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Home My WebLink AboutPermit Mechanical 2018-12-10SPRINGFI€LD tt City of Springfield Develooment and Public works 225 Fifth Street Springfle d, OR 97477 541. -7 26-37 53 OREGON Residential Mechanical Permit Number: 81 1 -l 8{02855-MECH IVR Number: 81 10661 10404 w€b Address: \ivww.spnn9fi eld-or.9ov Emarl Address: permrtcenter@sprin9fi eld-or.9ov Permit lssued: December 10. 2018 TYPE OF WORK Category oI Construction: Single Family Dwelling Type of l/Vork: Alteration Submitted Job Value: $0.00 Description of Work: Remodel bathroom replace one venufan and adding one more new venufan JOB SITE INFORMATION Worksite address 88 TST Springfield, OR 97477 Owne,: Address: HOLT RANDALL L & CINDY S 88TST SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business name OWNER - Primary Lacense number 000000 Phone PENDING II{SPECTIONS lnspection 2999 Final Mechanical 2'l 'l 0 Ve nting lnspection group Mech Res Mech Res lnspoction status Pending Pending SCHEDULING INSPECTIONS Various inspections are minamally required 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: 811066'1 10404 Schedule using the Oregon ePermitting lnspection App, search "epermitting" in the app store PERMIT FEES Fee Description euantiw Technology Fee Balance of minimum permit fees' mechanical Ventilation fan connected to single duct 2 State of Oregon Surcharge - Mech (12olo of appticabte fees) Total Fees: Permits must be posted in clear view on the worksite. Permils expire if work is not started within 180 Days of issuance or if work is suspended tor 180 Days or longer depending on the issuing agency,s policy. All provisions of laws and ordinances governing this type ot work will be compli6d with whether specitaed herein o. not- Granting of a pormil does not presuIne to give authority to violate or cancel the provisions ot any othea state or local law regulating construction oa the pedormance o, construction, ATTENTION ' CALL BEFORE YOU DIG: Oregon law requires you to follow rules adopted by tho Oregon Utitity Notification Center.Those rules are set forth in OAR 952-001{010 through OAR 952-OO1-OO9O. You may obtain copies of the rules by ca ing the Center at(877) 668-4001 or dial 81't. AII persons or entities porforming work under this permit are required to be ticensed untess ex€mpted by ORS 701.0i0 (Structural/Mechanical), ORS 479.540 (Electricat), and ORS 693.OlO{20 (ptumbing). Pnnted on: 12110/18 page 1 ot 1 Fee Amount $4.95 $73.00 $2 6.00 $ 11.88 $115.83 sld_EuildingPerm[_pr Building Permit Parcel 170326220387 3 License ccB SPRINGTIELD ,b ORIGON www springfield-or gov Wo*site address:88 T ST, Springfield, OR 97477 Parce| 1703262203873 Transaction Receipt 811-18-002855-MECH Receipt Number: 468807 Receipt Date:'12l10/18 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54',L-7 26-31 53 perrn itcenter@sprin gfi eld_or. gov Transaction date 12t'tot18 12t10t18 12t10/14 Units 200 Ea 1.00 Automatic 1.00 Ea Fees Paid Doscription Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Account code 224-000004256cE-1031 224-00000425604-1031 82 1 -00000-2 1 5004-0000 Fee amount $26.00 $73.00 $11.88 Paid amount $26.00 $73.00 $11.88 12110t18 1.00 Automatic Technology Fee 1 00-00000-425605-0000 $4 95 $4 95 Payer: Randy Holt Payment Amount $1 15.83 Cashier Katnna Anderson Rocoipt Total:$115.83 Pnnl€d 12l10/18 11 30 am