HomeMy WebLinkAboutPermit Mechanical 2014-3-24 SPRINGFIELD-- 225 Fifth St
't' •� CITY OF SPRINGFIELD Springfiield,OR 97477
(( t Phone: 541-726-3753
OREGON Building I Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00612
www.springfield-ocgov permitcenter @springfield-or.gov
. PROJECT STATUS: Issued • ISSUED: 03/24/2014 EXPIRES: 09/20/2014
STATUS DATE: 03/24/2014 APPLIED: 03/24/2014
SITE ADDRESS: 3333 HAYDEN BRIDGE RD,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702193100201 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: M-Addition to SFD
OWNER: RICE PHYLIS Phone Number:
ADDRESS: 3333 HAYDEN BRIDGE RD
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor MATTHEW R CLEARWATERS CCB 135711 06/16/2015 541-968-8163
Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 541-726-0100
INSPECTIONS REQUIRED
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.
deo J��
3.2-1 • /V
Owner or Contractor Signature Date
on law requires you to
NOTICE: ATTENTION: Dreg the Oregon Utility
follow rules adopted b\
THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those ules are
OAR 952-001-
et
AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001-0010 throng
COMMENCED OR IS ABANDONED FOR
0090.alling the Center. (Note1: the telephone by
ANY 180 DAY PERIOD. •
number for the Oregon Utility NotifrCation
Center is 1-800 332-2344).
Springfield Building Permit 3/24/2014 11:43:13AM Page 1 of 1
Mechanical Permit Application DEPARTMENT,USE ONLY .t
'1111 .,b ai.P „�yh�'+� :,.�*a : �{(W,Si' SPHINGFIELO:' +us
�CIT,Y®F�SPRINh+.ta° GFI'ELD.T1JREEGON� „3.4,044 Permit no.: S� —�y/Z
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225 Fifth Street• Springfield,OR 97477 • PH(54I)726-3753 • FAX(541)7263689 �„ . �4v Date: 7// /2'-/ //e1
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 C64S17F2U00 N, ; t , `„r:7, , 'FEErSGH 15:01 , ' ;eF „ R
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Residential ❑Government C] Commercial ::;Residentlal 'sj'cbst_..
s 680BsITE INFORMA�TionftANrh:loCATION i11:4 s First Appliance. ( $80.00 $70�
Job site address: 3333 r IA-f O 3 ed-4o66: •20A10 Furnace/burner including ducts and vents
City: 5 Pf,Ntf.C.-O State: 0'2 ZIP: 974'7} Up to look BTU/hr. $18.50 $a
Over 100k BTU/hr. $22.00 $
Reference: Taxlot
DESCRIPTION OFr.ZWORKo± , 4i' Heaters/stoves/vents
k u
..._ a.,.+.-_ - - Unit heater $18.50 $
qDO Tlt*) Wood/pellet/gas stove/flue $42.00 $
Repair/alter/add to heating appliance/
�,., refrigeration unit or cooling system/ $80.00 $
PROPERTY.OWNER,i . t8 3t f,., ' s'£ absorption system
Name: prim u 5 t Le . Evaporated cooler $14.50 $
Vent fan with one duct/appliance vent $10.00 $
Address:
Hood with exhaust and duct $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 $
i?i „±z-r` GONTRACTORT INSTALLATIONr .ra Compressor/absorption system/heat pump
Up to 3 hp/100k BTU l $18.50 $/f
Business name: Ciitl to(%/1 irons- r-eovJ /'1E417 Wit Up to 15 hp/500k BTU $32.00 $
Address: /cj5) DUN tlaceT Up to 30 hp/1,000 BTU $47.50 $
City: 52RI n L,fr t. .O State: Ca- ZIP:97y77 Up to 50 hp/1,750 BTU $62.50 $
Phone:5Y/-24.- 0/00 Fax S pi - ct799 Over 50 hp/1,750 BTU $104.50 $
E-mail: Incinerators
Domestic incinerator $22.50 $
CCB license no 110 O ,. ...
�Commer;cial la g R aie-X)j 1 �V,' �,Mt
Print name: . - Enter total valuation of mechanical system
and installation costs$
Signature:
Enter fee based on valuation of mechanical system,etc. $
ri;U + ;:Cast "Total 's
-Mlscellaneousrfeesy� x1 . ,Items ' ;.ea %kost ._
Reinspection $80.00 $
Specially requested inspections(per hr.) $80.00 $
Regulated equipment(unclassed) $14.50. $
Each additional inspection:(1) $80.00 $
1 ”? iilfe g',fQPPLICANT?USE 4?z '' n
(A)Enter subtotal of above fees(or enter set
minimum fee of $80.00) $ O
(B)Investigative fee(equal to[A]) $
(C)Enter 12%surcharge(.12 x[A+B]) $
(D)Seismic fee, 1%(.01 x[Al) $
(E)Technology Fee(5%of[A]) $ y 4
440-2545-3(4/1/2013/COM) TOTAL Tees and surcharges (A through E): $ 17125