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HomeMy WebLinkAboutPermit Mechanical 2014-3-20 :, -SPRINGFIELD h - 225 Fifth St !t. CITY OF SPRINGFIELD Springfield,OR 97477 7( et, Phone: 541-726-3753 \OREGON Building / Residential .Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00595 www,springfield-ar.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/20/2014 EXPIRES: 09/16/2014 STATUS DATE: 03/20/2014 APPLIED: 03/20/2014 SITE ADDRESS: 2343 DON ST,Springfield,OR 97477 SCOPE: Heating System ASSESOR'S PARCEL NO: 1703272102300 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Ductless heat pump . OWNER: SCOTT MICHAEL A Phone Number: ADDRESS: 2343 DON ST SPRINGFIELD OR 97477 L . CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No • Lic Exp Phone Mechanical Contractor DEAN M SHULTZ GCB 183169 08/09/2014 541-556-7862 INSPECTIONS REQUIRED Inspections 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 - the proper time, that each address is readable from the street, that the p- It ..rd is located at the front oft - property, a . the approved set of plans will remain on the site at all times during 'u.tioL is -..- ,__ ,__-`r ) •Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility NOTICE: Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- THIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by AUTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344).. • Springfield Building Permit 3/20/2014 2:38:13PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD ________ali • AA a. 225 Fifth St TRANSACTION RECEIPT Springfield,OR 97477 3-4�tA 541-726-3753 OREGON 811-SPR2014-00595 www.springfield-or.gov 2343 DON ST permitcenter©springfield-or.gov RECEIPT NO: 2014000600 ‘ RECORD NO: 811-SPR2014-00595 DATE:03/20/2014 • !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:CCARPENTER °__COMMENTS . AMOUNT PAID -- Cash DEAN M SHULTZ 93.60 TOTAL PAID: 93.60 • • • • • Mechanical Permit Application DEPARTMENT USE ONLY : r rL W Me " - ,gars_tT 4S.' SF X 3" SPFI"""° li ETYOEISPRINoGEIELD REGON i Permit no.: . /y _ /S zssx 6c„ w . efiv, .—. vrsev...t.,e =sa. .n J 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 . 75-aw,.°.:„. 1- Date: /2U/ G( 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. f;`s i , CATEGORYaOF CONSTRUCTION ,,„ . *` $ ,tF EE SCHEDULE z ' 7 Qt et k costsMRestdenttal ❑Government ❑ Commercial Residential ; x ra a ,.3 y s . ` c.=%;::.q:'5751,94i$137g5,1 NFORMATIONlAND-<LOCATIONi , z,' First Appliance $80.00 $ Job site address:Z 113 ®/� Furnace/burner including ducts and vents City6-�/,t fig///id State: /9 ZIP:ce7 7 Up to 100k BTU/hr. $18.50 , $ '�J, Over 100k BTU/hr. $22.00 $ Reference: Taxlot K 7 y Heaters/stoves/vents e Mti DESCRITIO LOFWORiil f r unit heater $18,50 $ Y/2/ r/r Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ r�.. 3 uti refrigeration unit or cooling system/ $80.00 $ .,4s* ,x s(t4 �.n„VP,F20_R„ERTYr OW +xz= 7x $.f41 z absorption system Name: ,/G/(� %�g Evaporated cooler $14.50 $. N - Vent fan with one duct/appliance vent $10.00 $ Address: /J �/\ Hood with exhaust and duct $14.50 $ / City: /zit State: ZIP: Floor furnace including vent $80.00 $ Phone: vA -� l 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 $ W3 AMC oNTRAPTOR INSTALLATIONA' 'ii ? i Compressor/absorption system/heat pump �e4'� 9,-1 CC /L ~; Up to 3 hp/look BTU $18.50 $ Business name: l j Up to 15 hp/500k BTU $32.00 $ Address: >� ” �/ LF /� Up to 30 hp/1,000 BTU - $47.50 $ city. Gf t. State: ZIP:/79776 - Up to 50 hp/I,750 BTU - $62.50 $ Phone.-( 72,7 Fax: - - / Over 50 hp/1,750 BTU $104.50 $•E-mail: - - • Incinerators CCB license no.: 73 76 ef Domestic incinerator $22.50 $ -- .- Commercial,;s°:`�"r,� 'wt`�,V�-»2) - .��M°a ; 'n`ai Print name: Enter total valuation of mechanical system and installation costs$ Signature: Enter fee based on valuation of mechanical system,etc. $ " +w'l tb 1v'{ `- . Cost 'Total rsMtscelldtieoUSfiees: ry Reins At r y4L ac,, t ;,ea. - costar- Reinspection - $80.00 S Specially requested inspections(per hr.) $80.00 $ - Regulated equipment(unclassed) . $14.50. $ Each additional inspection:(I) $80.00 $ W? yt AP.,PL'ICANT`ii, Ear ;t ?'7 : ; (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]) $WO (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) S ei( 440-2545-1(4/12013/COM) TOTAL fees and surcharges (A through E): $ qr