HomeMy WebLinkAboutPermit Mechanical 2018-11-14SPRINGFIELD
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web Address: www.springfleld-or.qov
City of Springfield
Development and PubIc Works
225 Fifth Street
Seringlield, OR 97417
541-726-3753Building Permit
Residential Mechanical
Permit Number: 81 1-1 8-002665-MECH
IVR Number: 81 1079460681
Emarl Address: permrtcenter@spr n9neld or.qov
Permit lssued: November '14. 2018
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Doscription of Work: lnstall slainless steel flu into chimney
Type oI Work: New
JOB SITE INFORMATION
Worksite address
2222 DAPHNE ST
Springfield, OR 97477
Owngr:
Address:
COVINGTON JOSEPH L
2222 DAPHNE ST
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business name
OREGON CHIMNEY GUYS INC -
Primary
License
CCB
Licens€ number
199878
Phone
541 -232-2445
PENDING INSPECTIONS
lnspection
2999 Final Mechanical
2300 Rough Mechanical
lnspaction group
Mech Res
Mech Res
lnspection status
Pending
Pending
SCHEOULING INSPECTIONS
Various inspections are minimally required on each project and often dependent on the scope of work Contact the issurng
jurisdiction indicated on the permat 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: 811079460681
Schedule using the Oregon ePermitting lnspection App, search "epermitting'in the app store
Permits must be posted in clear view on the worksite. Permits expire il work is not staned within 180 Oays of issuance or if work is
suspended for 180 Days or longer depehding on the issuing agency's policy.
All provisions of la\is and ordinanc€s governing this type of workwillbo complied with whether specified herein or not. Granting of
a permit do€s not pGsume to give authority to violate or cancel the provisions of any other state or local law 169ulating construction
or the performanc6 of constauction.
ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopt€d by the Oregon Utiliiy Notification Center.
Those rules are settorth in OAR 952{01-0010 through OAR 952{0'l{090. You may obtain copies of th€ rules by calling the Center al
(877) 668-4001 or dial811.
All porsons or entitios performing work under this permit are required to be licensed unloss €xempted by ORS 70'1.010
(Structural/Mechanical), ORS 479.540 (Eleclrical), and ORS 693.010-o20 (Plumbing).
Prinled on: 11/14/1E Pagelof2 sid_aurldrngPermil-Pr
Parcel
1703244201900
Permit Number: 81 1-18-002665-MECH Page 2 ol2
Fee Descriptio
Technology Fee
Balance of minimum permit fees - mechanical
Chimney/trner/flue/vent
State of Oregon Surcharge lvlech (12% of applicable fees)
Pdfred on 11/14118
Quantity
Total Fees:
Fee Amount
$4.9s
$81.00
$18.00
$11.88
$ 115.83
std,BurldingPerm[_pr
1
PERMIT FEES
ffi Transaction Receipt
811-18.002665-MECH
Receipl Number:468591
Receipt Date: 11/14/18
Ciiy or Spnnglierd
oeveloome.t and P!bkc works
225 Frlth Street
Spnngneld, OR 97477
s41-726.3153
permrtcent.r@spnn9neid.or 9ovwwlr.springneE or gov
Worksii€ address:2222 DAPHNE ST, Springfield. OR 97477
Parcel: 1703244201900
Fees Paid
'l1t14t'18
111'14t14
11t14t14
100 Ea
1.00 Ea
Chimney/linermue/venl
Balance ol minimum permit rees - mecnanical
Slale ol Oregon Surcharge - Msch (12% of
224-0000G425604- r 031
224-0000G425604- 1 031
E21-0000G215004-0000
ll8 00
sE1.00
$l t.EE
118 00
381 00
$1188
11t14t14 100,0000G425605-0000 s4 95 s4 95
cred card aulhoizaiion
114100
$115 83
Cashrer KatrinaAnderson tl15.83
FlNTrsns.clo.R.c.'pl-]31
Mechanical Permit Application DEPARTMENT USE ONLY
%
P".rnit no., if Do)Vq5
225 Fifth Sueel . Sp.irgfield. OR 974r . PH(541)726 :?51 . FAX(541)26,3689 Date r-_-l
This permit is issued under OAR 918-4,10-0050. Permits expire if work is trot started *ithin 180 da1,s ofissuance or ilwork is
suspended for 1E0 days.
CATEGORY OF CONSTRUCTION FEE SCHEDULE
Residential Qtv Co6t
ca.
JOB SITE INFORMATTON AND LOCATION s99.00 s
IFurnace/burner includ ducts and vents
L 10 I00kBlu-/hr
Totrl
costResidential
Cin
Reference
This installanon ls
C Govemment i fl Commerciai
State
t aP: q7 ))I Over l00k BTU,tr $2s.00 5
s
s18.00 s
$
t\\g'
Ns
\
F
Ta>ilot
DESCRIPTION OF WORK
//4
PROPERTY OWNER
ne
1et,smve/flue
EvaDorated cooler
Vent fan with one duc,liance
Hood with exhausl and duci
N Joe Cou,:,to
Address: 22 2 L'4
Garame
Additional outlets (each)s5.30 s
ZIP: ///Air-hand units. includin ducts
being made propertJ ownedbrmeora
to I0.000 CFM
Over I0.000 CFM
Com ressor/abso
U tolh r 00k BTt.
Up ro I5 hp,'500k BTL-
Over 50 hp/1,750 BTLr
ln lneralors
te u
s1s.00 s
s25.00 s
s22.00 s
s76.00 5
s12E.00 $
member of mf immediate family'. and is exempt fiom licensing
requirements under ORS 701.010.
Signature
; Business name Olelo n C luia,t ey 6.w-i4L
Address ,h6,,"u fr.
Cin
Phone
ZLP 7 I-nrer tola: valualion ofmechancal system
and installation cosls S75 I r",,Enrcr fee based on valuarion ofmechanical svstem. etc S
Specrall\ requested inspeqions (p i s9s.00 s
E-mail
CCB iicense no /qq 7g
I P.i',t nam., tUerl fiaX
Crrv or SrnnvcrrslD, OREGoN
E-mail c)u l {
7 nJob site address: f ]s22.00 s
One to four outlets s8.48 S
CONTRACTOR INSTALLATION
540.00 s
s59.00 sUp to 30 hp/l.000 BTU
Up to 50 hp/i.750 BTU
f'-
s25.00 sDomestic incineralor
Commercial
Total
costMiscellaneous fees It"-,C06l
ea.
Reinspection $99.00 S
Reguiared equipmenl ( unclassed)518.00 S
Signature 4rlAr*Each additioDal onr (l )
(A) Enter subtotal ofabove fees (or enter set
minimum fee of S gLqq)
s99.00 s
fB)lnv ve fee (ual to [A s
S
5
(C) Enrer 12% surcharge (.1: x [A+B
(D) Seismic fee. 1% (0l x [Al)
I (EtTechnolog, Fee (5"/o of [A]l
s j
lls! edired 7rl '20 I 8 b.jones
TOTAL fees and surcharges (-4. through E)r
State:
Cin :
Fax:
Hperorc/{tover/venl(
t nil healer s22.00 s/ I ssz.oo s
s13.00 5
Phone:
State:
tsI