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Home My WebLink AboutPermit Mechanical 2020-01-13OREGON Web Address: www.springfi eld-or.gov Building Permit Residential Mechanical Permit Number: 81 1-2O-OOOO78-MECH-Ol IVR Number: 811024388796 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 Email Address: permitcenter@springfield-or.gov SPRINGFIELD $ Permit Issued: January L3, 2020 TYPE OF WORK Category of Construction: None Specified Submitted Job Value: $0.00 Description of Work: Kitchen Remodel Type of Work: None Specified JOB SITE INFORMATION Worksite Address 256 ALLEN AVE Springfield, OR 97477 Parcel 1703233303800 Owner: Address: MARTINDONALDL&CA 256 ALLEN AVE SPRINGFIELD, OR 97477 LICENSED PROFESSIONAL INFORMATION Business Name STON EWOOD CONSTRUCTION INC - Primary SHAD CHASAN SURRETT License ccB ccB License Number 120 103 158295 Phone 541-485-6638 54L-74t-3553 PENDING INSPECTIONS Inspection 2999 Final Mechanical 2300 Rough Mechanical 2530 Kitchen ExhausVCommercial Hood Inspection Group Mech Res Mech Res Mech Res Inspection Status 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 ing permits.oregon. gov Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811024388796 Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 Days or aonger depending on the issuing agency's policy, All provisions of laws and ordinances goyerning 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 of construction, ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth an OAR 952-001-0010 through OAR 952-001-0090, You may obtain copies of the rules by calling the Center at (503) 232-1987. All persons or entities performing work under this permlt are regsired to be licensed unless exemPted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrical), and ORS 693.010-020 (Plumbing). printed on: 1/13/20 page 1 of 2 C:\myReports/reports//production/01 STANDARD [r -r-.. Permit Number: 811-20-OOOO78-MECH-O1 Page 2 of 2 Fee Descraption Technology Fee Balance of minimum permit fees - mechanical Gas fuel piping outlets Range hood/other kitchen equipment State of Oregon Surcharge - Mech (L2o/o of applicable fees) Printed on: 1/13/20 Quantity Fee Amount $s.10 $74.00 $9.00 $ 19.00 $t2.24 $ 1 19.34Total Fees: C: \myReports/reports//prcduction/01 STAN DARD 1 L Page 2 of 2 PERMIT FEES SPRINGTIELD tfr OREGON www.springfield-or. gov Worksite address: 256 ALLEN AVE, Springfield, OR 97477 Parcnl 1703233303800 Transaction Receipt 81 1 -20-000078-MECH-01 IVR Number: 81 I 024388796 Receipt Number:473515 Receipt Date:1113120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 permitcenter@spri ngfield-or.9ov Fees Paid Account codeTransaction Units date 1t13t20 1.00 Qty 1t13t20 1.00 Ea 'U13t20 1.00 Automatic 1t't3t20 '1 .00 Ea 1t13t20 Description Gas fuel piping outlets Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o ol applicable fees) Rangehood/otherkitchenequipment 224-00000-425604-1031 224 -OOOO0 - 425604-'t 03 1 224-00000-425604- 1 031 821 -00000-21 5004-0000 204-00000-42 5605-0000 Fee amount $9.00 $19.00 $74.00 $'t2.24 $5.1 0 Paid amount $9.00 $19.00 $74.00 $12.24 $5.1 01.00 Automatic Technology Fee Payment Method: Credit card authorization: 021 30q Payer: STONEWOOD CONSTRUCTION INC Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$1 r 9.34 Ptinled: 1 I 13120 1 0:1 0 am Page 1 of 1 Fl N_TransactionReceipt_pr tr Crrv or SrnrNGFIELu, ORtrcoN Mechanical Permit A lication Sroilf,rJo,o Tc i N(irlLr- l{o" P w(Ltt\hv\t SuMrflt gcr,trn9rntd' f' Do ("Al P'prd I cab+ lSe zqs 225 Fifth St eer o Springfield, oR 97477 . PH(541)726-3753 o 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. FEE SCHEDULE Residential Qty.Cost et. Total cost First Annliance t102.00 s Furnace/burner including ducts and vents Up to 100k BTU/hr $23.00 $ Over l00k BTU/hr $26.00 $ Heaters/stoves/vents Unit heater $23.00 $ Wood/pelleVgas stove/fl ue $54.00 $ Evaporated cooler $19.00 $ Vent fan with one duct/appliance s13.00 $ Hood with exhaust and duct I $19.00 $11 Gas pipins One to four outlets I f9.00 $'1 Additional outlets (each)15.00 $ ducts up to 10,000 cFM 01s.00 $ Over 10,000 CFM t26.00 $ Comoressor/absorotion svstem,/heat oumo Up to 3 hp/100k BTU s23.00 $ Up to l5 hp/500k BTU $41.00 $ Up to 30 hpi 1,000 BTU $61.00 $ Up to 50 hp/1,750 BTU $78.00 $ Over 50 hp/l,750 BTU $132.00 $ Incinerators Domestic incinerator $26.00 $ 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 tr02.00 $ Specially requested inspections (per 0102.00 $ Regulated equipment (unclassed)0r9.00 $ Each additional inspection: (l)8r02.00 $ DEPARTMENT USE (A) Enter subtotal of above fees (or enter set minimum fee of $ 102.00)slFL (B) Investigative fee $6- (C) Enter l27o surcharge (. 12 x [A+B])$ t". Lq (D) Seismic fee,lYo (.01 x [A])$€- (E) Technology Fee (5% oflAl)$o TOTAL fees and surcharges (A through E):$ l\1.?q DEPARTMENT USE ONLY permit no.t 9O- WoTylYl,E ?PDate: \Irn\ CATEGORY OF CONSTRUCTION [[ Residential ! Government fl Commercial JOB SITE INFORMATION,AND LOCATION Job site address: 7 t b ALG{ lV( City: S0 tut N6{ft La State: Cie zIP: 91477 Reference:Taxlot. DESCRIPTION OF WORK 'Ft (r^Lt w{* l.rlp L€ Arr, l0 li{!1B PROPERW OWNER Name: 0orJ l (A^Lt-ry4{- llnA&?rd Address: r( 6 Adr-rJ ,{ vf State: olc ZIP:n,177City: tpf,lPklLes FaxPhone:f{f -(to- 0?tl el "'.ameor licensing E-mail: CONTRACTOR INSTALLATION Business name: Sfr,"l 6.vO.rO (l1ll{lifi(r.","J Address: 91{ cAt. ft City: €,ril,lNG State:O(zIP: 1?9c I Phone:Stll -(:,r (tSJ Fax: E-mail: rnl.t (a Sl-onl ,*oJ C$...l+olr-|t\o,...krro, CCB license no.: / f,c toJ Print name: fF,^eK Corlf, Signature: €.//fu Last edited 7/l/2019 BJones SPRI NG FI ELD €n installationThis member of my ORSunderrequirements