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Home My WebLink AboutPermit Mechanical 2018-08-280iE00,i W€b Add.€ss: www.springfield or.gov Building Permit Residential Mechanical Permit Number: 81 1 -18-002060-MECH-01 IVR Number: 81 1064397828 City of Springfield Development and Public Works 225 Fifth Street Springfield. OR 97477 54t-7 26- 37 53 Emarl Addressr permitcenter@spfl ngf ield or.qov SPRII.{GFI€LD # Permit lssued: August 28, 20'18 Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Converted master closet to a master bath Type of Work: None Specifled Worksite address 822 S 71ST ST Springfield, OR 97478 Parcel 1802022402900 Owner: Address: MARTINSONDAVIDL&E J 822 S 71ST ST SPRINGFIELD, OR 97478 Business name SEE PROPERry OWNER INFORMATION - Primary License Owner (Property) License number OWNER Phone Various inspections are minimally requared on each project and often dependent on the scope of work. Contact the issuing 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 IVR number: 811064397828 Schedule using the Oregon ePermitting lnspection App, search 'epermitting" an the app store Fee Description Technology Fee Balance of minimum permit fees - mechanical Ventilation fan connected to single duct State of Oregon Surcharge - Mech (12o/o of applicable fees) Quantity Total Fees: Permit5 must be po3ted in clear yiew on the worlsite. Permits expire if work is not started within 180 Days oI issuance or if work is suspended for 180 Oays or longer deponding on the issuing ag6ncy,s poticy. 1 Fee Amount $4.9s $86.00 $ 13.00 $ 11.88 $115.83 TYPE OF WORX JOB SITE INFORI'ATION LICENSED PROFESSIONAL INFORMATION SCHEDULING INSPECTIONS PERMTT FEES All provkions of lasrs and o.dinances governing this type of work will be complied with whether sp€citiod herein or not. Granling of a permit does not presume to giv6 authoaity to violate or cancel the piovisions of any other state oa local law regulating construction or the performance of construction, ATTENTION - CALL BEFORE YOU OIG: Oregon law requires you to follow rules adopted by tho Or€gon Utility Notification Center. Those rules are set forth in OAR 952{01-0010 through OAR 952-OO1-OO9O. You may obtain copies of the rules by ca ing the Cent6r at (877) 668-4001 or dialg1l. All persons or enlities performing wo.k under this permit are required to be licensed unless exempted by ORS 70r.O.lO(Structural/Mechanical), ORS 479.5,10 (Electricat), and ORS 693.010{20 (ptumbing). PnnGd on 9/28118 page 1 o,1 dd_Buitdingpermit_p. SPRINCFIELD ,b 0llcG0N www.sPringfi eld-or.gov Transaction Receipt 811-18-002060-MECH{1 Receipt Number:468174 Recelpt Date:9/28/18 Development and Publlc Works 225 Flfth Street Springfield, OR 97477 54t-7 26-37 53 permitcenter@sprin9fi eld-or.9ov City of Springfield Fees Paid Trrnsactlon date 9t28118 9t28t18 9128t18 Unlts '1.00 Ea 1.00 Automatic '1.00 Ea Account code 224-00000-425604-1 031 224-00000425604- 1031 821 -00000-21 5004-0000 Paid amount $13.00 $86.00 $1 1.88 Descrlption Ventrlatron fan connected to srngle duct 100-00000-425605-0000 Fgg amount $13.00 $86.00 $11.88 $4.95 Balance of minimum permil fees - mechanical Stale ol Oregon Surcharge - Mech (12% of applicable fees) 9t28t18 1.00 Automatic Technology Fee $4.S5 Payment Method Credit card authorization 02814R Payer: David Martinson Paymenl Amount $11s.83 Cashier: Toste lvluniz Recelpt Total:$115.83 Prinled: g/2al14 g 43 am FIN_TransaclionReceipt_pr Worksite address: 822 S 71ST ST, Springfield, OR 97478 Parcel: 1802022402900 SPRINGTIELO ,lr 0it€G0N www.springlleld-or. gov Worksite address: 822 S 71ST ST, Springfield, OR 97478 Patcel: 1802022402900 Development and Public Works 225 Flfth Street Sprinqfield, OR 97477 541-7 26-37 53 permitcenter@sprin9fi eld or.9ov Transaction Receipt 81 1-18-002060-PLM Receipt Number: 468'173 Receipt Date: 9/28/18 City of Springfield Fees Paid Transaction date 9t2At1A UnllE 496.62 Amount 9t28t18 9t2At18 244.62 Amount 37.06 Amount Descrlptlon SOC: Reimbursement Cost - Local Wastewater SDC: lmprovement Cost - Local Wastewater SDC: Total Sewer Administration Fee Accounl code 61 1-00000-448024-8800 Fee amount