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HomeMy WebLinkAboutPermit Mechanical 2013-8-6 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ill ` -`' Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01763 www.springfield-cr.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 08/06/2013 EXPIRES: 02/01/2014 STATUS DATE: 08/06/2013 APPLIED: 08/06/2013 SITE ADDRESS: 4536 CAMELLIA ST,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702324304001 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Ductless heat pump OWNER: COBARRUBIA PETER&WENDY Phone Number: ADDRESS: 35643 CAMP CREEK RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor CHRISTOPHER DANIEL STEWARD COB 199906 05/20/2015 541-525-7214' 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. • r _ 019706//7 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility - NOTICE: • Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK it OAR 932-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT i You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR _ :.-itim. (Fate: the teleph:: r, - . IPility Notification ANY 180 DAY PERIOD. '-2344). Springfield Building Permit 8/6/2013 3:50:23PM Page 1 of 1 SPRINGFIELD '- CITY OF SPRINGFIELD ,s-• 225 Fifth St ` EGON TRANSACTION RECEIPT Spnngfield,OR 97477 rr\ 541-726-3753 811-SPR2013-01763 www.springfield-or.gov 4536 CAMELLIA ST permitcenter©spnngfield-or.gov RECEIPT NO: 2013001718 RECORD NO:811-SPR2013-01763 DATE:08/06/2013 pil igi ;i 0 -4-17 -12.;la ..- . LT.M&>g o CODE/TRANS CODE = . Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CIITY1C}P S�'RINGEIEt1 'OMO$N t, Permit no.: +tea .. ,:. 4�cc `�,/"/1 3 225 Fifth Street•Springfield,OR 97477 • PI Itc41)T6 3753 • FAX(541)726-3689 1p OREGON 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. CATEGORY OF CONSTRUCTION FEE SCHEDULE 171-Residential I ❑Government ❑Commercial Residential Qty. Cost Total ea. cos[ JOB SITE INFORMATION AND LOCATION First Appliance ( , $80.00 ' $ Job site address: LL, Furnace/burner including ducts and vents 536 �LlM2-��tG� sr City:57f1` �,/d State:Qp. ZIP:Q7'/7� Up to IOOk B'fU/hr. $18.60 $ Over 100k BTU.hr. $22.00 $ Reference: Taxlot.: - Heaters/stoves/vents DESCRIPTION OF WORK ORK / Unit heater $18.50 $ ,P., ,v/t (kb. vci tc- A SS em T V V flume woodipellet/gas stove/flue $42.00 $ n Repair/alter/add to heating appliance/ /An 5 �� refrigeration unit or cooling system/ $80.00 $ PROPERTY OWNER absorption system Name: t... ed, y to Co o f r U Evaporated cooler $14.50 $ C 3 S6 /3 Cc C c ek p ) Vent fan with one duct/appliance vent $10.00 $ Address: G VAC ('� P Hood with exhaust and duct $14.50 .$ City: LQs. rna cexa State:0oe ZIP:q 7e/78 Floor furnace including vent $80.00 $ Phonectiteya aags Fax: - - Gas piping E-mail: [V /.n 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 Compressor/absorption system/heat pump Business name: N u ti....\4\p2_ -ke-c...-∎ t 1-(,Uc`\r`Ct Up to 3 hp!I OOk BTU I $32.00 $ J } Up to 15 hp/500k.BTU Address: �,v,. \\‘ Up to 30 hptl.000 ETU .- ( $47.50 $ City:Spr\c.mgrl A 6. State:(3 ZIP:4)1,07 Up to 50 hp/1.750 BTU $62.50 $ Phonecqi-sus-7a1y Fax:N7A— Over 50hp/1.750BTU $104.50 f $ E-mail.nv Wa.ve_v-'ooc. 11J2 Co% 1 ■ Incinerators __ Domestic incinerator $22.50 $ CCB license no.: \A Ck OO 0 b Commercial Print name: on.::: S S' 1- 64-8 Enter total valuation of mechanical system �/ ��� , and installation costs$ Signature: ............94....a_________ Enter fee based on valuation of mechanical system,etc. $ Miscellaneous fees Items Cost Total ea. cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50 $ Each additional inspection:(1) $80.00 $ -APPLICANT USE (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]) $ (0)Seismic fee, I%(.01 x[A]) $ . (E)Technology Fee(5%of[A]) ' $ 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through C): $7Y---c")