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HomeMy WebLinkAboutPermit Mechanical 2019-09-05Web Address: www.springfield-or.gov Building Permit Residential Mechanical Permit Number: 811-19-002060-MECH-01 IVR Number: 811042296037 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.gov Permit Issued: September 05, 2019 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Garage conversion JOB SITE INFORMATION Worksite Address Parcel Owner: BRANDT MATTHEW S 564 53RD PL 1702331301803 Address: 564 53RD PL Springfield, OR 97478 SPRINGFIELD, OR 97478 LICENSED PROFESSIONAL INFORMATION Business Name License License Number Phone OWNER - Primary CCB 000000 PENDING INSPECTIONS Inspection Inspection Group Inspection Status 2999 Final Mechanical 2300 Rough Mechanical 2100 AC/Furnace/Heat Pump/HVAC Mech Res Pending Mech Res Pending Mech Res Pending 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: 811042296037 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 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: 9/5;_9 Page 1 of 2 C:\myReports/reports//production/01 STANDARD Permit Number: 811-19-002060-MECH-01 Page 2 of 2 PERMIT FEES Fee Description Quantity Fee Amount Technology Fee Balance of minimum permit fees - mechanical Mini split system Ventilation fan connected to single duct Water heater State of Oregon Surcharge - Mech (12% of applicable fees) $5.10 $51.00 1 $19.00 1 $13.00 1 $19.00 $12.24 Total Fees: $119.34 Printed on: 9/5/19 Page 2 of 2 C:\myReports/reports//production/01 STANDARD k ] ; / CL Cl Lr- / j } \ / \ � � j � � / _ & & _ & cyi � \k/r,� a . £ 2 �Ln a C: NLn = C / E \ t C ) k / E § Q) k < E § 0 S 0 4 » g ■ § § w 6 q G a $ . _ k a _ k LL \ \ \ \ \ 1 ; \ \ \ \C04) \ 2 o - -- ° S 0 0 0 0 0 _ 0 0 0 0 0 0 o S S S S % S It § § §C § CD E R CY) V CD k © 0 cc CD § $ _ ) V % 2 CL U-\ \ Cl) @ 0) CL2 \ t LU ° co \e k \ o § 2 E f ƒ § k t m E 8 E r ? § ( k k t kƒ i ` _ a co © f § /— e m A -CL .— § > k o . G ' E Q°a CO § 2 k / k k \ k k ® K k k \ 3 w w < w 2 K q \ 0 % 0 $ g§ c LO n - C% @ c 2 o § > 00 0 2 '00 i q / cu . \ \ $ 2 k 0 2 p § z e P - f= o = o o a E ¢ $ C, � - � > z a � > a E k > & § § B a CL 0 k ] ; / CL Mechanical Permit Application DEPARTMENT USE ONLY SPRINGFIELD r CITY 1 ' 1 ° Permit no.: 1� -00dQ� Y►"L C 225 Fifth Street ♦ Springfield, OR 97477 1 PH(541)726-3753 ♦ FAX(541)726-36896WDate: - l s e I 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 Residential ❑ Government ❑ Commercial JOB SITE INFORMATION AND LOCATION Job site address: 5-3 City: State: d,- I ZIP: 77V7f Reference: Taxlot.: DESCRIPTION OF WORK ) 23.00 OWNER-°QFa�^ Name: Jj Address:' ��` �' ✓� P� City: ('~' tet State: 61f— 1 ZIP: ?'7,179 Phone:2t-24-1- N5 Fax: - - E-mail: 7/�e. 6r4ns✓fi t? I ile , C&J This installation is being made on property owned by me or a member of my immediate family, and is exempt from licensing requirements under ORS 701: 0. Signature: CONTRACTOR INSTALLATION Business name: t/►Ili� Address: City: State: ZIP: Phone: - - Fax: - - E-mail: CCB license no.: Print name: Signature: Last edited 7/1/2019 Wones FEE SCHEDULE Residential Qty, Cost ea Total cost First Appliance 102.00 Furnace/burner including ducts and vents Up to 100k BTU/hr. 23.00 $ Over 100k BTU/hr. 26.00 $ Heaters/stove.s/vents Unit heater lr- ea ti119.00 23.00 $ Wood/pellet/gas stove/flue 54.00 $ Evaporated cooler 19.00 $ Vent fan with one duct/appliance13.00 $ , ar Hood with exhaust and duct $ Gas piping: One to four outlets 9.00 $ Additional outlets (each) 5.00 $ Air -handling units including ducts Up to 10,000 CFM 15.00 $ Over 10,000 CFM 26.00 $ Co ressor/absor tion s stem/heat oum Up to 3 hp/ 100k BTU 1 023.00 $ " Up to 15 hp/500k BTU 41.00 $ Up to 30 hp/1,000 BTU 61.00 $ Up to 50 hp/1,750 BTU 78.00 $ Over 50 hp/1,750 BTU 132.00 $ 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 tems Cost ea. Total cost Reinspection 102.00 $ Specially requested inspections (peT 102.00 $ Regulated equipment (unclassed) 19.00 $ Each additional inspection: (1) 102.00 $ DEPARTMENT -USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 102.00) $ O (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): $ , `3 Property Owner Statement Regarding Construction Responsibilities 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: F7I own, reside in, or will reside in the completed structure and my general contractor is: Name CCB# Expiration Date 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. Print Name �Pe' t Applicant Signature of Permit A icant Date Permit* 0�� GN Address: Issued by: —Y�Date 1 This Copy for Permit Offices Information Notice to Owners About Construction Responsibilities (ORS 701.325 (3)) Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: • Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: • Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. • Unemployment Insurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947-1488. • Oregon's Business Identification Number (BIN): is a combined number for both Oregon Withholding and Unemployment Insurance Tax. To file for a BIN, go online to the Oregon Business Registry. For questions, call 503-945-8091. • Workers Compensation Insurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation Insurance for their employees. If you fail to obtain Workers Compensation Insurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. • Tax Withholding: Employers must withhold Social Security Tax and Federal Income Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to .irs. ov. Other Responsibilities of Homeowners: • Code Compliance: As the permit holder -for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. • Property Damage and Liability Insurance: Homeowners acting as their own contractors should contact their insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability Insurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation Insurance. • Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough -in and finish trades. CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www.ore on. —IMM r...-,......«.. ,,,.,.,e. �,�.,.,+o,� o_�ny A This Copy for Permit