HomeMy WebLinkAboutPermit Mechanical 2014-09-09SPRINGFIELD --
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-SPR2014-01948
w .springfieldor.gov
-
permitunter@spdngfield- r.gov
PROJECT STATUS:
Issued ISSUED: 09/09/2014
EXPIRES: 03107/2015
STATUS DATE:
09/09/2014 APPLIED: 09/09/2014
i
SITE ADDRESS: 978 RAINBOW DR, Springfield, OR 97477
SCOPE: Heating System
ASSESOR'S PARCEL NO:
1703342101000 TYPE OF STRUCTURE:
Residential
-PROJECT DESCRIPTION:—
--install ductless mini splits with two heads----
- -— ----------
OWNER: SMITH LIVING TRUST
Phone Number: 541.933.2885
ADDRESS: 978 RAINBOW DR
SPRINGFIELD
OR 97477
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lie Type
Lie No Lic Exp Phone
Mechanical Contmctor
BEST HEATING & CONTROL INC CC13
65439 04/06/2016 541-394-3461
INSPECTIONS REQUIRED
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 Slate 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.
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Springfield Building Permit 9/9/2014 3:08:02PM Page 1 of 1
SPRINGFIELDCITY
"'
OF SPRINGFIELD
i i
TRANSACTION RECEIPT
225 Fifth St
Spdngfield,OR 97477
541-726-3753
OREGON
811-SPR2014-01948
vw .springfield-acgov
978 RAINBOW DR
permitmnter@spdngfield-or.gov
RECEIPT NO: 2014001981
RECORD NO: 811-SPR2014.01948
DATE: 09/09/2014
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
_ —
---Credit
re IC ar _ ronald a loewen - — - - -- - _ -- _- -
— - _ 98.44 -
_
005712
TOTAL PAID: 98.44
SEP -08-2014(10N) 11:36 Best Heating & Cooling (FRX)5033943309 P.002/002
Mechanical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD
Permit no.:
225 Fiflh Sncct F S rin2field, OR 97477 • PH(i41 726373) • FAX194g726.3689'r✓.P
p ) oNEooN 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_ _
xesidendal
O Govm; fm it 10 Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 17 52 Pr
City: 5Prinff�04 State; O2
ZIP: 114 71
-Reference; TaxloGr�i000—
DESCRIPTION OF WORK_
_
Ir ata 11 Awe 11 a5f
i'"rU Nee1d 5. _.
PROPERTY OWNER
Name: 6,. t 1g piktc,
Address: 918 flwinb0A.
City: $of! -If ieid_ State, uR 1147 7
_ _ZIP:
Phone: 5,11-11) L 9 SS "�. - Fax: -
E-mail:
This installation is being rondo on property owned by me or a
member of my immediate family, and is exempt from Iicensing
requirements under ORS 701.010,
Si noture:
_
CONTRACTOR INSTALLATION
Business name; (3c f t {;eAc 7n> S Loop^5
Address: 7.e 8yo NHy 22 C
City: $e "0 State: a tZ ZIN 111.1 q
Phone:5u).314-)H 4(
FaXaa�_JYH_..)3oY
B-mnii;best6cdci��drQGnut(.em^ _•__,,,_„
CCB license ao.:OG yN
Print name; P4 e e k R e 9 c e
_ _
Signature: a✓�._
440-25,15.1 (4lI12013/COM)
PEE JSCHED,412
_
Residential lA�
Qry
wt
c!a,
Total
rob
First Appliance
_
580100
S
irnace/burner Indudlnq ducts and vents __
Up to 100k BTU/hr.
$18,8p S ~
Over. 100k BTU/hr.
$2200 $
19enters/stoves/vants
Unit healer
$18.50
$
Nood/polict/gas stove/flue
$42.00
_
S
Repalrlitha7add to heating appliance/
teitigeration unit or cooling system/
absorption s tem
$80,0D
$
Evaporated cooler
$14.60
$
Vent fan with ons duct/appliance vent
$10.00
$
Hood with exhaust and duct
$14.60
$
Floor furnace including vent
S80.00
$
Gas piRing.
