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Home My WebLink AboutPermit Mechanical 2014-3-27 SPRINGFIELD - 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 -.(1t Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00644 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/2712014 EXPIRES: 09/23/2014 STATUS DATE: 03/27/2014 APPLIED: 03/2712014 SITE ADDRESS: 658 S 57TH ST,SPC#24,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702330001201 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Pellet Stove in Manufactured Home Space 24 OWNER: JOE AND LEE LIMITED Phone Number: ADDRESS: PO BOX 717 SPRINGFIELD OR 97477 OWNER: PARTNERSHIP Phone Number: ADDRESS: PO BOX 717 SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type • Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 - • INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation. Stove . 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. 14 7c y-a 7-adlf Owner or Cont ctor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: 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 Center is 1-800-332-2344). ANY 180 DAY PERIOD. • Springfield Building Permit 3/27/2014 10:12:13AM Page 1 of SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St °` aE -- TRANSACTION RECEIPT Springfield,OR 97477 ! tom �,; /-1 " ` OREGON 541-726-3753 811-S PR2014-00644 www.springtield-or.gav 658 S 57TH ST. SPC 24 permitcenter @springtield-or gov RECEIPT NO: 2014000661 RECORD NO: 811-SPR2014-00644 DATE:03/27/2014 CDESCRIPTION - _ - - -ACCOUNT CODE/TRANS CODEj ` a 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:JLARSON COMMENTS PAID _ -- Check Robert and Patsy Davis 93.60 2537 TOTAL PAID: 93.60 Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD- w s ' Permit no.: S�p zQ/y -00()c-114*IT OF SING ELariREGON P 225 DM Street ♦ Springfield.OR 97177 ♦ PH(511)726-3753 • FAX(511)726-3689 .:,..- •11/4.S -- OREGON Date: -- /2.7// y 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 FEE SCHEDULE ❑ Residential ❑Government ❑Commercial Residential Qty. Cost Total CR. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: tp J p . 57 zit$f f/G pet/ Furnace/burner including ducts and vents Cily:5/ dti 47,Cd State: dye ZIP: 97978' Up to l00k 111111/1u. $16.50 $ over look 13TUthr. $22.00 $ Reference: Taxlot.: Heaters/stoves/vents 1D�ESCRIPTION OF WORK Unit heater $18.50 S --'berg / /e/ie 67704-1e_ _ wood/pellet/gas stovdFlue / $42.00 S Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 S 'der PROPERTY OWNER absorption system Nance: /(Oder 9- y �� Evaporated cooler $14.50 $ �7-+- Vent tin with one duel/appliance vent $10.00 S Address: /ante_ Hood with exhaust and duct $14.50 S City: Stale: ZIP: poor furnace including veal $80.00 S Phone:fy/-J( - 59.79 Fax: - - Gas piping F-nail: 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 unn •ORS 701.010. Up to 10.000 CFM $12.00 $ Signature: (7 y S r\iI $22.00 $ CONTRAtTOR INSTALLATION Compressor/absorption system/heat pump Business name: Up to 3 hp/100k 131 $ 11 518.50 Up to 15 hp/500k BTU $32.00 S Address: • Up to 30 hp/1.000 13111 $47.50 $ City: State: ZIP: tip to 50 hp/1.750 BTU $62.50 I $ Phone: - - Fax: - - Over 50 hp/1.750 BTU $104.50 $ l:-ntai I: Incinerators Domestic incinerator $22.50 S CC13 license no.: Commercial Print name: Enter total valuation of mechanical system and installation costs$ Signature: - Enter tee based on valuation of mechanical system.etc. $ Miscellaneous fees Items Cost Total ea, cost Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50 $ Each additional inspection: (I) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees(or enter set • minimum fee of $80.00) $ (B) Investigative fee(equal to[AI) $ (C) Enter 12%surcharge 1.12 x IA+BI) $ (D)Seismic Ice. 1%(.01 x [AB $ (F)Technology Fee(5%of[Al) $ 119-2515-1(1/I/2013/COM) TOTAL fees and surcharges(A through E): S 7) �i