The URL can be used to link to this page

Home My WebLink AboutPermit Mechanical 2019-10-23.SFRINGFIELD b OREGON Web Address: www.springfi eld-or. gov Building Permit Residential Mechanical Permit Number: 81 1-19-OO24O7 -MECH IVR Number: 8lt95442l404 City of Springfield Development and Public works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Address: permitcenter@springfield-or.gov Permit Issued: October 23, 2OL9 Category of Construction: Single Family Dwelling Submitted Job Value: $0,00 Description of Work: Ductless Type of Work: New Worksite Address 3748 S E ST Springfield, OR 97478 Parcel L7023L4304401 Owner: Address: YOUNG NATHAN & BROOKE 3748 S E ST SPRINGFIELD, OR 97478 Business Name OWNER - Primary License ccB License Number 000000 Phone Inspection 2999 Final Mechanical 2 100 AC/Furnace/Heat Pump/HVAC Inspection Group Mech Res Mech Res Inspection Status 'Pending Pending 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 construction o. the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L947. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing) Printed oni 10/23/79 Page 1 of 2 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: 8LLO5442L4O4 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store C: \myReports/reports//production/0 1 STAN DARD TYPE OF WORK JOB SITE II{FORMATION LICENSED PROFESSIONAL INFORMATION PENDING INSPECTIONS SCHEDULING INSPECTIONS Permit Number: 81 1-19-OO24O7-MECH eagei zof 2 _ Fee Description Technology Fee Balance of minimum permit fees - mechanical Boiler/compressor/absorption system up to 3 HP or 100,000 BTU State of Oregon Surcharge - Mech (t2o/o of applicable fees) Printed on: Lol23lL9 Quantity Fee Amount $s.10 $79.00 $23.00 $t2.24 $ 119.34Total Fees: C :\myReports/reports//prcduction/0 1 STAN DARD 1 Page 2 of 2 PERMIT FEES SPRINGFIELD ,b OREGON www. springfi eld-or. gov Worksite address: 3748 S E ST, Springfield, OR 97478 Parcel: 1702314304401 Transaction Receipt 811-19-002407-MECH Receipt Number: 472781 Receipt Date: 10/23/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri n gfield-or. gov Transaction date 10t23t19 10t23t19 10t23t19 10t23t19 Units '1.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic Technology Fee Fees Paid Description Boiler/compressor/absorption system up to 3 HP or 100,000 BTU Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% ot applicable fees) Account code 224 -00000-425604- 1 03 1 224-00000425604-1 03 1 82 1 -00000-2 1 5004-0000 20 4 -00000-425605-0000 Fee amount $23.00 $79.00 $12.24 $5.1 0 Paid amount $23.00 $79.00 $12.24 $s.1 0 Payment Method Credit card authorization: 075348 Payer: YOUNG NATHAN & BROOKE Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: '10/23119 3:54 pm Page 'l of 1 Fl N_Tra n saclion Receipt_pr Ir Cmv or STTNGFIELu, Onrcon Mechanical Permit Application 225 Fifth Strcct o Sprhgficld, OR 97477 . PH(541)726-3753 o FAX(541)726-3689 CATEGORY OF CONSTRUCTION IResidential I Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: !l't| S F 61 State: 0 \?.nP,q1j7b Reference: U Taxlot. DESCRIPTION OF WORK Pe'.J loss t^v\il irp/.^[rd / Ooo 6tt/ PROPERTY OWNER Name th",,a WT Address -)a 5 City:e State: 0L zIp: clH 73 phonei t - U-S.1,-Z7t/-t0(,3 Fax: E-mail:hoo This installation is on owned by me or a member of my immediate requirements CONTRAGTOR INSTALLATION Business name Address: City:,"r4/ZIP: Phone:Fax: E-mail CCB license no.V Print name: Signature: DEPARTMENT USE ONLY Pennit no.: i7 -O,O Z;IOT Date: 1(^)>b lq FEE SCHEDULE Residential Qty Cost ea. Total cost First Aonliance il02.00 s Furnace/burner including ducts and vents Up to l00k BTU/hr.$23.00 $ Over 100k BTU/hr $26.00 $ [f enters/stoves/venfs Unit heater $23.00 $ Wood/pellet/gas stove/fl ue $54.00 $ Evaporatcd coolcr $19.00 $ Vent fan with one duct/appliance $13.00 s Hood with exhaust and duct $19.00 $ One to four outlets t9.00 $ Additional outlets (each)ts.00 s Up to 10,000 CFM $15.00 s Over 10,000 CFM 126.00 $ Comoressor/absorntion svstem/heat pump Up to 3 hp/100k BTU t23.00 $73 Up to l5 hp/500k BTU $41.00 $ Up to 30 hp/1,000 BTU $61.00 $ Up to 50 hp/I,750 BTU $78.00 S Over 50 hp/I,750 BTU $132.00 $ Incineretors Domestic incinerator $26.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation ofmechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection il02.00 $ Specially requested inspections (per u02.00 $ Regulated cquipment (unclasscd)i19.00 $ Each additional inspection: (l)1102.00 $ (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)$ \a> (B) Investigative fee $ (C) Enter l2olo surcharge (.12 x [A+B])$ (D) Seismic fee, lYo (.01 x [A])$ (E) Technology Fee (5% of [Al)$ TOTAL fees and surcharges (A through E)$tq.'a SPRINGFlELO h, This permit is issued under OAR 918{40-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. Lasr editcd 7/l/2019 BJones Air-handlins units. includins duc s DEPARTMENT USE a Property Owner Statement Regarding Gonstruction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll This statement is required for residential building, electrical, mechanical' Licensed architect and engineer appllcants, exempt from licensing under it this statement. This statement will be filed with the permit. and plumbing permits. ORS 701.010 (7), need not subm Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. o( 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. lf 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 office issuing this Building Permit. I have read and understand the lnformation and I hereby certify that the information on Notlce to Homeowners About Construction Responsibilities' this homeowner statement is true and accurate. '^14'r,^,.dt^n Print Name of lo ZZ DateApplicanl Permit #: Address:B E lssued Date This Copy for Permit Offices tolz".r \,1 lnformation Notice to Owners About Construction Responsi bi I ities (oRS 701.32s (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-3784621 - Fax: 503-373-2007 Website Address: www. oregon. oov/ccb a Homeowners acting as their own general contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon's Business ldentification Number (BlN): is a combined number for both Oregon \Mthholding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.oov. a a a a a o Other Responsibilities of HomeowRers: Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirernents that may be found through inspections. propefi Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades' a rl--^aaAr a.,nar :/nntari q-rn16 This Copy for Permit