The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2013-11-1 SPRINGFIELD• 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02433 www.springfield-or.gov permitcenter@springfeld-or.gov • PROJECT STATUS: Issued ISSUED: 11/01/2013 EXPIRES: 04/30/2014 STATUS DATE: 11/01/2013 APPLIED: 11/01/2013 SITE ADDRESS: 136 B ST,Springfield,OR 97477 SCOPE: Wood Stove/Insert ASSESOR'S PARCEL NO: 1703352313100 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Wood Stove OWNER: MITTLEIDER DONNA&LYNDEN Phone Number: • ADDRESS: 311 MILL ST • SPRINGFIELD OR 97477 _ CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor DANIEL E TETZLER CCB 48631 11/08/2014 503-345-7909 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 i located at the front of the property,and the approved set of plans will remain on the site at all times during construction. • ( 4.4v iy Owner or Con recto gnature Date • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility iOTECE: Notification Center. Those rules are set forth I HIS PERMIT SHALL EXPIRE if THE WORK in OAR 952-001-0010 through OAR 952-001- 1UTHORIZED 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 ANY 180 DAY PERIOD. number for the Oregon Utility Notification Center is 1-800-332-2344). • Springfield Building Permit 11/1/2013 2:38:08PM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St TRANSACTION RECEIPT Spnngfield.oR 97477 OREGON 541-726-3753 811-SPR2013-02433 www.springfield-cr.gov 136 B ST permitcenter @spnngfleld-or.gov RECEIPT NO: 2013002411 RECORD NO:811-SPR2013-02433 DATE: 11/01/2013 S I'. O �� .� r £ g-5.';..732:,46COUNT CODElLRANSICODE �=.?_`>.2 AMOUNTiDUE 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 'PAYMENT—TYPE'S s,PAYOR: -CnSHiEa•- iisOr+ r';.' F?"COMMENTS =z>•"a" :iL: � AMOUNTi.PAID ? -,u %Vty.i:; Credit Card CALEB FJARLI 93.60 835132 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY w: N--"4i a,,, y SPRINGFIELD — C'ITYO '$PRIIYGFIELD OREGON Permit no.: S(3 - 2 (33 F4 "CI TN; LRSP 225 Fifth Street•Springfield,OR 97477 • P11(541)726-3753 • FAX(541)726-3689 "-=\oaeGoN Date: f(/ ( / 1 3 ( t 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 ❑Goverment ❑Commercial Residential Qty_ Cost Total ea. c�ns.t,l JOB SITE INFORMATION AND LOCATION First Appliance / $80.00 $ XO Job site address: 1.-t 4, IS S-F-ree ,-I-- Furnace/burner including ducts and vents City: S1rtv1J 1-FiGjel State: &l ZIP:T)O47, Up to IOOkBTUPoi $18.50 $ 1 Over 100k BTU/Im $22.00 $ Reference: I Taxlot.: Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 $ Ins-i-A.11.II 0. IWb64<At) Woodipellet/gasstove/flue $42.00 $ J Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ PROPERTY I OWNER absorption system Name: n app /-1 t TTtc t Evaporated cooler $14.50 $L. l I 1 (' �( (G�,� Vent fan with one duct/appliance vent $10.00 $ Address: 'T Hood with exhaust and duct $14.50 $ City: rah hetKi State: a� ZIP: 17` )7 Floor furnace including vent $80.00 $ Phone: ( A7 7 Fax: - - Gas piping E-mail: One to four outlets $7.50 $ This installation is beine 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 $ Si mature: Over 10;000 CFM $22.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heat pump • D�,liaCk E e4-2, j,.t2 Up to 3 hp/100k BTU $18.50 $ Business name: Up to 15 hp/500k BTU $32.00 $ Address: ? O CL 1 .2_,G(, IC, W OV1 R UP to 30 hp/1,000 BTU - 1 $47.50 $ City: ,E'q State.a 1'=, I ZIP: 417yt0,C Up to 50 hp/1,750 BTU .$62.50 $ Phone}S)D 77 ca I Fax: - - Over 50 hp/1.750 BTU $104.50 $ Email: Incinerators Domestic incinerator $22.50 $ CCB license no.: 4 6'A ,y� Commercial Print name: i3 z Ier Enter total valuation of mechanical system and installation costs$ Signature: 4a% �J,? t 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.) $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) $ M (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ q63 (D)Seismic fee, l%(.Ol x[A]) $ . (E)Technology Fee(5%of[Al) $ 9_ 7 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 936&