HomeMy WebLinkAboutPermit Mechanical 2019-12-02SPRINGTIELD
OREGON
Web Address: www.springfield-or. gov
CitY of SPringfield
Development and Public Works
225 Fifth Street
SPringfield' OR 97477
541-126-3753
Building Permit
Residential Mechanical
Permit Number: 81 1-19-OO2681-UECH
IVR Number: 811071752551
Email Address : permitcenter@springfield-or.9ov
Permit Issued: December 02,2OL9
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: New wood stove
Type of Work: New
Worksite Address
2277 ttTHS-r
Springfield, OR 97477
Parcel
t70326L105400
Owner:
Address:
WENDELLS&BARBARAR
KING JOINT LIV TR
2277 ttTH Sr
SPRINGFIELD , OR 97477
Business Name
OREGON CHIMNEY GUYS INC -
Primary
License
ccB
License Number
199878
Phone
54L-232-2445
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Res
Mech Res
Inspection Status
Pending
Pending
Permlts expire lf work is not started within 18o Days of lssuance or if work is suspended for 180 Days or longer dependang on
the issuing agency's policy.
All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not,
Granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTENTION: Oregon taw requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtaan copies of the rules by calling the Center at (503)
232-t987.
All persons or entities performing work under this permit are requir€d to be licensed unless exempted by ORS 7O1.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.01O-O2O (Plumbing).
Various inspections are minimally required on each project and often dependent on the scope of work. Contact
the issuing jurisdiction indicated on the permit to determine required inspections for this project.
Schedule or track inspections at www.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: BLLO7L75255L
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Printed oni l2l2/19 Page 1 of 2 C :\myReports/reports//prcduction/01 STAN DARD
*".-"{
t"$
TYPE OF WORK
JOB SITE INFORMATIO'{
LICENSED PROFESSIONAL IN FORMATION
PENDING INSPECTIONS
SCHEDULING INSPECTIONS
Page 2 of 2
Permit Number: 811-19-OO2681-lt'tECH
Fee DescriPtion
TechnologY Fee
Balance of minimum permit fees - mechanical
Wood/Pellet stove
State of Oregon Surcharge - Mech (L2o/o of applicable fees)
Pinled ont l2l2179
QuantitY
Total Fees:
Fee Amount
$s.10
$48.00
$54.00
$12.24
$ 1 19.34
1
C :\myReports/reports//production/01 STANDARD
Page 2 of 2
PERMIT FEES
SPRINGFIELD
OREGON
www. springf ield-or. gov
Worksite address: 2277 1lTH ST, Springfield , OR 97477
Parcel: 1703261 105400
Transaction Receipt
81 I -19{02681-MECH
IVR Number: 81 I 07 17 52551
Receipt Number: 473159
Receipt Date:1212119
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54L-726-3753
permitcenter@spri ngfield-or. gov
Fees Paid
Account codeTransaction Units
date
1212119 1.00 Ea
12t2t19 1.00 Automatic
12t2t19 'r.00 Ea
12t2t19
Description
Wood/pellet stove
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
(12o/o ot applicable fees)
224-00000-425604-1 03 1
224-00000 -425604- 1 03 I
821 -00000-2 1 5004-0000
204 -00000- 425605-00001.00 Automatic Technology Fee
Fee amount
$54.00
$48.00
$12.24
$5.1 0
Paid amount
$54.00
$48.00
$12.24
$5.1 0
Payment Melhod: Credit card
authorization: 312033
Payer: OREGON CHIMNEY
GUYS INC
Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$l19.34
Ptinled 1212119 1 l:34 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr
tttI[r-r
Crrv or SpmNGFrELu, Onrcox
Mechanical Permit A lication
225 Fifth Srreer . 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
suspended for 180 days.
3PR'XGTTELD
CATEGORY OF CONSTRUCTION
E Residential ! Govemment D Commercial
JOB SITE INFORMATION AND LOCATION
Job site address: 2777 l/tu tf
City: 5nn'uf;r./,1 State: fi ft-zIP /7f 1/
ReferenJe: /Taxlot.
DESCRIPTION OF WORK
U€r ri
PROPERW OWNER
Name:,<
Address: 22 ,l t
City: q?/,nr€C/p State: fll zty: /ft77
61tf Fax
E-mail: r k t Z C a4tizt
me or a
licensing
CONTRACTOR INSTALLATION
Business name Lrc lan Cl r,tqry 6"t vS,, tzt c
Address:z Lr/
City: 5rlnnofrr/l State: /,K ztt: f 7t//
Phone 7y{Fax:
E-mail tea;/
CCB license no.f 7g
Signature: /7/.//A-
FEE SCHEDULE
Residential Qty.Cost
ea.
Totel
cost
First Aooliance H 02-00 s
Furnace/burner including ducts and vents
Up 1o 100k BTU/hr $23.00 $
Over l00k BTU/hr $26.00 $
Heaters/stoves/vents
Unit heater $23.00 $
Wood/pellet/gas stove/fl ue llr1'$54.00 s4,(
Evaporatcd coolcr $19.00 $
Vent fan with one duct/appliance $13.00 $
Hood with exhaust and duct $19.00 $
Gas nipine
One to four outlets $9.00 $
Additional outlets (each)$s.00 $
ucts
to 10,000 CFM 5.00 $
Over 10,000 CFM t26.00 $
Comoressor/absorotion svstem/heat nump
Up to 3 hp/100k BTU t23.00 $
up to l5 hp/500k BTU i41.00 $
Up to 30 hp/l,000 BTU x6r.00 $
Up to 50 hp/I,750 BTU $78.00 $
Over 50 hp/l,750 BTU $132.00 $
Incinerefors
Domestic incinerator $26.00 $
Commercial
Enter total valuation ofmechanical system
and installation costs $
-
Enter fee based on valuation of mechanical system, etc.$
Miscellaneous fees Cost
ea.
Total
cost
Reinspection i102.00 s
Specially requested inspections (peI il02.00 $
Rcgulated equipmcnt (unclassed);19.00 $
Each additional inspection: (l)102.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
minimurn fee of $ 102.00)$ ta?/
(B) Investigative fee $
(C) Enter 127o surcharge (.12 x [A+B])$ tz'?)
(D) Seismic fee, lYo (.01 x [A])$ 4r-
(E) Technology Fee (5% of [A])$ 5.lo
TOTAL fees and surcharges (A through E):$rrQ- ?u
DEPARTMENT USE ONLY
nPermit no.
Date: \2 7 \q
Last edited 7/1/2019 BJones
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