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Home My WebLink AboutPermit Mechanical 2020-01-08OREGON web Address: www.springfield-or. gov Building Permit Residential Mechanical Permit Number: 81 1-2O-OOOO38-MECH IVR Number: 81 1062108626 City of SPringfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGIIELD $ Permit Issued: January 08, 2020 TYPE OF WORK Category of Construction: Single Family Dwelling Submitted Job Value: $0.00 Description of Work: Remodel Type of Work: Alteration JOB SITE INFORIIIATION Worksite Address 1365 F ST Springfield, OR 97477 Parcel 1703362301200 Owner: Address: MR HOLDINGS LLC 83731 RAINTREE ST CRESWELL, OR97426 LICE NSED PROFESSIONAL IN FORMATION Business Name OWNER - Primary License ccB License Number 000000 Phone PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2100 AC/Furnace/Heat Pump/HVAC 2110 Venting Inspection Group Mech Res Mech Res Mech Res Mech Res Inspection Status Pending Pending Pending Pending SCHEDULING 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. Sched ule or track inspections at www. build i ng permits.oregon' gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811062108626 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work ls not started within 180 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 giye authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set forth in OAR 952-OO1-OOIO through 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 701,O10 (Structural/Mechanical), ORS 479,540 (Electrical), and ORS 693,010-O20 (plumbing). Printed on: 1,/8/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD tr Permit Number: Bl 1-20-OOOO38-MECH Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Boiler/compressor/absorption system up to 3 Hp or 100,000 BTU Clothes dryer exhaust Flue vent for water heater or gas fireplace Hood served by mechanical exhaust, including ducts for hood Ventilation fan connected to single duct State of Oregon Surcharge - Mech (L2o/o of applicable fees) Printed on: 1/8/20 Quantity Total Fees: Fee Amount $s.10 $8.00 $23.00 $ 13.00 $ 13.00 $ 19.00 $26.00 $t2.24 $ 119.34 1 1 1 1 2 Page 2 of 2 C :\myReports/reports//prcduction/o1 STAN DARD PERMIT FEES SPRINGTIELD ,b Transaction Receipt 8{ 1-20-000038-MECH IVR Number: 8l I 062108626 Receipt Number: 473476 Receipt Date:118120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@springfi eld -or. govOREGON www.springfield-or.gov Worksite address: 1365 F ST, Springfield, OR97477 Parcel: 1703362301200 Fees Paid Account codeTransaction Units date 1l8l2l 1.00 Ea 118120 118t20 '18t20 1t8t20 1t8t20 1t8t20 1t8t20 1.00 Ea 1.00 Ea 1.00 Ea 2.00 Ea 1.00 Automatic 1.00 Ea 1.00 Automatic Technology Fee Description Boiler/compressor/absorption system up to 3 HP or 100,000 BTU Clothes dryer exhaust Flue vent for water heater or gas fireplace Hood served by mechanical exhaust, including ducts for hood Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ot applicable fees) 224-00000 -425604- 1 03 1 224-00000-425604-1 03 1 224-00000- 425604- 1 03 1 224 -00000- 425604- 1 03 1 224-00000 -425604- 1 03 I 224 -00000- 425604- 1 03 1 82 1 -00000-2 1 5004-0000 20 4 -00000 - 4256 0 5-0000 Fee amount $23.00 $13.00 $13.00 $19.00 $26.00 $8.00 $12.24 $5.1 0 Paid amount $23.00 $13.00 $13.00 $19 00 $26.00 $8.00 $12.24 $5.1 0 Cashier: Katrina Anderson Receipt Total:$r 19.34 Printed: 1/8/20 9:36 am Page 1 of 1 Fl N_Tra nsactionReceipt_pr \t --- I PaymentMethod: Credilcard Payer: michael rosier PaymentAmount: $119.34 authorization: 154256 Crrv or STrNGFIELD, OREGoN Mechanical Permit APPlication 225 Fifth Street . springfield, oR 97477 o PH(541)726-3753 . FAX(541\726-3689 &L Ar^C)*r^ c DEPARTMENT USE ONLY Permit no., 20 -(PO& - fU e Date: \b 7o l\q 3{ h, J 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. CATEGORY OF CONSTRUCTION FEE SCHEDULE