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HomeMy WebLinkAboutPermit Mechanical 2014-5-20 • • SPRINGFIELD - 225 Fifth St • ` CITY OF SPRINGFIELD Springfield,OR 97477 ur Phone: 541-726-3753 OREGON Building I Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811SPR2014-01110 www.springfeld-or.gov permitcenter©springfield-or gov PROJECT STATUS: Issued ISSUED: 05/20/2014 EXPIRES: 11/15/2014 • STATUS DATE: 05/20/2014 APPLIED: 05/20/2014 SITE ADDRESS: 1003 S 69TH ST,Springfield,OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1802022307800 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: M-Finish basement,add bathroom OWNER: DEMERS LOUIS R&JANET A Phone Number: ADDRESS: 1003 S 69TH ST - -, SPRINGFIELD OR 97478 CONTRACTOR INFORMATION - Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Plumbing Contractor MICHAEL ALAN BROWN CCB 164093 04/07/2015 541-536-7960 General Contractor LOWES WEATHERIZATION INC COB 176741 06/19/2015 541-485-2282 Mechanical Contractor LOWES WEATHERIZATION INC CCB 176741 06/19/2015 541-485-2282 • BC ELECTRIC CO CCB 66799 06/04/2016 541-998-3736 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. / — Owner or et tractor Signature Date • NOTICE: THIS PERMIT SHALL EXPIRE IF THE WORK ATTENTION: Oregon law requires you to AUTHORIZED UNDER THIS PERMIT IS NOT follow rules adopted by the Oregon Utility COMMENCED.OR IS ABANDONED FOR • Notification Center. Those rules are set forth ANY 180 DAY PERIOD. in OAR 952-001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone. number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 5/20/2014 11:48:53AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD 1l7 .tea.. c° 225 Fifth St TRANSACTION RECEIPT Springfield,OR97477 OREGON 541-726-3753 811-SPR2014-01110 www.springfield-or.gov 1003 S 69TH ST permitcenter @springfield-or.gov RECEIPT NO: 2014001102 RECORD NO: 811-SPR2014-01110 DATE:05/20/2014 [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_ _ • J Check Bent Nail Enterprises 93.60 2043 TOTAL PAID: 93.60 • Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD CLa ®' s Hail IELE ®REG©N "' Permit no.: .31y ^ ( ( I 225 filth Street • Springfield.OR 97477 • PH(541)726 3753 • f AX(541)726 3689 •Is:. „'t OR c/ OREGON Date: (( This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180[lays of issuance or if wont is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE *Residential ❑ Government ❑Commercial Residential Qty, Cosen,t Total cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: /b03 5 7/1/ ft / hurt nee/burner including duets and vents City: �r,N Ace/it State:the ZIP:7 7/8 Up to IOOk BTU/hr. $18.50 $ / Over 100k BIU/hr. $22.00 Reference: "Emit*: Heaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 • Fri f/,/ Ai ell/Ent Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ / PROPERTY OWNER absorption system Name: LOUic-/ Z'_ vet Qe/h Cr, -Evaporated cooler $14.50 $ Address: X003 ,S 6,i,^ sr Vent I m with one duct/appliance vent / $-0.00 $ Hood %yilh exhaust and duct $14.50 City. . ,rj 4y/ e�� State:og __. ZIP:f7V78 Floor furnace including vent $80.00 $ • Phone: 7 //73‘— /577 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 10.001)CFI 512.00 .$ Signature: Over 10.000 CFM $22.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heal pump iF - / Up to 3 hp/100k BTU $18.50 $ Business name: „7;51 („oat& Dn eadegy SUlrt tip to 15 hp/500k BTU $32.00 $ Address: PO/5765e 21337 ✓JJ Up to 30 hp/1.000 13TU $47.50 S City: E U g a y r i e I State: OR ZIP_77702 Up to 50 hp/1,750 BTU $62.50 $ Phonea/ 95?-3 c Fax: - - Over 50 hp/1.750 BTU $104.50 $ E-mail:77,10 p It oar, £_e/ y —Cam eeek Incinerators _ 9 Domestic incinerator $22.50 S CCB license no.: /767y/ 'J} Commercial __Print name: T n/ Z t* / Enter total valuation ofinecbanical system • / . / • and installation costs$ Signature: / /� / Enter fee based on valuation of mechanical system.etc. S / Miscellaneous fees Items Cost To ea.ra. cost • Reinspeetion $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 lees(or enter set • minimum lee of $80.00) $ - (13) Investigative tee(equal to IAI) S n (C) Enter 12%surcharge(.12 x IA+Bp $ (D)Seismic fee. I%(.01 x IA)) $ _ 9 (E)Technology Fee(5%of[AI) $ �� 440-2545-1(4/t/2013/CObq TOTAL fees and surcharges(A through C):