HomeMy WebLinkAboutPermit Mechanical 2019-09-17SPRINGfIELD
,b
CitY of Springfield
DeveloDment and Public Works
225 Fifth Street
SPringfield, OR 97477
541-126-3'153
OREGOTI
Permit lssued: September 17, 2019
Building Permit
Residential Mechanical
Permit Number: 811-19-OO1776-MECH-O1
lvR Number: 811069695472
Email Address: Dermitcenter@sprinqfield_or.9ov
TYPE OF WORK
Category of Construction: None Specified
Submitted fob value: $0.00
Description of workl Addition - 288 SF
Type of Work: None SPecified
fOB SITE INFORMATION
Worksite Address
912 D ST
Sprinqfield, OR 97477
Parcel
1703351307100
LTCENSED PROFESSIONAL INFORI"IATION
Business Name
A PLY CONSTRUCTION LLC .
Primary
License Number
206626
Phone
541-510-6562
License
ccB
SCHEDULING INSPECTIONS
Various inspections are minimally required on each project and often dep€ndent 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: 411069695472
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERI'lIT FEES
Fee Description
Technology Fee
Balance of minimum permit fees - mechanical
Ventilation fan connected to single duct
Water heater
State of Oregon Surcharge - Mech (12% of applicable fees)
Quantity
Total Fees:
1
1
Fee Amount
$s.10
$70.00
$ 13.00
$19.00
$12.24
$119.34
Permlts expire if work is not started within 180 Days of issuance or if work is suspended for l80 Days or tonger dependtng on
the lssuing agency's policy.
All prcvisions of laws and ordinances goveming 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 locat taw
regulating construction or tlle performanae of construction.
ATTEITTION: Or€gon law requires you to follow rules adopted by the Oregon Utility t{otlflcatlon Center. Those rules are set
forth in OAR 952-OO1-OO1O through OAR 952-OOr.-OO9O. You may obtain coples of the rules by calling the Center at (503)
232-19a7.
All Persons or entltles performing work under this permit are required to be licens€d unless exempted by ORS 701.O10
(Structural/l,lechanical), ORS 479.s40 (Electrical), and ORS 693.01O-O2o (Plumbins).
printed on: 9/!7/19 page I of 1 cr\myRepors/reports//production/01 sraNoARD
web Address: www springfield_or'9ov
Owner:
Addressi
DOWNING-MOORE EMILY S
912 D ST
SPRINGFIELD, OR 97477
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Mechanical permit Application
225 FiRh Streel o Springfield.R97477 t PH(541)726-3753. FAX(541)726-3689 €n,
i+
This permit is issued under OAR 91g_440_0050.
suspended for 180 days,
Permits expire if work is not started within lg0 days of issuance or if work is
Crryor SpRTNGFTELD , OnrcoN
DEPARTMENT USE ONLY
Permit no \t AG
Date q \q
CAT OFEGORY scoN T R CTU toN
ResidentialU I Govemment I Commercial
FORMATION CATIONoJSBITENANDLO
City:t7
Dsr
Reference
v
Taxlot.
DESCRIPTION OF WORK
PROPERW OWNER
- {/4 at//'.<_
(L
IName
Address
City:SPr.,i/",,t Stata2 <_ztP
Phone U
Fax
This installation is being made on propeny owned by me or a
member of my immediate family. and is eiempt from licensing
requirements under ORS 701.010.
Signature:
CONTRACTOR INSTALLATION
te lr' ca,t €f-"-t-fi.taBusiness name
el
City: fio6jaai2 State:C) Q-zw:'7/Qoa
Phone:
t/
Fax:
E-mail:
CCB license no.:eokQ }("P
Print name o4-.-t 1
,rrran{-4f
FEE SCHEDULE
Residential Qty Cost
EL
Total
cosl
rrst 102
urnace/burner includin ducts and vents
U to i 00k BTU,4rr .00 $
Over l00k BTUAr 00
Unit heater 3.00 $
let/gas stove/flue $
ted coolerE 19.00 $
IianceVent fan with one duct/t3.00 $
Hood with exhaust and duct 19.00 $
Gas I
One to four outlets $
Additional outlets (cach 5.00 $
Air-han unl ductsincl
Up to 10,000 CFM 15.00 $
Over 10.000 CFM 6.00 $
Co ab tem/he
to 3 hp/100k BTU .00 $
Up to 15 5OOK BTU 1.00
to 30 hp/l,000 BTU 1.00 $
Up to 50 I,750 BTU 78.00 $
Over 50 hp/1,750 BTU 32.00
tors
Domestic incinerator $
Commercial
Enter total valuation ofmechanical system
and installation costs S
Enter fee based on valuation ofmechanical system, etc $
Miscellaneous fees ea.
Total
cost
Reinspection r02.00 $
Specially requested inspections 102.00 $
Regulated equipment (unclassed)19.00
Each additional on: (l)$
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
minimum fec of $ 102.$
B) lnvest ve fee $
(C) Enter 12% surch (.12 x [A+B )$
(D) Seismic fee, l% (.01 x )$
(E) Techno Fee (5% of )$
TOTAL fees and surcharges (A through E):$v
IgIIII @
l-asr edired 7/ I /20 I 9 Bjones
Job site address:q t7-
State:0 fL zrPq +q??
E-mail:
Address:
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