HomeMy WebLinkAboutPermit Mechanical 2019-08-30SPRINGFIELD
.OREGON
Web Address: www.springfiield-or.gov
Building Permit
Residential Mechanical
Permit Number: 811-19-001693-MECH-01
IVR Number: 811075951279
Permit Issued: August 30, 2019
TYPE OF WORK
Category of Construction: None Specified
Submitted Job Value: $0.00
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address: permitcenter@springfield-or.gov
Type of Work: None Specified
Description of Work: Second Story Addition
]OB SITE INFORMATION
Worksite Address Parcel _ Owner: MANNING WILLIAM P &
6095 GRAYSTONE LOOP
Springfield OR 97478
Business Name
COMFORT FLOW HEATING CO -
Primary
1702343303400
MCINTYRE LAURA L
Address: 6095 GRAYSTONE LOOP
SPRINGFIELD, OR 97478
LICENSED PROFESSIONAL INFORMATION
License License Number Phone
CCB 460 541-726-0100
SCHEDULING INSPECTIONS
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: 811075951279
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
Fee Description
Technology Fee
Boiler/compressor/absorption system up to 3 HP or 100,000 BTU
Gas or wood fireplace/insert
Gas fuel piping outlets
State of Oregon Surcharge - Mech (12% of applicable fees)
Quantity
Fee Amount
$5.35
2
$46.00
1
$52.00
1
$9.00
$12.84
Total Fees:
$125.19
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 entities performing work under this permit are required to be licensed unless exempted by ORS 701.010
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing).
Printed on: 8/30/19 Page 1 of 1 C:\myReports/reports//production/01 STANDARD
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Mechanical Permit Application DEPARTMENT USE ONLY
CITY OF SPRINGFIELD, OREGON
SPRINSPRINGFIELDLD
Permit no.: lcj'rcjv 613- -oi
m
225 Fifth Street ♦ Springfield, OR 97477 ♦ PH(541)726-3753 ♦ FAX(541)726-3689 64Ldnl j Date: (� 7
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
J�rkesidential
❑ Government
❑ Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: (D6.73- L- o0
City: . �,,� e/
State( C_
ZIP:,r7yz W
Reference:
Taxlot.:
DESCRIPTION WORK
1 ttOF
✓1 STD d.1"i7. r'-,
PROPERTY OWNER
Name:/A,,,,&,, �� �H► .�„.
Address: �07S Rod s ja., f L00 jo
City: 5 p j�ef�
State: 0if—
I ZIP: Vy)
Phone3i5- -43- 172
1 Fax: - -
E-mail:%vy, L411 1 Q
This installation is being made on property owned by me or a
member of my immediate family, and ' exempt from licensing
requirements under ORS 10.E
Signature:
CONTRACTOR INSRALLATION
Business name: C pm rt F7 to 10
Address:
City:
State: (
ZIP:
PhoneSY/ --79,- O 1 o p 1 Fax: - -
E-mail: l<” l ek (f- ('-I" ppi
CCB license no.: /6 C)
Print name:
Signature:
Last edited 7/1/2019 Wones
FEE SCHEDULE
Residential
Qty, I
Cost
ea.
I Total
cost
First Avoliance
1
102.00
Furnace/burner including ducts and vents
Up to 100k BTU/hr.
23.00
$
Over 100k BTU/hr.
026.00
$
Heaters/stoves/vents
Unit heater
23.00
$
Wood/pellet/gas stove/flue
54.00
$
Evaporated cooler
119.00
19.00
$
Vent fan with one duct/appliance
13.00
$
Hood with exhaust and duct
$
Gas piping
One to four outlets
109.00
1 $
Additional outlets (each)
1
05.00
1 $
Air -handling units, includiniz ducts
Up to 10,000 CFM
15.00
$
Over 10,000 CFM
26.00
$
Comyressor/absorptions stem/heat
Up to 3 hp/100k BTU 223.00
$
Up to 15 hp/500k BTU
41.00
$
Up to 30 hp/1,000 BTU
1132.00
61.00
$
Up to 50 hp/1,750 BTU
78.00
$
Over 50 hp/1,750 BTU
$
Incinerators
Domestic incinerator
26.00
$
Commercial
Enter total valuation of mechanical system
and installation costs $
Enter fee based on valuation of mechanical system, etc.
$
Miscellaneous fees Itenn
cost
ea.
Total
cost
Reinspection
102.00
$
Specially requested inspections (pei 5102.00
$
Regulated equipment (unclassed) 319.00
$
Each additional inspection: (1) j P102.00
$
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) Seismic fee, 1% (.01 x [A])
$
(E) Technology Fee (5% of [A])
$
TOTAL fees and surcharges (A through E):