HomeMy WebLinkAboutPermit Mechanical 2014-3-13 •
•
SPRINGFIELD 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR97477
'-f�`+'ri,,,i'`+ ` '' Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
. Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00546
vmw.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 03/13/2014 EXPIRES: 09/09/2014
STATUS DATE: 03/13/2014 APPLIED: 03/13/2014
SITE ADDRESS: 423 D ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703352409600 • TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Mechanical for moved house and new structure
OWNER: JENKINS HOUSE LLC - Phone Number:
ADDRESS: 40063 LITTLE FALL CREEK RD
FALL CREEK OR 97438
CONTRACTOR INFORMATION 1
Contractor Type • Contractor Name Lic Type Lic No Lic Exp • Phone
General Contractor JAMES C PORTER CCB 56404 04/27/2015 541-345-3277
Mechanical Contractor JAMES C PORTER CCB - 56404 04/27/2015 541-345-3277
- INSPECTIONS REQUIRED
Inspections
2250 Gas Piping
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 f the property,and the approved set of plans will remain on the site at all times during •
construction.
If y
- 71 , 1 13040-v- r t
Owner or Contractor Signature Date
•
•
•
NOTICE:
ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK
follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT
Notification Center. Those rules are set forth COMMENCED OR IS ABANDONED FOR .,.:;
. in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD.
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
Springfield Building PerM4 Enber for the Oregon Utility NC}If'C3h132014 11:04:39AM Page 1 of 1
Center is 1-800-332-2344).
•
•
SPRINGFIELD'-'° CITY OF SPRINGFIELD
rS -^ 225 Fifth St
( TRANSACTION RECEIPT Springfield,OR97477
n\; - 541-726-3753
-0REG ON 811-SPR2014-00546
www.springfieldocgov - 423 D ST - permitcenter @springfield-ar.gov
RECEIPT NO: 2014000557 RECORD NO:811-SPR2014-00546 • DATE:03/13/2014
lo���i1 31 1Lp(e'71 gai^,o-.-r.`�r4 ;ri 1 r'1 ACCOUNT CODEITRANSCODE ?;; ' 'AMOUN U
First Appliance Fee 224-00000-425604 1006 80.00
•
Gas Piping up to 4 outlets 224-00000-425604 1006 7.50
Single-duct exhaust(bathrooms, toilet compartments, utility room: 224-00000-425604 1006 10.00
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.70
Technology fee(5%of permit total) - 100-00000-425605 2099 4.88
TOTAL DUE: 114.08
k AYMENT IYP0101/0 YORIcnsriiE479 RSOr+ - INOWle nitiFf s'inlirai ,3.-�a� i '.AMOUNTS alDW ;;,,
Check james porter 114.08
193979
' TOTAL PAID: 114.08
•
•
Mechanical Permit Application DEPARTMENTiUSE ONLY e;
Z p }i3a8 y ..f; ,,8.t Inf.3^ '4 ; SPR I N GM ELT"1 .fin K TiA. i'Y�."r.�'h1 {sH-w 'F'
_eil OF PRINGFIELDk UREG'O a . Permit no•-ckrrs;2 xi sa traor:v . ,w,44,, .r-4'z,za vas tt,,.r sAIA r a �,. .
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.
+ 'CATEGORY,'OF ,CONSTRUCTION, ' :A k * `; �r ` r ` FEE SCHEDULE ;k 5 < -sx
--(Residential ❑Government ❑Commercial x+Restderittal cetfi . �n _, Qty. rx?Gast M Total =
` JOBE,SITE.,INFORMATION; AND =LOCATION ?. ; > First Appliance $80.00 $
Job site address: i-2-3 0 Furnace/burner including ducts and vents
City: 11.-- State: ZIP: Up to 100k BTU/hr. $18.50 $
Over 100k BTU/hr. $22.00 $
Reference: Taxloi
•
Heaters/stoves/vents
x . ice i •'psDESCRIPTION}z,OFr WORK;t `, , „E ` ,g, Unit heater. $18.50 $
Wood/pellet/gas stove/flue $42.00 $
Repair/alter/add to heating appliance/
4 > k , . +.: $ ,�/,,, refrigeration unit or cooling system/ $80.00 $
.1}•�� 't . ,ia'rT ;'PROPERTY OWNER 53'3`,`r=tp'�";_ s absorption system
Name: �lAt--W(5` Jll _.)-h C- Evaporated cooler $14.50 $
Vent fan with one duct/appliance vent I $10.00 $
Address:
Hood with exhaust and duct I $14.50 $
City: State: - ZIP: Floor furnace including vent $80.00 $
Phone: - - 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 from licensing Air-handling units,including ducts
requirements under ORS 701.010. Up to 10,000 CFM $12.00 $
Signature: Over 10,000 CFM $22.00 $
tats NiCONTRACTOR INSTALaTIobeg ,,•f`„taci, ' Compressor/absorption system/heat pump
-�{--_'. Up to 3 hp/100k BTU $18.50 $
Business name 10r–tei�f—C ivtg< Up to 15 hp/500k BTU $32.00 $
Address: 5 ( r' 7 b 4 [ Up to 30 hp/l;000 BTU $47.50 $
City:. C < State: ZIP: ( Up to 50 hp/1,750 BTU $62.50 . $
Phone: - X37 T7 Fax: - - Over 50 hp/1,750 BTU $104.50 $
E-mail: jilt QQ1—I" 1O S/ Ce.A/1C , IA0/ Incinerators
�
! A Domestic incinerator $22.50 $
(7
CCB license no.: d'1-
Commercial -'$:; , `I§'-4t ¢w rerc4"a w Via' z,. ,7_±';z
Print name: p /'/, J,/ Enter total valuation of mechanical system
<;�\ `/ l�}¢J_ and ter fee costs$
Signature: w fill
Enter fee based on valuation of mechanical system,etc. $
r lla�v. L' yrm " s Items -:Cost Total +±•
,iM15•BBIIat100,, f@BS'�F In+i iu s =jea . `cost
.,,t
Reinspection $80.00 S
Specially requested inspections(per hr.) $80.00 $
Regulated equipment(unclassed) $14.50. $
Each additional inspection:(I) I $80.00 $
€ .,r VAPPLICANT;,USE, `n ,. W„' .z' ;
(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(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ Oa