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Home My WebLink AboutPermit Mechanical 2019-10-30SPRtNGf IELD {& oREGOtl Web Address: www.springfi eld_or.gov Permit Issued: October 30, 2}lg Building Permit Residential Mechanical Permit Number: 81 1-19-OO2450-MECH IVR Number: 811010043 164 CitY of SPringfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541'726'3753 Email Address : permitcenter@springfield_or. gov Category of Construction: S Submitted Job Value: $0.00 ingle Family Dwelling Description of Work: Replace the flue of the chimney Type of Work: Replacement Worksite Address 786 LAKSONEN LOOP Springfield, OR 97478 Parcel 7702352202700 Owner: Address: VALERIE J RUIS TRUST 786 LAKSONEN LOOP SPRINGFIELD , OR 97478 LICENSED ,TIONBusiness Name OREGON CHIMNEY GUYS INC . Primary Inspection 2999 Final Mechanical 2300 Rough Mechanicat License CCB License Number 1 99878 phone 54I-232-2445 Inspection Group Mech Res Mech Res Inspection Status Pending Pending Various inspections are mini mally required on each project and often dependent on the sco pe of work. Contactthe issuing jurisdicti on indicated on the permit to determine required inspections for this project, Schedule or track inspections at www.buildi ngpermits.oregon.govCall or text the word ,,schedule,, to 1_Bgg_2 gg_2g21 use IVR number: 911010043164Schedule u sing the Oregon epermitting Inspection App,search "epermitting,, in the app store Permits expire if work is ntttre issuing ageil;';.il:t started within 18o Days of issuance or if work is suspended for 180 Days or ronger depending on All provisions of laws and oGrantins .r. ,;;;;;.: ;:il::',T:il;,1'J:,T;:,yJ: or::.k wiu be compried with whether speciried herein or not.regulating construction or the performan". of "on"t"u.fitoviolate or cancel the provisions rf "rt;ah*;;.;] or tocar rawATTENTION: Oregon law re l"J:,;"?;;;:;;,;;fiH'J"T#;1"l,,"_:#f#:i:",,.i],,l;;fg:Ii,#:1p"1?"ff,il;.;JJ:::JJ::il;,,, ili:,1,:",rr.il'::;'"i:ix#lH-,:;:H,:::;,'.TI;1-T'.;:TI',1[t,,J;;;T:',*" exempted by oRs 70l o,o Pnnted on: 10,/30/19 PENDING INSPECTIONS Page 1 of 2 C : \myReports/reports//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION SCHEDULING , DEDr TT EEEG I Permit Number: 81 1-19-OO2450-MECH Fee Description Technology Fee Balance of minimum permit fees - mechanical Chi mney/li ner/flue/vent State of Oregon Surcharge - Mech (12olo of applicable fees) Pnnted on: 10/30/19 Page 2 of 2 Quantity Fee Amount $s.10 $83.00 $ 19,00 $12.24 $ 1 19.34Total Fees: C : \myReports/reports,//productron/Ol. STANDARD 1 Page 2 of 2 SPRINGFIELD {6 0R€G0ri www. sp ri n gf ield-or. gov Worksite address: 786 LAKSONEN LOOP, Springfield, OR 97478 Parcnl: 1702352202700 Transaction Receipt 811-19-002450-MEGH Receipt Number: 472843 Receipt Date: 10/30/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 perm itcenter@spri ngfield-or- gov Fees Paid Transaction date 10t30t19 10t30119 1 0/30/1 9 10t30t19 Units 1.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic Technology Fee Description Ch imney/liner/flue/vent Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Account code 224-00000425604-1 031 224-00000425604-1 031 821 -00000-21 5004-0000 204-00000425605-0000 Fee amount $19.00 $83.00 $12.24 $s.1 0 Paid amount $19.00 $83.00 $12.24 $5 10 Payment Method: Credit card authorization 61 0340 Payer OREGON CHIMNEY GUYS INC Payment Amount:$1 19 34 Cashier. Katrina Anderson Receipt Total:$'l 19.34 Printed: 10/30/19 2:05 Pm Page 1 of 1 F I N_Transaction Receipt_pr Mechanical Permit Application 225 Fifth Strcet 0 Springfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 This permit is issued under OAR 918440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. SPRIRGFIELO h, Cmy oF SPRTNGFTELD, OREGoN DEPARTMENT USE ONLY Permir no.: \ I OnJtf=f- n Date: \o\go[tq CATEGORY OF GONSTRUCTION FEE SCHEDULE fi'Residential E Govemment E Commercial Residentia!Qty. (lost ea. Total cost JOB SITE INFORMATION AND LOCATION il02-00 $ Job site address ks ducts and vents f to l00k BTU/hr Starc: 0l€w Over l00k BTU/hr,$ Referenle: /Taxlot. DESCRIPTION OF WORK Unit heater stove/flue c coolcr i23.00 $ I t54.00 $ il9.00 $I Vent fan with one u3.00 $ PROPERTY OWNER Hood with exhaust and duct il9.00 $ Name One to four outlets $ Address 7$6 La Additional outlets $ City:te State:ZIP:7 to 10,000 CFM Phone:Over 10,000 CFM s il5.00 $ i26.00 $ E-mail:ZZTt 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 .01 0. to3 OOK BTU to 15 BTU to 30 I,OOO BTU to 50 I,750 BTU s23.00 $ s4r.00 $ $6 t.00 $ $78.00 $ CONTRACTOR INSTALLATION Over 50 ,750 BTU $ Business name:Domestic incinerator $ Address: 7E ? fr Commercial City:State:ZIP 7 Enter total valuation ofmechanical system and installation costs $ Phone:v Fax Enter fee based on valuation ofmechanical etc.$ E-mail:Miscellaneous fees Cost er. Total cost CCB license no.t102.00 $ Print name:Specially requested inspections u02.00 $ Signature:Each additional (l) il9.00 $ il02.00 $ DEPARTMENT (A) Enter subtotal ofabove fees (or enter set minimum fee of $s [oL fee $ Enter 12o/o 12x A+$ Seismic fee, 1%o ,0t x $ Fee (5% of A $ TOTAL fees and (A through E):$lol.7 Lasr cdircd 7/l/2019 BJones Fax: tAqf nrr mn