic fee, 1%(.01 x[Al) $
(E)Technology Fee(5%of[AJ) $ I( S_—
440-2545-J(4/I/2013/COM) TOTAL fees and surcharges(A through E): $ OS