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Home My WebLink AboutPermit Mechanical 2019-12-11OREGON Web Address: www.springfield-or. gov Building Permit Residential Mechan ical Permit Number: 811-19-OO2758-MECH-Ol IVR Number: 811008072684 City of Springfield Development and Public Works 225 Fifth Street Sprlngfield, OR 97477 541-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD $ Permit Issued: December lL,20t9 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: 90.00 Description of Work: Mechanical for new ADU - bathroom fan, range vent, ductless heat pump JOB SITE INFORMATION Worksite Address 13OB F ST Springfield, OR 97477 Parcel 1703362208000 Owner: Address: ROTHMAN DAVID E 1306 F ST SPRINGFIELD, OR 97477 LICENSED INFORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2 100 AClFurnace/Heat Pump/HVAC 2110 Venting Inspection Group Mech Res Mech Res Mech Res Mech Res Inspection Status Pending 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, Sched ule or track inspections at www. build i ngpermits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811008072684 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire lf work is not started within 18O Days of issuance or if work is suspended for 180 Days or longer depending on the lssuing 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 regulatang 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-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (5O3) 232-L9A7. All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 701.o10 (StructurauMechanical), ORS 479.540 (Electrical), and ORS 693.o1o-O20 (Plumbing). printed on: t2ltvtg page 1 of 2 C:\myReports/reports//production/01 STANDARD h,r-l SCHEDULING INSPECTIONS Permit Number: 811-19-OO27sA-MECH-O1 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Boiler/compressor/absorption system up to 3 HP or 100,000 BTU Range hood/other kitchen equipment Ventilation fan connected to single duct State of Oregon Surcharge - Mech (LZo/o of applicable fees) Printed on: 12/17119 Quantity Total Fees: Fee Amount $5.10 $47.OO $23.00 $ 19.00 $13.00 $12.24 $ 119.34 1 1 1 Page 2 of 2 C : \myReports/reports//production/0 1 STAN DARD PERMIT FEES SPRINGFIELD nt OREGON www.spnngfield-or.gov Woksite address: 1 308 F ST, Springfield , OR 97 477 Parcel: 1 703362208000 Transaction Receipt 811-19402758-MECH{1 IVR Number: 811008072684 Receipt Number: 473259 Receipt Date:12111119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 permitcenter@springfield-or. gov Fees Paid Account codeTransaction Units date 12111119 1.00 Ea 't2111t19 'l .00 Ea 12t11t',tq '1 .00 Ea 12t11t19 1.00 Automatic Description Boiler/compressor/absorption system up to 3 HP or 100,000 BTU Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o of applicable fees) Rangehood/otherkitchenequipment 224-00000-425604-1031 224 -00000 -425604-'r 03'1 224 -00000-425604-'1 03 1 224 -00000 -425604- 1 03 1 82 1 -00000-21 5004-0000 204 -00000 -425605-0000 Fee amount $23.00 $19.00 $13.00 $47.00 $12.24 $5.1 0 Paid amount $23.00 $19.00 $13.00 $47.00 $12.24 $5.10 12t11119 1.00 Ea 12t11t19 1.00 Automatic Technology Fee Payment Method: Check number: 1634 Payer: ROTHMAN DAVID E Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$r 19.34 Ptinled: '1211'1119 1:22 pm Page 1 of 1 F I N_Tra nsactionReceipt_pr lr Mechanical Permit Application SzJuu^"-- \)ud! L---ff -<-^f, 5PBHGre 225 Fift seEt o SpringfcH, OR y?4n . PH(541)f263753 r FAX(J41r2636E9 Thir permit is irsu€d undcr OAR 91&440{Xt0. Pcrmits expirc if work is rt rterted wittin ltO deys of issuencc or if wort is suspendcd for ltO deys. I}EPARTf,EI{T USE OIILY Permitao.: fr-621@ -ryf ItDate: L].. I l1 CATEGORY OF COXSIIII.ICTIOI{FEE SCHEU,,LE dn*a*,i.r EGoveroreut Commercial Rseidental @;Coct CL Tot I coct JOB SITE I]{FORTANOil AilD LOGANOX Job site &ess:o r State:TP:7 Ovcr l00kBTU/hr.$ Referenk: J TaxloL: DESCRIPTIOil OF WORK Unit h€at€r stove,/fluc cooler 5eI.m $ t54.00 3 519.00 $ Vent fan witf one t lr3.CI 3 PROPERTY OWilER Hoodwith ex[alst ad&Et lr9.ln s c Narc:Onc to fouroutlas Addrcss:5lrec-Additional odcts 15.00 s StatqO AP: to CFM Phonc:5 3 Fax:Ovcr CFM ts sr5.00 s n5.00 $ E-mail: This insta[,ation ls rnadc me or a b3 BTU 3 member of to 15 BTU $ to 30 BTU s to 50 BTU $ Owr50 BgsineSS name:Doocstic ircincator $ Address: State:ZP:Enter tol vzluation ofrehmiel q7tficm aod installatim cmts $ Phone:Fc Eater fee bosod on valuaion of mechmical etc.s E-mail:tiscellaneousfees Cod cL TdId CCB licereno-:il02-00 $ $ Print rame:s Signaure:Erch rdditiond s (A) Enter srbtotal of abovt fees (r atcr cct of 3 [02- fcc t Edter 129lo 12x $ Scismic f*,ltA x t Fec of s TOTALfeesed $ l$r edilcd 712019 BJoncs t -- A- rl--l/vnn. Je*. l4LL^ /a^ {- t26,00 2 ) rrql nnmn l:z:r.00 rr.00 l5r-m r7L00 cor$nl 526.m ilea-00 ir9.c0 ir02.00 iE \,4, Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, exempt from licensing under ORS 70'1.010 (7), need not submit this statement. This statement will be filed 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 structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that lwill 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 lnformation and I hereby certify that the information on Notice to Homeowners About Construction Responsibilities, this homeowner statement is true and accurate. \T \) Print Applicant of Applicant la \\\\1 Date Permit #: lssued by Address \308 -lr st--J Date:\2["\ rt G(L_ This Copy for Permit Offices \n -oe) lnformation Notice to Owners About Construction Res Ponsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 9730$5052 Telephone: 503-378-4621 - Fax: 50$373-2007 Website Address: www.oregon.oov/ccb Homeowners acting as their own general contractors to construct a or make a substantial improvement to in existing structure, can prevent by fiing aware of the following responsibilities: new home many problems a a a a Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: Oregon,s Withholding Tax Law: Employers must withhold income taxes from employee wages at.th-e time employ""rlr" paid. You will be liable for the tax payments even if you don't actually withhold the tax fiom your employees. For more information, call the Department of Revenue at 503-378-4988. Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purpo".. -on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. Oregon,s Business ldentification Number (BlN): is a combined number for both Oregon \Mthiolding and Unemployment lnsurance Tax. To file for a BlN, go online to the oregon Business Registry. For questions, call 503-945-8091. Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division it tne Department of Consumer and Business Services at 800-452-0288. Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee *"geJ. you may be liable for the tax payment, even if you didn't actually withhold the tax- For a Federal EIN number, go online to www.irs.gov. a Other Responsibilities of Homeowners: Code Compliance: As the permit holderfor a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections propefi Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liabiiity lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. o I o 6r--^^^+, ^,.,nar rinnia.i A-?n16 This Copy for Permit