HomeMy WebLinkAboutPermit Mechanical 2018-09-17SPRIN6TIELD
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web Address: www.springfield_or.9ov
Permit lssued: September 17' 2018
Building Permit
Residential I echanioal
Permit Number: 81 I -1 8'002214-MECH
IVR Number: 811073640482
CitY of SPringfield
Deveiopment and Public works
225 Fifth Street
SPrrngfield, OR 97477
541-726-3753
Emarl address: permitcenter@springfield or'9ov
Category ot Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description o, work: Kitchen remodel
Type ol Work: Alteration
Worksite address
958 MCKENZIE CREST DR
Springfield, OR 97477
Parcel
1703234405800
Owner:
Address
KAROTKO PEGGY
958 MCKENZIE CREST
DR
SPRINGFIELD, OR 97477
Business name
CURTIS SUMMERS - Primary
License
CCB
Phone
541-1 47 -8908
PENDING INSPECTIONS
lnspection
2999 Final Mechanical
2300 Rough Mechanical
2110 Venting
2250 Gas Piping
2530 Kitchen Exhausucommercial Hood
lnspection group
Mech Res
Mech Res
Mech Res
Mech Res
Mech Res
lnspection status
Pending
Pending
Pending
Pending
Pending
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work Contact the issurng
jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www buildingpermits oregon.gov
Schedule by phone call 1-888-299-2821 use tVR numbe. 81 1073640482
Schedule using the Oregon ePermitting lnspectron App, search 'epermitting" In the app store
Permits must be posted in clea. view on the worksile- Permits expire if work is not started within 180 Days of assuance or if work is
suspended for 180 Days or longer depending on the issuing agency,s poticy.
All Provisions of laws and ordinances governing this type of work will be comptied with whether specified herein or not. Granting of
a permit does not presume to give authoraty to violato or cancel the provisions of any other state or local law regulatang 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 are set forth in OAR 952-oo'1-oO1O through OAR 952-oo1.OO9O. You may obtain copies of the rutes by calting the Center at
(877) 668-4001 or dial 811.
All persons or entities performing work under this permit arc requircd to be licensed unless exempted by ORS 70i.01O(StructuIal/Mechanicat), ORS 479.S40 (Etectricat), and ORS 693.0r0-O20 (ptumbing).
Printed on: 9/17118 page 1 o,2 sld_Burld'ngPermit_pr
tt
TYPE OF WORK
JOB SITE INFORMATION
LICENSED PROFESSIONAL INFORMATION
License numb€r
9s338
Permit Number: 81'l -1 8-00221 4-MECH Page 2 ol 2
Fee Desc.iption
Technology Fee
Balance of manimum permit fees _ mechanical
Furnace/burner including duct work/vent/liner
Gas fuel prping outlets
Range hood/other kitchen equipment
State of Oregon Surcharge - t4ech (12olo of applacable fees)
Quantity
Total Fees:
Fee Amount
$4.9s
$50. s2
$22.00
$8.48
$18.00
$ 11.88
$ 115.83
sld-BuildingPermni'
1
1
1
PERMIT FEES
SPRINGfI€I.D
www springf ield-or.gov
Transaction Receipt Ciiy o, Sprin9tield
8l'l "1840221,r-MECH
Receipt Number:468054
Receipt Date:9/17l18
DeveloPment and Pubhc Works
225 Frtn Stret
spnngfield, oR 9)417
,11-126-37 53
permtcenter@spnn9l'eld-or gov
Worksile address 958 MCKENZIE CREST DR, Springfield, OR 97477
Parcel 1703234405800
9t17l1A
9t'l7l'18
9t1ll1a
9t17118
9t17118
10oOly
10O Ea
1 OO Adomalic
10O Ea
Faas Paid
Furfl ace/bumer incl'rding ducl \NorldvenUline.
