The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2018-12-27SPRINGFIELO # CitY of SPringfield Development ancl Public Works 225 Fifth Street SPringfleld, OR 97477 541'7 26-37 53 OR€GON Building Permit Residential Mechanical Permit Number: 81 1-18-002995-MECH IVR Number: 81 1049367499 web Address: www.springneld-or.9ov Emarl address: Dermitcenter@sDrlnqfield-or.qov Permit lssued: Oecenbet 27. 2018 Category of Construction: Single Family Dwelling Submined Job Value: $0.00 Description of Work: New bathroom venvfan and kitchen hood vent Type of Work: Replacement JOB SITE N Worksite address 4024 E 16TH AVE Eugene. OR 97403 Parcel 1703344306800 Owner: Address ROBERTSON BILL 744 VAN DUYN ST EUGENE, OR 97401 LICENSED PROFESSIONAL INFORMATION Business name OVVNER - Primary PhoneLicenso ccB License number 000000 PENDING INSPECTIONS lnspection 2999 Final Mechanical 2300 Rough Mechanical 2'l'10 Venting lnsp€ction group Mech Res Mech Res Mech Res lnspection status Pending Pending Pending ons are minimally required on each project and often dependent on lhe scope of work. contact the issuingjurisdiction indicaled on the permit to determine required inspection" iorif,i" p.;""t Schedule or track jnspections at www.buildingpermits oregon gov Schedule by phone ca| 1_BBB-2gg_2A21 use tVR number: 811049367499 Schedule using the Oregon epermjtting lnspectjon App, search "epermitting,, in the app store Permits ,',,3t be posted in clear view on the worksite. Permits expire i, work is not staned wirhin i8o Days of issuance or i, worx ,ssusp€nded for ,oo Days or tonger depending on rre issuingigerlc;;" ;;il.- '* Various inspecti l{Tr:"li::ilixiT"Tff::1il.},il[T;:i:"in"'ff[;1.1,:"::Ij:ed wirh *he,her speciried herein or nor Grantins oror the.p€rtormance of constru;tion. Lo'rLE' uE P'ovrslons ot any otherstate or local law regulating construct,on iil"?.ti[];,iiiiiil?llff!.?:;:::s:" raw requires vou to rorrow rures adoptecr by the oreson unrity Notirication csnter(s77) 666aoo1 or.tia;a'-' '." - "' '-'-"1'00'10 through oAR 952-001{090. You may obt ;r, copi." oi ttr" .r'te'" uv ""irrg'th" c""t". rrt:ffr#;;L:;:':::::"::J:;1":;"X:i,:::n#T:::;;;{;:il:;:;:;,ed un,ess exemp,ed b y oRs 7o1 o1o TYPE OF WORK SCHEDULING INSPECTIONS sld-Suihngpeml_pl Page 2 of 2Permit Number: 81 'l -18-002995-MECH Fee Description Technology Fee Balance of minimum permit fees mechanical Clothes dryer exhaust Range hood/other krtchen equipment ventilation fan connected to single duct State of oregon Surcharge - l4ech (12olo of applicable fees) Quantity Total Fees: Fee Amount $4.95 $42.00 $13.00 $18.00 $26.00 $ 11.88 $ 115.83 1 1 2 Btd-BuildingP'rmiur Page 2 ol2 Pdnted on 1212?/18 PERMIT FEES rffi ww sPingfe d-or gov Transaction Receipt 811-18-002995-MECH Receipt Number:468978 Receipt Oat : l2l27l18 Cry or Spnngfield OevelooBent and Publrc Works 225 Frfth Street Sp.rngneE, OR 97477 54t-726 3t53 permrtcenter@sPnngneld or.gov V\lorksile address:4024 E 16TH AVE. Eugene, OR 97403 Perc€l: 1 703344306600 Fees Paid 12t27t18 12t27t14 1Z27t1A 12t27t14 12J27t18 Unhr 1.00 Ea 1.00 E. 2.00 E. 1.00 Ee Clothos dryer exhaust Range hood/olher lilchen equipmenl Ventitation fen connected to singte dud Ealance olminimum permi l6es - mechanical Slate of Oregon Surcharge - Mech (12% oI 224-0000G425604-1031 224,00000-425604-1 031 22lL00000{25504- 103 ' 224,0000G425604-1031 821 -0000G2 1500+0000 $13 0O $18 00 926 00 $42 00 111.88 s13.00 t18.00 $26 00 s42.00 tfi E8 12t27114 10G0000G4256010000 s4 95 $4 95 Credn card auihorizalion: 