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Home My WebLink AboutPermit Mechanical 2020-01-02OREGON Web Address: www.springfield-or.gov Building Permit Residential Mechanical Permit Number: 81 1-ZO-OOOOO2-MECH IVR Number: 81 1051058335 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or.9ov SPRIht6FIELD 'SS Permit Issued: January 02, 2O2O Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Install gas fireplace main living area Type of Work: New Worksite Address 6890 GLACIER DR Springfield, OR 97478 Parcel t802022204900 PARR WILLIAM JOHN & NAOMA R 6890 GLACIER DR SPRINGFIELD, OR 97478 Business Name EMERALD SWIMMING POOLS OF OREGON INC - Primary License ccB License Number L1294 Phone 54 1-68B- 1090 Inspection 2140 Pellet, Gas, Fireplace or Wood Stove 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Res Mech Res Mech Res Inspection Status Pend ing Pend ing 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. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811051058335 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 18O Days of issuance or if work is suspended for 180 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 authoriw to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction, ATTENTIONT Oregon law reguires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-OO1-O010 through OAR 952-OOl-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987, All persons or entities performing work underthis permit are required to be licensed unless exempted by ORS 701.O10 (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693,O10-020 (Plumbing). Printed ont 112120 o^^a 1 .f 2 c:\myReports/reports//production/01 STANDARo TYPE OF WORK JOB SITE INFORMATION Owner: Address: LICENSED PROFESSIONAL IN FORMATION PENDING INSPECTIONS SC+{EDULING INSPECTIONS Permit Number: 81 1-20-OOOOO2-MECH Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Gas or wood fireplace/insert State of Oregon Surcharge - Mech (tZo/o of applicable fees) Printed ont L/2120 Quantity Fee Amount $s.10 $s0.00 $s2.00 $12.24 $ 1 19.34Total Feesr C | \myReports/reports//production/0 1 STAN DA RD 1 Page 2 of 2 PERMIT FEES SPRI},IGFIELD &Transaction Receipt 811-20-000002-MECH IVR Number: 81 1051058335 Receipt Number: 473433 Receipt Date:112120 City of Springfleld Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@sprin gfield-or. govOIIEGON www.springfield-or. gov Worksite address: 6890 GLACIER DR, Springfield, OR 97478 Parcel: 1 802022204900 Transaction Units date 1t2120 1.00 Ea 1t2t20 1.00 Aulomatic 1t2t20 1t2t20 Description Gas or wood fireplace/insert Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ol applicable fees) Fees Paid Account code 1.00 Ea 1.00 Automatic Technology Fee 224-00000-425604- 1 03 1 224 -00000 -425604-'l 03 1 B2 1 -00000-2 1 5004-0000 204-00000-425605-0000 Fee amount $52.00 $50.00 $12.24 $5.1 0 Paid amount $52 00 $50 00 $12 24 $5.1 0 Payment Method: Check number: 156 Payer: PARR WILLIAM JOHN & NAOMA R Payment Amount $119.34 Cashier: Katrina Anderson Receipt Total $1 19.34 P(inted. 112120 g.2o am Page 1 of 'l Fl N_TransactionReceipt_pr Crrv or SprNGFIELU, ORrcon Mechanical Permit Application 225 Fifth Street o Springfield,OR97477 . PH(541)726-3753 . FAX(541)726-3689 DEPARTMENT USE ONLY P.rrrrit notD -L Date:or \o; \>.>- SPRINGFIELD *, 4 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. FEE SCHEDULE Residential aty Cost ea. Total cost First Appliance t102.00 s Furnace/burner including ducts and vents Up to 100k BTU/hr $23.00 $ Over 100k BTU./hr $26.00 $ 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 $13.00 $ Hood with exhaust and duct $19.00 $ C)ne to four outlets $9.00 $ Additional outlets (each)$5.00 $ Up to 10,000 CFM $15.00 $ Over 10,000 CFM $26.00 $ Comnressor/ahsorntion svstem/heat numn Up to 3 hp/100k BTU $23.00 $ Up to l5 hp/500k BTU i41.00 $ Up to 30 hp/1,000 BTU 161.00 $ Up to 50 hp/l,750 BTU t78.00 $ Over 50 hp/l,750 BTU u32.00 $ Incinerators Domestic incinerator t26.00 $ 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 ir02.00 $ Specially requested inspections (per ;102.00 $ Regulated equipmcnt (unclasscd)i19.00 $ Each additional inspection: (1)i102.00 $ (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)s lo? (B) Investigative fee $ (C) Enter 12%o surcharge (.12 x [A+Bl)$ u- 2'\ (D) Seismic fee, lo/o (.01 x [A])$ (E) Technology Fee (5% of [Al)$ci . cO TOTAL fees and surcharges (A through E):$l\q 3Ll CATEGORY OF CONSTRUCTION I Govemment E Commercialfa.esidential JOB SITE INFORMATION AND LOCATION Jobsiteaddress: {o8no Clpqer State: @ B zrP:1t4 lZcity: $9(S Reference:Taxlot. DESCRIPTION OF WORK /n <f 4LL A)Lw lrA< Ftre,ol doe- q{ Ctu 2. owN t Name: ./ohn ?nfen. Address: 689,O Gla-eqr city: $ p(fl State Qft nP:?aq7Z Phone:Jl1-/gt/ 3t,'7 Z 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 |equirements under ORS 701.010. \ignadxe,x{,-a4- ) y'4-** INSTALLATION o I Business name: Enr er Address City:State:ZIP Phone:Fax: E-mail: CCB license no. Print name: Signature: Lasr editcd 7lll20l9 BJones <-- s