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Home My WebLink AboutPermit Mechanical 2018-09-19SPRINGTIELD t3 City of Springfield Development and Pub|c works 225 Fifth Street S?ringfield, OR 97477 541-726 3153 0 iiEG0 i.r web Address: www.springfield-or.9ov Residential Mechanical Permit Number: 81'l -18{02236-MECH IVR Number: 81 1 004325724 Email Address: perrnitcenter@springneld or.qov Permit lssued: September 19, 20'18 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0 00 Description of Work: lnstall ductless heatpump Type of Work: New JOB SITE INFORMATION Worksite address 419 57TH ST Springfield. OR 97478 Parcel 1702331406602 Owner: Address: RANDALL WHITE REVOCABLE TRUST 3973 RICHLAND ST SPRINGFIELD OR 97478 LICENSED PROFESSIONAL INFORMATION License CCB Lacense number 189283 Phone 541,543-6580 PENDING INSPECTIONS lnspection 2999 Final Mechanical 2300 Rough Mechanical 21 00 AC/Furnace/Heat Pump/HVAC lnspection group Mech Res Mech Res Mech Res lnspection status Pending Pending Pending SCHEDULING INSPECTIONS Various inspectaons are minimally requrred on each project and often dependent on the scope of work Contact the issurng jurisdiction indic€ted on the permit to determine required inspections for this project. Schedule or track inspections at www.buildtngpermits oregon.gov Schedule by phone call 18A8-299-2821 use IVR number: 811004325724 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Permits must be posted in clear view on the worksite. Pemits expire if work is not started within 180 Days of issuance or if work is suspended Ior 180 Days or longer depending on the issuing agency.s policy. Allprovisions of laws and ordinances governing this type ofwork will be complied with whether sp6cified herein ornot. Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION _ CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules arc set forth in OAR 952-00'l-0010 through OAR 952-001-OO9O. You may obtain copies of the rules by calling the Center at {877) 66E-4001 ordial 811. All persons or entitios p€rforming work under this permit are requi.ed to be licensed unless exempted by ORS 70i.010 (Structural/Mechanical), ORS 479.540 (Electricat), and ORS 693.010-O2O (Ptumbing). Prinied on 9/19/18 page 1 ot 2 sid_BuridingPermitjr Building Permit Business name KENT WITHAM AIR INC - Primary Permit Number: 8l 1 -l 8-002236-MECH Page 2 ol2 Fee Description Technology Fee Air handling unit of up to 10,000 cfm Balance of minimum oermit fees - mechanrcal Boiler/compressor/absorptron system up to 3 HP or 100,000 BTU State of Oregon Surcharge - Mech ( 12vo of applicable fees) Quantity Total Fees: Fee Amount $4.9s $66.00 $1 r.00 $2 2.00 $ 11.88 $ 115.83 sld_BuildingPelmit_pr 3 1 Page 2 ol 2 PERMIT FEES H Transaction Receipt 811-18-002236-MECH Roceipt Number: 468082 Roceipt Dats:9/19/18 Cily or Spnngrield www sPringrield'or gov Development and Publrc works 225 Frfth Street spn.gnerd. oR 97{77 54t-)26-1?53 permtce.ter@spnn9netd-or gov worksiie address 419 57IH ST Sprng,leld, OR 97478 Parcel 1702331406602 Fees Paid 9t19t1A Uoit! 300 Ea Ar handling unI ol up lo 10,000 clm 22+00000-425604-1031 s66 00 $66 00 9/19/18 9/19/18 100 Ea 1 0o AutomarE Tecinoloqy Fee Balance of minimum pemii fees - mechanical Borler/compressor/absorplion syslem up lo 3 HP or 100 000 BTU Stale of Oregon Surcharce Mech (12% of 22,L0000G425604- 1 031 E21-0000G2 1 5004-0000 $11 00 $11 88 224 00000 425604-1031 10G0000G4256040000 $22 00 s4 95 $22 00 9t19118 9/19/18 100 Ea $11 00 sr188 $4 95 Credn card authorizalion: 01907e s115 E3 CashEr Kaiflna Anderson $11s.83 Mechanical Permit Application Job site address q 577 5lt t L lstate,olZ Z,IP DEPARTMENT USE ONLY )>3ULUo 2:5 Fifth Streel . Springfield. OR 97477 . PH(5411726'375i . FAX(541)726-3689 Permit no Fi.sr A liance urnace/burDer itrcludi t to 100k BTti'hr i--t '-n. *d i,k&- rr,q L4Dar v 99.00 s22.00 s s2s.00 s This permit is issued under OAR 918-440-0050. Permits expire iI*'ork is not started $ithin 180 davs ofissuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION ! Govemmem I Commerciai Totrl cost cr$'y] Reference frn DESCRIPTION OF WORK Over I 00k BTU,/tr Taxio:. lv" Unil heaier Hood with exhau$ and ducl Cas ln One to four outleE Addtional outlers ( each) s22.00 s s 18.00 S s8.48 S s5.30 s76.00 s S $18.00 S e Cin A ic ld stare. dP-ZIP 747 6 Air-han This installation is being made on propern owned bl me or a member of m), immediare famill. and is exempl from licensing requirements rmder ORS 701.010. Sigrature: L to 30 al utrIts includin ducts U to I0.000 CFM 3 s S S S 005 u(.om reisor/a ,1.000 BTL' Up to 50 hpi 1.750 B I L- raI minimum fee of S (B) on ' Phone nt E-mail AA rln i( lL State I zrp'?Z{7 Enter total valuation of mechanical system and in$allation costs $ Fa)i Enrer fee based on valuation ofmechanical svstem. elc. s99.00 Speciali) requesEd inspections ( Totat cost a Regularcd equipment (unclassed) Each additioDal inspection: (l )s99.00 $ DEPARTMENT USE (A, Enrer subroEl of above fees (or enler sel I q q ve fee (ual to [A])s s S 3 $ S Crrv or SpnnscFrELD, Onrcoll Residential JOB SITE INFORMATION AND LOCATION Residential Otv Cost e355tt bu' PROPERTY OWNER h, 5Address:3 7, R;.a Phone Far E-mail s52.00Woodrpellevgas stove,/fl ue Evaporated cooler s18.00 ! sVent fan with one ducvappliance ] Stf.OO Over 10.000 CFM s25.00 ;(,CoA CCB license no.: 181 2E7 KultcaillPint nalne Signature CONTRACTOR INSTALLATION Business name: Ke^l w iflnon fui7'fuL Address ?o Eor fi 5{ s128.00 s s25.00 5 Over 50 hpr1.750 BIU Domestic incineralor Commercial Miscellaneous fees Cost e& Reinspecrion s99.00 s (C) Enter 12?o surcharge ( l2 r A-B (E) Technoiog) Iee (5% of TOTAL fees and surcharges (A through E): l,asr edited 711,201E biones (D) Seismic fee, l9; (.01 x Al) FEE SCHEDULE Hc,iterr/(tnYes/!ent( Up ro i hp'100k BTt Up to i5 hp.'500k BTL' s59.00 s Name Citr':