HomeMy WebLinkAboutPermit Mechanical 2019-12-18OREGON
web Address: www.springfield-or.gov
Building Permit
Residential Mechanical
Permit Number: 811-19-OO2817-MECH
IVR Number: 811053867405
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
54L-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIELD
$
Permit Issued: December 18, 2019
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: New bathroom - adding fan
Type of Work: New
JOB SITE INFORi,IATION
Worksite Address
511 10TH ST
Springfield, OR 97477
Parcel
170335 1407500
Owner:
Address:
HUKARI ]AMES
511 10TH ST
SPRINGFIELD, OR 97477
LICENSED INFORMATION
Business Name
A PLY CONSTRUCTION LLC -
Primary
License
ccB
License Number
206626
Phone
54 1-510-6562
PENDING INSPECTIONS
fnspection
2999 Final Mechanical
2110 Venting
Inspection Group
Mech Res
Mech Res
Inspection Status
Pending
Pending
SCH EDULIilG 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: 811053867405
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 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 lawregulating construction or the performance of construction.
ATTENTToN: oregon law requires you to follow rules adopted by the oregon Utility Notification center, Those rules are setforth in oAR 952-oo1-oo1o through oAR 952-oo1-Oo9o, You may obtain copies of the rules by calling the center at (so3)
232-L9A7.
all Persons or entities Performing work under this permit are required to be licensed unless exempted by oRs 7o1,o1o(Structural/[echanical), ORS 479.540 (Electrical), and ORS 693.01O-O2O (ptumbing).
Printed on: 12118/19 Page I of 2 c:\myReports/reports//production/01 STANoARD
[l^r-
Permit Number: 81 1-19-OO2817-MECH Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - mechanical
Ventilation fan connected to single duct
State of Oregon Surcharge - Mech (l2o/o of applicable fees)
Printed on: 1,2118/19
Quantity Fee Amount
$s. 10
$89.00
$13.00
$t2,24
$ 119.34Total Fees:
C | \myReports/reports//production/0 1 STAN DARD
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Page 2 of 2
PERMIT FEES
SPRINGIIELD
,9rt
Transaction Receipt
811-19402817-MECH
lVR Number: 81 1053867405
Receipt Number: 473323
Receipt Date: 12l18/19
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
perm itcenter@spri n gfi eld-or. govOREGON
www.springfield-or. gov
Worksite address: 51 1 'l OTH ST, Springfield , OR 97 477
Parcel: 1 703351407500
Fees Paid
Account codeTransaction Units
date
12118119 1.00 Ea
12t18t19 1.00 Automatic
't2118t19 1.00 Ea
Description
Ventilation fan connected to single
duct
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
(12o/o oI applicable fees)
224 -00000 -425604- 1 03 1
224-00000 -425604- 1 03 1
821 -00000-21 5004-0000
20 4 -00000 - 42 560 5-0 00012t18t191.00 Automatic Technology Fee
Fee amount
$13.00
$89.00
$12.24
. $5.10
Paid amount
$13.00
$89.00
$12.24
$5.1 0
Payment Method:Credit card
authorization: 518'123
Payer: A PLY
CONSTRUCTION LLC
Payment Amount:$1 19.34
Cashier: Katrina Anderson Receipt Total:$119.34
Printed: 12l18/19 1:35 pm Page 1 of 1 Fl N_TransactionReceipt_pr
ir
Crry or SpnrNGFIELo, ORTGoN
Mechanical Permit A cation
225 Fifth Srreet o Springficld,OR97477 . PH(541\726-3753 . FXX(541)726-3689
This
DEPARTMENT USE ONLY
Permitno.: W-028{}
Date: I A\b (qh,
w
is issued under OAR 918440-0050. Permits expire if work is not started within 180 days of issuance or if work is
for 180 days.
FEE SCHEDULE
Residential Qty.Cost
ea.
Tota!
cost
First Appliance t102.00 s
Furnace/burner including ducts and vents
Up to l00k BTU/hr t23.00 s
Over l00k BTU/trr,126.00 s
Heaters/stoves/vents
Unit heater [23.00 $
Wood/pellet/gas stove/fl ue $54.00 $
Evaporated cooler $19.00 $
Vent fan with one duct/appliance u3.00 $
Hood with exhaust and duct $19.00 s
One to four outlets $9.00 $
Additional outlets (each)$s.00 $
Up to 10,000 CFM $15.00 S
Over 10,000 CFM $26.00 $
Comnressor/absorntion svstem/heat oumo
Up to 3 hp/100k BTU $23.00 s
Up to 15 hp/500k BTU $41.00 $
Up to 30 hp/|,000 BTU $61.00 $
Up to 50 hp/1,750 BTU $78.00 $
Over 50 hp/1,750 BTU $r32.00 $
Incinerators
Domestic incinerator $26.00 $
Commercial
Enter tolal valuation ofmechanical system
and installation costs $
Enter fee based on valuation ofmechanical system, etc.$
Miscellaneous fees Cost
ea.
Total
cost
Reinspection il02.00 $
Specially requested inspections (per ll02.00 $
Regulatcd equipmcnt (unclasscd)119.00 s
Each additional inspection: (l)1r02.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
mininrum fee of $ 102.00)$(oL
(B) Investigative fee $
(C) Enter l27o surcharge (.12 x [A+B])$
(D) Seismic fee, l%o (.01 x [A])$
(E) Technology Fee (5% of[A])$
TOTAL fees and surcharges (A through E):$l lot. l1
CATEGORY OF CONSTRUCTION
E CommercialffResidentialI Govemment
JOB SITE INFORMATION AND LOCATION
Job site address: $ f/ t o I|( <+
C State:0lL-ZP
Reference: t/Taxlot.
DESCRIPTION OF WORK
PROPERTY OWNER
I VI
Name:.fzrrzr( l4v l,tnz,
Address:J 1( lO fr^<f
cityQpr$Qj "1 StateO (?-ZIP
Phone: -v Fax:
E-mail:
This installation is being made on property owned by me or a
member of my immediate family, and is exempt from licensing
requirements under ORS 701.010.
Signature:
CONTRACTOR INSTALLATION
Business nu ",fl-|,OnY t-
Address:o
city: 6;rcaQ-State'Q (l ztP: 4"7QoZ
Phone(j4 y 4e /-{f,'\Fax: /42-lJ
E-mail C
CCB licenssn o., 2 eGC'Le U
Print name.--!p.f tM l/(k)A
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Last ediled 7/l/2019 BJones
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