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Home My WebLink AboutPermit Mechanical 2018-10-24 (2)SPRINGTIELO Building Permit Residential Mechanical Permit Number: 81 1-18-002528-MECH IVR Number 81 1075397373 City of Springfield Development and Publc Works 225 Fifth Street Sp.inqfleld, OR97477 541-726-3753 Emarl Addressr permitcenter@sprinqfield-or.9ov OREGON web Addressr www.springfield-or.9ov Permit lssued: Octobet 24.2018 TYPE OF WORK Calegory of Construction: Single Family Dwelling Submitted Job Value: $0.00 Oescription of Work: Additional - bathroom fan JOB SITE INFORMATION Worksite address 3954 HAYDEN BRIDGE RD Springfield, OR 97477 Parcel 1702194100102 Owner: Address MILLER GERARD G & LOUISE A 3954 HAYDEN BRIDGE RD SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Eusiness name WlLL HILL GENERAL CONTRACTOR LLC - Primary License License number 21437 5 Phone 541-914-9517 PENDING INSPECTIONS lnspection group Mech Res Mech Res lnspection status Pending Pending SCHEDULING INSPECTIONS Various inspections are minimally required on each projecl and often dependent on the scope ol work. Contact the issuing jurisdiction indicaled 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 IVR number: 81'1075397373 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store Permits must be posted in clear view on the worksite. Permits erpire if work is not started within 180 Oays of issuance or if work is suspended for '180 Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Granting ot 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 Dlc: Oregon law requires you to follow rules adopted by th€ Oregon Utility Notification Center. Those rules are sel forth an OAR 952-001'0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (877) 658-4001 or dial 81'1. All peasons or entities performing wo.k under this perlnil are required to be licensed unless exempted by ORS 70'l-010 (StructuraUMechanical), ORS 479.540 (Electrical), and ORS 693.0'10420 (Plumbing). Printed on 1O/24l18 Page 1 of 2 sid-BuldingPermit-Pr &-t3 Type ol Work: New lnspection 2999 Final Mechanical 2300 Rough Mechanical Permit Number: 81 1-1 8-002528-MECH Page 2 of 2 Fe€ Description Technology Fee Balance of minimum permit fees - mechanical Ventilation fan connected to sangle duct State of Oregon Surcharge - Mech (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.95 $86.00 $ 13.00 $ 11.88 $ 115.83 1 Page 2 ol 2 std_auildingPermit pr PERMIT FEES ffi Transaction Receipt 8 t 1-18{02528-MECH Receipt Number: 468427 Receipt Date: 10/24118 Ciy or Sp.ngfield www.springllerd-or gov Oevelopment a^d Pubhc Works 225 Frtth Stret spnn9terd, oa 97477 541-726-3?53 9ermtcenrer@5pnngn€ld-or 90v Wbrksile address:3954 HAYDEN ARIOGE RD. Sp.ngfierd OR 97477 Parcel: 17421941O0102 Fees Paid 10t24t14 10t24t14 10124t14 100 Ea 1.00 Ea 224,0000G425604-1031 224,0000G425604-1031 E21 -00000-2 15004-0000 s13 00 s86.00 $11 88 s13 00 lE6 00 111 88 Balance ol mnrmum permn fees - mechanical venlilalion lan connecled lo single ducl Skle or Oregon Surcharge - Mech (12% of applicabb r33s) 1.00 Aulomalic Technology Fee 100-00000 425605-0000 $4 95 $4 95 Crcdil card aulhorizallon 053345 s|5 83 Cashier KalrnaAnderson Pd{ed l02al13 13{ pm 1115.83 FIN_IaN.clonR.4'PrJ. 1at24t1A Crrv or SpnrNcHsLD, OREGoN Mechanical Permit Application Permit no :25 Fifth Strcer . Springfield. OR 97477 . PH(541)726-3753 . FAX(54117263689 This permit is issued under OAR 918-.140-0050. Permits expire if liork is rlot started withi[ 1E0 days ofissuance or if work is susperded for lt0 daYs. FEE SCHEDULE fr Resrdenral ILl6ovemment Job site address Name: (, P]none:7f - E-mail )r.-- Br t?)q54 Flrsi urtrace/burner inclu ducts aDd veDts Lnit heater Hood th exiausl and duci Gas ln U to 10.000 CFM /abs eal um s99.00 s22.00 s s18.00 5 s15.00 5 s22.00 s s59.00 DESCRIPTION OF WORK E-mail Business name eddress: ?.d. 6o* Z4 6 Cit-r,: !a- 6..- F- -13t7 Sure ZIP This installation is being made on propertr- owned b1'me or a member of my immediate famill'. and is exempt liom Iicensing requirements under ORS 701.0 i 0. Signature: Up to 3 hpil00k BTU Ut ro l5 hp1500k BTLI i Up m 30 hpi 1.000 B'l L"si luprc50hp/l.l5oBTU I s?6^oo s I CONTRACTOR INSTALLATION I Over 50 hp/I.750 B l u--$1r&oo I $ I2 y\.-a-a -( State: C 6 Fax zIP:7?q8)Enre: lotal \'aluauon ofmechanrcal sysem and in$al)arion costs S Reinspecrion s99.00 s Speciali) requesEd inspecrions (per s99.00 s R3suiared (unclassed i s18.00 s sEech additiotral inspection: ( I I (A) Enter subroEl ofabove fees (or enter set CCB license no S 1L <7' S(T1minimurn fee of S 99.00 (B r investi ve fee (equal ro [A]) (D)Seismic fee. I% (.01 >. [A]' (E) Technolos Fee (5% of[A Dare 1o )u 16 D Commercial JOB SITE INFORMATION AND LOCATION ci!*. € n/,; ^i C e\ A {tar, 5' ,^ztP Tarilol.Reference PROPERTY OWNER Residential Qo Cost Total cost UD to I00I BTU/hr I s22.00 s s25.00 sOver I00k BTUAr Heaters/stoves/YeDts $52.00 S\l ood,,Dell et, sas stove/flue EvapoBted cooler $18.00 $ Vent @ with one ducvappliance t $13.00 sl3 One to four outlets I s8.48 S Additional outlels (each)s5.30 s Air-handlins units, including ducts Ove, 10.000 CFM s25.00 s s40.00 s Domeslic incinerator s25.00 s Commercial Enter fee based on valualion ofmecharical s1,stem. etc. I $ Totrl costMiscellaneous fees CostFr"-{ s99.00 DEPARTMENT USE S {.1: r [A-B])(C) Enter 1l% s TOTAL fees and surchrrges (A through E): DEPARTMENT USE ONLY CATEGORY OF CONSTRUCTION I Address: ciq': Phone: I r \\ ll Print name:I l+ \l $ llsr edited 711 ,20 I N biones