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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 6 e E E oF tl t ! Y .q o E .g E E o (-) JJzo tr(-) lEFazoo J o- I (L o N O(o o) = E (! ('!o; 0. tro ll. ooo as! NNN ooooooooo .9 .9 EE qco. o o o Noooo9 o o 3Rot E859 o+ TN ! o F Ct) B Go- ooolt. LIJ q o, o) o) o) F t-- F- t-_ o, o) o, o) 5 rrJ t-F' F. Eo Ii o) a F oo NO o\ ii(, ox EE tsd ! t *xo 'O tXNl/)OrEdinNcnP 36hf i h i!qNt6 €FelE = rlnll- o'- orv orli c :aooo-.=2 ndiEqy ii 0, irE cL-'63 $ o!t6 s id*: sEP E g,g! E AEB i=* H:.f,Er-@t o ! ;a; z.o(, oaJtrt l!(,z, d,CI tr ooi .. I o39R N c.i ooo'. I I *Eoc -x91 I!vE -qtPE 32i q i= o --= EEEbtr-coo9 \ttIH-..E: ;'oi d E.E ES "- b EoE :", di E ::s€ ;E E t s., E lD= E e =tg g* E g E fZ 1 a 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: $ l $ Fa4^oo l$ ls