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Home My WebLink AboutPermit Mechanical 2019-12-31OREGON Web Address: www.springfield-or. gov Building Permit Residential Mechan ica ! Permit Number: 81 1-19-002691-MECH-Ol IVR Number: 81104231279t City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD LT, Permit Issued: December 3L,2OL9 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Addition 18x18 living area, adding a shower and kitchen sink IOB SITE INFORMATION Worksite Address 321 72ND ST Springfield, OR 97478 Parcel 1702353 10 1800 Owner: Address: WILSON CHRISTOPHER J & ]ONI L 321 72ND ST SPRINGFIELD, OR 97478 LICE NSED PROFESSIONAL IN FORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Res Mech Res Inspection Status Pending Pending SCHEDULING INSPECTIONS Permits expire if work is not started wlthin 18O 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 complled with whether specified herein or not. Granting of a permit does not presume to give authoraty 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 fotlow rules adopted by the Oregon Utillty Notlfication Center. Those rules are set forth in OAR 952-O01-OO1O through OAR 952-001-0090. You may obtain copies of the rules by calling the Center at (5O3) 232-L987. All persons or entities performing work under this permit are required t9 be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-O20 (Plumbing). Printed on: 72/3UL9 page 1 of 2 c; \myReports/reports//prcduction/01 STANDARD 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. bu i ld i ng permits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 8tto423t279l Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permit Number: 811-19-OO269l-MECH-01 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 (t2o/o of applicable fees) Printed on: 12l31/19 Quantity Fee Amount $s.10 $89.00 $13.00 $12.24 $ 119.34Total Fees: C:\myReports/reports//production/01 STANDARD 1 Page 2 of 2 PERMIT FEES Mechanical Permit cation 225 Fifth Street o Sprinsfield, OR 97477 . PH(541)726-3753 . FAX(541)726-3689 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. h, Cmv oF SPRTNGFIELD, OR-EGoN DEPARTMENT USE ONLY Permir no.: \q dGl I -ttttlt tut", l2l 3 I CATEGORY OF CONSTRUCTION FEE SCHEDULE hesidential I Government ! Commercial Resldential Qty.Cost ea. Total cost JOB SITE INFORMATION AND LOCATION I rnace/burner ducts and vents Job site address to l00k BTU/hr. l'i;r e State:f I zrP: 7'7/7f4 Over l00k BTU/hr $26.00 s Taxlot. DESCRIPTION OF WORK Unit heater $ stove/flue $ t coolcr $ Vent lan with one (I $ PROPERTY OWNER Hood with exhaust and duct 9.00 $ Name One to four outlets $ Additional outlets $s.00 $ City:ZIP/1 to 10,000 CFM $ Fax:Over 10,000 CFM $ E-mail:4t This installation is being owned by me or a to3 OOK BTU Son member famrily, 10. from licensing to 15 BTU .00 s 70 I .0 to 30 r,000 BTU $ to 50 1.750 BTU $ INSTALLATION Over 50 hp/I,750 BTU $ Business name:Domestic incinerator $ Address State:ZIP Enter total valuation ofmechanical system and installation costs $ Phone:Fax:Enter fee based on valuation ofmechanical etc.$ E-mail:Miscellaneous fees Cost ea. Total cost CCB license no.Reinspection $ Print name Specially requested inspections 02.00 $ $ Signature Each additional I $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set mininrum fee of $s lo?- In've fee $ Enter 12Vn (.12 x $ Seismic fee, loh x $ Fee (5% of $ TOTAL fees and surcharges (A through E):$ tt4"7' [:st editcd 7/l/2019 BJones I eddress:lZ I 7, s i15.00 i26.00 ;102.00 i102.00 SPRINGTIILD €6 Transaction Receipt 81 I -1 9-002691 -MECH-01 IVR Numben 811042312791 Receipt Number: 473422 Receipt Date:12131119 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri n gfield-or. govOREGON www.springfield-or. gov Worksite address: 321 72ND ST, Springfield, OR 97478 Parel: 1702353'101800 Transaction Units date 12t31t',t9 1.00 Ea 12t31t19 1.00 Automatic 12t31t19 1.00 Ea Description Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ot applicable fees) 224-OOOO0- 425604- 1 03 1 224-00000 -425604- 1 03 1 821 -00000-21 5004-0000 20 4 -00000 - 42 56 0 5-0000't2t31t19 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $13.00 $89.00 $12.24 $5.1 0 Paid amount $13.00 $89.00 $12.24 $5.1 0 Payment Method: Check number: 1888 Payer: ronda rust Payment Amount:$119.34 Cashier: Katrina Anderson Receipt Total:$l 19.34 Printed: 12131/19 11:25 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr Propefi Owner Statement Regarding Gonstruction 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 (2ll I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. *T N;lso Print of lL-3 - (1 ol Permit Date :*o^d'"r*r ad^;Q \\A-^t"J Fto,^ This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicanb, exempt from licensing under oRs 701.010 (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 struclure 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 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. Permit #: lssued by:Date Address.321 \q ale t* zbql- This Copy for Permit Offices