The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2019-01-040ilEG0il Web Address: www.springfjeld or.gov Building Permit Residential Mechanical Permit Number: 81 1 -19-000021 -MECH IVR Number: 8'1 101 9893240 City of Springfield Development and Public works 225 Fifth Street Sprinqfleld, OR 97477 541-726-3753 Email Address: permitcenter@sprin9fi eld-or.9ov SPRIr{GFIELO Permit lssued: January 04, 2019 Category of Construction: Single Family Owelling Submitted Job Value: $0.00 Description of Work: Gas piping for Range, waler heater and dryer Type of Work: New Worksite address 669 WOODCREST DR Springfreld, OR 97477 Pa.cel '1703341301900 GARDNER JARRID C 669 WOODCREST DR SPRINGFIELD, OR 97477 Business name DYLAN RONALD NIILLSAPS . PNmary License License number 213151 Phone 541-556-7862 lnspection 2999 Final Mechanical 2250 Gas Piping 2255 Gas Pressure Test lnspection group Mech Res Mech Res Mech Res Various inspections are minimally required on each projecl and often dependent on the scope ofwork. Contacl 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 1-888-299-282'l use IVR number: 811019893240 Schedule using lhe Oregon ePermitting lnspection App, search 'epermitting'in the app store Permits must be postod in clear vigw on the worksito. Permits expire if work is not started within l8O Days of issuance or if work issuspsnded for 180 Days or longor doponding on thg issuing aggncy,s policy. all p.ovisions of laws and otdinances governing this typ€ of work will bo complied with whgther spocifiod heGin or nol Granting of a p€rmit do6s not presum€ to givo authority to violatq or cancel the paovisions of any other state or local law regulating cons&uctjonor the performance of construction. ATTENTION - CALL BEFORE YOU OIG: Oregon law r€quiros you to follow rules adoptod by the Orogon Utility Notification Center.Those rules are set forth in OAR 952-001-OOI O through OAR 952401-OO9O. You may obtain copies of the rules by ca ing the CEnter at(877) 66e4001 or dial 8ll. All peEons or Entiues pedorming wo.k undor this parmit are required to be licensed unless exempted by ORS Tol.olo (StructuraUMechanical), ORS 47S.5/r0 (Etectricat), and ORS 6g3.OlO-020 (ptumbing). Printed on: 1/4/19 page 1 ol2 std_BuildingPermit_pr TYPE OF WORK JOB SITE INFORMATION Owner: Address: LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS lnspection status Pending Pending Pending SCHEDULING INSPECTIONS Page 2 ol2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Gas fuel piping outlets State of Oregon Surcharge - Mech ( 12olo of applicable fees) Quantity Total Fees: Fee Amount $4.9s $90.s2 $8.48 $11.88 $ 1 15.83 3 Printed on 1/4/19 Page 2 ol2 std_BuildingPermrt-Pr Permit Number: 81 1 -1 9-000021 -MECH PER TT FEES SPRINGFIELD n6 Transaction Receipt 81 1-1 9-000021 -MECH Receipt Number: 469010 Receipt Date: 1/4/19 City of Springlield Development and Public Works 225 Fifth Street Sprinqfield, OR 97477 541-726-3753 permitcenter@springfield-or.9ov OREGON www.springlield-or. gov Transaction date 1t4t19 'l14l'19 114t19 Units 3.00 Qty '1.00 Automatic 1.00 Ea 1 .00 Automatic Account code 224-00000-425604- 1 03 1 224-00000425604-1031 82 1 -00000-2'1 5004-0000 Paid amount $8.48 $90.52 $1 1.88 $4.95 Fees Paid Description Gas fuel piping outlets Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Technology Fee 1 00-00000-425605-0000 Foe amounl $8.48 $90.52 $11.88 $4.951t4tl9 Payment Method: Credit card authorization Payer: dean shultz Payment Amount $115.83 64 Cashier: Katrina Anderson Receipt Total:$1 15.83 Printed 1/4/19 Tor01 am Page 1 of 1 FIN_TransactlonReceipt_pr Worksite address: 669 WOODCREST DR, Springfield, OR97477 Parcel: 1703341301900 225 Fifth Street . Springlield, OR 9747? I PH(541)726-l?53 . FA-A(541)726-3689 Nlechanical Permit Application Permit lo -000C)\ s93.00 s21.00 s iffi Dale This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE Cost ea. Total c0st JOB SITE INFORMATION AND LOCATION E Gover:rment : I Commercial tob site ad&ess:b6q LDeZ/c Reference: Narne: | €t'r,* Address: /? b dential I /7- ) F lUnitheater Vr' ood/ilergas Jtove/flue $24.00 s21.00 s49.00 $ 17.00 s12.00 s38.00 J 121.00 $17.00 Furnace/burner includin ducts and venls to 100k BTU/hr Crr]S s s Ta"r1ot. DESCRIPTION OF WORK .4 //$ $ $ s Repai/alter/atid to hearing appliancer r€Aigeration ,Jnit or cooling sy$exl,/ E orated cooler Vent faa with one duct/iiance One to ioul outlets l:p ro 3 hpr'100k BTU This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requiremenrs under ORS -01.010. Signaixle: CONTRACTOR INSTALLATION Business rame:Q-2.-4 ,4tg Address o State: efi ZiP 7?2 ROPERTY OWNER Citv Phone )Far( S r U io15h 500k BTr- Upto30h 1,OOO BTU Over 50 np/1,750 BTL' Domestic incinemtor Commercial Enter total valuation ofmechanical slstem end installation costs S I Elter minimum lee of S 93.00 Its) Investigative iee (equai to [,4.]) s s 5 Citr: c I eho.re fi4 Tgbz- E-mail CCB license no.: 2-, V i Signature tte based on vaiuation ofmechanicai svslem, etc,Total costMiscellaneous fees i Reinspection Specially requested inspections Regulated equipmerlt (unclassed) Each additional ins ction: DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set qs ) C) Enler 129lo surchar 1fr 3 SSeismic le., L7o 01x (E) Technolc 59./o oi [A i €) Continuing Education Fee 52.50 s Ctry oF SPRTNGFTELD, Onscox LState NP State P E-mai1 Hood with exhaust and duct Fioor fumace incl vent s'17.00 s93.00 Gas piping $B.oo J Additionai outlets (each)S5.oo s $14.00 S -Lir-handlin utlits includin U to 10,000 CFNI ducts Over 10,000 CFII s24.00 s Compressori'absorption svstemi'heat oumo s21.00 s56.00 $ Up to 50 hpi 1,750 BTU $24.00 Residential Qt-v Items Cost ea. s93.00 s93.00 $ S s93.00 S S $2.i0 Lasl.drred i- j-:C1- B.i,xres TOT-\L fees and surcharges (A throqgh F): DEPARTMENT USE ONLY la I tq I fli Ovei 100k BTr','hr. $ s93.00 s Fax: Print narne: s72.00 s