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Home My WebLink AboutPermit Mechanical 2014-09-30SPRINGFIELD -- 225 Fifth St OF SPRINGFIELD Springfield,OR97477 kCITY { s„A Phone: 541-726-3753 OREGON Building / Residential Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-02112 w .spdngfleld-ar.gov permftcenter@spdnggeld-or.gov PROJECT STATUS: Issued ISSUED: 09/30/2014 EXPIRES: 03/29/2015 STATUS DATE: 09/30/2014 APPLIED: 09/30/2014 SITE ADDRESS: 8067 THURSTON RD, Springfield, OR 97478 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1702362400101 TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Propane fireplace, tank and gas piping OWNER: ELENA M BROWN TRUST ADDRESS: 5729 MAIN ST PMB 345 Phone Number: SPRINGFIELD OR 97478 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation. Stove 2255 Gas Pressure Test 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to an aooliance. 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 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 Date ATTENTION: 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 tol(,,phone number for the Oregon Utility Notification Center is 1-800-332-2341). Springrield Building Permit 9/30/2014 1:41:60PM PERMIT SHALL EXPIRE IF THE WORK I IORIZED UNDER THIS PERMIT IS NOT IdENCED OR IS ABANDONED FOR ,NY 180 DAY PERIOD. Page 1 of 1 SPRINGFIELD - CITY OF SPRINGFIELD 225 Fh ,t TRANSACTION RECEIPT Spd gfield.lOR 97477 OREGON 541-726-3753 811-SPR2014-02112 yr .spdngfield-or.gov 8067 THURSTON RD permitcenter@spdngfield-or.gov RECEIPT NO: 2014002158 RECORD NO: 811-SPR2014.02112 DATE: 09/30/2014 CRIP�TION w U Continuing Education Fee 224-00000-425606 2.50 First Appliance Fee 224-00000-425604 1006 82.00 LP Gas Tank and Piping 224-00000-425604 1006 19.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 1099 12.12 Technology fee (5% of permit total) 100-00000-425605 2099 5.05 TOTAL DUE: 120.67 Check ELENA BROWN 120.67 4944 TOTAL PAID: 120.67 Mechanical Permit sPairaewe�o 'i iv a 225 Fifth Street ♦ Springfield, OR 97477 PH(541)726-3753 ♦ FAX(541)726-3689 i;, `�'•. t DEPARTMENT USE ONLY Permit no.: 5 G(l- 2 - Date: Date: 30z/ y 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 ❑ Government ❑ Commercial JOB SITE INFORMATION AND ;LOCATION Job site address: 00(0-7 1-44AP-SM) 1L0. City: SPRVN&r-1b State: ORL lzip:q7Lf 78 Reference: /70 2- TaxJot.:ice/o/ DESCRIPTION OFWORK / ,`,PROPERTY' OWNER C' Name: 01-15PV A IM - G9_0WfJ Address: 57 211 PA Ar 111) ST. d OX 314 5 City: SPP n, I State: 0 P_ I ZIP: q74 78 Phone:5'gi - 71/ N7 (o 0 1 Fax: E-mail: C'wlbvDulvl'Iq� mail.eom This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements nder ORS 701.010. Signature: CONTRACTOR;JNSTALLATION Business name: Address: City: State: ZIP: Phone: Fax: E-mail: CCB license no.: Print name: Signature: 440-2545-J (5!21/2014/COM) FEE SCHEDULE ,' ' Rbsidegtial _- Qt , y Cosk 've8" Total .'.Cost First Appliance $82.00 Furnace/burner including ducts and vents Up to 100k BTU/hr. 1 $19.00 $ Over 100k BTU/hr. 1 $22.00 $ Heaters/stavesivents Unit heater $19.00 $ Wood/pellet/gas stove/flue $43.00 $ Repair/alter/add to heating appliances refrigeration unit or cooling system/ absomlion 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 $ Gas vivin2 One to four outlets $8.00 $ Additional outlets (each) ( $5.00 $ Air -handling units including ducts Up to 10,000 CFM 1 1 $12.00 $ Over 10,000 CFM 1 1 $22.00 $ Com ressor/absor tionsystem/ at um Up to 3 hp/100k 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 $ Over 50 hp/1,750 BTU $107.00 $ Incinerators Domestic incinerator $22.60 $ `Com�iierci I . Enter total valuation of mechanical system and installation costs $ _ Enter fee based on valuation of mechanical system, etc. $ Mlscellaiieous fees tent _. .. . ,. Cost ea. - Total cbstl Reinspection $82.00 $ Specially requested inspections (pe $82.00 $ Regulated equipment (unclassed) $16.00 $ Each additional inspection: (1) $82.00 $ (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): $ G