HomeMy WebLinkAboutPermit Mechanical 2019-07-26B u ild in g P e rm it
Residential Mechanical
Permit Number: 811-19-001261-MECH
IVR Number: 811076898411
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Web Address: www.springfield-or.gov Email Address: permitcenter@springfield-or.gov
Permit Issued: July 26, 2019
Category of Construction: None Specified
Submitted Job Value: $0.00
Description of Work: Addition 1659sqft
Type of Work: None Specified
Worksite Address
390 BLACKSTONE ST
Springfield, OR 97477
Parcel
1703233407700
Owner:
Address:
GRIFFIN BRADLY D
PO BOX 70718
SPRINGFIELD, OR 97475
None Specified
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Res
Mech Res
Inspection Status
Pending
Pending
Various inspections are minimally 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
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811076898411
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire If work Is not started within 180 Days of Issuance or If work Is suspended for 180 Days or longer depending on
the Issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not.
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth In OAR 952-001-0010 through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (503)
232-1987.
All persons or entitles performing work under this permit are required to be licensed unless exempted by O RS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 7/26/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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M e c h a n i c a l P e r m i t A p p lic a t io n
--···------------ - ------------
(~IT Y OF SPRINGFIELD, OREGON
225 Fifth Street+ Springfield, OR97477 + PH(541)726-3753 + FAX(541)726-3689
This pe~t 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.
E -mail:
roperty ow ned by m e or a
d is exempt from licensing
B usiness name:
A ddress:
C ity: ZIP:
Phone:
~;;~;:;~;;i;:;:;;;;;~~::~·;r:;iJtlt~{~· -
First Appliance $99.00 $
Furnace/burner includin ducts and vents
U to 100k BTU/hr. $22.00 $
Over 100k BTU/hr. $25.00 $
Heaters/stoves/vents
Unit heater $22.00 $
W ood/pellet/ gas stove/flue l $52.00 $
Evaporated cooler $18.00 $
Vent fan with one duct/appliance ' $13.00 $
Hood with exhaust and duct $18.00 $
One to four outlets $8.48 $
Additional outlets (each) $5.30 $
Air-handlin units includin
Up to 10,000 CFM $15.00 $
Over 10,000 CFM $25.00 $
E -m ail:
C C B license no.:
Print nam e:
Signature:
Compressor/absorption svstem/heat numn
Up to 3 hp/lO0k BTU I , I $22.00 I $
Up to 15 _!iJJf500k BTU I I $40.00 I $
Up to 30 hp/1,000 BTU I I $59.00 I $
Up_ to 50 hp/1,750 BTU I I $76.00 I $
Over 50 hp/1,750 BTU $128.oo I $
Jncmeraters
Dom estic incinerator ! j $25.00 j $ - commereia(· :.~'.:~·J.c~>;> . _,, ~-~:t :,_:c: ":~··-z:".':~> s;:: /;:·
Enter total valuation of mechanical system
and installation costs $
Specially requested inspections (pe4 I $99.00 I $
Regulated equipm ent (unclassed) I I $18.00 I $
Each additional inspection: (1) I I $99.00 I $
(A) Enter subtotal of above fees ( or enter set
m inimum fee of $ 99.00) $
(B) Investigative fee $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Seismic fee, 1 % (.01 x [A]) $
(E) Technology Fee (5% of [A]) $
TOTAL fees and surcharges (A through E): $
Last edited 7/1/2018 bjones
P ro p erty O w n e r S tatem e nt
R e g a rd ing C o n structio n R es po n s ib ilitie s
Oregon Law requires residential construction permit applicants who are not licensed with the
Construction Contractors Board to sign the following statement before a building permit can be
issued. (ORS 701.325 (2)) '
This statement is required for residential building, electrical, mechanical, and plumbing permits.
Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not
submit this statement. This statement will be filed with the permit.
Please check the appropriate box:
D I own, reside in, or will reside in the completed structure and my general contractor is:
Name CCB# Expiration Date
D I will inform my general contractor that all subcontractors who work on the structure must be
licensed with the Construction Contractors Board.
or
I will be performing work on property I own, a residence that I reside in, or a residence that I will
reside in. If I hire subcontractors, I will hire only subcontractors licensed with the Construction
Contractors Board. If I change my mind and hire a general contractor, I will select a contractor
who is licensed with the CCB and will immediately give the name of the contractor to the office
issuing this Building Permit.
I have read and understand the Information Notice to Homeowners About Construction Responsibilities,
and I hereby certify that the information on this homeowner statement is true and accurate.
Date
This Copy for Permit Offices