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HomeMy WebLinkAboutPermit Mechanical 2013-12-19 SPRINGFIELD 225 Fifth St • ' CITY OF SPRINGFIELD Springfield,OR 97477 I coot Phone: 541-726-3753 SPA \OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02706 www.springfield-or.gov perrnitcenter @spring field-ar.gov PROJECT STATUS: Issued ISSUED: 12/19/2013 EXPIRES: 06/17/2014 STATUS DATE: 12/19/2013 APPLIED: 12/19/2013 • SITE ADDRESS: 844 RIVER KNOLL WAY,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703234311300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace gas water heater OWNER: HOWARD WAYNE D&KATHERINE F Phone Number: ADDRESS: 844 RIVER KNOLL WAY SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 L 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.�'p l,�L � °j4 / 2 !q'—!7 Owner or Contractor Signature Date utres you to P on ly t req Utiltt V�ORK ATTENTION Or g d by the Oregon Y • 4OIIOW rules adopt h Oar 952-001- ��Q[AGE: ��EXPIRE IF 1NT 1S N0� Notifipatton Center. Those rules are rules th TI{IS PERMIT SHP ER iv*A��NED FOR In OAR 952"--,:1 0010 through O You maObtain copies of the r by ���THpR1ZED 0090. Note'. the telephone UO IS A calling the center. (on Utility Notification COALMEN D PY PERIOD number for the Oreg ANA 180 Center Is 1-800-332-2344). Springfield Building Permit 12/19/201 10:26:50AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD • 1 oi�. 225 Fifth St `` ``'OR"6GOH TRANSACTION RECEIPT Springfield,OR97477 541-726-3753 811-SPR2013-02706 www.springfield-or.gov 844 RIVER KNOLL WAY permitcenter @springfield-ocgov • RECEIPT NO: 2013002707 RECORD NO:811-SPR2013-02706 DATE: 12/19/2013 IDESCRIPTION - _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 9.60 Technology fee(5%of permit total) 100-00000-425605 2099 - 4.00 - -- ------- - TOTAL DUE: 93.60 LPAYMENT TYPE PAYOR ' CASHIER:CCARPENTER • _COMMENTS _ - __ __AMOUNT PAID • : i Cash HOWARD WAYNE D&KATHERINE F _ 93.60^ TOTAL PAID: 93.60 • • Mechanical Permit Application DEPARTMENT USE ONLY 1.5%,,,,?:_-- ,ae?: 1 •F ,.A*:;; '2:1-'1 s :.:. 2, r SP1IiJGPIELO �OL70 6 CITE OF, SPyR GFE ORE ONE' „, ~_ Permit no.:5/� 225 Fifth Street • Springfield OR 97477• P11(541)726-3753 • FAX(54I)726 3689 � " OREGON D{1iq: l ' This permit is issued under OAR 918-440-0050. Permits expire if work is not started within(18_0 clays of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE Itesiticntial ❑Government ❑Commercial Residential Qty, Cost Total ea. cost JOB SITE INFORMATION AND LOCATION First Appliance ( $80.00 $ Job site address:67 41 gl r52 k_n o�f Furnace/burner including ducts and vents Up to 10(1k BTU/hr. $18.50 $ City: SIOI �� 'D StaLlf: / 77 I, Over look B-run, . $22.00 $ Reference:'7b3 13 'I 3 Taxlot.:l/30 O Heaters/stoves/vents ������ DESCRIPTION OF WORK Unit heater $18.50 $ qq � eitie4ce' t. 4-r&2 //mire✓_ Wood/pellet/gas stove/flue $42.00 S Repair/alter/add to heating appliance/ ' -- refrigeration unit or cooling system/ $80.00 $ PROPE TY•' OWNER absorption system Name: WIWI-Q., bow Evaporated cooler $14.50 S Address: $ti- vet Litt.- jr{0 LL w t`( Vent fan with one duct/appliance vent $10.00 S SICCLK6-f Hood with ce including duel $14.50 S City: ��i.L�/ State: ��. ZIP: 97 Floor furnace including vent $80.00 $ Phone5tfc 7� /7116 Fax: - �p- Gas piping E-mail: W/ryr-f4j/su 3tp SO Q l_ °L GU^'x- One to four outlets $7.50 S This installation is being made on property owned by me or a Additional outlets(each) $4.50 S member of my t ,mediate family, and is exci from licensing Air-handling units, including duets requirement a dl RS,791. I Q'. GL �// Upto 10.000 CF61• $12.00- Signature: r'7"/�(/'7/�(f/�1y9'�,'f'/ over 10.000 UM $22.00 S CONTRACTOR INSTALLATION Compressor/absorption system/heat pump ���� Up to 3 lip/100k BTU $18.50 Business name: --- --- Up to 15 hp/500k BTU $32.00 $ Address: Up to 30 hp/1.000 BTU $47.50 S City: State: LIP: Up to 50 hp/I.750 BTI I $62.50 $ Phone: - - Fax: - - Over 50 hp/1;750 11Th $104.50 $ E-mail: Incinerators - Domestie incinerator 522.50 $ CCB license no.: Commercial Print (tame: _ Enter total valuation of mechanical system and installation costs$ Signature: ._ _...._..-.... Enter fee based on valuation of mnehanical system,etc. $ Miscellaneous fees Items t-oil Total ea. cost Reinspectioit $80.00 $ Specially requested inspections(per hr.) $80.00 S Regulated equipment(uuclassed) $14.50 $ • ' Each additional inspection:(I) $80.00 S APPLICANT USE (A)Enter subtotal of above fees(or enter set minimum fee of $80_00) PrO (B)Investigative fee(equal to[A]) $ (C)Goer 12"/surcharge(.12 x[A+BI) $ (B)Seismic fee. I%(01 x [Al) $ (E)Technology Fee(5%of[A]) --$ ------� • / 440.2545.1(1/1/2013/CONI) TOTAL fees and surcharges(A through Ej: $ .7 6 o