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Home My WebLink AboutPermit Mechanical 2014-08-26SP2INGFIELU --- 1 3 R ' OREGON v .spnngfieldocgov Building / Residential Permit PERMIT NO: 811-SPR2014-01857 225 Fifth St Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spdngfield-ocgov PROJECT STATUS: Issued ISSUED: 08/26/2014 EXPIRES: 02/21/2015 STATUS DATE: 08/26/2014 APPLIED: 08/26/2014 SITE ADDRESS: 25 D ST, Springfield, OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703352308500 TYPE OF STRUCTURE: PROJECT -DESC-RIPTION:— —installing -new -gas -lines OWNER: CURTIS THOMAS R JR Phone Number: ADDRESS: 1336 BRICKLEY RD EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lie Exp Phone INSPECTIONS REQUIRED Inspections 2255 Gas Pressure Test 2260 Gas Service Gas Service: After line is installed and line has been connected to a minimum of one appliance including required testing. Presure test done at this point. 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, 1 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 Safely. 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 ate ATTENTION: Oregon lav✓ requiresfollow rules you to N tifici ti n Center( Thed loselr ilees fi are set forth in OAR 952-001-0010 through OAR 982-001- 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), THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT C0(i1P1ENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 8/26/2014 1:14:35PM Page 1 of 1 ELD - 225 Fifth St Eim CITY OF SPRINGFIELD Sprine:6ld,oR 67477 Phone:541-726-3753 OREGON Permit & Inspection Summary Inspection Phone: 541-726-3769 Fax: 541-726-3676 vw .springfieldor.gov PERMIT NO: 811-SPR2014-01857 permitcenter@spnngfield-or.gov IVR Number: 811169034257 PROJECT STATUS: Issued ISSUED: 08/26/2014 EXPIRES: 02/21/2015 STATUS DATE: 08/26/2014 APPLIED: 08/26/2014 VALUE: $0.00 SITE ADDRESS: 25 D ST, Springfield, OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703352308500 WORK INVOLVED: TYPE OF STRUCTURE: --PROJECT-DESCRIPTION: —installing-ne"aslines OWNER: CURTIS THOMAS R JR Phone Number: ADDRESS: 1336 BRICKLEY RD EUGENE OR 97401 �.= � :,..,��-.- -��"��r011T�iL#„ T� � ��- -� Wim=• Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone var�rr°�LOf��P>; RR1P�i'It� -- Description Type of Construction Unit Amount Unit Type Unit Cost Value Description Amount Paid Date Paid Receipt Nbr _ Continuing Education Fee $2.50 08/26/2014 2014001882 First Appliance Fee $82.00 08/26/2014 2014001882 State of Oregon Surcharge (12% of applicable fees) $9.84 08/26/2014 2014001882 Technology fee (5% of permit total) $4.10 08/2612014 2014001882 Total Paid $98.44 Department Received Due Date Completed Result Reviewer Application Acceptance 08/26/2014 08/26/2014 08/26/2014 Over the Counter Robert Castile Initial Review 08/26/2014 08/2612014 08/26/2014 Over the Counter Robert Castile Comments: Over the counter permit Mechanical Review 08/26/2014 08/26/2014 08/26/2014 Not Required Robert Castile Comments: Over the counter permit Permit Issuance 08/26/2014 08/26/2014 08/26/2014 Issued Robert Castile Inspection Type Insp Date Result Inspector Name 2255 Gas Pressure Test Not Scheduled Pending Comments: na 2260 Gas Service Not Scheduled Pending Comments: na 2300 Rough Mechanical Not Scheduled Pending Comments: na - Permit & Inspection Summary 8/26/2014 1:10:45PM Page 1 of 2 SPRINGFIELD SPRINGFIELD '® Permit &np@CtlO Summary S rmgfeld,OR 97477 Ph n1-726-3753 -726-3769 PeetioPhone: 541 ry Fax: 541-726-3676 