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HomeMy WebLinkAboutPermit Mechanical 2014-1-9 SPRINGFIELD— 225 Fifth St '" - - CITY OF SPRINGFIELD Springfield,OR 97477 OREGON Phone: 541-726-3753 Building / Residential Permit Inspection Phone:541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2014-00044 www.sphngfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/09/2014 EXPIRES: 07/08/2014 STATUS DATE: 01/09/2014 APPLIED: 01/09/2014 SITE ADDRESS: 546 5TH ST,Springfield,OR 97477 • SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703352405500 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: MEC-Replace gas'water heater OWNER: BESWICK JULIA ANN&RICHARD Phone Number: ADDRESS: 546 N 5TH ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone - Plumbing Contractor JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-686-4888 Mechanical Contractor JOHN THE PLUMBER INC CCB 107810 07/24/2015 541-686-4888 INSPECTIONS REQUIRED .. • Inspections 2300 Rough Mechanical - Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 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 constructs n. Owner or Contractor Signature Date • ATTENTION: Oregon law requires you to NOTICE. follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001- A UTHORIZED 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 1/9/2014 9:18:50AM Page 1 of 1 • SPRINGFIELD++ CITY OF SPRINGFIELD 225 Ftfth St TRANSACTION RECEIPT Spnngfield,OR 97477 . 541-726-3753 OREGON 811-SPR2014-00044 vmvcspdngfieldor.gov 546 5TH ST permitcenter @spdngfield-or.gov RECEIPT NO: 2014000041 RECORD NO:811-SPR2014-00044 DATE:01/09/2014 DESCRIPTION c.�SLCtL f.u.,oLL.z :,'Ll :it ..'-ACCOUNT CODE/TRANS CODE' _fli. a.�dkla.gAMOUNT4DUE7fJ First Appliance Fee 224-00000425604 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 TY�EE P.A rcnsNiER:;DeowLSav _ COMMENTS _ , —:rae�axaraAMOUNTPAID= Check - BESWICK JULIA ANN &RICHARD 93.60 4175 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLYY a .Y:M 'ESN r4.'. +x?a � a°� I-°eRWI I �4•FA �` `sWFS:1 EF 4"I's. S''" .'�,^ 3 - Petmtno.:I3W1060;EiSERINGEIF.VPSOREG0N :,.:3xhW,.; .^�..,a:.F.ata. s.. ?rar ab.�sym � -�rt`� ry'S /S 225 Fifth Street Springfield,OR 97477 PH(541)726-3753 FAX(541)726-3689 Date: % / /7 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 C9NSTRUCTION, ' ;' + . ".i tt, FEE SCHEDULE ,..5 r4" . . > , .z ""' +" x s . 4 t Cost Total f-Restdenttal ❑Government ❑Commercial ;13.e.sid . a` �yA-;11- lt,,r Qry '}eaF "` 0-cot JOBMSITE INFORl!MATION AND LOCATION ?'_ „ • ' rstAppliance $80.00 $ r6. Job site address: 5.N l�7 5}L Furnacelhxr'ne Ir ncludibd ; d vents City: 51 fIn Etch I State: U2 I ZIP4. 7477 Up to look BTU/hr. $18.50 $ Reference ) 33 5 Z'( TaxlotbC,S Q� Over 100k BTU/hr. $22.00 $ ;att. # § x a Heaters/stoves/vents ikIt lDEySGCR�I_PTIONLOF WORKS 5 ,._F ,, Unit heater $18.50 1 $ �i.t'et�w CE HZ° /F11 Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ . . ' refrigeration unit or r cooling system/ $80.00 $ ' E ;5. , ROPERTY*OWNER { T tt,Rr1 absorption system Name: 21611..a ra 2 P,/)I c Evaporated cooler $14.50 $ Address: S -1 \\ /CV 4 , Vent fan with one duct/appliance vent $10.00 $ City: S f Q' I U ) c e- I State ir k I ZIP: 0f 74 7 Hood with exhaust and duct $14.50 $ Floor furnace including vent $80.00 $ Phone:3 q- ('---226,-,5'186 Fax:�f - - Gas piping E-mail: ye SA c w(r (.- e N.. U f Y 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 - ediate family, and is exempt from licensing Air-handling units, including ducts requirements u de S7.0102 ) l y[ lip to 10,000 CFM - $12.00 $ Signature: �(�-1 _c2A.-try/�, Over 10,000 CFM $22.00 $ t ? 'CONTRACTOR INSTALLA I0Wg 4°n 1;)1% a, Compressor/absorption system/heat pump Business name ;.k . -k �- ' UV-J.-Agri Up to 3 hp/100k BTU $18.50 $ Up to 15 hp/500k BTU $32.00 $ Address: Up to 30 hp/1,000 BTU $47.50 $ City: State: I ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - Fax: - - - Over 50 hp/1,750 BTU S104.50 $ E-mail: Incinerators %� Domestic incinerator $22.50 $ CCB license no.: I (] 7 2S 1 © _ s t to u: : +�,r; =Commercal,t�� a:'�� ., *:'R1 �, x :, xs.i,a`r Print name: - Enter total valuation of mechanical system and installation costs$ Signature: - Enter fee based on valuation of mechanical system,etc. - $ •; "r , l - `z Fa "s ' "Cost Total „Miscellaneous fees v Wt' ;iiItems ,'"•;ea roost -;a Reinspection I $80.00 $ Specially requested inspections(per hr.)I $80.00 $ . Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) I $80.00 $ itatilOSICIA P LICANT MUSE� W;±ga *` (A)Enter subtotal of above fees(or enter set So minimum fee of $80.00) $ U (B)Investigative fee(equal to[A]) . $ (C)Enter 12%surcharge(.12 x[A+B]) $ 7‘0 (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ go 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through E): $f-