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HomeMy WebLinkAboutPermit Mechanical 2013-10-16 • SPRINGFIELD----. 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ' `- I Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02307 W'Av.springfield-or.gov permitcenter @springfield-or.gav • PROJECT STATUS: Issued ISSUED: 10/16/2013 EXPIRES: 04/14/2014 STATUS DATE: 10/16/2013 APPLIED: 10/16/2013 SITE ADDRESS: 1098 D ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703351408100 TYPE OF STRUCTURE: Residential • PROJECT DESCRIPTION: Duct less heatpump OWNER: WESTMORELAND INVESTMENTS LLC Phone Number: ADDRESS: 85985 BAILEY HILL RD EUGENE OR 97405 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor CHRISTOPHER DANIEL STEWARD CCB 199906 05/20/2015 541-525-7214 L. INSPECTIONS REQUIRED • Inspections 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 th fr nt of the property,and the approved set of plans will remain on the site at all times during constr ction. la �/G / /j 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 in OAR 952-001-0010 through O.AR 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 telephone number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/16/201 9.21:09AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD kir r1 225 Fifth St eat TRANSACTION RECEIPT Springfield,OR97477 ic OREGON REGON 541-726-3753 811-SPR2013-02307 www.spdngfield-or.gov 1098 D ST permitcenter©spdngfield-or.gov RECEIPT NO: 2013002289 RECORD NO:811-SPR2013-02307 DATE:10/16/2013 DESCRIPTION 're _ s�" 'ua"_`%s ,C .; ,rz _ ._[_ .. «_'- L' o• A RANS CODE iS ::; AMOUNT DUE 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 u� TOTAL DUE: 93.60 KarAYMENTifi Ey. P,AYOR cnsw .i asEN" COMMENTS AMOUNTAPAID . Check CHRISTOPHER DANIEL STEWARD 93.60 513 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD.7."-‘'' _. 'rr ; CITY OF SPRINGFIELD OREGPONt,� 4 °` permit no.:�i - Z 307 225 Fifth Street • Springfield,OR 97477 • PII0411726-3753 • FAXU40726-3689 'A OREGON Date: /0/re /1 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 XResidential [0 Government ❑Commercial Residential Qty. Cost Total ea. cast JOB SITE INFORMATION AND LOCATION First Appliance (' $80.00 $ P.CD Job site address: /6 9 8 ✓) Furnace/burner including ducts and vents City: s/Se State: Or ZIP: 973/'7 Up to 100k BTU/hr. $1 a.50 Over 100k BTLI hr. $22.00 $ Reference: Taxlot.: Heaters/stoves/gents DESCRIPTION OF WORK _ Unit healer _ $18.50 it 7)7)14, a Wood/pellet/gas stove/Ilue-----.----- $42.00 $ Repair/alter/add to healing appliance/ refrigeration unit or cooling system/ $80.00 S PROPERTY OWNER absorption system Name: &/ 5rrn10 ^!aA_(7 lI 1.1 Evaporated cooler $14.50 $ Vent fan with one duct/appliance vent $10.00 S Address: Si'!^yF S7G tom/ L[- f��� IJ JJ '( 97 Hoof with exhaust and duel $14.50 S City: E &6 Slate: �--L ZIP: 7 / Sccr Floor furnace including vent $80.00 S Phone: - - Fax: - - Gas piping E-mail: One to lour outlets ill $7.50 $ S 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 CFMI $12.00 $ Signature: Over I0.OUt0 CI'M S22.00 S . CONTRACTOR INSTALLATION Compressor/absorption system/heat p mp • Business name: , 9Q gig: 42-Ti/r,"1"), IJp to; hp!IOOk B I'IJ / $18.50 $ �U� (// Up to 15 hp/500k r r U $32.00 $ Address: (Jp to 311 hp/1,0tlO B'f1J $47.50 S City: 5/2/.i Stale: Ch/V ZIP: 97/-7-7 Up to 50 hp/1,750 BTU 562.50 S Phone: (- "- So?c7 [G/ F_a s:Sq( - 74/7 (9 D Over ero h p/I.7 5U...-.BTU $104.50 $ . E-mail: Fueft, ��O/ P 4/N[C ic m Q I n iIc rators -- Domestic incinerator 522.50 $ CCB license no.: `en jQ.a Commercial ' Print name: /...4.±,-re C' U/ ( Enter total valuation of mechanical system Signntu ■��� , . and installation costs$ Enter fee based on valuation of mechanical system.etc. S - Miscellaneous fees Items Cost 'total ea. COO Reinspeetion $80.00 $ Specially requested inspections(per hr.) $80.00 $ - Regulated equipment(unclassed) .$14.50 $ Each additional inspection(I) $80.00 S APPLICANT USE (A)Enter subtotal of above fees(or enter set minimum lee of $80.00) $ 70 (B)Investigative fee(equal to[Al) $ (C)Enter 12%surcharge(.12 x IA+BI) $ SO ID)Seismic fee. 1%(.01 x [Al) $ (F.)Technology Fee(5%of[A]) $ UCF: 440-2545-1(4/1!2013/COM) _1 O I AL fees and surcharges(A through IL): $ ��-