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HomeMy WebLinkAboutPermit Mechanical 2019-11-27SPRINGFIELD OREGON Web Address: www.springfield-or. gov Building Permit Residential Mechanical Permit Number: 811-19-OO2671-MECH IVR Number: B1 1057469991 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address : permitcenter@springfield-or.9ov Permit Issued: November 27, 2019 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Wood stove (previously installed) Type of Work: Replacement JOB SITE IN FORTTIATIOI{ Worksite Address 1620 KELLOGG RD Springfield, OR 97477 Parcel t703342200920 Owner: Address: RICHARDS LEE DRIGGS & NATALIE ELIZABETH 1620 KELLOGG RD SPRINGFIELD , OR 97477 LICE NSED PROFESSIOT{AL IN FORMATIOil Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical Inspection Group Mech Res Inspection Status Pending SCHE DULING 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: 811057469991 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store PERIIIIT FEES QuantityFee Description Technology Fee Balance of minimum permit fees - mechanical Wood/pellet stove State of Oregon Surcharge - Mech (l2o/o of applicable fees) Total Fees: permits expire if work is not started within 180 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 wall 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 or the performance of construction. ATTENTIONI 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 (503) 232-L987, 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.O10-o20 (Plumbing). Printed on: lU27/19 Page 1 of 2 1 Fee Amount $s.10 $48.00 $s4.00 $t2.24 $119.34 C:\myReports/reports//prcduction/0 1 STANDARD tr t$ Permit Number: 811-19-002671-MECH Printed on: fL/27179 Page 2 of 2 Page 2 of 2 C :\myReports/reports//production/o1 STANDARD SPRINGIIELD tt, Transaction Receipt 81 1 -19{02671 -MECH IVR Number: 811057469991 Receipt Number: 473149 Receipt Date= 11127119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri ngfield-or. govOREGON www.springfield-or. gov Worksite address: 't620 KELLOGG RD, Springfield, OR 97477 Parcel: 1 703342200920 Transaction Units date 11127119 1.00 Ea 11t27t19 1.00 Automatic 't1t27t19 1.00 Ea Description Wood/pellet stove Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ol applicable fees) Fees Paid Account code 224-00000 -425604- 1 03 1 224-00000 - 425604- 1 03 1 821 -00000-21 5004-0000 204-00000-425605-0000 Fee amount $54.00 $48.00 $12.24 $5.10 Paid amount $54.00 $48.00 $12.24 $5.1 011t27t'tg 'l .00 Automatic Technology Fee Payment Method: Check number:868 Payer: Deena Cummings Payment Amount:$119.34 Cashler: Katrina Anderson Receipt Total:$119.34 P(inled: '11127119 2:12 pm Page 1 of 1 Fl N_TransactionReceipt_pr Crry or SpmNGFrELu, OREGox Mechanical Permit A lication 225 Fifth Strcet o Springfield,OP.97477 . PH(541)726-3753 o FAX(541)726-3689 CATEGORY OF CONSTRUCTION E Residential ! Government E Commercial JOB SITE INFORMATION AND LOCATION Job site address: /UeO Kelto4q Rdvv State:1)[{np,Q7q77 ReferencJ Taxlot.: DESCRIPTION OF WORK PROPERTY OWNER Name:er Address city: $p{61 si^Y", DR nP,q7q77 Phone:Fax: E-mail: This installation is being made on owned by me or a member of my and s exempt from licensing requlrements Signature R,r CONTRACTOR INST Business name Address: (\c City:strt", \'/ZIP Phone:Fax: E-mail CCB license no.: Print name Signature: DEPARTMENT USE ONLY Permitno.: lq*)OAG1\ Date: I t I l--1 IR FEE SCHEDULE Residential Qty. (lost ea. Total cost First Annliance M 02,00 s Furnace/burner including ducts and vents Up to l00k BTU/hr.$23.00 $ Over l00k BTU/h.$26.00 $ IIel f ers/stoves/vents Unit heater $23.00 $ Wood/pel let/gas stove/fl ue t54.00 s Evaporated coolcr il9.00 $ Vent fan with one duct/appliance 113.00 s Hood with exhaust and duct 119.00 $ C)ne to four outlets t9.00 s Additional outlets (each)ts.00 $ Air-handlins units. includins ducts Up to 10,000 CFM il5.00 $ Over 10,000 CFM 826.00 s Comoressor/absorotion svstem/heat pump Up to 3 hp/I00k BTU $23.00 $ Up to 15 hp/500k BTU $41.00 $ Up to 30 hp/l,000 BTU $61.00 $ Up to 50 hp/1,750 BTU $7E.00 $ Over 50 hp/1,750 BTU $132.00 $ Incinerafors 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 0I02.00 $ Rcgulatcd cquipmcnt (unclassed)s19.00 $ Each additional inspection: (l)H02.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)sp% (B) Investigative fee $ -e'-- (C) Enter l2olo surcharge (.12 x [A+B])$ t2.2( (D) Seismic fee, lo/o (.01 x [A])$.-u (E) Technology Fee (5% of[A])$t.to TOTAL fees and surcharges (A through E):$ h, This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. l,ast edited 7/li20l9 BJoncs 'd"