04430c Payer wirllam robertson s1r583 Pn lad 1227113 21D An ll r5.83 FrN_I.ns.clonR.6ipl_rr Cashier: Kairina Anderson Crrv or Spnrxcnrr-.o, OnrcoN Mechanical Permit Application l+^-a-d*ffi, rfE Permit no @Lq1; Date This permit is issued under O-AR 9l E-440-0050. Permits expire if *ork is not started withir 180 davs of issuance or if u ork is suspeDded for 180 days. FEE SCHEDULE Residential E Govemment ::5 FiftI Streer . Spnngfield. OR 97477 . PH(541)726-i75i . FAXr54l )726-3689 n Commercial JOB SITE INFORMATION AND LOCATION Reference \ame Firsr urnace/burncr iDcludin ducts and vents ' Over l00k BniAr l)\() s99.00 s22.00 5 $2s.00 $ Hpater(/stove(/!ent( E-mail This insullation is bein member of m mm lal requrreme d S SJ Address Phone E-mail I cin Stare:4fl-- i zv is exempt Aom licensing openr ouned b1 me or a Unit healer E raaed cooler Ven! fan with one duct/ap Iiance Hood with exiaust and ducl One to four oullets Air-han u includin ducts Up to 10-000 CFM Up .o 50 hp'1.r50 BTU Over 50 hp,1l,750 BTt Domestic incinerator (E) Technotog Fee (50/6 ol eonp ilr Enter total valuation of mechanical sl,sten and installation costs $ _ s22.O0 s s18.00 s s13.00 s S 18.00 s s8.48 S !15.00 S s128.00 s s2s.00 s Enter fee based on vaiuation ofmechanical sYstem. era. 5 Reg!lated ment (unclassed )s18.00 5 Erch additional i : (ll s99,00 s (A) Enter subrorai ofabove fees {or enler se! minimum fee of S fC ) Enrei 1l9u i.l: x f A-Bl,S (D)Seismic iee. 196 (.01 x IA Total cost s DEPARTMENT USE ONLY CATEGORY OF CONSTRUCT'ON lob site address 4 state 4 L-Cin ZIP Residential Qtr Cost Total cost DESCRIPTION O Kwo ,2 OWNER Address Over I0.000 CFM s2s.00 s Compressorlabsorptiotr sYstem,/heat DumD ] OOK BTL 00 sLlto3 UF ro l5 hpi500k BTt s40.00 s to l0 /1.000 BTtl s59.00LJ S Cas i Addirional oulle$ (each)$s.30 S Wood-/pellergas stove/fl ue s52.00 R INSTALLATION Crr\ Prinl name ItemsMiscellaneous fees Cost ea. (B)s DEPARTMENT USE L,ast edred 7'12018 b-iones TOTAL fees atrd surcharges (A through E):s s.o) l/ I Up 10 I 00k BTU,'tr Talilor.: Phone.K -?t {- g-sa lr^, ta/,r-t/,,s76.00 s Business name: -lrlz a.,.1.t,tC.? - ll^ISt,,g-\-(-/bF. IK Reinspection $99.00 SCCB iicense no.: Signature qu : . -*rlLB Ut:.;.:. t-lst:Li..=r;i F; = c = rc i r- s e e n s tIu eti o r F. +:< c : i-" i r i t ii r *= s ,_uri:it _Li,L, i!r,tr,=Litt: _=:.r_ ._ :,Ltr ! r= i_ltL,r1.t,,_:l=L=r,Jci.r -,=,_,r a c JLlL,.ru L,c ,iil rs r: '::-'=- i'-'1: -, -':: I- J :v\- -:5,C: ri']. :r \,r. .:Sl-r: rir ::,i t-rFi:ir-1 ::,uCL.,;'-- j .: i-,. -a:-,€iil il:,:-?:::,r : Name E;piraijoft Date I will lnform my general contractor that all subcontractors who work on the structure must be Iicensed wiih L\e Constrr:ction Contractorc Board. lwiil be performing work on property I own, a resjdence that I reside jn, or a residence that lwill reside in. lf I hire subcontractors, lwiil hire only subcontractors licensed with the Constructjon Contractorc Board. lf I change my mind and hire a generai contactor, I will select a conbactor who is ljcensed with the CCB and wrll immediately give the name of 'rhe coritractor to the ofllce issuing this Building Pemit I have read and understand the lnformation Notice to HomeowneE About ConsiTuction Responsibilitjes, and I hereby certiry th3i the informaiioa on this homeowirer statement is true and accuEte. Print Name of Peorit licant Siqn oi Permit Applicant Da Permit # Address: \R- nn qs- iltil-- 4or4 e ll"L fl*d-l-t'/o S 4lssued by:Date i>lnlra This Copy For Permit Oific3s u 1o, ,Lr-., J1.*/,,---_>(