Loading...
HomeMy WebLinkAboutPermit Mechanical 2013-12-2 • SPRINGFIELD 225 Fifth St t ' CITY OF SPRINGFIELD Springfield,OR 97477 ' * Phone: 541-726-3753 r:OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02587 www.springfield-ocgov permitcenter©springfield-or.goy PROJECT STATUS: Issued ISSUED: 12/02/2013 EXPIRES: 05/31/2014 STATUS DATE: 12/02/2013 APPLIED: 12/02/2013 SITE ADDRESS: 717 10TH ST,Springfield,OR 97477 SCOPE: Wood Stove/Insert ASSESOR'S PARCEL NO: 1703351106500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Wood stove install . OWNER: VIRGIL&MARILYN STANLEY TRUST • Phone Number: ADDRESS: 717 10TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08101/2025 INSPECTIONS REQUIRED II 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. - ' H A a!!.;---41- /001/45 Owner or ontractor Signature Date ATTENTION', Oregon few requires reQon \-)1"1 ty follow rtales adopted boy ehY i s are set forth c Oentp010 through OAR 952-001- Notification 001- ;es of the rules by in 0,-..,;952 obtain cop. RTFCE: 0090. ou may ter. (Note. the telephone catlmg the center.()regon Ut"91 Notification 23aa), ,"HIS PERMIT SHALL EXPIRE IF THE WOR number for center els t-800-332 3 UI HORIZED UNDER THIS PERMIT IS NOT OMMENCED OR IS ABANDONED FOR "JY 180 DAY PERIOD.. Springfield Building Permit 12/2/2013 8:51:03AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD + .iaa. 225 Fifth St �o OREGON TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2013-02587 www.springfield-or.gov 717 10TH ST permitcenter @springfield-or.gov RECEIPT NO: 2013002577 RECORD NO:811-SPR2013-02587 DATE: 12/02/2013 DESCRIPTION - ACCOUNT_CODEITRANSCODE' 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 TOTAL DUE: 93.60 - - . AMOUNT PAID '.m PAYMENT_TYPE- .PAYOR_cnsriiER:DSOwLSer ;- COMMENTS . - Check � VIRGIL STANLEY&MARILYN STANL 93.60 322 TOTAL PAID: 93.60 • Mechanical Permit Application DEPARTMENT USE ONLY ,O c, "Ril"FIEO .y'CITYESPRINGFIELII IREGON x Permit no.: s/3 _0 tS87 • t-_‹ `jil ��j� 225 Fifth Street♦ Springfield,OR 97477 • P1-1(541)726-3753 • FAX(541)726-3689 ..yOReGON Date: /2 — i 3 This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180(lays of issuance or if work is suspended for 180 days.. CATEGORY OF CONSTRUCTION • FEE SCHEDULE Residential ❑Government ❑Commercial Residential Qty. Cea.ast Tobd cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: 7/7 /Om 5 t Furnace/burner including ducts and vents City: Sri -/fe/Gr State: Or ZIP: ffyy77 Up to I(l0A B'ftJ!hr. $18.50 Over IOOk BTU/hr. $22.00 S Reference:' 03 3 1( I Taxlott6c 6O Heaters/stoves/vents / 5-/We OF WORK Unit heater I $18.50 .S Wood 5-/We -NSTUJ/ o eUgas stove/flue / $42.00 $ tepair/alter/add to heating appliance/ 1 refrigeration unit or cooling system/ $80.00 S PROPERTY OWNER absorption system Name: /G ,! e- $im.z/ey' Evaporated cooler $14.50 S 7/ / eSt Vent fan wilt one duct/appliance vent $10.00 S Address: /7 G Hood with exhaust and duct $14.50 S City: 5 rte/,4,e/c/ State:&7o ZIP: 9'7/77 Floor furnace including vent $80.00 S Phone: sj-✓f/ 74{/-7d5/ Fax: - - --... Gas...piping E-mail: V3IoM k' a.D G/hnces/ Chu i One to four outlets $7.50 $ This installation is being made of property owned by me or a Additional outlets(each) $4.50 $ member of my mu ediate family, and is exempt from licensing Air-handling units, including ducts requirements undo OR 01.010. Up to 10.000 CFM $12.00 S Signature: .. Over 10.000 CFM $22.00 S CON ACTOR NSTALLA- N Compressor/absorption system/heat pump Up to 3 hp/IOOk BTU $18.50 $ Business name: bC+✓/keeK- Up to 15 hp/SOOk BTU $32.00 $ Address: Up to 30 hp/1,.000 Bill 547.50 S City: Stale: ZIP: tIp to 50 hp/1,750 BM 562.50 $ Phone: - - Fax: - - Over 50 hp/1.750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCB license no.: Commercial Print name: Enter total valuation of mechanical system suet installation costs$ Signature: Enter lee based on valuation of mechanical system.etc. $ 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 S APPLICANT USE (A)Enter subtotal ^ eess(or enter set S minimum fee r '. 80.00 $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Seismic fee. 1%(.01 x [A]) $ (tit Technology Fee(5%of[A]) $ �O 440.2545-.I(4/I/2013/COM) TOTAL fees and surcharges(A through E): $