FIN_TransaclionRecerPt_Pr Payment Method: Credfi card authorization: 420750 Clrv or SpntNcrtrln, ORncoN Mechanical Permit Application h,225 Fifth Street . Springneld, OR 97477 . PH(541\726-3753 . F.4,x(541)726-3689 This permit is issued under OAR 918-440-0050. Permits expire if work is not started withitr 180 days ofissuance or if work is suspended for 180 days. DEPARTMENT USE ONLY ag55pe.mit no.:/B - oate: 17 \t, lt g FEE SCHEOULE /Residential D Commercial Re6idential Qty Cost ea. Tot{l cost JOB SITE INFORMATION AND LOCATION I'i liancc 00 Job site address: g rnace/burner includi ducts and vents/e tl to l00k BTU,4rr s22.00 s C State {?ZIP':7 1 ..'Over l00k BTU/hr 1i25.00 $) R DESCRIPTION OF WORK tlnit healcr 522.00 5 Wood/pellevgas stove/ilue $52.00 $,/O EYaporated cooler $18.00 5 lc C r-^Vent l'an with one duct/appliance $13.00 $ PROPERTY ER t{ood with exhaust and duct s18.00 $ L Gas I tnName;)--U ,aL /S8.48 $ Address t-o-Q Additional outlets each)S5.30 s City I ,l State ZIP:(i 7 Air-handli ull includin ducts tl to 10.000 CFM $r5.00 5 P 1 Over 10.000 ClrN4 $25.00 $ E-mail: 6:,pt r lra lJ I This installation is being made on property owned by me or a U to3 r 00k B ttl $22.00 $ rlt family, and is exempl tiom licensing Up to l5 hp/500k BTU s40.00 s re l.0r LIp to 30 hp/1,000 BTU s59.00 5 Signatue tl to 50 1,750 B',lll $76.00 $ ALLATION Over 50 hp/I,750 BTU $128.00 $ Business name Domestic incinerator .$25.00 $ Address Commercial ciry:Dnter total valuation ofmechanical system and installation costs $ _ Phone I Enter fee based on valuation ofmechanical etc.$ E-mail Miscellaneous fees Items Cosl ea. Total cost CCB license no Iicilrspcction $99.00 $ Print name:Specially requested inspections ( ated equipment (unclassed) Signature Eech additioDal inspection: ( I ) $99.00 s $18.00 $ $99.00 5 DEPARTMENT USE (A) Enter subtotal ofabove fces (or enter set minimum fee of $$qq (B) In r.^ ltc $ (C) Enter 12%(.12 x A+B (l)) Seismic fee, l%0l x Al)$ (E) Technol Fce (5% ol [A])$ TOTAL fees and surcharges (A through E):$ /ls. g3 Last edited 7/l/2018 bjones I CATEGORY OF CONSTRUCTION n Government J. Taxlot.: 1) Onl. to four outlets Fax: I -+ State:ZIP: $ CONT nea tml i-_ . : : =-:-=-: :. . -. :- :'-: -:-: i-ii .,, _i ".:.- \-,, : -: :i-- .-;> Lv\r. r:srL= rjL rl rl"rr r=!i,J: lL-,'c L.J rj,=.=_:.1 uL(-' : , L, jr !_=. qr.r ' -i,- =!.Lir : Name Expiraiioft Date I will tnform my general confactor that all subcontraclors who work on the structure must be licensed wrth tle Construction Coniractors Board. of I will be perlorming work on propelry I own, a resjdence that i reside in, or a residence that lwill reside in. lf I hire subcontractors, Iwill hire only subcontractors licensed with the Constructjon Contractors Board. lf I change my mind and hire a general contractor, I wiil select a contractor who is ljcensed wjl\ the CCB and will immediately give the name of the contractor to the office issuing this Building Pennit I have read and understand the lnformation Notice to Homaowners About Consuuction Responsibilttjes, and I hereby certiry th3i the informa'Joi] on this homeowner statement is true and accurate, V7 Pnnt N of Perm /.7- 1A-P Signature rm,t Appllcant Daie Qlr,*b,5 )UI*^U/*J- Jssued by: T Date: lA ID IB jLqv]l Permit f Address: This Copy ior Pennit Ofrc:s I fr i H-€" /-1- ItQ a^,,-. 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