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HomeMy WebLinkAboutPermit Mechanical 2014-09-05SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR97477 Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-01913 www.spdngfieldor.gov permitcenter@spdngfield-or.gov PROJECT STATUS: Issued ISSUED: 09/05/2014 EXPIRES: 03/03/2015 STATUS DATE: 09/05/2014 APPLIED: 09/05/2014 SITE ADDRESS: 1527 16TH ST, Springfield, OR 97477 SCOPE: Wood Stove / Insert ASSESOR'S PARCEL NO: 1703253102600 PROJECT-DESCRIPTION:—New woodstov OWNER: QUICK BRENT T ADDRESS: 152716TH ST TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lie No Lic Exp Phone Mechanical Contractor OWNER ccs 000000 OB/01/2025 INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation. Stove 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 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. �L�w ,S l� Owner or Contractor Signature Date jl !IS PERMIT SHALL EXPIRE IF THE WORK AIJTHORITED UNDER THIS PERMIT IS NOT ('W.flvlENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. " I I: Cr"la1 Inw requires you to x ol,led by the Oregon Utility /n (c ntt,r. `(hose rules are set forth u, t �It i)52 001-0010 through OAR 952-001- 0090. You may obtain copies of the rules by callii g the center. (Note: the telephone numbelfor eeNotification is 1-600-332-2344) Centel Springfield Building Permft 9/5/2014 2:24:29PM Page 1 of 1 - CITY OF SPRINGPIHLD LSPRINGIFIELD TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR 97477 OREGON 811 -SP R2014-01913 541-726-3753 www.spdngfieldor.gov 1527 16TH ST permitmnter@spdngfield-orgov RECEIPT NO: 2014001938 RECORD NO: 811-SPR2014.01913 DATE: 09/05/2014 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 Check QUICK BRENT T 98,44 1786 TOTAL PAID: 98.44 Mechanical Permit Application DEPARTMENT USE ONLY ;PRIN GFIELD I Ilk" I I I1 0 0 Permit no.: 225 Fifth Street ♦ Springfield, OR 97477 + PH(541)726-3753 FAX(541)726-3689 Date: 21S�Itl 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. Y CONSTRUCTION CATEGORY 5d Residential El Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: I(VaAl- 5k City: j State: zip: Reference: Taxlot.: OESCRIPTION-OF WORK Up to I 00k BTU/hr. $19.001 _,,popP '6WNER R ty- Name: Address: \,54'1 City: 5 tg State: C� ZIP: Phone: ,rtif, 72BkSr7e)o Fax: E-mail: ,V6C Qt,.EtLP 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: GONTRACTOR;J!4STALLATIQN Business name: Address: City: Stat( $82.00 Phone: Fax: E-mail: CCB license no.: Print name: F Signature: 440 -2545-J (5/2112014/COM) "FEE 8CHEDULE- Aiesidentialty Cost l �Total.l., �cos-C First Appliance /1 $82.00 Furnace/burner including ducts and vents Up to I 00k BTU/hr. $19.001 $ Over 100k BTU/hr. $22.001 $ Heaters Lstoves/ vents Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ absomtion system $82.00 $ Evaporated cooler $16.00 $ Vent fan with one ductlappliance $10.00 $ Hood with exhaust and duct $16.00 $ Floor furnace including vent $82.00 1 $ Gas piping One to four outlets -Additional outlets (each) I 1 $6.001 $ Air -handling units, including ducts Up to 10,000 CFM 1 1 $12.001 $ Over 10,000 CFM 1 1 $22.001 $ Compressor/absorption s stem/heat DUITIA) Up to 3 hp/100k BTU 1 $19.001 $ Up to 15 bp/500k BTU $33.00 $ Up to 30 hp/1,000 BTU $49.00 $ Up to 50 hp/1,750 BTU $64.001 $ Over 50 hp/1,750 BTU $107.00 Incinerators Domestic incinerator $22.60 $ Comme Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Misceilaiietius foesMein cost 6. �' johil" cast Reinspection $82.00 $ Specially requested inspections (pe i $02.00 $ Regulated equipment (unclassed) $15.00 $ Each additional inspection: (1) $82.00 $ 4 ' APDL ICANT-_'I SE -,:",- (A) Enter subtotal of above fees (or enter set minimum fee of $ ALOO) $ (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)-