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HomeMy WebLinkAboutPermit Mechanical 2013-12-23 SPRINGFIELD- • 225 Fifth St CITY OF SPRINGFIELD Sp ngfeld,OR 97477 % i Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02726 www.springfieldar.gov permitcenter @springfield-ar.gav PROJECT STATUS: Issued ISSUED: 12/23/2013 EXPIRES: 06/21/2014 STATUS DATE: 12/23/2013 APPLIED: 12/23/2013 SITE ADDRESS: 2066 G ST,Springfield,OR 97477 SCOPE: Heating System ASSESOR'S PARCEL NO: 1703361205500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Heat pump and furnace . OWNER: ALVAREZ ALEJANDRO ABARCA Phone Number: ADDRESS: 2066 G ST SPRINGFIELD OR 97477 - • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Y 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 inspe �r° -•1 ested at the proper time, that each address is readable from the street,that the permit card is located at-the r• perty, aid-the approved set of plans will remain on the site at all times during construction. � • • 12- 23- 1S Owner or Contractor Signature Date - . •(bbEZ ZEE 008'L s! laiva0 :' uo!veD 1UoN �i!I!1(1 U06a 0 atjl JO logwnu NOTICE: auoL!dajai eqi :OTON) 'fawao au1 6u j o THIS PERMIT SHALL EXPIRE IF THE WORK Aq sejnn eqi in sa!doo u!eigo tew no% '0600 AUTHORIZED UNDER THIS PERMIT IS NOT -L00-W UV() Orlon -L00 Uo! UNO u! ylaoi 1as are sajna asot!1 'aaiva0 uo!1so!140N COMMENCED OR IS ABANDONED FOR Aill4(1 ANY 180 DAY PERIOD. uoaiin a A AG oald°Pa Naha n.o!!oi of no/ saa!nbel Mel uo6aap :NOI1N311d • Springfield Building Permit 12/23/201 1:34:54PM Page 1 of 1 SPRINGFIELD' - CITY OF SPRINGFIELD ,, TRANSACTION RECEIPT Spnngfield,OR 97477 541-726-3753 OREGON 811-SPR2013-02726 www.spring5eld-or.goy 2066 G ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013002727 RECORD NO: 811-SPR2013-02726 DATE: 12/23/2013 10141g illia tlto Z - 5` ,•, >V 'r'I" ° CCOUNT CODEFTRANS?CODE. '`.i r-AMOUNTI&DUE First Appliance Fee 224-00000-425604 1006 80.00 Furnace-up to 100,000 BTU 224-00000-425604 1006 18.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 - 11.82 Technology fee(5%of permit total) 100-00000-425605 2099 4.93 TOTAL DUE: 115.25 .....�-�......T.... tg w� ...-..T a.:9f 31 AMOUNT FAIR l � P'AY,MENTm1YPE i-��".`�--s'PAYO�R .�casHie""n�.iia'RSOr' �="6`"., "COMMENTS.„•t' � .. � " `_ .. . Cash ALVAREZ ALEJANDRO ABARCA 115.25 TOTAL PAID: 115.25 Mechanical Permit Application DEPARTMENT USE ONLY 17'.- CITY OESPRING FIELD OREGONF U '_ y - Permit no.:i/j-Q Z-70- ( ' 225 Fifth Street • Springfield,OR 97477 • PH(541)726 3753 • FAX1541)726-3689 '''\`OREGON Date: /2- 0 3/ ' This permit is issued under OAR 918-440-0050. Permits expire if work is not started within ISO clays of issuance or if work is suspended for ISO days. CATEGORY OF CONSTRUCTION FEE SCHEDULE Residential ❑Government ❑Commercial Residential Qty Coll Total ea. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: 20 ti 5 1 Furnace/burner including ducts and vents 10 City: cer:n C: State:b f'_ ZIP: `r/20 Up n 100k H'IU!hr. $18.50 J 7b33 Over IOOk BfU.hr. $22.00 Rel'zt.ence: / 'FasIoLS rQV Unit Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 iii(e*. E Ca 1 ti/e lo Wood/pelletigas stove/Ilue $42.00 S Repair/alter/add to heating appliance/ i - -I-N A 1 s 4 - . • / i 0— refrigeration unit or cooling system/ $80.00 S PROPE-TY OWNER absorption system Name: J I , . r— Evaporated cooler $14.50 $ Address: 9 v C 6' l s Vent fan with one duct/appliance vent $10.00 S 111 hood with exhaust and duet $14.50 S City: SeYtI /x .0 State: O ZIP?7 9 7 7 Floor furnace including vent $60.00 $ Phone: Sr 1I -S . titg 03 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 front licensing Air-handling units, including ducts requirements under ORS 701.010. Up to 10.000 CFh1 $12.00 $ Signature: Over 10.000 CFX1 $22.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Lip to 3 hp!100k BTU $18.50 $ Business name: d 1./A(Cr Up to 15 hp'500k BTU $32.00 $ Address: Up to 30 Itp/I.Ot)t) BTU $47.50 $ City: State: ZIP: Up to 50 hp/1.750 BTU $62.50 S Phone: - - Fax: - - Over 50 hp/1.750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ CCl3 license no.: Commercial . Print name: Enter total valuation of mechanical s'Stetn and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ Miscellaneous fees trees Cost Total ea. Cost • ILeinspectiob $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 nimum fee of 5 80.00) $ ?Sr 10 / - (0)Investigative fee(equal to[AD S (C)Enter 12%surcharge(.12 x]A+BJ) $ //la (D)Seismic fee. 1%1.01 x[AI) $ (IC)Technology Fee(5%of[A]) $ tin- 4.10-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 2 r