One to four outlets
57.90
S
Additional outlets (each)
$4.60
$
Air-handjlng units, Including ducts
Up to 10,000 CFM
$12.00
$
Over 10,000 CFM
$22.00
$
Com ressor/absor tions stem/heat um
Up to 3 hp/100k BTU
518,80
$
_
Up to 15 hpf$00k BTU
$32,00
S
Up to 30 hpr1,000 BTU
$47.60
S
Up to 50 hpll,750 BTU
$62.60
$
Over 50 hp/1,750 BTU __-.
$104.60
$
lueinerators
Domestic Incinerator
Commercial _
Enter total valuation ofinechanieol system w
and hislallalion costs $,
�$
Enter The based on valuation of meclmoieal system, etc,
Mlseellansous fees
Items Cost
en,
Total
cost
Reinspeotiorr
$eo.00
S _
Specially requested Inspections (per hr.)
$60,00
S
Regulmed equipment (anolasscd)
__ _
$14,50
$
Each addidoLal inspeetloal(1)
_
$80.00
5
APPLICANT USE.
(A)Enter Snhtobil ot'aboyo tpes(or ellter Set
minimumfeeof $ )
n q
$ !lX L
(B) Investigative ee (equal to [A))
(C) Enlcr 12%surcharge (.12 x [A+B])
$ 70
(D)Setsoilefee, 1%(.olx(A]) -
— $
— —
Technology Fee Fee (5'/aor[A])
$ �b
_
TOTAL fees and sarcl irges (A through E)i
�r. $ �__l
09/99/14 TUE 15:37 FAX 5417263689 CITY OF SPRINGFIELD
M
2999 Final Mechanical Final Mechhnical: When all mechanical work Is complete.
By signature, I state and agree, that I have carefully examinod 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 St6te 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.
S55ktro 1!l�- �/rr�C
Owner or Contractor Signat re
TX REPORT
TRANSMISSION OK
TX/RX NO 2989
CONNECTION TEL 915033943309
CONNECTION ID
ST, TIME 09/09 15:35
USAGE T 02'05
PGS. SENT 4
RESULT OK
SPRINGFIELD
225 Fifth St
J1111
OF SPRINGFIELD
Springfield,01397477
OREGON
Building / Residential Permit
Phone: 541-726-3753
Inspection Phone: 541-726-3769
-
Fax: 541-726-3676
PERMIT NO 811-SPR2014-01948
vnnvspdngfieltl-acgov
permftcenter@spdngtield-or.9ev
PROJECT STATUS:
Issued ISSUED: 09/09/2014
EXPIRES: 03/07/2015
STATUS DATE:
09/09/2014 APPLIED: 09/09/2014
SITE ADDRESS: 978 RAINBOW DR, Springfield, OR 97477
SCOPE: Heating System
ASSESOR'S PARCEL NO:
1703342101000 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Install ductless mini splits with two heads
OWNER: SMITH LIVING TRUST
Phone Number: 541-933-2885
ADDRESS: 978 RAINBOW
DR
SPRINGFIELD OR 97477
CON RACTOR INFORMATION
Contractor Type
Contractor Name - Lie Type
Lie No Lie Exp Phone
Mechanical Contactor
BEST HEATING 8 CONTROL ING CC8
65439 04/0612016 541-394-3461
IN PE,TIONS REQUIRED
Inspections
2300 Rough Mechanical
Rough Mechanical: Priorto Cover
2999 Final Mechanical Final Mechhnical: When all mechanical work Is complete.
By signature, I state and agree, that I have carefully examinod 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 St6te 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.
S55ktro 1!l�- �/rr�C
Owner or Contractor Signat re
5EP-00-2014010N) 11:37 Best Heating & Cooling
PO Box $67
Sclo, Or, 97374
Phone: 503.394.3461
Fox: 503.394.3309
(FRX)5033943309 P.0011002
To: CI'jy o4
Orinif41d
From:
qW HeN+:"y ,$ Coa13h9
Fox: 54 1- 72.(,-
3 e A 9
Data:
S%8/ i w
Phonal $u 3' 3 9 q- 3'I ! I Passel 7 -
Rat
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Urgent 6!"For Review 0 Please Commont 0 Please Reply 0 Please Recycle
.Commenter
09/08/14 MON 13:01 FAX 5417263689 CITY OF SPRINGFIELD R001
RX REPORT %a:a
RECEPTION OK
TX/RX NO 7435
CONNECTION TEL 5033943309
CONNECTION ID
ST. TIME 09/08 13:00
USAGE T 00'52
PGS. 2
RESULT OK