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HomeMy WebLinkAboutPermit Mechanical 2013-10-11 SpRINGFIELfx 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 $y Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-02284 wvrx.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/11/2013 EXPIRES: 04/09/2014 STATUS DATE: 10/11/2013 APPLIED: 10/11/2013 SITE ADDRESS: 1631 VERA DR,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703243103800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: DHP • OWNER: EMMETT JEFF&LEAH Phone Number: ADDRESS: 1631 VERA DR 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 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. (c7 /tr r Owner or Contractor Signature Date (((// • • ATTENTION: Oregon law requires you to �:�TQfvE: follow rules adopted Those by the rules Oregon set 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 OOSO. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR calling the center. (Note: the telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). • • Springfield Building Permit 10/11/201 1:25:46PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St its TRANSACTION RECEIPT Spnnggeld.OR 97477 OREGON 541-726-3753 811-SPR2013-02284 wwwspringfeld-or.gov 1631 VERA DR permitcenter©spnngfield-or gov . RECEIPT NO: 2013002269 RECORD NO:811SPR2013-02284 DATE: 10/11/2013 je7 .YM:7I:Ytl[o1;E,e<',, -;.. ffa v i 7:7NfileirAtt.li ACCOUNT,CODEFIRANSCODE*- 8."rflilr AMOUNT.DUE'i 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 f PAYMENT TYPE P.AYORt cas iIEri:LLARSON--',--1-1r:1"" ,; COMMENTS `1, :&_- . AMOUNT PAID-:_2I .,_=__l; Credit Card EMMETT JEFF&LEAH 93.60 202365 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY a CITY OF SPRINGFIELD, OREGON Permitno.: 8(( Zo(3 O2Z„tit IA- 225 Fifth Street •Springfield,OR 97477• PH(541)726-3753 • FAX(541)726-3689 SPRINGFIELD ty / \OREGON Date: / o///! i 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 'Residential ['Government ❑Commercial Residential Qty. cast Total JOB SITE INFORMATION AND LOCATION First Appliance f $80.00 $ 60 Job site address: /(Sf VE R.4 bR, • Furnace/burner including ducts and vents City:3p ' State: 02 ZIP: antra Up to IOOk BTU/hr. = 'fS50'S ---- Over 100k BTU/hr. $22.00 $ Reference: Taxlot.: • • Unit Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 $ iUEt J b c:rLEss AQmo=-S'R3T siert Wood/pelleUgas stove/flue $42.00 $ Repair/alter/add to heating appliance/ ] refrigeration unit PROPERTY OWNER absorption orcoolingsystenU $80.00 $ Name: ZNEFF Cvivne'- Evaporated cooler $14.50. $ Vent fan with one duct/appliance vent $10.00 $ Address: 1631 U2 2Q ThQ Hood with exhaust and duct $14.50 $ . City: bPrt..D State: OQ ZIP: 1717 Floor furnace including vent $80.00 $ Phone: 541 no '508 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 $ CONTRA TOR INSTALLATION Compressor/absorption system/heat pump Business name: Up to 3 hp/IOOk BTU $18.50 $ Up to 15 hp/500k BTU $32.00 $ Address: Up to 30 hp/1,000 BTU $47.50 $ City: State: I ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator I 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. $ Miscellaneous fees Items Cost Total ea. cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ 11( Regulated equipment(unclassed) $14.50 $ !I Each additional inspection:(I) $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]) $ (D)Seismic fee, I%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ • 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $73.C O