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HomeMy WebLinkAboutPermit Mechanical 2019-09-12OREGON Web Address: www.springfield-or.9ov Building Permit Residential Mechanical Permit Number: 81r-19-OO2l09-MECH M Number:811057641988 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-7 26-37 53 Email Address: germitcenter@sprinqfield-or.9ov SPRINGfIELD $ Permit lssued: September 12, 2019 Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Ductless Heat Pump Type of work: New Worksite Address 1131 1ST ST Springfield, OR 97477 Parcel 1703263301500 Owner: Addr€ss: KEELERCLAIREAS& MATTHEW P 1131 1ST ST SPRINGFIELO, OR 97477 Business Name OWNER - Primary License Number 000000 Phone lnspection 2999 Final Mechanical 2300 Rough Mechanical 2100 AC/Furnace/Heat Pump/HVAC tnspcction Group Mech Res Mech Res Mech Res Inspection Status Pending 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 wwl^l.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811057641988 Schedule using the Oregon ePermitting lnspection App, search "epermifting" in the app store permtts expire if work Is not start€d withln 18O Days ot lssuance or lf work is suspended for 18O DaYs or longer d€P€ndhg on the issulhg agency's policy. Att proytstons of tawr and ordlnanc€s goyemlng this type of work wlll be complled with whcth€r spcclflcd hercin or not. Grantlng of a permlt does not pr€sume to glve authorlty to violate or canc€l the Provisions of any oth€r state or local law regulatlng constructlon or tirc p.rformanca ot consttucdon' ATTET{TIOfl: Oregon taw requlres you to rollow rules adopted by th. Oregon Udllty ttotiflc.tion Center. Thos€ rules.re set forth in oaR 952-ool-oo10 through oai 952-oo1-oo9o. You may obtaln copl.'6 of th€ rules by calllng th€ center at (5o3) 232-t9gr. aI pgsons or enudes p€rformlng y{ork und€r thls pcrmlt are requlrld to be llcen.,€d unless excmptcd bY oRs 701.o10 (structural/iiechanlcal), oRs 479.540 (Electrlc.l), and oRs 6t3.olo-o2o (Plumbing). ktnted on: 9/12119 pate I of 2 c:\myReports/reports//productiorv0t STANDARD TYPE OF WORK JOB SITE II{FORI,IATION LICENSED PROFESSIONAL INFORMATION License ccB PENDING INSPECTIOI{S SCHEDULING INSPECTIOT{S Permit Number: all-19-OO2109-MECH Page 2 of 2 Fee Dcscription Technoloqy Fee Balance of minimum permit fees - mechanical Boiler/compressor/absorptaon system up to 15 HP or 500,000 BTU State of Oregon Surcharge - Mech ( 12olo of applicable fees) Quantity Fee Amount $5.10 $61.00 $41.00 $12.24 $119.34Total Fees: c:\mytLeport /eporv/prcdu.tron/01 sTAfllDARD 1 PERMTT FEES s E Iztr F E ,q o E q .,i ON -6i co,<)o-Fs P o. co,oo-E$ l! ; 5 @€$ EE:a5+ TR !t o5gN FO) 5uJ 9 =t! o- oq)o lJ- o o J oI d, LL o) -9o F Eo oI I o Ea' gs o-q .,9 E ,9 o -o XF;c) 9tsc oo ES: a! o(!6 dr- oo @o oooooooo E E q E ,E ,s E ! c) Fo < Lr.t qc o) o) o) NNN 564 FF. F. t lc. E o) a aa Fa tsgEe !)a tst o ! o B , (t)rL(Do:.itllJ i\ N ={sdio,33E6aEiEo=at32atE'6:.F E.o;Et o.'6 oot tr .9 (J .Eo G :Y9F.<tt6hTh.gscXt6Eor.6 PTE-: P.'EEEEJ' p e o) 'c o.a o o oJr.l r9z. d.r z,o19 os {1 Crry or SpnrNcFIELD, OnrcoN Mechanical Permit Application 225 Fif6 Stre€t . Springfield, OR 974?7 . PHl54l)726-3753 . FAX( 54 I )726-368 9 DEPARTMENT USE ONLY pernritno.: ,\q-qaIoq ,^n, Ql\)Lotl$fr, This p€rmit is issued under OAR 918-440-0050. P€rmits expire if work is not stsrted within 180 days ofissuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION $l Residential ! Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address ltl/ /'r tl 'crty: furila/1s l/State: 6P-nr: QltJ y'y' Reference Taxlot.: DESCRIPTION OF WORK PROPERTY OWNER ouata Name Address City:State ZIP Phorc: fg-ffi- fi( J Fax: member of my immediate family, and is exempt from licensing tl a,1 This installation is being made on property owned bv me or a E-mail 1.010requirements S matl.(o Business name: Address Citv:State: E-mail: Signature FEE SCHEDULE Residential Qty Cost e&. Total cost First Aooliance 02_00 S Furnace/burner including ducts and vents Up to l00k BTU,ftr $23.00 $ s26.00 $ Heaters/stoves/Y€nts Unit heater s23.00 $ Wood/pellergas stove/fl ue s54.00 $ Evaporated cooler $19.00 $ Vent fan with one duct/appliance $13.00 $ Hood with exhaust and duct $19.00 $ Gas piping One to four outlets $9.00 $ Additional outlets (each)$5.00 $ Air-handling units, includinq ducts Up to 10.000 CFM $1s.00 $ Over 10,000 CFM $26.00 $ Comnressor/absorDtion svst€m/heat DumD Up to 3 hp/I00k BTU s23.00 $ -Up to l5 hp/500k BTU I s41.00 $ Lll Up to 30 hp/l,000 BTU $61.00 $ Up to 50 hp/1,750 BTU s78.00 $ Over 50 hp/1,750 BTU $r32.00 $ Incin€rators s26.00 s Commercial Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation ofmechanical system, etc.$ ItemsMiscellaneous fees Cost ea. Total cost Reinspection t102.00 $ Specially requested inspections (per ir02.00 $ Regulated equipment (unclassed)t19.00 $ Each additional inspection: ( I )$102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of g 1!a09)$ l0?.-- (B) Investigative fee (C) Enter l2% surcharge (.12 x [A+B]) (D) Seismic fee, 1% (.01 x [A])$ (E) Technology Fee (5% of IA])$ TOTAL fees atrd surcharges (A through E);$ l\q. zri CON-TRACTOR INSTALLATIoN ZIP: Phone:Fax: CCB license no.: Print name: Over I 00k BTU/hr. Domestic incinerator $ $ Insr edited 7/l/2019 BJones Property Owner Statement Regard ing Construction Res ponsi bilities Oregon Law requires residential conslruction p€rmit applicants who are not licensed with the Conitruclion Contractors Board to sign the following statement b€fore a building permit can be issued. (ORS 701.325 (2ll This statement is roquired tor rcsidential building, electrical, mechanical, and Plumbing p€rmits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit this stalement This statement will be filed with the permit. Please check the aPPropriate box I own, reside in, or will reside in the completed structure and my general contractor istr Name ccB#Expiration Date I will inform my general contractor that ail subcontractors who work on the struclure must be licensed with the Construction Contractors Board. ol t----:-l\ I will be performing work on property I own, a residence that I reside in, or a residence that I will - - reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. li 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 ofiice issuing this Building Permit. I have read and understand the lnformation Notice to Homeowners Abou anJ t frereOy certify that th€ information on this homeowner statement is /r€kezk t Construction Responsibilities, true and accurate. Print Name of Permit APPlicanl t9n ature of Permit ApPlicant q,/2 ,/? Date L<.-- Address \zlssued =5 q Permil #\q CO^lC]q(^tz\\+H-lcq \rq This Copy for Permrt Offices r tr \ Date