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Home My WebLink AboutPermit Mechanical 2014-6-25 SPRINGFIELD 225 Fifth St• CITY OF SPRINGFIELD Springreld,0R97477 Phone: 541-726-3753 'OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01366 www.springfield-or.gov permitcenter©spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 06/25/2014 EXPIRES: 12/21/2014 STATUS DATE: 06/25/2014 APPLIED: 06/25/2014 • SITE ADDRESS: 2458 17TH PL,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703243400338 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Replace bath fan-80 CFM min,3 Sone max,timer or humidistat control OWNER: SVEJCAR JEFF T&JONI L Phone Number: ADDRESS: • 2458 N 17TH PL SPRINGFIELD OR 97477 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor STEPHENS INC CCB 169357 03/28/2016 541-914-8120 INSPECTIONS REQUIRED II 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. • ‘-A-57-/C- Owner or Contractor Signature Date • • ATTENTION: Oregon law requires you to . ?IOTiCE: follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK Notification Center. Those rules are set forth • In OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR .calling the center. (Note: the telephone ;\NY 180 DAY PERIOD. number for the Oregon Utility Notification •Center is 1-800-332-2344). • • Springfield Building Permit 6/25/2014 10:57:07AM Page 1 of 1 • • SPRINGFIELD CITY OF SPRINGFIELD 225 Fifth St i TRANSACTION RECEIPT Spdngfield,OR97477 OREGON 541-726-3753 811-SPR2014-01366 • www.springfield-or.gov 2458 17TH PL permitcenter @spnngfield-or.gov RECEIPT NO: 2014001372 RECORD NO:811-SPR2014-01366 DATE:06/25/2014 .�e 't,{:: Meg 0 1a,, tl `�'�'i',.9F`a t2.F d's.syt Ls a" ., 'n"T I_ DESCRIP.T.ION _�� _. 3�=��,�: ,rrs�. � AGGOUNT GODEITRANS(CODE ,� __ ',,i.g AMOUNT,c Continuing Education Fee 224-00000-425606 2.50 First Appliance Fee 224-00000-425604 1006 82.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 9.84 Technology fee(5%of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENTyTYPE 'AVM CiHEIR CAERPN7ER T 1" Y `COMENrc ANOUNPA Credit Card SVEJCAR JEFF T&JONI L 98.44 06235c TOTAL PAID: 98.44 • • • • Mechanical Permit Application i;,.,,DEpARTmENT USE ONLY) :,i, ,y., : c-4,-,c,..,,k,:':,t,:;-:,;:L:: ,,;?. SPRINGFIELD ""'""-- • • . /("( /3 ( e1T-1/ OF'SPRINGFIELD“tOlitGONij' :=.4, c1/4,- , , ic..... Permit no.. cvo,,a,h ' Date: il CA V 225 Fifth Street• Springfield,OR 97477 • PI-1(541)726-3753 • FAX(541)726-3689 * 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. fill?I'i:i.4?:<.CATEGORY;s0t.CONSTRUCTION•.ii:E'P:: - V . -;•':,,, :;-t-OD-ra4i..V.,FEE'SCHEDULEI.'.. -':"n,:;?1:4-4,-::: IX(Residential Eil Government D Commercial IR1_0PP1,1!1-itTh4,::!i:u. t•,,.!tg,i; Qty ti,17..1013;--;'SITE'liNFORIVIATION'taNI:Vi'LOCATION : ii-Sfi First Appliance $8200 $ Furnace/burner including ducts and vents Job site address: 7y5g /7-1, to/• Up to 100k BTU/hr. $19.00 $ City: 5e(iv,54,e,i A - State: 012_ ZIP: 19-1177 Over 100k BTU/hr. $22.00 $ Reference: , Taxlot.: Heaters/stoves/vents :1114;`,„ :15:Virlt:DESGRIFITION23,0E -WORK,'!-<. 14n7,:MV:j; Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ 121-10/4Ct eilC11)1)4, Pkt,r-o-nyv-- cr,..., Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $82.00 $ absorption system - 7.calatittykit-OkOPEFert(dV$ISitalAtii`.:,4:11,1*W.P.i;4: Evaporated cooler $15.00 $ Name: 34c Vent fan with one duct/appliance I $10.00 $ 43 INA‘) % c W.- Hood with exhaust and duct $15.00 $ Address: 7,q3s Ittin, (i. Floor furnace including vent $82.00 $ City: 5pA 5-44), State: a2_ ZIP: 474/.79_ Gas piping_ • One to four outlets $8.00 $ Phone: /-77 4- / oey Fax: - - Additional outlets(each) $5.00 $ E-mail: Air-handling units,including ducts This installation is being made on property owned by me or a Up to 10,000 CFM $12.00 $ member of my immediate family, and is exempt from licensing Over 10,000 CFM $22.00 $ requirements under ORS 701.010. tiCpo mto n3rhepsistooro/ka bBsTourntion system/heat pump Signature: ---- f..-ra 'r---- _. YZ-57i.JOSYCI.Tbobit, itie,:iNtACLAtitini-,5:2Nfasaiiggi, Up to 15 hp/500k BTU $19.00 $ $33.00 $ Up to 30 hp/1,000 BTU $49.00' $ Business name: -Ei-anii.er—Bv.„‘ac...4 Up to 50 hp/1,750 BTU $64.00 $ Address: 19 )e5--- thj 34 Over 50 hp/1,750 BTU $107.00 $ City: ( 14,_{. Lk State: ni_. ZIP: gy 1/42.... Incinerators Domestic incinerator I 1 $22.50 $ Phone:51P 1)9/43 120 Fax: - - E-mail: Enter total valuation of mechanical system and installation costs$ CCB license no.: Jo 33 -;. Enter fee based on valuation of mechanical system,etc. $ Print name r . . eMis--'icer lan-'"eour,s's l e,e',••"Th-:,r ='' C"st' , miforal,'5 Signature: Reinspection $82.00 $ Specially requested inspections (per $82.00 $ Regulated equipment(unclassed) $15.00 $ Each additional inspection:(I) $82.00 $ P5T'IMIR&3APOLiCANT;4',USE;,:t4`A%g;ia.B,,:ii'St (A)Enter subtotal of above fees(or enter set minimum fee of $82.00) $ (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+13]) $ 5 1 r (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ irel° . (F)Continuing Education Fee$250 $2.50 TOTAL fees and surcharges(A through F): $ IIi ----- . 440-2545-1(5/21/2014/COM)