HomeMy WebLinkAboutPermit Mechanical 2014-7-11 SPRINGFIELD 225 Fifth St
fr CITY OF SPRINGFIELD Springfield,OR97477
.2 S4L-9 Phone: 541-726-3753
OREGON Building / Residential Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-01498
wnv,springfield-or.gov permitcenter @springfeld-or.gov
PROJECT STATUS: Issued ISSUED: 07/11/2014 EXPIRES: 01/06/2015
STATUS DATE: 07/11/2014 APPLIED: 07/11/2014
SITE ADDRESS: 387 S 35TH ST,Springfield, OR 97478 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702314302405 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION: DHP
OWNER: FOGLIO KAMERON Phone Number:
ADDRESS: 387 S 35TH ST
SPRINGFIELD OR 97478
L CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanical Contractor EUGENE HEATING INC CCB 188592 11/05/2015 541-726-7656
I, 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.
Owner or Contractor Signature Date
Per•t"-
ATTENTION: Oregon law requires you to
NOTICE: follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
THIS PERMIT SHALL EXPIRE IF THE WORK in OAR 952-001-0010 through OAR 952-001-
AUTHORIZED UNDER THIS PERMIT IS NOT 0090. You may obtain copies of the rules by
^OMMENCED.OR IS ABANDONED FOR calling the center. (Note: the telephone
i1 180 DAY PERIOD. number for the Oregon Utility Notification
`(
Center is 1-500-332-2344).
Springfield Building Permit 7/11/2014 8:39:35AM Page 1 of 1
SPRINGFIELD CFI OF SPRINGFIELD
1 S au-. 225 Fifth St
FY* TRANSACTION RECEIPT Springfield.OR97477
OREGON 541-7263753
811-SPR2014-01498
www.springfield-orgov 387 S 35TH ST permitcenter(t3springfield-or.gov
RECEIPT NO: 2014001495 RECORD NO: 811-SPR2014-01498 DATE: 07/11/2014
tDESCRIPTION _ �. - ACCOUNT CODE/TRANS-CODE_ _AMOUNT DUE _;
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
' PAYMENTTYPE- ` PAYOR ,CASHIER:JLARSON =_ ° ' : COMMENTS„ ' . ` .- AMOUNT PAID__-_,:-.2::::
Credit Card EUGENE HEATING INC _98.44
083650
TOTAL PAID: 98.44
07/10/2014 1 : 33 5417267657 AUTOMATIC HEAT PAGE 01/01
Mechanical Permit Application ,-,:.:i i P RI ,/ r 3 Arty•-..-.;,,,,
P.:..5e.-.tn,i;...itri.--,:Linaixer:./. ,.,.., •g,'`,1.,,,,r4NA.•.;■;-.7ii.,
SOSIDIIi=
CITY OF SPRINGFIELD, OREGON Permit no.:5/YCZa(4/-()((-11ie.
225 Fifth Street • Springfield,OR 97477 •FF041)726-3753 •FAX(5SI)726-3689 -. $1c.:l Date: 7//, i f c_f
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.
-
' :: '12KlitigiST409.AYK4t.I:PPOS;*.0-€101,4t.,4i. .9'‘OI:. .1gVNI.::41?li :RPVP#4.904KItEri:•174,0k,:-VF::
JaResidential. 0 Government 0 Commercial rt ' c :4 lr:
Alatiletiii4C-7 .12::, . 1, ... .,
'.14.6t3 ti:i-Er'."iiifOki■Vivrfiii41,06140tAtIcSi4 :'4P;:..g!;: First Annbaricte 582.00 $Ii2AP
St.
5t
Job site address: 35-1 fr. Furnace/burner includIng duets and vents
S -6v'
Up to 100k BTU/hr. $19.00 $
City: ibt`..41.4\a State:CM- ZIP:entrl co Over .1001:BTU/hr. $22.00 $
Reference: Taxlot.: Heaters/stoves/vents
.•. .leti-t;::/:./. .gl:; b0PkIPtiOk;6.t.A1ORK'VrItIP,:::;:ilk::Vk Unit heater $19.00 s
• '- '. - ' ' ' • '''''''' - - ' ' - Wood/pellet/gas stove/flue $43.00 $
\IN:Cr/mai e.k.)oklaco Int..e-k. pAhl..ee Repair/alter/add to beating appliance!
refrigeration unit or cooling system/ $82.00 S
absolution system
7i; ll:ltfrOMET‘tt:;00#01:Ill'i".fl l'hi.L'at„..f.:?t, Evaporated cooler $15.00 5
Vent fan with one duct/appliance $10.00 $
Name: \i--0.11/401/4 tyro IN ?boot I 0
Hood with exhaust and duct $15.00 $
Address: 31 S %.S--Y■n Sic, Floor furnace including vent $82.00 $
• City: Cp?,,,,j tc,,,, ct State: Q . ZIP: 9111% Gas piping
One to four outlets $0.
Phone:CY b - el(A-illy-I Fax: - - 01 S
• Additional outlets(each) $5.00 $
E-mail: . Mr-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 CTN. 522.00 $
requirements under ORS 701.010. Compressor/absorption system/heat ump
Signature: Up to 3 bp/100k BTU $19.00 $
4.,.;.4:fTgA010-0q.-tttow#2:040,(AmseiNn; Up to 15 hp/500k BTU $33.00 $
Up to 30 hp/1,000 BTU $49.00 $
Business name: PrAoreurciaC. Vce.r.-4
Up to 50 hp/1,750 BTU $64.00 S
Address: l,bk 0 Otto" %b Over 50 hp/1,750 BTU $107.00 $
City: Eu co ex.& State: Cr_ zip:914ot tncinerators
Domestic incinerator 1 I 522.50 I $
Phone: 51-1-1 - 12,..(e-1 Lai fax - -
SIII70137anf0=::&•:.$5:.4:4\1417. 4 :41:':;.Ittaltl...:Atg
E-mail: WV°Stay c C.&curbs wiwent bean Co.Co 0-1 Enter total valuation of mechanical system
and installation costs$GCB license no.: 'et cll.
Enter fee based on valuation of mechanical system,etc. 5
Prim name: t-k.tA(VS& dThas(Nev.-
! rgairralefteltf TA'lfi, V i':::'rit,TrtfUl
! „,,, S.,i,.a.P &A .L iv*:*:...:It.41'• e.a.scc :
Signature: c ---,r------. . .. -> Reinspection $82.00 $
- Specially requested inspections (pet $82.00 $
Leo-
tort e Ittt -tc-cr.!) C.0 Ni" Regulated equipment(unclassed) $15.00 5
vle,c" a,u, i 4--snc-
Each additional inspection:(1) $82.00 $
. i4V%lerlEIWITAISMItaillaiTaTREP
(A)Enter subtotal of above fees(or enter set
minimum fee_ontaN $
(B)Investigative fee(equal to[A]) $
(C)Enter 12%surcharge(.12 x[A+13]) S
(D)Seismic fee, 1%(.01 x[A)) S
(E)Technology Fee(5%of[A)) $
(F)Continuing Education Fee$2.50 $2.50
• TOTAL fees and surcharges(A through ID: $*3 =1-4- 7
440-25454(5/21/20 14CON1)
•