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HomeMy WebLinkAboutPermit Mechanical 2014-3-21 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-SPR2014-00593 www.springfield-or.gov permitcenter@springfield-or.gov • PROJECT STATUS: Issued ISSUED: 03/21/2014 EXPIRES: 09/17/2014 STATUS DATE: 03/21/2014 APPLIED: 03/20/2014 SITE ADDRESS: 2470 G ST 1,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703361106700 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Install ducting for dryer and above range hood and bath fan OWNER: BASARABA DANIEL Phone Number: ADDRESS: 1233 KENRAY LOOP SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor OWNER CCB 000000 08/01/2025 Mechanical Contractor OWNER CCB 000000 08/01/2025 Plumbing Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor OWNER CCB 000000 08/01/2025 Electrical Contractor HAROLD&MADISON INC CCB 168164 01/20/2016 541-688-3648 INSPECTIONS REQUIRED j 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. SA /Ay Owner or Contractor Signature Date ATTENTION: Cregon law requires you 10 follow rules adopted by the Oregon Utility DTI CE: Notification Center. 0 through gh OAR set THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-001 obta n cop es of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You he center. lontUCi'ty Notification COMMENCED OR IS ABANDONED FOR calling number for the Oreg ANY 180 DAY PERIOD. Center Is 1-800-332-2344). Springfield Building Permit 3/21/2014 9:43:48AM Page 1 of 1 SPRINGFIELD • CITY OF SPRINGFIELD 64. A. TRANSACTION RECEIPT zzs Fifth st ^ ti Springfield,OR 97477 541-726-3753 811-S P R2014-00593 www.springfield-or.gov 2470 G ST 1 permitcenter©springrield-ocgov RECEIPT NO: 2014000605 RECORD NO:811-SPR2014-00593 DATE:03/21/2014 [DESCRIPTION Y. - ACCOUNTCODE/TRANS CODE,„„,;_ .-, ._AMOUNT DUE_: First Appliance Fee 224-00000-425604 1006 80.00 . Single-duct exhaust(bathrooms,toilet compartments, utility room: 224-00000-425604 1006 20.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 12.00 Technology fee(5%of permit total) 100-00000-425605 2099 5.00 -- - --� ���-.�-_-- - -----� - —�^-- ---TOTAL DUE: 117.00 '•_,PAYMENT TYPE PAYOR. CASHIER:CCARPENTER : ,.COMMENTS ,. , _ ._ , 'AMOUNT PA Check ID - ' ;.I �" HAROLD&MADISON INC - z 117.00 5080 TOTAL PAID: 117.00 • • . Mechanical Permit Applicaktion}^ DEPARTMENT,USE ONLY :a= taSK'RyMt>! �'eR+ 'S'�1` X. L�. ^�Sj'T:° f -a. SPRINGFIELD mma= CI tocitPRINGEIELD OREGO! , :: ,. ,z c'; , Permit no.: SI4"oO S 9� �5 cNS.s.,.t.kliei latA4-^,flatit xv .b,s..._u 6z.zylc x,- J..-' 225 Fifth Street• Springfield,OR 97477 ♦ PH(541)726-3753 • FAX(541)726-3689 _A:.-. r . 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. ._ .. _- x t - .y ix, _ .. � _ g %= ,,, , , ,CATEGORYrOFLCONSTRUCTION .; t k ,;r„„,F, , !�.a.a. �,('�F,EE S,CHEQULE s'7 � „cy °., zx44y VResidential ❑ Government ❑ Commercial Residential r, ky{3 x= 'hr ty r' eaft cotal• {', JOBSITE INFORMATIONAND (DCATION c First Appliance / $80.00 $ Job site address: c/?0 I/ 5 4c 4. Furnace/burner including ducts and vents r p' y�� Up to 100k BTU/hr. $18.50 $ City:3 pr.vh-Q:Ek.e` State: Oil ZIP: Reference ) 70 33 6 l 1 Taxlot 06,0 o Over 100k BTU/hr. $22.00 $ . .. . .._ prr Heaters/stoves/vents / F`V, ,- DESCRIPTIONOFcWORK;p `k 7* ,,,, . Unit heater $18.50 $ J 16i.t/1 DLLc4 in i)eye r a ( a.bove__ Wood/pellet/gas stove/flue . $42.00 $ �'� Leo o( -`act �4f-� Ay Repair/alter/add to heating appliance/ ! refrigeration unit or cooling system/ $80.00 $ €k;Q`; x wv �v�w??PROPERTY LWNER ; �: r ,', a 4i?' absorption system Name: /4 c.re IC` 1/1-11.4._S� ( Evaporated cooler $14.50 $ Address: 30 50 (2o0S.2 u a. (.4- t3( Vc I Vent fan with one duct/appliance vent z $10.00 $ 7iC) Hood with exhaust and duct . / $3/ 50 .9 —."—• City: Statee rt. ZIP:9'7-'10C Floor furnace including vent $80.00 $ Phone: ( _95c-(_7o?3 Fax: - - Gas piping E-mail:Aq„vfc( e4ricJ1.t..I,.,., Cow% O^.-CJ-,:n..- (e wt 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 1.010. • Up to 10,000 CFM $12.00 $ Signature: .„----.7.-- Over 10,000 CFM $22.00 $ ,y, ; CCONTRACSORtINSTALLATIONs ` °T 0 Compressor/absorption system/heat pump. Up to 3 hp/100k BTU $18.50 $ Business name - 7'- 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/I,750 BTU $62.50 $ Phone: - - Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: Incinerators . Domestic incinerator $22.50 $ CCB license no.: ;YCornme,cial it cr' a -p - x e as. Print name: Enter fatal valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. . $ �,-CIIIre ett v`5nr rrta l"Cost 'Total ;Miscellaneous fees items ;. ••ICOSt_i'i Reinspection $so.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ Each additional inspection:(1) $80.00 $ fI Ial ,t_i n5APPLICANT:TUSE !tK Y r., ' (A)Enter subtotal of above fees(or enter set / O minimum fee of $80.00) $ (B)Investigative fee(equal to[A]) - $ (C)Enter 12%surcharge(.12 x[A=B]) $ / Z (D) Seismic fee, 1%(.01 x[A]) $ _ (E)Technology Fee(5%of[A]) $ 5 440-2545-I(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ " 7 r