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Home My WebLink AboutPermit Mechanical 2013-10-24 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 4 ^_`C Phone: 541-726-3753 • OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02372 www.springfield-or.gov pe rm itcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10/24/2013 EXPIRES: 04/22/2014 STATUS DATE: 10/24/2013 APPLIED: 10/24/2013 SITE ADDRESS: 1816 SWANK CT,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703264205700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Gas piping for water heater I Vent OWNER: ANDERSON JUDITH M Phone Number: ADDRESS: 1816 SWANK CRT SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor KEVIN COHEN PLUMBING INC CCB 176311 05/30/2015 541-607-9206 INSPECTIONS REQUIRED j 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 construction. • Owner or Contractor Signature Date ATTENTION: Oregon law requires you to /c/17-1-/ �P -\- C,JI follow rules adopted by the Oregon Utility , 1� { Notification Center. Those rules are set forth Ce, v d- NOTICE: in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK calling the center. (Note: the telephone AUTHORIZED UNDER THIS PERMIT IS NOT number for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD, Springfield Building Permit 10/24/201 1'27-.18PM Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD hir. 225 Fifth$t`O OREGON TRANSACTION RECEIPT 225E fh St 97477 541-726-3753 811-SPR2013-02372 www Spr199991d-or.gov 1816 SWANK CT permitcenter @springfield-or.goy RECEIPT NO: 2013002350 RECORD NO: 811-SPR2013-02372 DATE: 10/24/2013 [DESCRIPTION ACCOUNT CODE/TRANS CODE AMOUNT_DUE First Appliance Fee 224-00000-425604 1006 80.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80 Technology fee(5%of permit total) 100-00000-425605 2099 4.50 Vent for appliance other than furnace 224-00000-425604 1006 10.00 TOTAL DUE: 105.30 LPAYMENT®TYPE _-_ ,PAYOR' CASHIER:..JLARSON , COMMENTS ` ,;:' . AMOUNT PAID :' : Credit Card KEVIN COHEN PLUMBING INC 105.30 293035 TOTAL PAID: 105.30 • • Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD=� d c>4TY OF'SPRINGFIELDiOREGON , , = s - Pennit no et, 7 o/3 ot3l 7_ 225 Fifth Street • Springfield,OR 97,177 • PI 1(541)726 3753 • FAX(541)726-36g9 'a OREGON Date: /a 7Z`f/2 3 This permit is issued trader 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. Cost Total ea. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: /c...3/60 Sr.4...7c Furnace/burner including ducts and vents Up to 1 OOk BTU/hr. $18.50 $ City: S1�if State: 04 ZIP: q 7 ti le Over I00k BTU/hr. $22.00 $ Reference: I Taxlot.: Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 $ (-AS ]nyr- r f LJr✓ hL ✓ Wood/pellet/gas stove./flue $42.00 $ / Repair/alter/add to heating appliance/ ( v'�N� refrigeration unit or cooling system/ $80.00 $ PROPERTY OWNER absorption system Name: j,At jrix La,, r50,A Evaporated cooler $14.50 $ Vent fan with one duct/appliance vent 1 $10.00 $ Address: /6/& SWa� &- Hood with exhaust and.duct $14.50 $ City: f�ot/d State: o2 ZIP: (7 et-7-2 Floor furnace including vent $80.00 $ Phone: - - _ 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 $ CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Up to 3 hp/100k BTU $18.50 $ Business name: knit w cot ?I u .6 t sr` Up to I S hp!500k8Th I $32.00 $ Address: 4734 irri Up to 30 hp/1.000 BTU I $47.50 $ City: f e- State: ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phonef) -y'-&?/2-/ Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no.: /76,-"3// Commercial Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system.etc. $ _ Cost Total Miscellaneous fees Items ea. cost Reinspection 580.00 $ Specially requested inspections(per hr.) $80.00 $ 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) $ (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[Al) $ 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): S /04-1