The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2014-1-24 SPRINGFIELD 225 Fifth St '' — CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax• 541-726-3676 PERMIT NO: 811-SPR2014-00150 www springfield-or gov permtcenteri spnngfield-or gov PROJECT STATUS: Issued ISSUED: 01/24/2014 EXPIRES: 07/23/2014 STATUS DATE: 0112412014 APPLIED: 01/24/2014 SITE ADDRESS: 544 S 46TH ST,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702324307402 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Pellet Stove OWNER: BLOOD LIVING TRUST Phone Number: ADDRESS: 91613 MARCOLA RD SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor DANIEL E TETZLER CCB 48631 11'08/2014 503-345-7909 INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Wood Stove. After Installation Stove 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 Co ractor Signa re Date NOTICE: PERMIT SHALE EXPi E IF I ht . IORIZED UNDER -I HiS PERMIT 1.:D.) ,'1' ENCED OR IS ABANDONED ft' ANY 180 DAY PERIOD. Springfield Building Priam 1/24/2014 2:13:54PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD Finn R lit.:‘ 225 Fi TRANSACTION RECEIPT 225 Firth 541.726-3753 OREGON 811-SPR2014-00150 www spnngfield-or gov 544 S 46TH ST permitcenter @spnngheld-or gov RECEIPT NO: 2014000165 RECORD NO: 811-SPR2014-00150 DATE:0112412014 DESCRIPTION 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 PAYMENT TYPE PAYOR CASHIER:JLARSON COMMENTS AMOUNT PAID Check Marc Stebbeds 93.60 512 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD - CITY OF SPRINGFIELD, OREGON Permit no.:(2)[ \ 2.,0\3 COI 5 225 Fifth Street • Springfield,OR 97477 •PH(541)726-3753 • FAX(541)726-3689 tii' Date: //23 //v 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 CONSTRUCTION FEE SCHEDULE _ ❑ Residential El Government 1 ❑Commercial Residential Qty. Cost Total JOB SITE INFORMATION AND LOCATION First Appliance , $80.00 $ Job site address: � Co Furnace/burner including ducts and vents �.,}4,\, Stater [ ZIP:�'(�Li Up to 100k BTU/hr. $18.50 S City: j�' Over 100k BTU/hr. $22.00 S Reference: Taxlot.: - DESCRIPTION Heaters/stoves/vents ESCRIPTION OF WORK Unit heater $18.50 5 j�p f`G T ` t.iS i i _ ;14 Wood/pellet/gas stove/flue / $42.00 $ / T Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 S PROPERTY OWNER - absorption system Name: P 0 `a Evaporated cooler $14.50 S Address: eee t 1A,t("CO Lit, �.0 Vent fan with one duct/appliance vent $10.00 S A rr I /1‘74/?8 Hood with exhaust and duct $14.50 $ City: f( t l� State:f� ZIP: Floor furnace including vent $80.00 $ Phone:.(/ 2/6� 99/ Fax: - - Gas piping E-mail: One to four outlets $7.50 $ This installation is being made on pr.--rty owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, -. . is e -mpt from licensing Air-handling units,including ducts requirements de ORS 701.0 w"family, , Up to 10,000 CFM $12.00 $ Signature: �l��' Over 10,000 CFM $22.00 $ C NTR. CTOR INSTALLATION Compressor/absorption system/heat pump Business name: I)c�V1 1 4. z 1...„,-doelyi-rcr,41:;,. Up to 3 hp/I OOk BTU $18.50 $ Address: 305"SI5�` ..t,I.< /4/4i / Up to 15 hp/500k BTU $32.00 $ _ rte' Up to 30 hp/1,000 BTU $47.50 $ City; 6�G y State:OR ZIP: 7 /o5" Up to 50 hp/1,750 BTU $62.50 $ Phone:574/ - S-eQ 7�.5cFax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators �9 Domestic incinerator $22.50 S CCB license no.: Commercial Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ Miscellaneous fees Items Cost Total ea. cost Reinspection $80.00 Specially requested inspections(per hr.) 580.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 , S APPLICANT USE (A)Enter subtotal of above fees(or enter set minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) S (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through E): 5 73 Lpf 3