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Home My WebLink AboutPermit Mechanical 2019-10-21OREGON Web Address: www.springfield-or.9ov Building Permit Residential Mechan ical Permit Number: 81 1-19-OO2386-MECH IVR Number: 811063294503 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 547-726-3753 Email Address : permitcenter@springfield-or. gov SPRINGFIELD & Permit Issued: October 2I, 2OL9 TYPE OF WORK Category of Construction: Single Family Dwelling Type of Work: Alteration Submitted Job Value: $0.00 Description of Work: Relocate dry vent and kitchen hood, install new HVAC system JOB SITE INFORT,IATION Worksite Address 1858 G ST Springfield, OR 97477 Parcel 17033621 1 1900 Owner: Address: LAWSON EDNA C & KENNETH E 1858 G ST SPRINGFIELD, OR 97477 LICENSED PROFESSIOI{AL INFORMATION Business Nanie OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2 100 AC/Furnace/Heat Pump/HVAC 2110 Venting Inspection Group Mech Res Mech Res Mech Res Mech Res Inspection Status Pending Pending Pending Pending SCH: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: 811063294503 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work Is not started within 180 Days of assuance or if work ls suspended for 180 Days or longer dependang on the issuing agency's policy. All provisions of laws and ordinances governing 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 state 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-OO1-OO10 through OAR 952-OO1-0O9O. You may obtain copies of the rules by calling the Center at (503) 232-L987. All p€rsons 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.o1o-o20 (Plumbing). printed on: tol2:ltlg page 1 of 2 c:\myReports/reports//production/01 STANDARD [l --- Permit Number: 81 1-19-OO2386-MECH Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Fu rnace/bu rner including d uct work/vent/l iner Range hood/other kitchen equipment Ventilation fan connected to single duct State of Oregon Surcharge - Mech (l2o/o of applicable fees) Printed on: l1l2f/19 Quantity Total Fees: Fee Amount $5.10 $48.00 $22.00 $19.00 $ 13.00 $t2.24 $ 119.34 1 1 1 Page 2 ol 2 C: \myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRINGFIELD t6 OREGON www.sprin gfi eld-or. gov Worksite address: 1858 G ST, Springfield , OR 97477 Parcel: ',l7033621 1 1900 Transaction Receipt 81 1 -19-002386-MECH Receipt Number: 472750 Receipt Dale:10121119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@sprin gf ield -or. gov Transaction date 10t21t19 10t21119 10t21119 10t21t19 10t21t19 10t21t19 Units 1.00 Ea 1.00 Ea 1.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic Account code 224-00000425604-1 031 224-00000-425604- 1 03 1 224-00000425604-'l 03 1 224-00000-425604-1 03 1 82 1 -00000-2 1 5004-0000 20 4 -00000 -425605-0000 Fee amount $22.00 $19.00 $13.00 $48.00 $12.24 $5.10 Fees Paid Description Fu mace/burner including duct work/venUliner Range hood/other kitchen equipment Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12oh of applicable fees) Technology Fee Paid amount $22.00 $19.00 $13.00 $48.00 $12.24 $5.1 0 Payment Method Credit card authorization: 044545 Payer: LAWSON EDNA C & KENNETH E Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$119.34 P,inted 10121119 2:47 pm Page 1 of 'l Fl N_TransactionReceipt_pr Crry or SrnrNGFIELo, ORtrcow Mechanical Permit A plication 225 Fifth Strcct . SprinsIield,OR97477 . PH(541)726-3753 . fAX(541)726-3689 CATEGORY OF CONSTRUCTION ! Residential ! Government t] Commercial JOB SITE INFORMATION AND LOCATION Job site address: /8t8 G S+ State:1Q f,zrP.q7(V Referente: /Taxlot. DESCRIPTION OF WORK sl-!q.c uttt'|; t I PROPERry OWNER Name Address: 11858 Or tt State:ZIP: Phone:-u Fax E-mail':YO trSO {tA This installation being made me or a member of my immediate licensing requrrements 70 CONTRACTOR INSTALLATION Business name: N Onu State ZIP Phone: -V Fax: E-mail CCB license no.: Print name Signature DEPARTMENT USE ONLY Permit no.\1 -oo 238b1 Date: lD IA r(q FEE SCHEDULE Residential Qty Cost et. Total cost First Aooliance s102.00 s Furnace/burner including ducts and vents Up to 100k BTU/hr.I $23.00 $ Over l00k BTU/trr $26.00 $ IIeaf ers/sf oves/venf s Unit heater $23.00 $ Wood,/pellet/gas stove/fl ue $54.00 $ Evaporated coolcr $r9.00 $ Vent fan with one duct/appliance I $13.00 $1 Hood with exhaust and duct I $19.00 $.Q One to four outlets $9.00 $ Additional outlets (each)ss.00 $ Up to 10,000 CFM lls.00 $ Over 10,000 CFM t26.00 $ Comnressor/ahsornfion svstem/heat nu mn Up to 3 hp/100k BTU i23.00 $ Up to 15 hp/500k BTU t41.00 $ Up to 30 hp/1,000 BTU 161.00 $ Up to 50 hp/1,750 BTU 178.00 $ Over 50 hp/l,750 BTU $132.00 $ Incinerators Domestic incinerator t26.00 $ Gommercial Enter total valuation ofmechanical system and installation costs S Enter fee based on valuation ofmechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection It02.00 $ Specially requested inspections (per 1r02.00 s Regulatcd equipment (unclassed)t19.00 $ Each additional inspection: (l)1102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)s \a1/ (B) Investigative fee $ (C) Enter l27o surcharge (.12 x [A+B])$12.L4 (D) Seismic fee, 1o/o (.01 x [A])$ (E) Technology Fee (5% of [A])$='(c: TOTAL fees and surcharges (A through E):s(\n 3t SPNIHGTIELO h, trt 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. Last editcd 7/1i2019 BJones -)t?^6Dl l,/z-d Address: t.'t Air-hendlino unifs- inclrrdinq duc s Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 l2ll This statement is required for residential building, electrical, mechanical, and Plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not submit thas statement. This statement will be fited with the permit. Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the struciure must be licensed with the Construction Contractors Board. or I will be performing work on property t own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. I have read and understand the Information and I hereby certify that the information on Notice to Homeownerc About Construction Responsibilities' this homeowner statement is true and accurate. €d,^a- Ceral en Print Name of Permit APPlicanl Signature of Permit APPlicant Date Permit #:\1 -&27 b - l'\A Address 5b lssued by Date )t This Copy for Permit Offices /o /e., ltq