Gas luel piping ouil€is
Range hood/olher kilchen equipment
Balanc€ of minimum permit fees - mechanical
Slalo ot Oregon Surcharge - Mecn, \12o/a d
224-0000G425604- 1 031
224-00000-429,602l' 1 031
224"00000-4256M- 1 031
22+0000G425604- 1 031
621-0000G21 5004-OOOO
$22 00
tE 46
$r8.00
$50.52
$11 EE
422 00
sE.46
$18.00
350.52
311 EE
100 Ea
9/17118 1 oGOOOOG425605-0000 $! 95 $4 95
Payment Method: Ch€ck number 1103 Payer Peggy Karoiko $115 83
Cashrer KalnnaAnderson t115.83
F N Tr.ns.cronRece'pl !r
&
Crrv or Spnmcrmlo, Onrcox
Mechanical Permit Application
Iequtremen
Signature:
Pelmil no 16-
Date q tB
t- -,"-:-re,,G5-r& C6R t1225 Fifih Srreel . Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
E-mail vrtru.Lt n tt
This installation ii t"irg ,{uG; proi"i- o*r"a t1 ,. or ii
member of mr immediate familr'. and is pt liom licensing
der ORS 701.01
This permit is issued under OAR 918-440-0050. Permits expire if rrork is not started withitr 180 days of issuance or if work is
suspended for- 180 davs.
CATEGORY OF CONSTRUCTION
I Commercial
Li<,urnace/burner includi ducts end vents
s22.00 s
Cin State:4 Over I00k BTL'&u s25.00
Ta-x1ot.
DESCRIPTION OF WORK
Liel stove,'flue s52.00 s
SIEvaporaled cooler s18.00
HooC vr'ith exhaus! and duci
Cas
One to four outlets 1 s8.48 s
State ok ZTP Air-ha nd units includitr ducts
tl Faxr
I Up to 10.000 CFM s15.00 s
I Phone Over 10-000 CFM
L to 15 5OOK BTL
Up 10 30 hp'1.000 BTL'
l-rp ro 50 1.750 BTL,
Over 50 hp11.750 BTt
00
525.00 s
140.00
ss9.00
s
s76.00
s128.00
Busrness name
Address
Phone
LATION
Stae: Q ZIP
Domestic incinemtoi s2s.00 s
Enter lotal vaiuation ofmechanical svslem
and installnion costs S
46 Ente. fee based on vaiuation ofmechanical svstem. etc. $
DEPARTMENT USE ONLY
DResidenriai ! Govemment
JOB SITE INFORMATION AND LOCATION
PROPERTY OWNER
Address Dr
Crrr
FEE SCHEDULE
Residentia!Q!v Cost
€4.
Total
cosl
s99.00 s
Heaters/stoYes/vents
Unil heater s22.00 S
4Vent fan with one ductappljance s13.00 s
s18.00 s
Additional outlels (each )$5.30I S
Com ressor/abso tion cat m
,IOOK BTLroShLi
S
ScoN
Commercial
E-mail
CCB license no
Pnnt name
si gnature
i
lr.4..a-1.t4.azr-
K,4--^- Sa-c'*<-
Reinspection s99.00
Specialll requested inspections (per s99.00 s
Resulaled e (unclassed)
Each additional inspection: (l )
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
minimum fee ol S
.B lnvesri ve fee (equalto [A])
(C) Enler I2% surcharge (.1: x
s18.00 s
5i99.00 s
6o-l {,".-
(\&.t-^
&*t*'t*--r'..'"'t
[.4-B]
S
S
s
(Dr Seismic fee. 1olo (-01 x
fE) TechDolo$ Fee (59; of[A])
Cost
el.Miscellaneous fees f*-i Total
cost
tai ed,red 7't ?016 brones
TOTAL fees and surcharges (A througb E):
Job site address:
ZIP:
Namei
Up to l00k BTU,1r.
I
Incinerrtors
Cin:
Far:
o(1