HomeMy WebLinkAboutPermit Mechanical 2019-10-18OREGON
Web Address: www.springfield-or.gov
Building Permit
Residential Mechanical
Permit Number: 811-19-OO2373-MECH
IVR Number: 811084898234
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54L-726-3753
Email Address : permitcenter@springfield-or.9ov
SPKINGTIELD
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Permit Issued: October 18, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: New bathroom fan & relocate dryer vent
Type of Work: Alteration
JOB SITE INFORMATION
Worksite Address
1129 PLEASANT ST
Springfield, OR 97477
Parcel
L703264L07900
Owner:
Address:
DUNCAN CHRISTOPHER J
& JESSICA LEANNE
1129 PLEASANT ST
SPRINGFIELD, OR 97477
LICET{SED PROFESSIONAL IN FORMATION
Business Name
ROBB LYNN BUSTER - Primary
License
ccB
License Number
19 1870
Phone
54r-521-4737
PENDING INSPECTIONS
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Res
Mech Res
Inspection Status
Pending
Pending
SCHEDULI NG 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: 811084898234
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 18O Days of issuance or if work is suspended for 18O 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 constructlon or the performance of construction.
ATTENTIONT Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-OO1-OO10 through OAR 952-OO1-OO9O. You may obtain coples of the rules by calling the Center at (5O3)
232-L987.
All persons or entities performing work under thls permit are requlred to be licensed unless exempt€d by ORS 7O1.O10
(Structural/llechanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing).
Printed on: Lollgllg Page 1 of 2 C:\myReports/reports//prcduction/01 STANDARD
Permit Number: 81 1-19-002373-MECH eage i or'z "
Fee Descraption
Technology Fee
Balance of minimum permit fees - mechanical
Clothes dryer exhaust
Ventilation fan connected to single duct
State of Oregon Surcharge - Mech (l2o/o of applicable fees)
Printed on: 10/18/19
Quantity Fee Amount
$s. 10
$76.00
$ 13.00
$ 13.00
$t2.24
$ 119.34Total Fees:
C :\myReports/reports//production/0 1 STAN DARD
1
1
Page 2 of 2
PERMIT FEES
SPRINGFI Transaction Receipt
811-19-002373-MECH
Receipt Number: 472734
Receipt Date: 10/18/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54t-726-3753
permitcenter@spri n gfield -or. gov
tfi
OREGON
www.springfi eld-or. gov
Worksite address: '1 129 PLEASANT ST, Springfleld, OR97477
Parcr'l 1703264107900
Transaction date
10t18t19
10t18t19
10t18t19
10t18t19
10t18t19
Units
1.00 Ea
1.00 Ea
1.00 Automatic
1.00 Ea
1.00 Automatic
Account code
224 -00000-425604- 1 03 1
821 -00000-2'1 5004-0000
204-00000425605-0000
224-00000425604-1 031
224-00000-425604- 1 03 1
Fee amount
$13.00
$12.24
$5.1 0
$13.00
$76.00
Fees Paid
Description
Ventilation fan connected to single duct
State of Oregon Surcharge - Mech (12o/o of
applicable fees)
Technology Fee
Clothes dryer exhaust
Balance of minimum permit fees - mechanical
Paid amount
$13.00
$12.24
$5.1 0
$13.00
$76 00
Payment Method: Check number:5107 Payer: ROBB LYNN BUSTER Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$r 19.34
Printed: 10/18/19 12:11 pfi Page 1 of 'l Fl N_TransactionReceipt_pr
t{
Cmy op SpnlNGFIELo, ORrGoru
Mechanical Permit A tion
225 Fifth Street . Sprinsfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
DEPARTMENT USE ONLY
penttno.:l{ -OO?1To
Date: lO 1B tq
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This permit is issued under OAR 9f 8440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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d
CATEGORY OF CONSTRUCTION FEE SCHEDULE
ElSesidential fl Government E Commercial Residential 4ry.Cost
ea.
Total
cost
JOB SITE INFORMATION AND LOCATION
ducts and vents
Job site address:tol /hr $
cit){#(b State: fl Over l00k BTU/hr t26.00 s
Taxlot.
DESCRIPTION OF WORK Unit heater $
stove/flue $
cooler 9.00 $
-+Vent fan with one L $13.00 .b
PROPERTY OWNER Hood with exhaust and duct 9.00 $
Name:One to four outlets $
Address:\\aq T Additional outlets $s.00 $
State:ZIP:ducts
tol CFM $\11 Fax:Over 10,000 CFM $
E-mail t
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 I 0.
to3 OOK BTU $
to 15 BTU .00 $
to 30 ,OOO BTU .00 $
to 50 750 BTU $
CONTRACTOR INSTALLATION Over 50 750 BTU $
Business name:I
Domestic incinerator $
Address:
ZIP..Enter total valuation ofmechanical system
and installation costs $
Fax:Enter fee based on valuation ofmechanical etc.1-S
E-mail:Miscellaneous fees Cost
et.
Total
cost
CCB license no.:i102.00 $
Print name:
inspections
Signature:Each additional
t102.00 $
il9.00 $
u02.00 $
DEPARTMENT
(A) Enter subtotal ofabove fees (or enter set $ loz
fee $
Enter 72oA 12x +B $
Seismic fee, l%o x s
Fee of $
TOTAL fees and surcharges $t/7t
l-ast edited'l I I 1201 9 BJones
zrP:ql4l? |
I lta -J
i9.00
t26.00
Citv**.Ctr State:[-Y?