HomeMy WebLinkAboutPermit Mechanical 2019-09-03Building Perm it
Residential Mechanical
Permit Number: 811-19-002034-MECH
IVR Number: 811056619770
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: September 03, 2019
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: New bathroom fan
Type of Work: New
Worksite Address
2797 3RD ST
Springfield, OR 97477
Parcel
1703233405000
Owner:
Address:
ROTH JEFFREY J & STACY P
87310 CEDAR FLAT RD
SPRINGFIELD, OR 97478
Business Name
OWNER - Primary
Ucense
CCB
License Number
000000
Phone
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: 811056619770
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 ORS 701.010
(Structural/Mechanlcal), ORS 479.540 (Electrlcal), and ORS 693.010-020 (Plumbing).
Printed on: 9/3/19 Page 1 of 2 C:\myReports/reports//production/01 STANDARD
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Mechanical Permit Application
CITY OF SPRINGFIELD, OREGON
225 Fifth Streett Springfield, OR 97477 t PH(541)726-3753 t FAX(541)726-3689
' DEPARTMENT USE ONLY
Date: 19
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 .
.if Residential I D Government I D Commercial Residential Qty. Cost ·Total
..,_ .. ea. cost
. JOB SITE INFORMATION AN~ LOCATION First Aonliance 102.00 $
Job site address. J- r-, / -Z, ~ ~I, Furnace/burner Ineludlnz ducts and vents
Up to 1 00k BTU/hr. 523.00 $
City:':){/~
~ I State: l"--£2 I ZIF./ 7'-r7--; Over 1 00k BTU/hr. j26.00 $
Reference: I Taxlot.: u ~· ves/vents
.. -.• DESCRIPTION OF WORK Unit heater G23.00 $
/tvC,'Tr4I 1 7? - _, { -L4A./ /, - ' 1--.J..P:"\ .
Wood/pellet/gas stove/flue 54.00 $
'.JR>=r.n- Evaporated cooler 19.00 $
(Y//::--,h .K. ,, - - Vent fan with one duct/appliance 13.00 $ - ... PROPERTY OWNER-. i ...... _ Hood with exhaust and duct U 9.00 $
"'
Name: ½7..e){ ~,...,~ \.-r Gas pipin2
Jr-,-..--, One to four outlets 59.00 $
~~ -ST-.;;
Address: -.::,..~7 Additional outlets (each) ~5.00 $
City: ~ .., I State:ANZ._ I zrPo/l't 7J Air-hand.line units. includina ducts
Up to I 0,000 CFM 515.00 $
Phon4{ ';;;;,-/ t:J::z1 / .. I Fax: - - Over I 0,000 CFM 526.00 $
E-mail: .• ~~,~-0 /2#/ fr-Y'-\./"v:i<,', Lt-~ - Comoressor/absorotion svstem/heat numn
This installation is being made -;;n property owned by me or a Up to 3 hp/1 00k BTU G23.00 $
member of my imm · :~-d ;~ --·--;:-· from licensing Up to 15 hp/500k BTU S41.00 $
req~7 .. Up to 30 hp/1,000 BTU £61.00 $
Signa . ~ Up to 50 hp/1,750 BTU G78.00 $
r CTOR INSTALLATION · " , ':: Over 50 hp/1,750 BTU 132.00 $
Incinerators
Business name: - Domestic incinerator 526.00 $
~\..... Commercial -
Address: ,.
City: I State: I ZIP: Enter total valuation of mechanical system
I Fax:
and installation costs $
Phone: - - - - Enter fee based on valuation of mechanical system, etc. $
E-mail: ~iscellaneous f.- bem1 ; €ost Total
- ea. cost
CCB license no.: Reinspection Gl02.00 $
Print name:
Specially requested inspections (pe £102.00 $
Regulated equipment (unclassed) $ 19.00
Signature: Each additional inspection: (1) G102.00 $
- · DEPARTMENT USE
(A) Enter subtotal of above fees ( or enter set
minimum fee of $102.00\ $
(B) Investigative fee $
(C) Enter 12% surcharge (.12 x [A+B]) $
(D) Seismicfee, 1 % (.01 x [A]) $
(E) Technology Fee (5% of[A]) $
TOT AL fees and surcharges (A through E): $l\'\.?u
Last edited 7/1/2019 BJones