HomeMy WebLinkAboutPermit Building 2014-4-30 (2) SPRINGFIELD 225 Fifth St
- ^- CITY OF SPRINGFIELD Springfield,OR 97477
`to OREGON Phone: 541-726-3753
Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00952
www.Springfield-or.goy perm itcenter @springfield-ar.gov
PROJECT STATUS: Issued ISSUED: 04/30/2014 EXPIRES: 10/27/2014
STATUS DATE: 04/30/2014 APPLIED: 04/30/2014
SITE ADDRESS: 1390 M ST,Springfield,OR 97477 SCOPE: Bathroom
ASSESOR'S PARCEL NO: 1703253302100 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: Bathroom addition -under existing roofed area, no roof expansion
OWNER: TRUST AGREEMENT DATED JUNE 28,2007 Phone Number:
ADDRESS: PO BOX 622
SPRINGFIELD OR 97477
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor NYE BUILDING CO LLC CCB 152683 10/18/2014 541-520-5257
General Contractor NYE BUILDING CO LLC CCB 152683 10/18/2014 541-520-5257
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 ocated at the front of the property, and the approved set of plans will remain on the site at all times during
construction/
Owner o•Contra.or Signature Date
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ATTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility I
Notification Center. Those rules are set forth ;WOtiIGE.
in OAR 952-001-0010 through OAR 952-001- IiIS PERMIT SHALL EXPIRE 1F THE WORK
0090. You may obtain copies of the rules by ,UTI IORIZED UNDER THIS PERMIT IS NOT
calling the center. (Note: the telephone q AMENCED OR IS ABANDONED FOR
number for the Oregon Utility Notification NY 180 DAY PERIOD.
Center is 1-800-332-2344).
Springfield Building Permit 4/30/2014 1:47:33PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
i ..,nf... 225 Fifth St
-��OR TRANSACTION RECEIPT 225FithSt R97477
"` OREGON 541-726-3753
811-S P R2014-00952
www.springfield-or.gov 1390 M ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000956 RECORD NO: 811-SPR2014-00952 DATE:04/30/2014
DESCRIPTION . „__: , __ _ __.a. __-__ __w ACCOUNTCODE/TRANSCODE--..__ ___.. 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
' AMOUNT PAID
LrPAYMENTTYPE' ::_PAYOR' - cASNIER:ccARPERrER': � ,COMMENTS�s_ ;.�._.w •
J
Credit Card NYE BUILDING CO LLC 93.60
063774
TOTAL PAID: 93.60
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Mechanical Permit Application DEPARTMENT USE ONLY
, „�# . s SPRINGFIELD-- 2
CI�V F SPRT GEWED4 QR sGO Pernut no.: �it/' CIS
225 Fifth Street 4 Springfield.OR 97477 PH041)726-37>3 • f AA(S4 U7?6-389 - oNEGDN Date: V
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 ISO days.
CATEGORY OF CONSTRUCTION FEE SCHEDULE
Residential El Government ID Commercial Residential Qty. Cost Total
Ca. cost
JOB SITE INFORMATION AND LOCATION First Appliance / $80.00 sera
Job site address: (3O N‘ Furnace/burner including ducts and vents _
City: KING r I�( I� State �� ZIP: Up to too 13"I'Ulhr. $ta.50 $
Over 100k BTU/hr. • r $22.00 S
Reference: Taxlot.:
Heaters/stoves/vents
DESCRIPTION OF WORK Unit heater $18.50 $
�p
1 'IH Aw rn o'u Wood/pellet/gas stove/floc $42.00 $
Repair/alter/add to heating appliance/
refrigeration unit or cooling system/ $80.00 $
PROPERTY OWNER absorption system
Name: ,T,_(�X Evaporated cooler $14.50 $
Address:
°J�� - Vent fan with one duct/appliance vent ( $10.00 $
Flood with exhaust and duct 514.50 S
City: A k ,FIE State: IIR�I ZIP: Floor furnace including vent $80.00 $
Phone.1-727- g963- Fax: - - Gas piping
E-mail: One to lour 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-handlingunits, including ducts
requirements under ORS 701.010. Up to 10.000 CFM $12.00 $ •
Signature: Over 10;000 CM $22.00 $
CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
Business name: �.� �OI�I��t �(� r Up to 3 hp/100k 13TU _ 518.50 4
Q p to I hp/SOOk B"Cl,l $32.00 $
Address: �a 0[ F CKEEk I�p '
Up to 30 hp/1.000 BTU $47.50 S
City: Val rill, stweaz 1 ZIP:t70.7_ Up to S0 hp/1.750 BTU $62.50 $
Phone:54J 520 6-257 Fax: - - Over 50 hp/1.750 BTU $104.50 $
E-mail: CgeKKYE Ww)B-°C - 0 el Incinerators
6-26n Domestic incinerator I $22.50 1 $
. CCB license no.: / Commercial
Print name: ik\( E . I\IvE Enter total valuation of mechanical system
���yyy{{{
Signature: �
- , /////c and installation costs$--.--
�l/y Enter fee based on valuation of mechanical system.cis.
Miscellaneous fees Items cost fatal
ea. cost
Reinspection $80.00 $
Specially requested inspections(per hr.) S80.00 $
Regulated equipment(unetasscd) 514.50 $
Each additional inspection: (I) [ 580.00 $
APPLICANT USE
(A)Enter subtotal of above lees(or enter set
minimum fee of $80.00) $ ya
(B)Investigative lee(equal to[A]) - $
(C)Enter 12%surcharge(.12 x IA+HI) $ 940
(D)Seismic l'ee, 1%(.01 x IA]) $ •
(E)'Technology Fee(5%of[AI) �
440-2545-J(4/1/2013/C'ONE '1'O'FAL fees and surcharges(A through E): $ 9370
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