HomeMy WebLinkAboutPermit Mechanical 2019-01-18?Mechanical Perrnit Application
sPNINOFIELO
225 Irinh Street r Springtield, OR 97477 r pH(541)726-1753 o FAX(54 I )726-3689
This perurit ls issued under OAR 918-440-0050. Pernrits expire if rvorl< is not started ryitlrin I80 tlays of issuarrce or. lf ryol.k is
suspenrlecl fol I80 tlays.
FEE SCHEDULE
Resldential Total
cost
Firs( Aurrliarrce s99.00 s
Furnace/burncr iuclutling ducts and vcnts
Up to l00k BTUilrr.s22.00 s
Over l00k BTU/hr.s2s.00 S
H ea te rs/.s f ovo.q /r'en l.s
Unit heatcr s22.00 $
\Vo od/pel let/gas stove/ll ue ss2.00 S
Evaporaled cooler s18.00 S
Veut farr rvith one duct/appliarrce s13.00 S
Hood rvith exhaust arrd duct s18.00 S
Gas
Orre to four outlets s8.48 $
,"\dditional outlets (each)$5.30 $
u
Up to 10,000 CFNI s15.00 s
Over 10,000 CFNI s25.00 s
Cortturessollabsorution svstenr/hcat rlunru
Up to 3 hp/I00k BTU s22,00 S
Up ro l5 hp/500k BTU $40.00 S
Up to 30 hp/|,000 BTU ss9.00 S
Up to 50 hp/|,750 BTU s76.00 S
Over 50 hp/l,750 BTU s128.00 S
Irtcirtelators
Dourestic incirrerator s25.00 S
Commerclal
Errter total valuatiorr olntechartical systenl
and installation co.sts S /"2 S, o C)()
Enter fee based orr valualiort ofnrecharrical system, etc.
Miscellaneous fees lterus To(al
cost
Reinspection $99.00
Specially reguesled irrspectiorrs (per s99.00 s
Regulaled equipnrent (unclassed)s18.00 $
Brch addlllonal lnspcction: (l)$ee,00 S
E
(A) Errter subtotal ofabor,e fees (or e[ter set
ntininrunr fee of $ 99.00)S
(ts) Iuvestigative fee $
(C) Enter l2% surcharge (,12 x [A+B])S
(D) Seisuric fee, l%o (.01 x [A])s
(E) Techuology Fee (5olo of [A])$
TOTAL fccs arrd surchat'ges (A tltrough E):slr 9,
DEPARTMENT USE ONLY
out., I ltg ltl
CATEGORY OF CONSTRUCTION .
E Resideutial fl Govcmnrent .,&Conrmercial
JOB SITE INFORMATION AND LOCATION
Job site address:B
City: 5p"ri*.-a,fi*td State: OR ZtP: t\lli[ll
Rclerencc:Taxlot.:
DESCRIPTION OF WORK
4^**.J.1 tlv*c :;vcirylr ra*.: -Las--b
Nanre:
Addless:
City State:ZIP:
Phone:Fax:
E-nrail:
This installatiorr is being madc orr property olncd by nte or a
menrber of rny imnrediate farnily, and is exenrpt fi'ont liccnsirrg
requirentertts undel ORS 701.010.
Signature:
CONTRACTOR INSTALLATION
Busirress rtalrre:
Addrcss:
Ciry: $fa.1|6y'State: OR ZIP:(a:\BB
I,hone : gg- -lbt ,gQ S 3 Fax:!g'!"JL.f " #55 q
I IE-maill
Print namc:
Signature: S.S"L;i\1S---L
I.ast r'dirt'd 7i l/20t8 lrjones
e
cc
Peunit no.: I
PROPERTY OWNER
CCts license uo.: lt)H bBfi
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