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Home My WebLink AboutPermit Mechanical 2014-10-01SPRINGFIELD OREGON v .spnngfield�rgov PROJECT STATUS: Issued CITY OF SPRINGFIELD Building / Residential Permit PERMIT NO: 811-SPR2014-02124 ISSUED STATUS DATE: 10/01/2014 APPLIED SITE ADDRESS: 1109 F ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703351401500 PROJECT DESCRIPTION: Installation of a new wood fireplace. OWNER: SANDERS ROBERT D ADDRESS: 1109 F ST 225 Fifth St Springfeld,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@spd ngfield-ocgov 10/01/2014 EXPIRES: 03/30/2015 10/01/2014 SCOPE: Mechanical Only TYPE OF STRUCTURE: Residential Phone Number: SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lie Type Lie No Lie Exp Phone Mechanical Contractor OWNER CCB 000000 08/01/2025 INSPECTIONS REQUIRED Inspections 2140 Pellet, Gas, Fireplace or Wood Wood Stove: After Installation. Stove 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 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 i r, I A< /— 1 k - 1� — (9 - 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 telephone number for the Oregon Utility Notification Center is 1-800-332-2344). IIS PERMIT SHALL EXPIRE IF THE WORK "7HORIZE-D UNDER THIS PERMIT IS NOT i'4 -NCED OR IS ABANDONED FOR `O DAY PERIOD. Springfield Building Permit 10/1/2014 11:48:14AM Page 1 of 1 SPRINGFIELD -_. CITY OF SPRINGFIELD - ZAP 6:0REGON TRANSACTION RECEIPT 225 Fifth St 8pnngfie1d,0R 97477 811-SPR2014.02124 3 541-726-3753 w .spdngfield-or.gov 1109 F ST permitcenter@spnngfield-or.gov RECEIPT NO: 2014002165 RECORD NO: 811-SPR2014.02124 DATE: 10/01/2014 1:Sp ,p. 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 MUMEW Credit Card Robert D Sanders 502111 TOTAL PAID: 98.44 Mechanical Permit Application DEPARTMENT USE ONLY Permit no... 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, OT,,P'Q-N8,TRUCTION R(Residential 0 Government 0 Commercial 'JOB' SITE' AND LOCATION Job site address: jk007 F City: I State: op, I zip: Reference:' m�dii Taxlot.: bLy, W- bESCRIPTIOWOF'WORK I'J �,PERtROP Y-bwNER Name: Poog< 9AN90,z( Address: If0c) F Oo City: We- ("C' F I V --V State: 0(,0— ZIP: 6t 7-09� Phone:�ql-?20'- Fax: E-mail: •(-OA-- 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: j" CONTRACTOR `,INSTALLATION 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 ,Rti-sideptial r, Qty, A�Qst_ - ca., Tofi ,Cost it First Appliance 1 $82.00 $ burnacelburner including ducts and vents Up to 100k BTU/hr. I 1 $19.001 $ Over 100k BTU/hr. 1 1 $22.001 $ Heaters/stoves/vents Unit heater $19.00 $ Wood/pellet/gas stove/flue 1 $43.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ absorritions ystem $82.00 $ Evaporated cooler $16.00 $ Vent fan with one duct/appliance $10.00 $ Hood with exhaust and duct $16.00 $ Floor furnace including vent $82.00 $ Gas piping One to four outlets I 1 $8.001 $ Addition Air -handling units, including ducts Up to 10,000 CFM 1 1 $12.001 S Over 10,000 CFM 1 1 $22.001 $ Com irressor/absorptions ystem at Dumn Up to 3 hp/100k BTU $19.00 $ Up to 15 hp/500k BTU $33.00 $ Lip to 30 apt 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 1 $22.601 $ onnnn rcl Enter total valuation of mechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc. $ Miscellaneous I fe'a, - , `tem n Cost ej., Trtal Reinspection — $82.00 $ Specially requested inspections (pe i $82.00 $ Regulated equipment (unclassed) $16.00 $ Each additional inspection: (1) $82.00 $ OQCANTA)tt' (A) Enter subtotal of above fees (or enter set minimum fee of $82.00) $ 8 'Z - (B) Investigative fee (equal to [A]) $ (C) Enter 12% surcharge(. 12 x [A+B]) $ I'a (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): $ OA91 JW