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Home My WebLink AboutPermit Mechanical 2019-12-300itEs0t{ Web Address: www.springfield-or.gov Building Permit Residentia! Mechanical Permit Number: 811-19-OO2539-MECH-Ol IVR Number: 811084841378 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.9ov SPRIN6TIELD "9*,*t Permit Issued: December 30, 2019 Category of Construction: None Specified Submitted Job Value: $25,000,00 Description of Work: Garage conversion into habitable space. Type of Work: None Specified Parcel 7702353202900 Owner: Address: Owner: Address: BELLINA GIANNINA MARIA 6895 C ST SPRINGFIELD, OR 97478 BELLINA ]OSE A 6895 C ST SPRINGFIELD, OR 97478 None Specified Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Res Mech Res Inspection Status Pending Pending Various inspections are minimally required on each proJect and often dependent on the scope of work. contact the issuing lurisdiction 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: 811084841378 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance gf construction, ATTENTION: Oregon law requires you to follow rules adopted by the oregon Utility Notification Center, Those rules are setforth in OAR 952'001-oo1o through OAR 952-OO1-Oo9O. 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 to be licensed unless exempted by ORS 701,O1O (Structural/Mechanical), ORS 479.540 (Etectricat)7 and ORS 693.010-O2O (ptumbing). Prroted onr !2/30/19 Page 1 of 2 cr\myReports/reports,//production/01 STANDARD TYPE OF WORK JOB SITE INFORMATION Worksite Address 6895 C ST Springfield, OR 97478 PENDING INSPECTIONS SCH EDULING INSPECTIONS Permit Number: 811-19-002539-MECH-01 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Ductwork - no appliance/fixture State of Oregon Surcharge - Mech (12o/o of applicable fees) Pflnted on: 12/3Ol19 Quantity Total Feesr Fee Amount $s.10 $89.00 $ 13.00 $12.24 $ 1 19.34 1 Paqe 2 af 2 C r \my Reports/reports//production/0 1 SrA N DA RD PERMIT FEES NGTIELD s OREGON www. springfield-or. gov Worksite address: 6895 C ST, Springfield, OR 97478 Parcel. 1702353202900 Transaction Receipt 81 1 -1 9-002539-MECH-01 IVR Number: 81 1084841 378 Receipt Number: 473401 Receipt Date: 12130/19 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 perm itcenter@spri ngfield-or. gov Fees Paid Account codeTransaction Units date 12t30119 1.00 Ea 12t30t19 1.00 Automatic 12t30t15 1.00 Ea Description Ductwork - no appliance/fixture Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ol applicable fees) 224 -00000 - 425604- 1 03't 224 -00000 -425604-1 03 1 821 -00000-2'l 5004-0000 204-00000-425605-000012t30t19'l .00 Automatic Technology Fee Fee amount $13 00 $89.00 $12.24 $5.1 0 Paid amount $13.00 $89 00 $12.24 $5 10 Payment Method:Credit card authorization: 01091d Payer BELLINA JOSE A Paymenl Amount:$119 34 Cashrer: Katrina Anderson Receipt Total:$119.34 Printed: 12130/19 I 1.41 am Page 1 of 1 Fl N_Transaction Receipt_pr Crrv or SrmNGFrELu, C)nocou Mechanical Permit A lication 225 Fifth Strcct . Springfield,Ok97477 . PH(541)726-3753 o FAX(541)726-3689 GATEGORY OF CONSTRUCTION trResidential E Govemment E Commercial JOB SITE INFORMATION AND LOCATION Job site address: $ f c - city: &LtpaGl 6 State: Og-zw'!|ylf Reference Taxlot. DESCRIPTION OF WORK rJ 6L PROPERTY OWNER Name: Address: ("61b C {4 City:State: 08 nP:$+Li)i Phone:Fax: E-mail: This installation is meora member of my licensing requlrements E6trdlcro R r NsTALLATToN Business name: O(J)\16,1. Address: City State ZIP Phone:Fax: E-mail: CCB license no. Print name Sigrrature DEPARTMENT USE ONLY Permit no.:\1aaTsn-fi Date: I I lz tq FEE SCHEDULE Residential Qty.Cost ea. Total cost First Anoliance i102.00 s Furnace/burner includins ducts and vents Up to l00k BTUlhr.t23.00 $ Over 100k BTU/hr.t26.00 $ Ilellers/stnves/venf s Unit heater t23.00 $ Wood/pellet/gas stove/fl ue t54.00 $ Evaporatcd coolcr i19.00 $ Vent fan with one duct/appliance I $13.00 $tZ Hood with exhaust and duct $r9.00 $ One to four outlets t9.00 $ Additional outlets (each)ts.00 $ Air-handlins units. includins duc'S Up to 10,000 CFM t15.00 $ Over 10,000 CFM $26.00 $ Comnressor/absorntion svstem/heat numn Up to 3 hp/l00k BTU t23.00 $ Up to 15 hp/500k BTU 041.00 $ Up to 30 hpi 1,000 BTU 161.00 $ Up to 50 hp/l,750 BTU s78.00 $ Over 50 hp/l,750 BTU u32.00 $ Incinerators Domestic incinerator s26.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ _ Enter fee based on valuation ofmechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection sI02.00 $ Specially requested inspections (per 1102.00 $ Regulated cquipment (unclassed)tI9.00 $ Each additional inspection: (l)N102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ !02.00)sloL (B) Investigative fee $ (C) Enter 12%osurcharge (.12 x [A+B])$ lz.zv (D) Seismic fee, 1%o (.01 x [A])$ (E) Technology Fee (5% of [A])$o TOTAL fees and surcharges (A through E):$u47l &, €ou 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. Last editcd 7/l/2019 BJones Property Owner Statement Regarding Construction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conltruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 l2ll 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. Jose buvLl t\JA Print Name of Applicant S Applicant \\\Z L1 Date A*akes*E&, This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer applicants, 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# 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. <,1tx,,1!r',^^!,0 &-q;cr- lssued ov M Date Permit #: Address: el tzftq bgqt c This Copy for Permit Offices (l,"il;*A Expiration Date