HomeMy WebLinkAboutPermit Mechanical 2014-1-2 SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
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Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02751
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued • ISSUED: 01/02/2014 EXPIRES: 07/01/2014
STATUS DATE: 01/02/2014 APPLIED: 12/30/2013 ,
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SITE ADDRESS: 925 E ST, Springfield, OR 97477 SCOPE: Heating System
ASSESOR'S PARCEL NO: 1703351304300 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Install ductless HP
OWNER: SUGG BRIAN P Phone Number: 541-501-2309
ADDRESS: 925 E ST
SPRINGFIELD OR 97477
[ CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor CHRISTOPHER DANIEL STEWARD CCB 199906 05/20/2015 541-525-7214
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.
Owner or Contractor Signature Date
ATTENT!ON: Oregon law requires you to
foilow rules adopted by the Oregon Utility NOTICE: .
Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK
in OAR You o0t0 through OAR 952es by AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR
number for the Oregon Utility Noti;icati n ANY 180 DAY PERIOD.
Center is 1-800 33 23444
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Springfield Building Permit 1/2/2014 8:42:56AM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
225 Fifth St
( TRANSACTION RECEIPT Springfield,OR 97477
g SCSI 541-726-3753
OREGON 811-SPR2013-02751
www.springfield-or.gov 925 E ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000001 RECORD NO: 811-SPR2013-02751 DATE: 01/02/2014
[DESCRIPTION ACCOU■T CODE/TRANS CODE ,AMOUNT DUE
Air Handling Unit up to 10,000 cfm 224-00000-425604 1006 18.50
First Appliance Fee 224-00000-425604 1006 80.00
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
I PAYMENT TYPE' PAYOR. p.CASHIER:JLARSON . COMMENTS° . AMOUNT PA ID
Credit Card Harvey Floyd ~`��--�_ ---1-- 115.25---
084938
TOTAL PAID: 115.25
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01/02/2014 08:49 1-541-747-1360 HARVEY FLOYD PAGE 01/01
Mechanical Permit Application DEPARTMENT USE ONLY
T`t%%/ 4s.�e (R 1113�" h ed °' ;4F� n r ,, K^r i. • t c Permit ml.: I -Zest —OZ-7
411.,.11,3. ''.,*'J. �rbft0.4:1 ^.6'etfr SO& "f t1r-.dr f � '
225 Filth Sued•S ngfceld:OR 97-177• PH(541/726-3753•FAX(541172rr3659 ru
� � .oae.a,4 Date: 1 /Z /f3
This permit is issued under OAR 918-440-0080. Permits expire if work is not started within 180 clays of issuance or it'work is
suspended for 180 days. .
CATEGORY OF CONSTRUCTION FEE SCHEDULE
,kiResideo11al 0 Government I ID Commercial Residential Qty, Cost Total
eq. cost
JOB SITE INFORMATION AND LOCATION , lira Appliance $80-00 $•
lob site address: (la E 5.4- ( Eunmcdbaruer including ducts and vents
City:sr; -�P let • State:Oe 3 ZW_97' J7 lip to IOOk BTU/hr. 418.50 8
�y Over I00k BTUMr. 522.00 $
Reference: I 'I-axlot.:
DESCRIPTION OF WORK Heaterststovesh•ents
Unit healer .518,50 c
Z/ASrA-�[ Oath$, S K Wood
/P . V /Oki/gass1oveAiue $42.00 $
Repair/alter/add to heating appliance/
........... ...... refrigeration unit or cooling system/ £80.00 $
PROPERTY OWNER absorption system
Name: �.j nn ,pp __..._ E�•alx+mteJcooler 514,50 $
"dress- QJ Vcul fan frith one due'.Uappliance vent $10.00 S
Address: Cja5 G sir- .+
Hood with exhaust rind duct 414.50 $
City: 5r, 1,45-R e.id State: Oft. ZIP:97 /77 Floor furnace including will - $80.00 $
Phone:34/-$b[- rum Fax: - - Gas piping _
E-mail: One to roar outlets 57.51 S
This installation is being made on property' owned by me or a Additional oudeistench) - $4.60 $
. member of my immediate lemily, and is exempt from licensing Air-handling units, including ducts
•requirentents under ORS 701.016. Up to 10.000 CFM '1 I 812-00 $ •
Signature: _ Over 10.01)0 CFM I $22.00 $
CONTRACTOR INSTALLATION Compressor/absorption system/heal pump . _
Up to 3 hoil00k BTU I $18.60 $
Business name: /�u W �'T'(T- �, C_cnl.h� Up to IS hp/500k BTU 532.00 3
Address: 9-p gp,� I I Up to 30 hp/I 000 BTU $47.50 $
City: .5 p p,6y-) j State: or' I ZIP:411`417 Up to 50 hp/1.750 BTU $62.50 15 .
Phone: 5 W I - '22 ( g3919ax: cry)-1 to L36 Over 50 by/1.750 BTU $104.60 I S
s ter incinerators E-mail: a d 6 4_,i. -,. (,f._ Aber incinerator 522.50 $
CCB license no.: Commercial
Print name: 14.0 LY How Enter total vitualion ofmcellanicsd a»len,
and installation costs 0 4DV-®e • • _-_
Signature: I* A _...
r Enter fee based on calnmion of mechanical system.crc. 1 S
-- Miscellaneous fees Items cost Tout
en, cost
• Reinspection $80.00 $
Specially requested inspections(per hr.) $80.00 ' 5
Regulated equipment(anclossed) 514,50 S
. Each additional inspection:(I) $80.00 $
APPLICANT USE _
(A)Enter subtotal of above fees Or enter set
• minimum fee of S 80,00) S
(B)Investigative fcc(equal to(A)) $
(C)Enter 12%surcharge 1.12 x(A+Bj) S
(D)Seismic fcc. I%(.01 x [41) S
(E)Technology Fee(5%of(A]) 5
440-2545-.1 d/1/2013/COnI 15
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( 1 '1'CI'fAL fees anal sm�charges(A through IL): $ //5