dResidential n Government E Commercial Residential Qty Cost ea. Total cost JOB SITE INFORMATION AND LOCATION First Aooliance i102.00 $ Furnace/burner including ducts and vents Jobsiteaddress: l1b{ F 9f Up to l00k BTU,&rr,t23.00 $ city: lfur'i rtq\e ( d stut", lJ&nP:{ ?q?7 Over l00k BTU,&r.526.00 $ Reference:Taxlot.flen f ers/stoves/ven ts Unit heater L $23.00 $DESCRIPTION OF WORK Wood/pellet/gas stove/fl ue $54.00 $ tnt Evaporated cooler $19.00 $ Vent fan with one duct/appliance ,$13.00 $ PROPERTY OWNER Hood with exhaust and duct t1 sr9.00 $ Name: NliC 5)r (-I e ,One to four outlets $9.00 $ Address: I 3 t r Additional outlets (each)i5.00 $ City:c Phone:6 Fax rcS I ducts (Up to 10,000 CFM il5.00 $ Over 10,000 CFM $26.00 $ E-mail:lr ail,cln ComDressor/absorption svstem/heat purnp Up to 3 hp/I00k BTU I s23.00 $This member Up to 15 hp/500k BTU s4r.00 $ Up to 30 hp/1,000 BTU $61.00 $ up to 50 hp/l,750 BTU $78.00 $ Over 50 hp/l,750 BTU $r32.00 $CONTRACTOR INSTALLATION Incinerators Business name:Domestic incinerator s26.00 $ Address:Commercial Enter total valuation ofmechanical system and installation costs $ - City:..4 x,l#'ZIP FaxPhone:a Enter fee based on valuation of mechanical system, etc.$ E-rn"tL '\-i Miscellaneous fees Cost ea. Total cost CCB license no.:Reinspection u02.00 $ Specially requested inspections (per s102.00 $Print name: Regulated equipment (unclassed)il9.00 $ Signature Each additional inspection: (l)1102.00 $ DEPARTMENT USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 102.00)$ i02 (B) Investigative fee $d (C) Enter l27o surcharge (.12 x [A+B])$ te )'l (D) Seismic fee,1%o (.01 x [A])$e- (E) Technology Fee (5% ofIA])${ lo TOTAL fees and surcharges (A through E):$ lbh{t I tast edited 7/l/2019 BJones ->7 ) a i me aor ProPefi Owner Statement Regarding Gonstruction Responsibilities oregon Law requires residential construction permit applicants who are not licensed with the construc{ion contractors Board to sign the foirowing statement before a building permit can be issued. (ORS 7o1.32s (2ll I have read and understand the lnformation and I hereby certify that the information on Notice to Homeowners About construction Responsibilities, this homeowner statement is true and accurate' N, ,lno,l il-t r iuf Print Name of Permit APPlicant Signature of Permit L l'f'- Date nda permits.nical,mecha plumbingelectrical,buresidentialfor lding,redtsstatementrequiThis notneed010oRsI701unde(7),!icens ngfromexemPtneerapplicantsandengitectarchnsedLicethewithfiledpermit.bewilmentstateThisstatement.thisubmitS Please check the aPProPriate box: I own, reside in, or will reside in the completed structure and my general contractor is CCB#Expiration Date Name lwill inform mY genera I contractor that all subcontractors who work on the structure must be with the Constru ction Contractors Board or I will be performing work on property I own, a residence that I reside in, or a residence that lwill 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 ccg ani will immediately give the name of the contractor to the office issuing this Building Permit. ecr{Permit #: Address:€ lssued by \ 3to Date: \b Ea 1 ) This Copy for Permit Offices lnformation Notice to Owners About Construction Responsi bi I ities (oRS 701.325 (3)) CONSTRUCTION CONTRACTORS BOARD PO Box 14140, Salem, OR 97309-5052 Telephone: 503-378-4621 - Fax: 503-373-2007 Website Address: www.oreoon. oov/ccb Homeowners acting as their own genenal contractors to construct a new home or make a substantial improvement to an existing structure, can prevent many problems by being aware of the following responsibilities: o Homeowners who use labor provided by workers not licensed by the Construction Contractors Board, may be considered an employer, and the workers who provide the labor may be considered employees. As an employer, you