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HomeMy WebLinkAboutPermit Mechanical 2014-6-26 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 '``RE Phone: 541-726-3753 GON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811'-SPR2014-01389 www.spnngfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 06/26/2014 - EXPIRES: 12/22/2014• • STATUS DATE: 06/26/2014 APPLIED: 06/26/2014 SITE ADDRESS: 423 D ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703352409600 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Gas furnace • OWNER: JENKINS HOUSE LLC Phone Number: ADDRESS: 40063 LITTLE FALL CREEK RD FALL CREEK OR 97438 • CONTRACTOR INFORMATION I Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor MARSHALLS INC CCB 25790 12/23/2015 541-747-7445 INSPECTIONS REQUIRED Inspections • 2255 Gas Pressure Test • 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an appliance. 2995 Final Gas Final Gas: When all gas work is complete. 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 re.uested at the proper time, that each address is readable from the street,that the permit card is located at the front of the pr./-rty, and the approved set of plans will remain on the site at all times during construction. C-6-1AAIP7 CP-4114 Owner or Contractor Signature Date • • NOTICE: ATTENTION: Oregon law requires you to THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth . COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001- ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by calling the center. (Note: the telephone-,i number for the Oregon Utility.Notification Springfield Building Permit 6/26/2014 2:05:29PM Center is 1-800-332-2344). Page 1 of 1 • • SPRINGFIELD- - CITY OF SPRINGFIELD TRANSACTION RECEIPT Spnogfeld,OR 97477 4,09 541-726-3753 OREGON 811-SPR2014-01389 wNw.spnngfield-or.gov 423 D ST permitcenter©spdngfieldacgov RECEIPT NO: 2014001388 RECORD NO:811-SPR2014-01389 DATE:06/26/2014 C' PION ,K_ltfta::,-' -ffinfi ` :=ACCOUNT-CODE/TRANS_CODE '-°'.`.2::AMOUNT,DUE• Continuing Education Fee 224-00000-425606 2.50 First Appliance Fee 224-00000-425604 1006 82.00 Gas Piping up to 4 outlets 224-00000-425604 1006 • 8.00 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 10.80 Technology fee(5%of permit total) 100-00000-425605 2099 4.50 • TOTAL DUE: 107.80 PAYMENTAYP,E, ' , P,AY.OR :CASHIER:cARPENTERe'. , COMMENTS-w� AMOUNT PAID ""argar W --Select— Porter,J. 107.80 164093 • TOTAL PAID: 107.80 • • • • • • Mechanical Permit Application DEPARTMENT USE ONLY rY l I r fi g":-{t-{ S, !'� `y F " SPRINGFIELD -mow LIfCITY-tOF SPRINGFIELW REGO.x 1,. Permit no.: 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 °k,r`s:. eat Date: (/ZV/ 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 180 days. : ,VICATEGORY,OF'CONST,RUCTION h; " r >` Ff , FEE"SCHEDULE rfij', , krt -.i';'n Residential ❑Government ❑Commercial lResldential , r,, Cost Total .. i *_- Qty ,t.ea. = cost JOB SITEANFORMATION 'AND LOCATION II.V First Appliance _ $82.00 $ Furnace/burner including ducts and vents Job site address: •3 D Up to look BTU/hr. ( $19.00 $ p City: S tk.State: 42- ZIP Over IookBTU/hr. $22.00 $ Reference: f 0 Taxlot.: Heaters/stoves/_vents_ "� Eis ft" DESCRIPTIONyOF WORK z 74a , Unit heater $19.00 $ ��a,af.-» o ._..; Wood/pellet/gas stove/flue $43.00 $ 1 1'1.5{, 6�S 1Ca4y'Vlq�e Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $82.00 $ absorption system is * � OR , ir11,trt a e,TPR eOWNERs;`. t ktjar Evaporated cooler $15.00 $ Name: .. etii-CcbtS.4(44.-Q .LA Vent fan with one duct/appliance $10.00 $ _ _ Hood with exhaust and duct $15.00 $ Address: 6'7 ( W /betr- / Floor furnace including vent $82.00 $ City: _ pt 1u_C ,..e. State: O . ZIP:47�t ( Gas piping JJ One to four outlets / $8.00 $ Phone: .54( 3q5— 327-7 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. Compressor/absorption system/heat pump Signature: Up to 3 hp/100k BTU $19.00 $ Ar�,c; CONTRACTOR INSTALLATION ` „' sz "`' Up to 15 hp/500k BTU _ $33.00 $ :, Up to 30 hp/1,000 BTU - - $49.00 $ Business name: t�,t \.., Al(\ S Up to 50 hp/1,750 BTU $64.00 $ Address: Over 50 hp/1,750 BTU $107.00 $ _ City: 59i-c- . C c( State: ZIP: Incinerators Domestic incinerator $22.50 $ Phone: - - Fax: - - tCommerElal".:, 'IL;t .a`, , .,Ii. - z A .'. .rt ..; E-mail: Enter total valuation of mechanical system CCB license no.: 25 h/ %qv and installation costs$ Enter fee based on valuation of mechanical system,etc. $ Print name: Miscellaneous fees''.. 1C`4,:CI'Rems cost ` Tota P 7t ;y=ea , cult Signature: Reinspection $82.00 $ Specially requested inspections (per $82.00 $ Regulated equipment(unclassed) $15.00 $ Each additional inspection:(1) $82.00 $ .lint =?;,s`APPLICANT?USE 4t A,a„3 1 , "?a (A)Enter subtotal of above fees(or enter set minimum fee of $82.00) $ go (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ to (D)Seismic fee, I%(01 x [A]) $ (E)Technology Fee(5%of[A]) $ d'Sj' (F)Continuing Education Fee$2.50 $2.50 TOTAL fees and surcharges(A through F): $ i 07� 440-2545-1(5/21/2014/COM)