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Home My WebLink AboutPermit Mechanical 2019-12-16OREGON web Address: www.springfield-or.9ov Building Permit Residential Mechanical Permit Number: 811-19-OO28O3-MECH IVR Number: 877073111462 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 Email Address : permitcenter@springfield-or.9ov SPRINGFIELD tb Permit Issued: December 16,2Ot9 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: House remodel Type of Work: Alteration JOB SITE INFORITIATION Worksite Address 2889 HAYDEN BRIDGE RD Springfield, OR 97477 Parcel 1702193200402 Owner: Address LOVDOKKEN FAMILY TRUST 2889 HAYDEN BRIDGE RD SPRINGFIELD , OR 97477 LICENSED PROFESSIOI{AL INFORMATION Business Name MARSHALLS INC - Primary License CCB License Number 25790 Phone 54L-747-7445 PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2 100 AC/Furnace/Heat Pump/HVAC 2110 Venting 2520 Duct work Inspection Group Mech Res Mech Res Mech Res Mech Res Mech Res Inspection Status Pending Pending Pending Pending Pending SCH EDULING 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: 811073111462 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store 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 Wpe of work will be complied with whether speci'ied herein or not' Granting of a permit does not presume to give authority to violate or cancel the provisions of any othet 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-ooro itrrough oAR 952-oo1-oo9o. you may obtain copies of the rules by calling the center at (5o3) 232-L947, All persons or entities performing work under this permit are required to be licensed unless exempted bY oRs 7o1'o1o (structural/l.lechanical),oRs479.540(Electrical),andoR.s593.o1o-o2o(Plumbing). Printed on: r2ll6tlg Page L of 2 c:\myReports/reports//production/01 STANDARD \l^r. / Permit Number: 81 1-19-OO2803-MEcH Page 2 of 2 Fee Description Technology Fee Air handling unit of up to 10,000 cfm Furnace - up to 100,000 BTU Range hood/other kitchen equipment Ventilation fan connected to single duct Water heater Wood/pellet stove State of Oregon Surcharge - Mech (l2o/o of applicable fees) Printed on; L2/t6lL9 Quantity Total Fees: Fee Amount $1s.20 $ 1s.00 $46.00 $38.00 $78.00 $ 19.00 $ 108.00 $36.48 $3ss.68 1 2 2 6 1 2 Page 2 of 2 C :\myReports/reports/ I productionl O L STAN DARD PERMIT FEES SPRINGFIELD b Transaction Receipt 811-19-002803-MECH IVR Number: 811073111462 Receipt Number: 473301 Receipt Date: 12l16/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54r-726-3753 perm itcenter@spri ngfl eld-or. govOREGON www.springf ield-or. gov Worksite address: 2889 HAYDEN BRIDGE RD, Springfield,OR97477 Parcnl: 1702193200402 Transaction Units date 12116119 1.00 Ea 12t't6t19 2.00 Ea 12t16t19 2.00 Ea 12t16t19 6.00 Ea 12!16t19 1.00 Ea 12t16119 2.00 Ea 12t16t19 'l .00 Ea Description Air handling unit of up to 10,000 cfm Fumace - up to 100,000 BTU State of Oregon Surcharge - Mech (12olo of applicable fees) 224-00000 - 425604-'t 03 1 224 -00000 - 425604- 1 03'1 821 -00000-21 5004-0000 204-00000-425605-0000 Rangehood/otherkitchenequipment 224-00000-425604-1031 Ventilation fan connected to single duct 224 -00000- 425604- 1 03 1 Water heater 224-00000 -425604- 1 031 Wood/pellet stove 224-00000- 425604- 1 03 1 Fees Paid Account code Paid amount $15.00 $46.00 $38.00 $78.00 $19.00 $108.00 $36.48 $15.20 Fee amount $15.00 $46.00 $38.00 $78.00 $19.00 $108.00 $36.48 $15.2012t16t191.00 Automatic Technology Fee Payment Method: Credit card authorization: 14274d Payer: john lovdokken Paymenl Amount:$355.68 Cashier: Katrina Anderson Receipt Total:$355.68 Printed: l2l16/19 4:'14 pm Page 1 of I Fl N_TransactionReceipt_pr ir -*-:{ Cmy or SpnrNGFIELo, Onr,corx Mechanical Permit Application 225 Fifth Srreet r Springfietd,oR97477 . pH(541)726-3753 . FAX(541)726_3689 CATEGORY OF CONSTRUCTION dResidential E Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: /68F1 tlorlt, $r,/X {A.r/ Crty,5Dr,r,qf , e (d State:6I(ztP: Q1417 R"f".eirce: /Taxlot. DESCRIPTION OF WORK h /t( r'p.ro nn€c \cr,o, c ql h , a t ",^u'14 PROPERTY OWNER Name: 1-!q vatahhcn Tt., s Address: fgp E tl- City:Jgrrn',{tetl State: O€-ZIP: <1-i {18 Phone:$r{l -263 7 Fax: E-mail:n.lcvcloKtl€n €rt4 This made owned by me or a member of my fami and exempt from licensing requirements under 1.0 Signature: CONTRACTOR INSTALLATION Business name: fYlar1ho,il> Address City:State:ZIP: Phone Fax E-mail CCB license no. Print name: Signature: DEPARTMENT USE ONLY Permitno.: fi'OODqlO 3 o^r", )zf )6 f 11 FEE SCHEDULE Residential Qty.Cost ea. Total cost First Appliance i102.00 s Furnace/burner includi4g ducts and vents Up to 100k BTU,ftr.s23.00 $ Over l00k BTU,/hr $26.00 $ Heaters/stoves/vents Unit heater $23.00 $ Wood"/pellet/gas stove/fl ue $54.00 $ Evaporated coolcr $r9.00 s Vent fan with one duct/appliance $13.00 $ Hood with exhaust and duct s19.00 $ One to four outlets $9.00 $ Additional outlets (each)$5.00 $ Up to 10,000 CFM $15.00 $ Over 10,000 CFM $26.00 $ Compressor/absorption svstem/heat nump Up to 3 hp/l00k BTU $23.00 $ Up to l5 hp/500k BTU $41.00 s Up to 30 hp/I,000 BTU $61.00 $ Up to 50 hp/l,750 BTU !78.00 $ Over 50 hp/l,750 BTU Ir32.00 $ Incinerators Domestic incinerator 026.00 $ Gommercial Enter total valuation ofmechanical system and installation costs $ _ Enter fee based on valuation of mechanical system, etc $ Miscellaneous fees Cost ea. Total cost Reinspection it02.00 $ Specially requested inspections (per ;102.00 $ Rcgulated equipmcnt (unclassed);19.00 $ Each additional inspection: (l);102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)s ?ot( (B) Investigative fee $ t, (C) Enter l20% surcharge (.12 x [A+B])$'ii-"{O (D) Seismic fee, lYo (.01 x [A])$ €F (E) Technology Fee (5% of [Al)$ ls'2' TOTAL fees and surcharges (A through E):sZ5S.vb L,v,-.3 f?"uvt worrA /ovt gPRIR6FIELD {N, 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. $6a*lnco,v> 6 {^n' wnt{t Z &"sTuraovceg I A;r Co'l-tlionsf ll, f. l^, t Vautl e*Vqufit l,ast edited 7/l/2019 BJones I wr1$rr lne..te r .urr\\ w" t 1,..-o { €rha'r-rs[- ls Air-handlinp units- includins duc s