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Home My WebLink AboutPermit Mechanical 2019-11-14SPRINGTIELD $, OR.EGON Web Address: www.springfield_or. gov Permit Issued: November 14,20Lg Building Permit Residential Mechanical Permit Number: 811-19-OO2S64-i|ECH IVR Number: 81100276187S City of SPringfield Development and Public Works 225 Fifth Street springfieid, oR97477 54L-726-3753 Email Address: permitcenter@springfield-or.9ov Category of Construction: SSubmitted Job Value: 90.00 ingle Family Dwelling Description of Work: Adding gas for range 15ft Type of Work: New Worksite Address 2555 GRAND VISTA DR Springfield, OR 97477 Parcel t70324370770o Owner: Address: NAKAMURA GERALD T & ROSELEE K 2555 GRAND VISTA DR SPRINGFIELD , OR 97477 Business Name ALPHA PLUMBING & ROOTER SERVICE LLC - primary Inspection 2999 Final Mechanical 2300 Rough Mechanical License CCB License Number 22t195 Phone 541-225-2266 fnspection Group Mech Res Mech Res fnspection Status Pending Pending Various inspections are mi nimally required on each project and often dependent on the scope of work. Contactthe issuing jurisd iction indicated on the perm it to determine required inspections for this project.Schedule or track inspections at www.buildi ngpermits.oregon.govCall or text the word "schedule,, to 1_88g_2 gg_2g2t use IVR number: B77OO276LB75Scheduleusing the Oregon epermitting Inspection App,search "epermitting,, in the app store Permits expire if work is nthe issuing-;ge;;';il:t started within 180 Davs of issuance or if work is suspended for r8o Days or longer depending on i!:'.i.";T:I.'#",::::::';*fi:ffi,1'J:,T;:.?J:..1[ij[:l'j;j;T#:. with whether specined herein or not.regulating construction or the perform"*!'"i*.ilro,"r. ,rovisions of any other state or rocar rawATTENTToN: oregon law requires you to follow rules adopted by the oregon utirity-flotification center. Those rures are setltJllrTr":- es2-ool-oo1o throush oo" r-irroiioeo. you .;y ;;;;:;;,I" .r.n. rures by carins the ienter at (sos) iji:"11HiJfl'::ii.'r::"Jl;;?.ur,:[t;::i;.'.Til'#'";'#l',1[E,,JfiHi:"""s exempted by oRs 7o1.olo Printed on: 11il14119 Page 1 of 2 c:\myReports/reports//prcduction/o1 sTAN DARD TYPE OF WORK JOB SITE LICENSED PROFESSIONAL PENDING INSPECTIONS INSPECTIONS Page 2 of 2 P ermit I{umber; 8l l' 19 -00 2564'MECH Fee DescriPtion TechnologY Fee Balance of minimum permit fees - mechanical Gas fuel PiPing outlets StateoforegonSurcharge-Mech(l2o/oofapplicablefees) Printed on: 17174179 Quantity Total Fees: Fee Amount $5.10 $e3.00 $9.00 $t2.24 $ 119.34 1 c:\mvReports/reports//production/01 STANDARD Page 2 of 2 PERMIT FEES SPRINGFIELD # OREGON www. springfi eld-or. gov Woksite address: 2555 GRAND VISTA DR, Springfield, OR97477 Parcrl. 1703243101700 Transaction Receipt 81 1 -19-002564-MECH Receipt Number: 472990 Receipt Date= 11114119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri n gfield -or. 9ov Transaction date '11t14119 11t14t19 11t14t19 11tl4t19 Units 1.00 Qty 1.00 Automatic 1.00 Ea 1.00 Automatic Fees Paid Description Gas fuel piping outlets Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Technology Fee Account code 224-00000425604-1 03 1 224 -00000 425604-'l 03',| 82 1 -00000-21 5004-0000 204-00000425605-0000 Fee amount $9.00 $e3.00 $12.24 $5.1 0 Paid amount $9.00 $93.00 $12.24 $5.1 0 Payment Method: Credit card authorization: 0055'13 Payer:ALPHA PLUMBING & ROOTER SE Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$r 19.34 Printed: 1 l/14l19 10:58 am Page 1 of 1 Fl N_Transaction Receipt_pr Il L-" Crrv or SpnrNGFIELo, ORtrcox Mechanical Permit A lication 225 Fifth Street o Springfield, oR 97477 . PH(541)'726-3753 o 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 for 180 days. FEE SCHEDULE Residential Qty.Cost ea, Total cost First Aooliance ;102.00 $ F'urnace/burner including ducts and vents Up to l00k BTUihr.$23.00 $ Over l00k BTU/trr.$26.00 s Heaters/stoves/vents Unit heater 123.00 $ Wood/pellet/gas stove/fl ue 554.00 $ Evaporated cooler $19.00 $ Vent fan with one duct/appliance s13.00 $ Hood with exhaust and duct $19.00 s One to four outlets I $9.00 $cf Additional outlets (each)$5.00 $ Up to 10,000 CFM $15.00 s Over 10,000 CFM $26.00 $ Comnressor/absorntion svstem/heat numn Up to 3 hp/I00k BTU $23.00 s Up to l5 hp/500k BTU $41.00 $ Up to 30 hp/l,000 BTU s61.00 $ Up to 50 hp/1,750 BTU $78.00 s Over 50 hp/I,750 BTU $132.00 $ Incinerators Domestic incinerator t26.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ _ Enter fee based on valuation ofmechanical system, etc $ Miscellaneous fees Cost ea. Total cost Reinspection s102.00 $ Specially requested inspections (per s102.00 $ Regulatcd equipment (unclasscd)il9.00 S Each additional inspection: (1)u02.00 s DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)$ktL (B) Investigative fee $ (C) Enter l2oZ surcharge (.12 x [A+B])$ (D) Seismic fee, l%o (.01 x [A])$ (E) Technology Fee (5% of[A])$ TOTAL fees and surcharges (A through E)$ 11q, ?\ h, c(l DEPARTMENT USE ONLY permir no.: 11-oo ?5 t {-a Date: \\\rq\tq CATEGORY OF CONSTRUCTION d Residential E Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: L1r5 h-) V,*i{^ zrP:17414City:C.State'QQ Referenc"e:Taxlot.: DESFRTPTTON OF WORK J U PROPERTY OWNER Name Address City:State:ZIP Phone:Fax: E-mail: 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 701.010. Signature: CONTRACTOR INSTALLATION Business name State: Address: I (Z.lDZIP: Fax:Phone:4.1J -n$- z'Le6 22:\ Print name: CCB license E-mail z1Signature: [.asr editcd 7/l/2019 BJones Air-handlinp rrnits- includins duc s 1>1,-9 n ,,t 4^