HomeMy WebLinkAboutBuilding Mechanical 2014-09-23SPRINGFIELD -.
Issued ISSUED: 09/23/2014 EXPIRES: 03/22/2015
225 Fifth St
09/23/2014 APPLIED: 09/23/2014
CITY OF SPRINGFIELD
Springfield,OR 97477
65'22]
PROJECT DESCRIPTION:
Phone: 541-726-3753
' OREGON
Building / Residential Permit
Inspection Phone: 541-726-3769
ADDRESS: 3783 OLD STAGE RD
CENTRAL POINT OR 97502
Fax: 541-726-3676
CONTRACTOR INFORMATION
PERMIT NO: 811-SPR2014-02058
Contractor Name Lic Type Lic No Lic Exp Phone
v .spnngfield-or.gov
FAIR AND SQUARE BUILDERS LLC CCB 203396 06/25/2016 541-937-5327
permitcenter@spnngfield-orgov
PROJECT STATUS:
Issued ISSUED: 09/23/2014 EXPIRES: 03/22/2015
STATUS DATE:
09/23/2014 APPLIED: 09/23/2014
SITE ADDRESS: 660 C ST, Springfield, OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO:
1703352411700 TYPE OF STRUCTURE: Residential
PROJECT DESCRIPTION:
Framing and dry -rot repairs- No exterior work that is subject to Historical Review is to be
performed prior to approval of TYP114-00019. Interior work may occur prior.
OWNER: THOMAS MARK EVAN Phone Number:
ADDRESS: 3783 OLD STAGE RD
CENTRAL POINT OR 97502
CONTRACTOR INFORMATION
Contractor Type
Contractor Name Lic Type Lic No Lic Exp Phone
General Contractor
FAIR AND SQUARE BUILDERS LLC CCB 203396 06/25/2016 541-937-5327
INSPECTIONS REQUIRED
Inspections
2200 Underfloor Mechanical
Underfloor Mechanical. Prior to insulation or decking and including required testing.
2210 Underfloor Gas
Underfloor Gas: After line is installed and required testing and capped if not attached
to an appliance.
2255 Gas Pressure Test
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, 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 Dat
NOTICE:
I ITIS PERMIT SHALL EXPIRE IF THE WORK
AU I IIORIZED UNDER THIS PERMIT IS NOT
C0i'.4MENCED OR IS ABANDONED FOR
Springfield BuildlniiR00tj 80 DAY PERIOD. 9/23/2014 8:57:15AM
A-fTENTION: Oregon law requires you to
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
In OAR 952-001-0010 through OAR 952.001-
0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notifioallionof 1
Center is 1-800-332-2344).
SPRINGFIELD
811-SPR2014-02058
CITY OF SPRINGFIELD
1 -
�V�,
TRANSACTION RECEIPT
225 Fifth St
Springfield,OR97477
OREGON
811-SPR2014-02058
541-726-3753
www.spdngfield.or.gov
660 C ST
permits nter@springfield-or.gov
RECEIPT NO: 2014002108 RECORD NO:
811-SPR2014-02058
DATE: 09/23/2014
DESCRIPTION
ACCOUNT CODEITRANS CODE
AMOUNT DUE
Continuing Education Fee
224-00000-425606
2.50
First Appliance Fee
224-00000-425604
1006
82.00
Flue vent for water heater or gas fireplace
224-00000-425604
1006
10.00
Gas Piping up to 4 outlets
224-00000-425604
1006
8.00
Heat pump
224-00000-425604
1006
38.00
Range hood/other kitchen equipment
224-00000-425604
1006
15.00
Single -duct exhaust (bathrooms, toilet compartments, utility room;
224-00000-425604
1006
40.00
State of Oregon Surcharge (12% of applicable fees)
821-00000-215004
1099
23.16
Technology fee (5% of permit total)
100-00000-425605
2099
9.65
TOTAL DUE: 228.31
"PAYMENT TYPE 'PAYOR CASHIER: CCARPENTER
COMMENTS
'
AMOUNT PAID
Check FAIR AND SQUARE BUILDERS LLC
228.31
1163
TOTAL PAID: 228.31
Mechanical Permit Application DEPARTMENT Use ONLY
sPw+ercr'+rl.o xx
® r ) i ® 1 Permit no.: l y Zv
i
225 Fifth Street Springfield, OR 97477 PH(541)726.3753 FAX(541)726-3689 `,;:�` `] 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 CONST,RUCTIQN
Residential
D Government
D Commercial
JOBz'$ITE INFORMATION AND LOCATION
Job site address: 6 6 0 7 /PCt
City: (r N rllt
I State:
ZIP: r/ i) `}
Reference: 33- j4
Taxlot.: cJ u
,DESCRIPTION OF'WORK
Up to I 00 BTU/hr.
" PROPERTY OWNER`
Name: MC, r -k
Address: R d
City: �' t v t
State:
ZIP: '
Phone:gfi4&q g -33
Fax:
E-mail: ouc V R FLTR�--cotjo n , DR6
This installation is icing made on property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
` `++='.CONTRAQTOR'INSTALLATION " ' '
Business name: ar
Address: c,- yn.Q zT--S
City:
State:
ZIP:
Phone:
Fax:
E-mail:
CCB license no.:
Print name: r 1C 7-1) byy
Signature: La'P
440-2545.) (5/21/2014/COM)
-FEE SCHEDULE,' -'
Residential "Qty,
Cost
-..-,ea: •
jot,
_'.-.cost
_
First Appliance
$82.00
Furnace/burner including ducts and vents
Up to I 00 BTU/hr.
$19.00
$
Over 100k BTU/hr.
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 sstem
$62.00
$
Evaporated cooler
$16.00
$
Vent fan with one duct/appliance
L$10.00
$
Hood with exhaust and duct$15.00
$
Floor furnace including vent
$82.00
$
Gas piping
One to four outlets
I W
1 $8.00
$
Additional outlets (each)
I
1 $5.00
$
Air-liandling units Including ducts
Up to 10,000 CFM
1 1
$12.00
$
Over 10,000 CFM 1
1
$22.00
$
Compressor/absorption sstem/heat numn
Up to 3 hp/I00k BTU 11
$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
$22.50
$
Commercial ,
Enter total valuation of mechanical system
and installation costs $ _
Enter fee based on valuation of mechanical system, etc.
$
.Mlscellatteousfees=tem
:.... ............. _.:.. �.-....:.
Cost -
ea.
7[dt I
cast-'.
Reinspection
$62.00
$
Specially requested inspections (pe
$82.00
$
Regulated equipment (unclassed)
$15.00
$
Each additional inspection: (1)
$82.00
$
`>:;.... , ., .` APPL(CANT SSE -
(A) Enter subtotal of above fees (or enter set
minimum fee of $ 82.00)
$
cs
!
(B) Investigative fee (equal to [A])
$
(C) Enter 12% surcharge (.12 x [A+B))
$
Z ,�
(D) Seismic fee, 1%(.01 x [A])
$
(E) Technology Fee (6% of [A])
$Q45
-
4(F)
(F) Continuing Education Fee $2.50
$2.50
TOTAL fees and surcharges (A through F): $'2 M 3