HomeMy WebLinkAboutPermit Mechanical 2013-10-7 • SPRINGFIELD• 225 Fifth St
'`' CITY OF SPRINGFIELD Springfield,OR 97477
,;'� Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02237
www.spnngfield-crow permitcenter @spnngfield-or.gov
PROJECT STATUS: Issued ISSUED: 10/07/2013 EXPIRES: 04/05/2014
STATUS DATE: 10/07/2013 APPLIED: 10/07/2013
SITE ADDRESS: 1867 17TH ST,APT#C,Springfield,OR 97477 SCOPE: Wood Stove/Insert
ASSESOR'S PARCEL NO: 1703252403800 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Wood stove
OWNER: PAUL KWAKE TRUST Phone Number:
ADDRESS: PO BOX 238
CHESHIRE OR 97419
CONTRACTOR INFORMATION .
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor OWNER CCB 000000 08/01/2025
INSPECTIONS REQUIRED
Inspections
2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation. •
Stove
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 1. A Date
NOTICE:
follow
ATTENTION:
s adopted law requires you to
- THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center Those rules ageset forrth
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952.001-0070 through
COMMENCED OR IS ABANDONED FOR • 0093 You may obtain of if the es b
ANY 180 DAY PERIOD. calling the center. (Notei the telephone y
number for the Oregon Utility Notification
Center is 1-&00-332-L344).
Springfield Building Permit 10/7/2013 1:28:10PM Page 1 of 1
•
• SPRINGFIELD CITY OF SPRINGFIELD
;1} ., TRANSACTION RECEIPT 225
R97477
OREGON 541-726-3753
811-SPR2013-02237
•
www.springfieldor.gov 1867 17TH ST.APT C permitcenteraspringfield-or.gov
RECEIPT NO: 2013002223 RECORD NO:811-SPR2013.02237 DATE: 10/07/2013
DESCRIPTION EJ 'x e 3'
t ..`':,� '�'° y'I .+,�_.1,F`s:.s'3e=-:'ACCOUNT°.CODERRANS o � _.�°:—�7a'..AMOUNTe -i...,
Mechanical Permit fee(based on value of work) 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
!PAYMENTtTYPE�` PAYOR casHiERa ccarseEN7eR, _�_ "COMMENTSi`e �''� Wn��'?MOUNTiP,/11D -�=��„®,
Check PAUL KWAKE TRUST 93.60
2192
TOTAL PAID: 93.60
• Mechanical Permit Application DEPARTMENT USE ONLY
4 k a t 1p t ,w, SPRINGFIELD
CITY OF SPRINGFIELD ,-414.141440/144.4 REGON I. ^' Permit no.:
Sri —�77
x „ v, , . 9 e
.�t� '-'7
225 Fifth Street • SpnnJield,OR 97477 • PH(541)726 3753 • FA`(541)726 3689 !+�' OREGON Date: "0/7//5 •
•
This permit is issued under OAR 918-440-0050. Permits expire if wort: is not started within 180 clays of issuance or if work is
suspended for 180 days.
CATEGORY OF CONSTRUCTION FEE SCHEDULE
❑ Residential ❑Government Commercial Residential Qty. Cult Total
_ ea. cost
JOB SITE INFORMATION AND LOCPTION First Appliance $80.00 $
Job site address:/ g1/ Furnace/burner including ducts and vents
.1 Up City: 5 „jV eij State: 1 ZIP: Y Over to IO k H9'll/hr. $18.50
`� Over I00k ISTU/hr. $2290 S
Refere ce: '---�_e c._K A .j
Tula(
Hrdcrslslovcs/rents
DESCRIPTION OF WORK._-_ Unit heater ... $18.50 $
1y a RITIc Wood/pellet/gas stove/flue $42.00 $
Repaid;dtcr/add to heating appliance/
rclrigerat ion unit or cooling system/ $80.00 S
PROPERTY OWNER absorption system
Name:FA eq /�, pl A_,4 Evaporated cooler $14.50 S
r
Address: / � ..-r
�7 /��// Q l 5 Vent fan with one duct/appliance vent $10.00 S
I ^� 7/,Z7
Hood with exhaust and duet $14.50
City: cf��I, G�e late: C/�1
ZIP. Floor furnace including vent $80.00 S
Phone: - 1 - Fax: - / - Gas piping .
E-mail: One to four outlets $7.50 S
This installation is be'ng made on pn,erty • led by me or a Additional outlets(each) $4.50 S
member of my a�y�ne - milt' c ' >Apt from licensing Air-handling units, including duets
requirements/�%