must comply with the following: o Oregon's Withholding Tax Law: Employers must withhold income taxes from employee wages at the time employees are paid. You will be liable for the tax payments even if you don't actually withhold the tax from your employees. For more information, call the Department of Revenue at 503-378-4988. o Unemployment lnsurance Tax: Employers are required to pay a tax for unemployment insurance purposes on the wages of all employees. For more information, call the Oregon Employment Department at 503-947 -1 488. r Oregon's Business ldentification Nurnber (BlN): is a combined number for both Oregon \Mthholding and Unemployment lnsurance Tax. To file for a BlN, go online to the Oregon Business Registry. For questions, call 503-945-8091. o Workers Compensation lnsurance: Employers are subject to the Oregon Workers Compensation Law, and must obtain Workers Compensation lnsurance for their employees. lf you fail to obtain Workers Compensation lnsurance, you could be subject to penalties and be liable for all claim costs if one of your workers is injured on the job. For more information, call the Workers Compensation Division at the Department of Consumer and Business Services at 800-452-0288. r Tax Withholding: Employers must withhold Social Security Tax and Federal lncome Tax from employee wages. You may be liable for the tax payment, even if you didn't actually withhold the tax. For a Federal EIN number, go online to www.irs.gov. e a a Other Responsibilities of HomeowRers: Code Compliance: As the permit holder for a construction project, the homeowner is responsible for notifying building officials at the appropriate times, so that the required inspections can be performed. Homeowners are also responsible for resolving any failure to meet code requirements that may be found through inspections. property Damage and Liability lnsurance: Homeowners acting as their own contractors should coniact iheir insurance agent to ensure adequate insurance coverage for accidents and omissions, such as falling tools, paint overspray, water damage from pipe punctures, fire, or work that must be redone. Liability lnsurance must be sufficient to cover injuries to persons on the job site who are not otherwise covered as employees by Workers Compensation lnsurance. Expertise: Homeowners should make sure they have the skills to act as their own general contractor, and the expertise required to coordinate the work of both rough-in and finish trades. 5l--^aa*, ^,.,nar rr{nntod q-?n16 This Copy for Permit Business Registry Business Name Search Page I of2 ORTGON SECBETABY OF SIAIT.it tlllil }IOME ) Corporation Division business infonnatlon center relerral llst burlners reglstryr,enewal fonnrJfeer notrrypublh unllorm commerclat code unlform commerclal code search documents & data serviceg Business Name Search onegon buslneas gulde New Search Printer Friendlv ASSOCiated NameS Please click sbout and service ss, 01-08-2020 09:28 b*rslness name search Registry Nbr Entitv Tyoe Entity Status Jurisdiction Registry Date Next Renewal Date Renewal Due? r428040-95 DLLC ACT OREGON 04-09-2018 04-09-2020 Entity Name MR HOLDINGS, LLC Foreign Name Type PPB PRINCIPAL PLACE OF BUSINESS Addr t 83731 RAINTREE ST Addr 2 csz SWELL 426 GNI]STATES OF AMERICAIrilirfilt ISTERED AGENTG l8 Resign DateType Name EN Addr 1 940 WILLAMETTE STREET SUITE 4OO Addr 2 csz EUGENE IOR 197401 Country UNITED STATES OF AMERICA MLMI Type LING ADDRESS Addr 1 PO BOX 10886 Addr 2 csz GilNNE illgtqqo EEM STATES OF AMERICAEIGiliin@Irilmrt Type Resign Date Name MICHAEL SIER Addr 1 8373I RAINTREE ST Addr 2 csz CRESWELL IOR 97426 Country LINITED STATES OF AMERICAI hup://egov.sos.state.or.us/br/pkg_web_name_srch_inq.show_detl?p_be_rsn:1973201&p_sr... 11812020 New Search Printer Friendlv BUSineSS Entity Data Start Date