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
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Permit Number: 811-19-002671-MECH
Printed on: fL/27179 Page 2 of 2
Page 2 of 2
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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
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