s496.62 Pald amount $496.62 61 1-00000448025-8800 71S-00000426604-8800 $244.62 s37.06 $244.62 $37.06 Payer: David Martinson Paymenl Amount:$778.30 Cashier: Toste lvluniz Recolpt Tolal:$778.30 Prinled:9/28/18 I42 am Page 1 of 1 FIN_TransaclionReceipl_pr Payment Method: Credit card authorization: 02814R Crrv or Srnrxcnnr.o, Onrcon :25 Fifth Sreel . Springfield. OR97477. PH(541)726-1751 . FAX(541)72G3689 N{echanical Permit A plication n Commercial Permir no q ursace/burner incl ducts aDd vents s52.00 s F.vaDorated cooler Venl fan wth one ductl Iiance Hood u'ith exlaust and ducr s18.00 S Gas One !o four outlets Additional outlets (each) Ove. 10.000 CFM s25.00 S Co res /abso tion tem,/heat unl Up to 30 hp/I,000 B l u- U tc 50 r.r50 BTL's76.00 S s128.00 s lncillerators Domestic incirerator Enter total valualion ofmechanical syslem and inslallarion costs $ _ Enter fee based on valualion ofmechanical svstem. etc Regulated equipmenr (unclassed I s18.00 S ( A ) Enaer subtotal of above fees ( or enrei se1 minimum iee of S (B r Invesli ive fee (ual to iA (C) Enlei 12r'o surcharge (.1: x IA-B]) (Dl Seismic fee. l% (.01 x (El Technoi Fee (5ozo of[A]t i*4<ard$FAB. fii<e This permit is issued under OAR 918-440-0050. Permits expire if *ork is not started nithin 180 dat,s ofissuance or if uork is suspetrded for 1E0 da!,s. CATEGORY OF CONSTRUCTION E/Residential I a c"rr"-;r, JOB SITE INFORMATION AND LOCATION Job site address alA ^11 F \ ame o).77 '1q28 Ta>ilot. DESCRIPTION OF WORK 1 Address Yttorls.z/(- ))2^ /$t[7 2JS ZIP: I Fax E -mail: <i/ ,,l 'n/[L ca^tUt:t ZIP This installation is being made on prope4 owned b) me or a member of my immediate famiiy, and is exempt from Jicensing ?01requlremenls Signature Address Cin Phone CCB license no Print name Signature 0 )9.- 1/".-.r\t4 Over 50 hp,'1.750 BTL- Stare s Vd :( DEPARTMENT USE ONLY cty(f( /il(liEz-?Stategt (zrP:claL/7 t PROPERTY OWNER QnResidential Cost ea. Total cost s22.00 SUto 1001i B I Lr-,tr Over I00k BTII/hr s25.00 s s22.00 sUnir heater 118.00 s i s13.00 s s8.48 S $s.30 $ Air-handling units. includinE ducts Up m 10.000 CFM s1s.oo $ Upm3hp/l00kBTli s22.00 s Up to 15 hp/500k BTU $40.00 $ s59.OO S li25.00 $ Commercial city: <t?t,vL/rED stuar, O ( CONTRACTOR INSTALLATION Miscellaneous fees CostF".J Totel cost s99.00 sIEach additional inspection: ( I ) DEPARTMENT USE l-asr editeC 7'l ?0lti biones TOTAL fees aDd surcharges (A through E):l s I 5, Date: FEE SCHEDULE I Firsr ApDliance s99.00 5 Reference: I1'.^,1./c.11 t), ll d,,r--. .(-,--t Hprtpr{/sloves/vent( W ood/pelle!, gas stove/fl ue ,,7 /'1,-r / <'f ] Brsi.t"ss name: O u ,--.:.-p rl Fax s E-mail: Reinspection i $99.00 S l Speciall) requesled mspectons Oer , S9g.O0 S P ro perty Owner Statement Regarding Construction Responsibilities Oregon Law i'equires residentiai consiiuc'rjcn pennii appiicanis who afe nct lic=nsed wiih ihe Coirstnrciion Contracrors 3oard io sjgn the foilowing staiemeni bei.re a builcjing permit can be issueC. (ORS 701.325 (2)) This statement is required for residential building, electrical, mechax!ca{. and plumbing perrniis. Ljcensed architEct and engineer applicar-tis. exernpt frorx Iic--nsing under ORS 701.010 i7), need noi submit this statement. This statement wiil be fiied with the perniii. Name Expiratjon Date I will inform my general contractor that ajl subcontractors who work on the structure rnust be licensed with the Construction Contractors Board. 1 wiil be performing work on property I own, a residence that I reside in, or a residence that lwiil reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hjre a generai contractor, Iwill select a contlactor who is licensed with the CCB and will immediately give the rame of the contractor to the offlce issuing thrs Building Permit. I have read and understand the lnformation Notice to Horneowners About Construction Responsibilitjes, and I hereby certiry that the information on this homeowner staterflent is true and accurate. \lt J'ud ? |z{ t )L tg :;:,;i-.: a' ::a-r:::: -:_: &;41 s lssued by 5r q Permii #: Address: Thls Copy for Permit Offices ,,r l- T;ht,o y11y1172/e "L -.,,,,1,.va->/-\ tu Date