HomeMy WebLinkAboutPermit Mechanical 2020-01-23OREGON
Web Address: www.springfield-or.9ov
Building Permit
Residential Mechanical
Permit Number: 811-2O-OOOl5l-MECH
IVR Number: 811056925417
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
Email Address : permitcenter@springfield-or.9ov
SPRINGFIELD
nt
Permit Issued: January 23, 2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Adding gas line for fireplace and BBQ
Type of Work: New
JOB SITE INFORMATION
Worksite Address
766 S 47rH PL
Springfield, OR 97478
Parcel
180205 121 1900
Owner:
Address:
STANTON LIVING TRUST
PO BOX 639
WALTERVILLE, OR 97489
LICENSED PROFESSIONAL IN FORMATION
Business Name
C & R PLUMBING LLC - Primary
License
CCB
Lacense Number
167015
Phone
54L-206-76LL
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: 811056925417
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 18O 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 of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952-001-OO10 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 7O1.O1O
(Structural/Mechanical), ORS 479.540 (Electrical), and ORS 593,O1O-O20 (Plumbing).
Ptinled oni 7/23120 page 1 of 2 C: \myReports/reports//production/01 STANDARD
[-r-,
Permit Number: 81 1-2O-OOO151-MECH Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - mechanical
Gas fuel piping outlets
State of Oregon Surcharge - Mech (L2o/o of applicable fees)
P.inted on: Ll23l2O
Quantity Fee Amount
$s.10
$93.00
$9,00
$t2.24
$ 1 19.34Tota! Fees:
C: \myReports/reports//production/01 STAN DARD
2
Page 2 of 2
PERMIT FEES
SPRINGFIELD
,gfi
OREGON
wwl r.springfield-or.gov
Worksite address: 766 S 47TH PL, Springfield, OR 97478
Parcel: 18020512'l 1900
Transaction Receipt
81 1 -20-000151 -MEGH
IVR Number: 81 1056925417
Receipt Number: 473624
Receipt Date:1123120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54L-726-3753
permitcenter@springfield-or. gov
Transaction Units
date
1l23l2l 2.00 Oty
1t23t20 1.00 Automatic
1t23120 1.00 Ea
1t23t20
Description
Gas fuel piping outlets
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
(12% ol applicable fees)
224 -00000 -425604- 1 03 1
224 -00000 -425604- 1 03 1
821 -00000-21 5004-0000
204-00000-425605-00001.00 Automatic Technology Fee
Fees Paid
Account code Fee amount
$9.00
$93.00
$12.24
$s.1 0
Paid amount
$9.00
$93.00
$12.24
$5.1 0
Payment Method Credit card
authorization: 850543
Payer: C&RPLUMBING
LLC
Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$1 t 9.34
P(inled: 1l23l2o 2.51 pm Page 1 of 1 Fl N_TE nsaction Receipt_pr
It-r
Crrv or SprNGFIELu, OntrcoN
Mechanical Permit A lication
225 Fifth Street o Springficld, OR 97477 . PH(541)'126-3753 o FAX(541)726-36E9
This permit is issued under OAR 918440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
h,
CATEGORY OF CONSTRUCTION
fi Residential I Government E Commercial
JOB SITE INFORMATION AND LOCATION
Job site address:'7AG 7b
L State: 0{zrP.i.l ( 7r
R"fereicL' C Taxlot.
DESCRIPTION OF WORK
t
PROPERry OWNER
Name
Address
City:ZIP
Phone: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
requirements under ORS 701 .01 0.
Signature:
CONTRACTOR INSTALLATION
Business name:1)! fl.*b.>+ LLt-
Address:SU. /4
city: Cw.'€e\a
,
I Stare:pI ztv:lJ4/ f,
Phone Fax./t( lJt- 7lt f
E-rnail:b C,tAtr't
CCB license no.tb {
n<
FEE SCHEDULE
Residential Qty.Cost
ea.
Total
cost
First Aooliance M02.00 s
Furnace/burner including ducts and vents
Up to l00k BTU/hr.023.00 s
Over l00k BTU/trr t26.00 $
IIeef ers/sf oves/venf s
Unit heater [23.00 s
Wood/pellet/gas stove/fl ue -:9.b t54.00 $
Evaporatcd coolcr $19.00 $
Vent fan with one duct/appliance $t3.00 s
Hood with exhaust and duct $19.00 $
One to four outlets L $9.00 $tr00
Additional outlets (each)$s.00 S
Up to 10,000 CFM $15.00 $
Over 10.000 CFM $26.00 $
Comoressor/absorntion svstem/heat nump
Up to 3 hp/l00k BTU i23.00 $
Up to l5 hpi500k BTU i41.00 $
Up to 30 hp/l,000 BTU 161.00 $
Up to 50 hp/1,750 BTU $78.00 s
Over 50 hp/l,750 BTU $132.00 s
Incinerators
Domestic incinerator $26.00 s
Commercial
Enter total valuation ofmechanical system
and installation costs $
-
Enter fee based on valuation ofmechanical system, etc.$
Miscellaneous fees Cost
ea.
Total
cost
Reinspection 1102.00 $
Specially requested inspections (peI 1102.00 $
Regulatcd cquipmcnt (unclasscd)il9.00 $
Each additional inspection: (l)102.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
minimunr fee of $ 102.00)$ 107-dd
(B) Investigative fee $ -o-
(C) Enter 120lo surcharge (.12 x [A+B])S \L,Lq
(D) Seismic fee, lYo (.01 x [A])$€
(E) Technology Fee (5% of[A])$f,ro
TOTAL fees and surcharges (A through E):$
DEPARTMENT USE ONLY
Permitno.:%bols / - fn(
Date: \L\7e
lasr cditcd 7/1/2019 BJones
Air-handlinp units. includins duc s
[q.3r
State:
Printname: (ri\ 9,
Signature: tl -'r 4- 4