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Home My WebLink AboutPermit Mechanical 2020-01-09OREGON Web Address; www.springfi eld-or.9ov Building Permit Residential Mechanical Permit Number: 811-2O-OOOO55-MECH-O1 IVR Number: B1 1042530941 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 54L-726-3753 Email Address : permitcenter@springfield-or.gov SPRINGTIELD $ Permit Issued: January 09,2O2O TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Adding a bathroom upstairs (on septic) Type of Work: None Specified JOB INFORMATION Worksite Address 1427 Menlo LOOP Springfield, OR 97477 Parcel L703273302900 Owner: Address MORRIS ARTHUR W & CECILY R 1427 MENLO LOOP SPRINGFIELD , OR 97477 LICENSED PROFESSIONAL IN FORMATION Business Name OWNER - Primary License ccB License Number 000000 PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection Group Mech Res Mech Res Inspection Status 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. Schedule or track inspections at www.buildingpermits.oregon.gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811042530941 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store P€rmits 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 specitied 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 regulatin0 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-OO1O through OAR 952-OO1-OO9O. You may obtain copies of the rules by calling the Center at (503) 232-L987, All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORs 479.540 (Electrical), and ORS 693.o1o-o2o (Plumblng)' printed on: 1/9/20 Page 1 of 2 C:\myReports/reports//production/01 STANDARD t [ -r- ? Phone Permit Number: 81 1-2O-OOOO55-MECH-O1 Page 2 ot 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Ventilation fan connected to single duct State of Oregon Surcharge - Mech (LZo/o of applicable fees) Printed on: U9l20 Quantity Total Fees: Fee Amount $s.10 $76.00 $26.00 $L2.24 $ 1 19.34 2 Page 2 of 2 C :\myReports/reports//production/01 STANDARD PERMIT FEES SPRINGFIELD nrt Transaction Receipt 81 1 -20-000055-MECH-01 IVR Number: 81 1042530941 Receipt Number:473500 Receipt Date: 1/9/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR97477 541-726-3753 permitcenter@springfi eld-or. govOREGON www.springfield-or. gov Worksite address: 1427 Menlo LOOP, Springfield, OR 97477 Parcr-l 1703273302900 Transaction Units date 119120 2.00 Ea 1t9t20 1.00 Automatic 1t9t20 1,00 Ea 119t20 Description Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12% of applicable fees) Fees Paid Account code 1.00 Automatic Technology Fee 224-00000-425604- 1 031 224-00000-425604- 1 03 I 821 -00000-21 5004-0000 204 -00000 -425605-0000 Fee amount $26.00 $76.00 $12.24 $5.1 0 Paid amount $26.00 $76.00 $12.24 $5.10 Payment Method: Credit card authorization: 01561d Payer: MORRIS ARTHUR W & CECILY R Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total $r 19.34 Printed: 1/9/20 2:39 pm Page 1 of 1 Fl N_TransactionReceipt_pr Ir Crrv or SpnrNGFrELu, OREGox Mechanical Permit Application 225 Fifth Street . Springficld, OR 97477 . PH(541\726-3753 o FAX(541)726-3689 This permit is issued under OAR 9l 8-440-0050. Permits expire if work is not started within I 80 days of issuance or if work is suspended for 180 days. SPBINGFIELO fr, CATEGORY OF CONSTRUCTION E4'esidential I Government E Commercial JOB SITE INFORMATION AND LOCATION Jobsiteaddress: /qZ? fhErJ(o Loe€ ciry:EP(fi/af 16t r)State: Dr(nPqa{77 Reference:Taxlot. DESCRIPTION OF WORK o PROPERW OWNER Name lt Address: /z7 6/)Lo tooP city: {Pfurug Ft EAD State: fr(nPqT r77 Phone: *l- qZf - tl 6 Fax: E-mail:o" 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. INSTALLATION Business name Address: City:State:ZIP: Phone U Fax: E-mail CCB license no. Print name: Signature: FEE SCHEDULE Residentia!Qty Cost ea. Total cost First Aooliance il 02.00 S Furnace/burner includine ducts and vents Up to l00k BTU,4rr.$23.00 S Over l00k BTU,4rr $26.00 $ Heafers/stoves/vents Unit heater $23.00 $ Wood/pellet/gas stove/fl ue $54.00 $ Evaporated coolcr $19.00 $ Vent fan with one duct/appliance L $13.00 $2 \p Hood with exhaust and duct $19.00 s One to four outlets $9.00 $ Additional outlets (each)$5.00 s Up to 10,000 CFM il5.00 $ Over 10,000 CFM t26.00 s Comnressor/absorntion svstem/heat nu mn Up to 3 hp/100k BTU $23.00 $ Up to 15 hpi500k BTU $41.00 $ Up to 30 hp/l,000 BTU 861.00 $ Up to 50 hp/1,750 BTU t78.00 S Over 50 hp/I,750 BTU $132.00 $ Incinerators Domestic incinerator $26.00 s 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 t102.00 $ Specially requested inspections (per il02.00 $ Rcgulated equipment (unclassed)119.00 $ Each additional inspection: (l)E102.00 $ DEPARTMENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ 102.00)$ \oz (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):$ I rq.?,r DEPARTMENT USE ONLY P errrut no., )O -WbS -l/V\c Date: r \a \z-o Lasr edircd 7/li20l9 BJoncs Aan i?murlotm - f,*r/a,,.qr fnl Air-handlins units. includins duc s PropertY Owner Statement Regarding construction 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 This statement is required for residential building, electrical, mechanical, and plumbing permits. Licensed architect and engineer appllcants, 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 structure must be licensed with the Construction Contractors Board. or lf-7t Kl 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 CCB and will immediately give the name of the contractor to the office issuing this Building Permit' 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' P of Permit Signature of Applicant Dale lssued by q,fi\Date Permit #: Address: This Copy for Permit Offices \(jM