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Home My WebLink AboutPermit Mechanical 2013-9-27 SPRINGFIELD 225 Fifth St • A CITY OF SPRINGFIELD Springfield,OR 97477 iC l Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02179 www.springfieldor.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 09/27/2013 EXPIRES: 03/26/2014 STATUS DATE: 09/27/2013 APPLIED: 09/27/2013 SITE ADDRESS: 1513 MILL ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703263300100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install Gas line extension to kitchen from garage for furnace OWNER: STUCKMEYER STEVEN L Phone Number: • ADDRESS: 1513 MILL ST SPRINGFIELD OR 97477 - CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED 1 - Inspections 2250 Gas Piping • 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 _ coL.. l i --2) • • Owner or Contractor Signature Date - - NOTICE: . THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility. Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR . in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification • Center is 1-800-332-2344). Springfield Building Permit 9/27/2013 2:11:23PM Page 1 of 1 • SPRINGFIELD °= CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfeld,012 97477 • OREGON 541-726-3753 811-SPR2013-02179 vrvnv.springfield-or.gov 1513 MILL ST permitcenter @spnngfield-ar.gov RECEIPT NO: 2013002160 - RECORD NO: 811SPR2013.02179 _ DATE:09/27/2013 DESCRIP_TIONIz s ' .,:10.::� . -IV. 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 �S�4P.AYMEiAITwYPE� ,,�' P.AYORASxIeR:"15�uits`oN" - COMMENSAv �� AMgUNT1PAID;�. Check STUCKMEYER STEVEN L µ 93.60 286 TOTAL PAID: 93.60 • • Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD Permit no.: OZI .� OF SPRINGFIELD, OREGON K �/i Zd/3 77 225 Fifth Street♦Springfield,OR 97177 •PIt(541)726-3753 • FAX(541)726-3689 '= 1�...0 y/Z sOREGON Date: This permit is issued under OAR 918-440-0050.Permits expire if work is nut started within 180 days of issuance or if work is f suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE Residential I ❑Government ❑Commercial Residential Qt Cost Total• } ea. cost • JOB SITE INFORMATION AND LOCATION First Appliance I . $80.00 $ 8Q / 573 Ant ' t` I r'e .1 Furnace/burner including ducts and vents lob site address: 573 ,11 ZKI, City:sJil M,�t State ZIP: ??Y77 Up to 100k H"fU/lv. $18.50 $ / �J Over 100k BTU/hr. $22.00 $ Reference: I Taxlot.: Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 $ enCiC //jei ede/ 101, k /'C-0.n,J/ (�i -'fb Wood/pellet/gas stove/lue $42.00 $ / 41;^-,....p Repair/alter/add to heating appliance/ GG t 4 (ygc4 �a1 ra-_e refrigeration unit or cooling system/ $80.00 $ 'PROPERTY WN absorption system Name:15ie$(tc c!aCc4le yew Evaporated cooler $14.50 I $ Vent fan with one duct/appliance vent $10.00 $ Address: /Se to�( ( -. 5-(7-re-4- Rood with exhaust and duct $14.50 I $ City: �n e(i. State: eK I ZIP: 77y77 �f S / Floor furnace including vent $80.00 S Phone: / Z� 703 Fax: - - Gas piping E-mail: s fv t-eyef-Q firalr C0 A'2- One to four outlets $7.50 S 730 . 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 CEM $12.00 $ Signature:. �,., i Over 10,000 CFh-I $22.00 CONTRACTOR INSTALL ION Compressor/absorption system/heat pump Business name: Up to 3 hp/100k BTU $18.50 $ . Up to 15 hp/500k BTU $32.00 $ Address: . Up to 30 hp/1,000 BTU I $47.50 $ City: State: ZIP: Up to 50 hp 11.750 BTU $62.50 I $ Phone: - - Fax: - - Over 50 hp/1.750 BTU $104.50 I $ E-mail: Incinerators Domestic incinerator I $22.50 I $ CCB license no.: Commercial Print name: Enter total valuation of mechanical system and installation costs.$ Signature: Enter fee based on valuation of mechanical system,etc. S Miscellaneous fees Items Cost Total • ea. cost Reinspection $80.00 $ Specially requested inspections(per hr.) 580.00 $ Regulated equipment(unclassed) $14.50 $ • Each additional inspection:(I) $80.00 $ APPLICANT USE . (A)Enter subtotal of above fees(or enter set _ minimum fee of$80_00) S$7S l) (13)Investigative fee(equal to[A]) $H7s`, ZU (C)Enter 12%surcharge(.12 x[A+131) $ 21.W M , (D)Seismic fee, 1%(.01 x [A]) 5 O. ge I (E)Technology Fee(5%of[Al) $G'375 410-25154(4/1/2013/COM) TOTAL fees and surcharges(A through E): a&tv- _ 2 3—