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Home My WebLink AboutPermit Mechanical 2019-10-22OREGON Web Address: www.springfield-or.gov Building Permit Residentia! Mechanica! Permit Number: 811-19-002393-MECH-01 IVR Number: 81 1050591211 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 Email Address : permitcenter@springfield-or,9ov SPRINGFIELD & Permit Issued: October 22, 2019 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0,00 Description of Work: Adding new bathroom , 2 fans, dryer vent and ductless heatpump Worksite Address 945 22ND ST Springfield, OR 97477 Parcel 170336 1 208000 Owner: Address: BASARABA DANIEL D PO BOX 72405 SPRINGFIELD, OR 97475 Business Name OWNER - Primary License ccB License Number 000000 Phone S INSPECTIOTiIS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2 100 AC/Furnace/Heat Pump/HVAC Inspection Group Mech Res Mech Res Mech Res Inspection Status Pending Pending Pending 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: 811050591211 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 ls suspended for 180 Days or longer depending on the issuing agency's policy, All provasions 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 statc or local law regulating construction or 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-O01-OO1O through OAR 952-0O1-0O9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L987, All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.010 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693,O1O-020 (Plumbing). Prrnted on: 10/22119 Page I of 2 C:\myReports/reports//productron/01 STANDARD JOB SITE INFORMATION LICENSED PROFESSIONAL IN FORMATION SCHEDULING INSPECTIONS Permit Number: 81 1-19-002393-MECH-01 Page 2 of 2 Fee Descriptaon Technology Fee Balance of minimum permit fees - mechanical Boiler/compressor/absorption system up to 3 HP or 100,000 BTU Clothes dryer exhaust Ventilation fan connected to single duct State of Oregon Surcharge - Mech (12olo of applicable fees) Pilnted on: 10/22l19 Quantity Fee Amount $s. 10 $40.00 $23.00 $ 13.00 $26.00 $12.24 $ 119.34Total Fees: C : \my Reports/repo rls/ / production/ Ol STANDARD 1 1 2 Page 2 ol 2 PERMIT FEES SPRINGFIELO {6 OR€GON www. sp n n gf ield-o r. gov Worksite address: 945 22ND ST, Springfield , OR 91477 Parcel: 1 703361 208000 Transaction Receipt 81 1 -1 9-002393-MECH-01 Receipt Number: 472762 Receipt Date:10122119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@springfield-or. gov Transaction date 10122t19 10t22t19 10t22t19 10122t19 10122t19 10t22119 Units 100 Ea 100 2.OO 100 100 1.00 Ea Ea Automatic Ea Automatic Fees Paid Description Boiler/compressor/absorption system up to 3 HP or'100,000 BTU Clothes dryer exhaust Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Technology Fee Account code 224-00000425604-1 031 224-00000425604-1 031 224-00000-425604- 1 03 1 224-00000-425604- 1 03 1 82'l -00000-21 5004-0000 204-00000425605-0000 Fee amount $23.00 $13 00 $26.00 $40.00 $12.24 $5 10 Paid amount $23 00 $13.00 $26.00 $40.00 $12.24 $s 10 Payment Method: Check number: 1 1 10 PayeT BASARABA DANIEL D Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total $119.34 Pnnted: 1ol22h9 1 1:45 am Page 1 of I Fl N_Tra nsaction R eceipt_Ir Crry or SpnrNGFIELo, ORrcoN Mechanical Permit Application DEPARTMENT USE ONLY Permit no.:1-n)9 Date225 Fifth Street . Springficld, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 h, 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. CATEGORY OF CONSTRUCTION Edesidential fl Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: State:A-/-zrP: qJq77 Referete, y' Taxlot.: DESCRIPTION OF WORK Ar^A\o*s L-+ AJ'r&2 L, PROPERTY"OWNER. Name: 5 City:ztfl-lLn 7 Phone Fax: E-mail: .)o^itl t w,a.r,xhq-Q hDh^*^i /, (on+ This installation ls being made me or a member of my immediate licensing under I .0 1 INSTALLATION Business name:( Address Stateff-nPf74D/ Fax E-mail: I y^o*o Rxll,Lp 6r-.r) lZprt CCB license no. Print name: Signature: FEE SCHEDULE Residential Qty.Cost ea. Totel cost First Aooliance il 02.00 S Furnace/burner including ducts and vents Up to 100k BTU/hr.$23.00 $ Over l00k BTU/hr.s26.00 $ ff ea f ers/stoves/venf s Unit heater i23.00 $ Wood/pellet/gas stove/fl ue i54.00 $ Evaporatcd coolcr s19.00 $ Vent fan with one duct/appliance 7r'113.00 $ Hood with exhaust and duct I il9.00 $ tl One to four outlets 19.00 $ Additional outlets (each)is.00 s ducts Up to 10,000 CFM u5.00 $ Over 10,000 CFM i26.00 $ Comnressor/ahsorntion svstem/heatl Up to 3 hp/100k BTU (t23.00 $L3 Up to l5 hp/500k BTU t41.00 $ Up to 30 hp/l,000 BTU t61.00 $ Up to 50 hp/1.750 BTU $78.00 $ Over 50 hp/1,750 BTU tr32.00 $ Incinerators Domestic incinerator 826.00 $ Commercia! Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation ofmechanical system, etc $ Miscellaneous fees Cost ea. Total cost Reinspection u02.00 $ Specially requested inspections (per i102.00 $ Rcgulated equipmcnt (unclasscd)i19.00 s Eech additional inspection: (l);102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or erter set minimum fee of $ 102.00)$ [o> (B) Investigative lee $A- (C) Enter 12%osurcharge (.12 x [A+Bj)$ (D) Seismic fee, l%o (.01 x [A])$tr (E) Technology Fee (5% of[Al)$;to TOTAL fees and surcharges (A through E):$l.(t.1 Ilsr cdited 7/l/2019 BJones Address: o ITMN