v .spdngfield,or.gov PERMIT NO: 811-SPR2014-01857 permflcenler@spdngfield-or.gov IVR Number: 811169034257 PROJECT STATUS: Issued ISSUED: 08/26/2014 EXPIRES: 02/21/2015 STATUS DATE: 08/26/2014 APPLIED: 08/26/2014 VALUE: $0.00 SITE ADDRESS: 25 D ST, Springfield, OR 97477 SCOPE: ASSESOR'S PARCEL NO: 1703352308500 WORK INVOLVED: TYPE OF STRUCTURE: -PROJECT-DESCRIPTION:-----installing-new-gas lines--- ---- ----- - - -- -- -- ---- Inspection Type Insp Date Result Inspector Name 2310 Rough Gas Not Scheduled Pending Comments: na 2995 Final Gas Not Scheduled Pending Comments: na 2999 Final Mechanical Not Scheduled Pending Comments: na lermh & Inspecdon Summary 8/26/2014 1:10:45PM Page 2 of 2 SPRINGFIELD - `- CITY OF SPRINGFIELD -x'-' - TRANSACTION RECEIPT 225 Fiflh St Spdngfieid,OR97477 O REG ON 541-726-3753 811-SPR2014.01857 vry .spdngfieldor.gov 25 D ST permitcenter@spdngfieldor.gov RECEIPT NO: 2014001882 RECORD NO: 811SPR2014-01857 DATE: 08/26/2014 DESC 12TON�;� ,'' � ,_,, 'C'•OUNi CODERRANSIC-QD _ MO ..... NT DU 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 PA�INENT� P RAiI' R ; ca�swea Rc s CONI EN't'S - � '—OD T:P,.� f7 Credit Card CURTIS THOMAS R JR 98.44 019458 TOTAL PAID: 98.44 Mechanical Permit Application DEPARTMENT USE ONLY . SPRINGFIELD �I Permit no.: viIq -- 01 225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 F �( '4 O _.— Date: 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 , tg�kcsiclential ❑ Government ❑ Commercial JOB. SITE INFORMATION AND LOCATION ' Job site address: -,)S D City: SpAjr -C /6 k,,_0 State: 0/_ ZIP: 9 7 Y77 Reference:. _ Taxlot.:- — DESCRIPTION OF WORK r, /V/�cv G'A-s C,//✓� PRORERTY;:OWNER' Name: % C L��J Address: n /J ';/ City: I State:j%j%/L ZIP: % y77 Phond^'/ Y1-4) Fax: f ¢f .3 Y2 V312 E-mail: T/ GOND o ® Yyweip • & rk-i This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701.010. Signature: CONTRACTOR :1N5TAlLATION Business name: TYLj/'yf GG177 �j/✓i` Address: Z L %p City: Ojiu I State: /_ ZIP:q% (/OI Phone: V11g,4Z YY10 I Fax: - - E-mail: n f df t/ 1411. Ul--7 CCB license no.: ��,,,.,_,� Print name: %^ C 6V_if' U Signatu 440-2545-J (5/21/2014/COM) FEE SCHEDULE . , 3Residerrtial Qty, •Cost Total -cost'- First Appliance $82.00 urnace/burner including ducts and vents Up to I 00 BTU/hr. $19.00 $ Over 100k BTU/hr. eaters sto es/ven s— -- - - Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ absoretions to $82.00 $ Evaporated cooler .$15.00 $ Vent fan with one duct/appliance $10.00 $ Hood with exhaust and duct $15.00 $ Floor furnace including vent $82.00 $ Gas piping One to four outlets Additional outlets (each) $5.00 $ Air -handling units including ducts Up to 10,000 CFM I I $12.00 1 $ Over 10,000 CFM 1 1 $22.00 $ Compressor/absorption sstem/heat vum po Up to 3 hp/l00k BTU 1 $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 1 $ Over 50 hp/1,750 BTU $107.00 $ Incinerators Domestic incinerator $22 50 $ 'Comsiierclal, - Enter total valuation of mechanical system and installation costs $ _ Enter fee based on valuation of mechanical system, etc. $ °Mi§cellaneous fees tent e;°ast cost' Reinspection $82.00 $ Specially requested inspections (pe $82.00 $ Regulated equipment (unclassed) $15.00 $ Each additional inspection: (1) $82.00 $ ti ARPL(CANT.�USE , , (A) Enter subtotal of above fees (or enter set minimum fee of $ 82.00) $ QQ�� 1p7( •�" (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge (12 x [A+B]) $ C1, (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): $ t