The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2014-07-15SPRINGFIELD— 6! -- %�„s'`s OR wvnv.sprfngfieldocgov CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-01512 225 Fifth Sl Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfleld-or.gov PROJECT STATUS: Closed ISSUED: EXPIRES: 01/10/2015 STATUS DATE: 07/15/2014 APPLIED: 07/14/2014 SITE ADDRESS: 6811 C ST, Springfield, OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702344106000 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: BWOP addition by prior owners- compliance by Contractor's letters. OWNER: NELSON-THIELE JULIE ADDRESS: 670 MALLARD AVE SPRINGFIELD OR 97477 OWNER: THIELE MARTIN ADDRESS: 670 MALLARD AVE Phone Number: Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lie Exp Phone OWNER CCB 000000 08/01/2025 ORDELL CONSTRUCTION LLC CCB 177132 07/05/2015 541-747-8734 ORDELL CONSTRUCTION LLC (PB) Plumbing Cm PB1143 07/01/2017 541-747-8734 INSPECTIONS REQUIRED Inspections 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 Springfield Building Permit 7/15/2014 8:22:25AM Page 1 of 1 Mechanical Permit Application DEPARTMENT USE ONLY srwmeF�e�o , 1 ® `---- Permit no.: L t 225 Fifth Street Springfield, OR 97477 PH(541)726-3753 FAX(541)726-3689 Date: G 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. CATEGORY OF CONSTRUCTION P9 Residential I ❑ Government ❑ Commercial JOB SITE INFORMATION AND :LOCATION Job site addres : (j C + City:'S C State: (� ZIP:q%kni Reference: Taxlot.17.6�.34.w DESCRIPTION OF WORK h� o V c c uo PROPERTY OWNER , _ , Name: M i � t bh , Address:67O Mctve, City:15Q State: (�R Z119-1 -1 477 Phone: 4 - a(, -I go I Fax: E-mail: , Ck . b This installation is being made on properly owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Signature: �0�/4t v C NTRACTOR INS=LLAg4ON ji✓S>° Business name: ORpr2( 6.tVS77evcr0/161 L_ C. Address: 29771 &NID 9044 City: EuGENG State: OK. ZIP: 97`%2- Plrone:Q1-747-$73 Fax:9*4/-M-973S E-mail: 6'S'r�<I� OC IICONS1('UJINJ 600 CCB license no.: 177/3Z Print name: oBP2 ! 5 Signature: 440.2545-J (5/212014/COM) FEE SCHEDULE_ Residential Qty, Cost - eo. Total ....cost First Appliance 1 1$82.00 Furnace/burner including ducts and vents Up to 100k BTU/hr. I 1 $19.00 $ Over I 00k BTU/hr. 1 1 $22,00 $ Heaters/stoves/vents Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ absorption stem $82.00 $ Evaporated cooler $15.00 $ Vent fan with one ductlappliance $10.00 $ Hood with exhaust and duct $15.00 $ Floor furnace including vent $82.00 $ Gas piping One to four outlets I 1 $6.00 $ Additional outlets (each) I 1 $5.00 $ Air -handling units including ducts Up to 10,000 CFM $12.00 $ Over 10,000 CFM $22.00 $ Com ressor/absor tions stent/heat MUND Up to 3 hp/100k BTU $19.00 $ Up to 15 hp/500k BTU $33.00 $ Up to 30 hp/1,000 BTU $49.00 $ Up to 50 hp/1,750 BTU $64.00 $ Over 50 hp/1,750 BTU $107.00 $ Incinerators Domestic incinerator 1 1 $22.60 $ Commercial Enter total valuation of mechanical system and installation costs $ _ Enter fee based on valuation of mechanical system, etc. $ Miscellaneous fees herml cost ea. Total cost.> Reinspection $82.00 $ Specially requested inspections (pe $82.00 $ Regulated equipment (unclassed) $15.00 $ Each additional inspection: (1) $82.00 $ APPLICANT USE (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+B]) $ (D) Seismic fee, 1%(.01 x [A]) $ (E) Technology Fee (5% of [A]) $ (F) Continuing Education Fee $2.50 $2.50 TOTAL fees and surcharges (A through F): 1 $ SPRINGFIELD`" CITY OF SPRINGFIELD 225 Fifth Sl t 85"TRANSACTION RECEIPT Springfield,OR 97477 OREGON 541-726-3753 811-SPR2014-01512 mm.springrield-ocgov 6811 C ST permit enter@sp6ngfield-ocgov RECEIPT NO: 2014001511 RECORD NO: 811-SPR2014.01512 DATE: 07/14/2014 DESCRIPTION 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 (6% of permit total) 100-00000-425605 2099 4.10 TOTAL DUE: 98.44 PAYMENT.TYPE PAYOR CASHIER: COARPENTER COMMENTS AMOUNT PAID '. Check NELSON-THIELE JULIE 98.44 7083 TOTAL PAID: 98.44