HomeMy WebLinkAboutPermit Mechanical 2019-11-25SPR'NG IIETD
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OREGON
Web Address: www.springfield-or.gov
Building permit
Residential Mechan icat
Permit Number: 81 I -19-OO 2644-MECH
IVR Number: 811050975249
City of Springfietd
Development and pub,ic Works
22S Fifth Street
Springfietd, OR 97417
547_726_3753
Email Address : permitcenter@springfield-or.gov
Permit Issued: November 25,2Ot9
Category of Construction: Single Family Dwelling
Submitted Job Value: 90.00
Description of Work: Heat pump installation with cut-in of duct work
Type of Work: New
JOB SITE INFORMATION
Worksite Address
999 S 71ST ST
Springfield, OR 97478
Parcel
1802022600300
Owner:
Address:
NICHOLLS ROBERT &
NATALIE A
999 S 71ST ST
SPRINGFIELD , OR 97478
LICENSED PROFESSIONAL INFORMATION
Business Name
WILLAMETTE VALLEY COMFORT
LLC - Primary
License
ccB
License Number
210814
Phone
54 1-852-563 1
PENDING INSPECTIONS
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: 811050975249
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 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 will be complied with whether specified h€rein 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 p€rformance 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-OO1-OO1O through OAR 952-OO1-OO9O, You may obtain copies of the rules by calling the Center at (503)
232-t9a7.
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 593.010-O2O (Plumbing).
printed on: rrl2s/rg page 1 of 2 cr\myReports/reports//production/01 STANDARD
TYPE OF WORK
SCHEDULI NG INSPECTIONS
Page 2 of 2Permit Number: al,.-19-OO2644-MECH
Fee Description
Technology Fee
Air handling unit of uP to 10,000 cfm
Balance of minimum permit fees - mechanical
Boiler/compressor/absorption system up to 3 HP or 100,000 BTU
State of Oregon Surcharge - Mech (t2o/o of applicable fees)
Printed on; LLl25l19
Quantity Fee Amount
$s.10
$ 1s.00
$64.00
$23.00
$12.24
$119.34Total Fees:
C:\myReports/reports//prcduction/01 STANDARD
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1
Page 2 of 2
PERMIT FEES
SPRING rIELD
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OREGON
www.springfield-or.gov
Worksite address: 999 S 71ST ST, Springfield, OR 9747g
Parcel: 1802022600300
Transaction Receipt
811-19402644_MECH
IVR Number: Oi 1 OSOg7S24g
City of Springfield
Development and public Works
225 Fifth Street
Springfietd, OR 97427
547_726-3753
perm itcenter@ spri ngfi eld _ or. gov
Paid amount
$15.00
$23.00
$64.00
$12.24
$5.10
Transaction Units
date
11125119 1.00 Ea
11125119 1.00Automatic
11t25t19 1.00 Ea
Description
Air handling unit of up to .10,000 cfm
Boiler/compressor/absorption system
up to 3 HP o|100,000 BTU
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
(12o/o ot applicable fees)
Receipt Number: 4lg1}g
Receipt Date= 11t25t19
Fees Paid
Account code
224-00000-425604- 1 03 1
224-00000 -425604-,t 03 1
224-00000-425604- 1 03 1
821 -00000-21 5004-0000
20 4 -00000 - 425605-000 011125119 1.00 Automatic Technology Fee
Fee amount
$15.00
$23.00
$64.00
$12.24
$5.1 0
Payment Method: Credit card
authorization: 016607
Payer: WILLAMETTE
VALLEY COMFORT LLC
Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total $1 19.34
Printed: 11/25119 10:44 am Page I of 1 Fl N_Tra nsaction Receipt_pr
/
11t25t19
Crrv or SpnrNGFIEt-D, Onncor
Mechanical Permit Application
225 Fifth Street r Springfteld- OR 9747? . PIil54l)?lG3?53 . F,{X{Sdt}?26-3Ss{,
DEPARTHENT USE ONLY
Permil no.\1.+ Tt"q4
f)ate:\(|\75 \r q
SPRIil6FIELO
This permit is issued under OAR 9l844{H10fl}. Permits expire if work is not sterted within 180 days of issuance or if work is
suspendrd for 180 drys,
FEE SCHEDULE
Residential Qty.CoC
ee-
Total
cost
Firsl Annliancc s99.{}0 S
Furnace/burner inrluding dutts end rents
un ao l0t0k BTUihr-szr.00 $
f.)vcr lffik BTUlhr-$25.O0 $
HceterVstor-cs/Yents
Linit h*ntcr s22.00 $
rf, oo#pcflettgas stolclllue 552.m $
EvaJrcratcd coolcr $r8.00 $
Vmt fan nith one ductrappliance $'t3.00 $
I-lood with crhaust and duct $18.00 $
Onc lo four urrlcr $8,{8 $
Additiornl oulets (erch)$s-30 $
Uph l0.m0CrM I s15.00 $t5
(h,cr 10,000 CFM $2s.00 $
Cornnrcssor,,elxorntion s*sfcnrJhcet pumo
Up to 3 hp/lOOk BTU t s22.00 $'77,'
Up to 15 hil500k BTu $i00.0O $
Up to 30 hpll.O00 BTU $s9.00 S
up ro 50 hdl,750 BTU $76.00 S
Over 50 h#1,750 BTU -++FB
Inrinerators
Domcslic incincr*lor s25-00 S
Commercial
Entcr total raluation of m*lranical systcm
and insdlation c.osts S
Enter fec bascd on naluation ofms'chanical sl.sterrr. etc-s
tiscellaneous fees Cost
cil".
Total
cast
Rcinspcction $99.00 S
Spccially rqucstd inspections (pcr $99.00 S
Reguiate<I equipment ( unclassd)s18.00 S
Each additiond inspeuion: { 1)599-00 $
DEPARTTEHT USE
(A) Enter subtotal ofabove fees (or enter set
minimum fee of S 90.00|
\o 2/SE&
(B) Inrcstigativc fcc so
(C) Enrer I 2olo surcharge (.12 x [A t Bl)s \2=2
(D) Seismic fec. l% (-01 x [Al)SE
(ll) Technologr Fee (5% of [Al)s<i \o
TOTAL fees and surcharyes (A through E):S
CATEGORY OF COilSTRUCTION
(Residcntial fl Govcrnmcnt E Commcrcial
JOB SITE INFORMATION AND LOCATION
Job site address: 7t t
city: !flp,',rrl,l" I ,,J saco(j zw77Ll-79
Taxlot-:Referenle: J
DESCRIPTTON OF WgRK
,
'wt/O CIC 'llrlc^'hrq+
PROPERiY OWfiEN V
Namc
Address:
zxgtLtzVslrrrc:Q(<
Phone:Fax:
This installation is being made
mcmbcr of my immcdiatc famil
rcquircmcnts undcr ORS 701 -010.
Signaturc:
orme a
liccnsingly.
E-mail;l. con
COTITRACTOR I}.I STALLATION
Business name:I
I f1Addrcss: 97C h
ztY77 clO 5City: {yn^,ps{st"t ,O A
vtoncb+y'-65)5,,3 t Fax:
E-mail: i7,11
CCB license nn., ]-l O 1(+
Print name C
Last cditcd 7/l/2018 bjones
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