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HomeMy WebLinkAboutPermit Mechanical 2014-1-31 SPRINGFIELD - • • 225 Fifth St it_ CITY OF SPRINGFIELD Springfield,OR 97477 -^� Phone: 541-726-3753 oae°°" Building / Residential Permit Inspection Phone: 541-726-3769 . • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01468 ww,.springfield-ar.gov - permitcenter©springfield-or.gov PROJECT STATUS: Issued ISSUED: 01/31/2014 EXPIRES: 07/30/2014 STATUS DATE: 01/31/2014 APPLIED: 06/28/2013 SITE ADDRESS: 6428 Dogwood ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702344301100 TYPE OF STRUCTURE: Residential. PROJECT DESCRIPTION: MEC-Single family residence OWNER: THOMAS WALTER CUSTOM HOMES LLC Phone Number: 541-683-6355 ADDRESS: 2863 RIVERWALK LOOP EUGENE OR 97401 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type . Lic No Lic Exp Phone Electrical Contractor STEVEN EDWARD HAUCK II CCB 147618 04/30/2015 541-221-2665 Plumbing Contractor T&S PLUMBING INC CCB 186903 06/01/2015 541-915-1000 General Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355 Mechanical Contractor THOMAS WALTER CUSTOM HOMES INC CCB 192984 02/02/2015 541-683-6355 INSPECTIONS REQUIRED Inspections 2200 Underfloor Mechanical Underfloor Mechanical. Prior to insulation or decking and including required testing. . 2210 Underfloor Gas Underfloor Gas: After line is installed and required testing and capped if not attached to an appliance. 2255 Gas Pressure Test . 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. 2995 Final Gas Final Gas: When all gas work is complete. 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 ' constructio5r.n. - / I re I0TIGL0wner or Contractor Signature Date Ore law requires you to HIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: g the Oregon Utility fol:ovv rules adopted by IUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth ;OMMENCED OR IS ABANDONED FOR in OAR 952-00'1-0010?hro�es of therulesOby qn nnv oq�O n090. You may obtain cop hone \NY 1 Csp ngfield B lain P ma 3,no,�al :3 AM center. (Not telep Page 1 of 1 number for the Oregon Utility Notification . Center is 1 800 332-2344). SPRINGFIELD '-- CITY OF SPRINGFIELD kw-r. - 225 Fifth St ` E�oN TRANSACTION RECEIPT Spdngfield0R97477 541-726-3753 811-SPR2013-01468 waw.springfield-or.gov 6428 Dogwood ST permitcenter @springfield-or.gov RECEIPT NO: 2014000203 - RECORD NO:811-SPR2013-01468 DATE:01/31/2014 {o7‘1.4:1 Illre]iti _ ' ; r, t ' '11 tCJACCOUNT:CODEFFRANS CODE NE-4!C 4_''°AMOUNT:DUE '°' Air conditioner - 224-00000-425604 1006 18.50 First Appliance Fee 224-00000-425604 1006 80.00 Flue vent for water heater or gas fireplace 224-00000-425604 1006 10.00 Furnace-up to 100,000 BTU 224-00000-425604 . 1006 18.50 Gas Piping-each additional above 4 224-00000-425604 1006 9.00 Gas Piping up to 4 outlets 224-00000-425604 1006 , 7.50 Range hood/other kitchen equipment 224-00000425604 1006 14.50 Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 60.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.16 Technology fee(5%of permit total) 100-00000-425605 2099 10.90 M. TOTAL DUE: 255.06 • MIRAYIIA'ENT�l1YRE . P,AY.OR ASHIERrccARP,ERrER COMMENTS . T AMOUNTILPAID Check THOMAS WALTER CUSTOM HOMES - 255.06 11828 TOTAL PAID: 255.06 • • C l • / ( . • Mechanical Permit Application DEPARTMENT,USE ONLY yY. - XTT SPRINGFIELD CI=TY,OFF S mNGFIELD OREGON 4 Permit no.: 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 Date: 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. CATEGORt(31( ,OONSTRUCTION r i , �. .l .... ..� ..... �) .. <.. mill tF.0 ❑Residential Government 0 Resldentlal �ti �;� ` Qty : fibir 1111.2 -JOBmSITE INFORMATI7O�N' AND (LOCATION ? i First Appliance $80.00 $ lob site address: tS�28 • ..s+ , Furnace/burner including ducts and vents CityS13,- m0, State: pg ZIP: Up to 100k BTU/hr. $18.50 $ Over 100k BTU/hr. $22.00 $ Reference: Taxlot " ' �3t .€ DESCRIPTIONyy`OF WORK_ 1� Heaters/stoves/vents $18.50 $ r tC� ■ rb-79ea■—c ' Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ .4 t,''iK` -, R,SPROP,ERWOINNERF wg t 1. absorption system Name: \A r e.e �- -�.--.. }._p M) Evaporated cooler $14.50 $ � ,�� �� Vent fan with one duct/appliance vent $10.00 $ Address: 6 Hood with exhaust and duct $14.50 $ State: QR I ZIP:CO Lt01 Floor furnace including vent I $80.00 $ PhoneS'F 6, 3=6'S$S Fax5'4F65S--3313 Gas piping (11 -A Eg,f�ye�aL�k t, 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 l/,ffohm licensing Air-handling units, including ducts requirements under O 1.010. �^ Up to 10,000 CFM $12.00 $ Signature: Over 10,000 CFM $22.00 $ "ir('.` ,`,,, ;CONTRAOTO 1,INS1 LLATIONX Wit Compressor/absorption system/heat pump Business name: 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: ZIP: Up to 50 hp/1,750 BTU $62.50 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators Domestic incinerator $22.50 $ • CCB license no.: Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ °Miscellaneous feesItems ( Cost r Total �;:'S+r4 ;TA., ?n+lea 'COSt;,,tit Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ ';; xu!' APPLICANT USES 'cr iM (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]) $ (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) - $ 440-2545-1(4/12013/COM) TOTAL fees and surcharges(A through E): $