HomeMy WebLinkAboutPermit Mechanical 2020-02-12OREGON
Web Address: www.springfield-or. qov
Building Permit
Residential Mechanical
Permit N u mber: 81 1 -2O-OOO27 7 -lllECH
IVR Number: 811036539896
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54r-726-3753
Email Add ress: permitcenter@springfield-or. gov
SPRINGFIELD
tb
Permit Issued: February 12,2O2O
TYPE OF WORK
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Install wood stove insert
Type of Work: New
JOB SITE INFORTTIATION
Worksite Address
2544 ROSE BLOSSOM DR
Springfield, OR 97477
Parcel
t70323440t500
Owner:
Address:
NATION ]ANET L
2544 ROSE BLOSSOM DR
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL IN FORMATION
Business Name
TEDDY LORICE HUFF JR - Primary
Lacense
ccB
License Number
73806
Phone
541-510-5626
PENDING INSPECTIONS
Inspection
2140 Pellet, Gas, Fireplace or Wood Stove
Inspection Group
Mech Res
Inspection Status
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 ingpermits.oregon. gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811036539896
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
PERMIT FEES
QuantityFee Descraption
Technology Fee
Balance of minimum permit fees - mechanical
Gas or wood fireplace/insert
State of Oregon Surcharge - Mech (t2o/o of applicable fees)
Total Fees:
Permits expire if work is not started within 180 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 Gancel the provisions of any other state or local law
regulating construction or the performance of construction.
ATTEilTION: Oregon law requires you to follow rules adopted by the Oregon utility Notification Center. Those rules are set
forth in OAR 952-OO1-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 701.010
(Structural/Mechanical), ORS 479.54O (Electrical), and ORS 593,O1O-O20 (Plumbing).
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1
Fee Amount
$s.10
$50.00
$s2.00
$L2.24
$ 119.34
Permit Number: 81 1-20-O0O277 -MECH
Prlnled on:2112/20 Page 2 of 2
Page 2 of 2
C : \myReports/reports//production/0 1 STAN DARD
SPRINGTIELD
€6
Transaction Receipt
811-20-000277-MECH
IVR Number: 81 1 036539896
Receipt Number:473800
Receipt Date= 2112120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
permitcenter@springfield-or. govOREGON
www.springfield-or.gov
Worksite address: 2544 ROSE BLOSSOM DR, Springfield, OR97477
Parcr-l: 1703234401500
Transaction
date
2t12t20
1.00 Ea
1.00 Automatic Technology Fee
Description
Gas or wood fireplace/insert
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
(12o/o ol applicable fees)
224-00000 - 425604- 1 03 1
224-00000-425604-1 031
82 1 -00000-21 5004-0000
204 -00000 - 42 560 5-0 000
Units
Fees Paid
Account code Fee amount
$52.00
$50.00
$12.24
$5.1 0
Paid amount
$52.00
$50 00
$12.24
$5.1 0
'1 .00 Ea
2t12t20
2t12t20
2t12t20
1.00 Automatic
Payment Method: Check number:4177 Payer: Deborah Bonds Payment Amount:$119.34
Cashier: Katrina Anderson Receipt Total:$119.34
Ptinled: 2112120 1 1:20 am Page 1 of 1 F lN_Tra nsaction Receipt_pr
'.-/
Crrv or SpnrNGFIELu, ORTGoN
Mechanical Permit ation
225 Fifth Street o Springficld, OR 97477 . PH(541)726-3753 . FAX(541)726-3689
This permit is issued under OAR 91E440-0050. Permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 days.
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CATEGORY OF GONSTRUCTION
@Residential E Govemment D Commercial
JOB SITE INFORMATION AND LOCATION
J"b't""dd'"* ;5411 \QSC- Blos-yrn Dn^
(tn Sate: fi L zrP:47471
Reference:Taxlot.:
DESCRIPTION OF WORK
l,uo od Sfove trt Se rf
PROPERW OWNER
Name:lnrt 4 12 dr^-h rln 5
Address osl aS&54r1
City ft o(sarcDE-ZIP:
vnone:itll {17 -qbO Fax:
E-mail: l)bondSLp&
meora
licensing
CONTRACTOR INSTALLATION
Business nu ", fi i$C S*Zv e Se f V ICL
Address 'o h )Oaa
iLC starc: fi/(-.nP:4 7 c/ O*
Phone:t Fax:
E-n.ra*A bC Sftv€ SCrv (o/t1
CCB license no.a o
Print name (f
Signature
FEE SCHEDULE
Residential Qty.Cost
ea.
Total
cost
First Aopliance I102.00 s
Furnace/burner including ducts and vents
Up to l00k BTU/hr i23.00 $
Over 100k BTU/tr,$26.00 $
fleef ers/sf oves/vents
Unit heater $23.00 $
Wood/pellet/gas stove/fl ue I t54.00 $t-{
Evaporatcd coolcr $19.00 S
Vent fan with one duct/appliance $13.00 $
Hood with exhaust and duct $19.00 $
One to four outlets $9.00 $
Additional outlets (each)$5.00 $
up ro 10,000 cFM s15.00 $
Over 10,000 CFM t26.00 $
Comoressor/absorotion svstem/heat nump
Up to 3 hp/I00k BTU i23.00 $
Up to l5 hp/500k BTU $41.00 s
Up to 30 hp/I,000 BTU 161.00 $
Up to 50 hp/I,750 BTU $78.00 $
Over 50 hp/l,750 BTU 1132.00 $
Incinerators
Domestic incinerator $26.00 $
Commercial
Enter total valuation ofmechanical system
and installation costs S
-
Enter fee based on valuation of mechanical system, etc.$
Miscellaneous fees Cost
el.
Total
cost
Reinspection ll02.00 $
Specially requested inspections (per il02.00 $
Regulated equipment (unclassed)il9.00 s
Each additional inspection: (l)0102.00 $
DEPARTMENT USE
(A) Enter subtotal ofabove fees (or enter set
minimum fee of $ 102.00),lo7
(B) Investigative fee $ -5'
(C) Enter 12%o surcharge (.12 x [A+B])$ \2.24
(D) Seismic fee. lVo (.01 x [A])$
(E) Technology Fee (5% of [A])$5-lD
TOTAL fees and surcharges (A through E):s ttl.?t
DEPARTMENT USE ONLY
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Last edited 7/l/2019 BJones
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