HomeMy WebLinkAboutPermit Mechanical 2020-01-28SPRINGFIELD
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OREGON
web Address: www.springfi eld-or' gov
Permit Issued: January 28,2020
Building Permit
Residential Mechan ical
Permit Number: 81 1-2O-OOO17O-MECH
IVR Number: 8110957 40244
City of SPringfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
Email Address : permitcenter@springfield-or'gov
Category of Construction: Single Family Dwelling
Submitted Job Value: $0.00
Description of Work: Replace water heater
Type of Work: RePlacement
,OB SITE INFORMATION
Worksite Address
6579 AARON LN
Springfield, OR 97478
Parcel
1702341203300
Owner:
Address:
BERRY THERESE M
6579 AARON LN
SPRINGFIELD , OR 97478
Business Name
KEVIN LEE WOOD - PrimarY
License Number
224t55
Phone
54L-952-932t
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: 8LL095740244
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 ofa permit does not presume to give authority to violate or cancel the provisions ofany 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 ilotification Center. Those rules are set
forth in OAR 952-O01-OO1O through OAR 952-OO1-0O90. You may obtain copies of the rules by calling the Center at (503)
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 693.010-O20 (Plumbing).
Printed on: 1/28/20 Page 1 of 2 C:\myReports/repoftsl I produc.ionl 0 7 STANDARD
TYPE OF WORK
LICENSED PROFESSIONAL INFORMATION
License
CCB
Permit Number: 8lt-20-OOO170_MECH
Page 2 of 2
Fee Description
Technology Fee
Balance of minimum permit fees - mechanical
Water heater
State of Oregon Surcharge - Mech (L2o/o of applicable fees)
Printed on: 1/28/20
Quantity Fee Amount
$5.10
$83.00
g 19.00
912.24
$119.34
7
Page 2 of 2
Total Fees:
C :\myReports/reports//production/0 1 STAN DARD
PERMTT FEES
SPRINGfIELD
{6
Transaction Receipt
811-20-000170-MECH
IVR Number: 81 10957 40244
Receipt Number: 473651
Receipt Date= 1128120
City of Springfield
Development and Public Works
225 Fifth Street
Springfield, OR 97477
54t-726-3753
permitcenter@springfield-or.govOREGON
www.springfield-or.gov
Worksite address: 6579 AARON LN, Springfield, OR 97478
Parcel: 1 702341 203300
Fees Paid
Account codeTransaction Units
date
1l28l2o 1.00 Ea
1t28t20
1t28120
1t28t20
Description
Water heater
1.00 Automatic Balance of minimum permit fees -
mechanical
'1.00 Ea State of Oregon Surcharge - Mech
(12o/o of applicable fees)
1.00 Automatic Technology Fee
224-00000- 425604- 1 03 1
224-00000-425604-1 031
821 -00000-2't 5004-0000
204 -00000 - 425605-0000
Fee amount
$19.00
$83.00
$12.24
$5.1 0
Paid amount
$19.00
$83.00
$12.24
$5.1 0
Payment Method: Credit card
authorization: 023114
Payer: robin gibeau Payment Amount:$1 19.34
Cashier: Katrina Anderson Receipt Total:$1 19.34
Printed: 1t2A/2O 11:32 am
Page I of 1
FIN_TransactionReceipt pr
*l
OF SPRINGFIELD, OREGONCrrv
Mechanical Permit lication
225 Fifth Strcct o SPringficld,-oR 97 47 7 o PH(54 I )726-3753 o FAX(541)726-36E9
This permit is issued under oAR glg440-0050. permits expire if work is not started within 1g0 days of issuance or if work is
suspended for 180 daYs.
h
-+
&
DEPARTMENT USE ONLY
l70_(ttlPermit no P
\Date:
CATEGORY CONSTRUCTIONOF
E Commercialf| Government
INFORMATION LOCATIONANDSITEJOB
Job site address: (/ 5
ZIPState:O (L'el
Taxlot.Reference:
WORKOFDESCRIPTION
PROPERTY OWNER
Name:
LAddresst
ZIP:1State0 d-'<-rlN
Fax:0IL
ZE-mail: I
orme a
licensing
CONTRACTOR I
Business
Address
State:ZIP:
FaxPhone
E-mail:
55CCB license no.
Print name
Siglature
LESCHEDUFEE
Qty.Residential
ducts and vents
to 100k BTU/hr
$Over l00k BTU/hr
Unit heater
$stove/fluew
$9.00coolcr
s3.00Vent fan with one ,liance
sHood with exhaust and duct
sOne to four outlets
sAdditional outlets
$15.00to1CFM
$Over 10,000 CFM
sOOK BTUto3
.00 sto 15 BTU
s1.00to 30 BTU
sto 50 1,750 BTU
132.00 $,750 BTUOver 50
$Domestic incinerator
Enter total valuation ofmechanical system
and installation costs S
-
$Enter fee based on valuation ofmechanical etc.
CostMiscellaneous fees
02.00 $Reinspection
$02.00requested inspections
9.00 $
sEach additional (t)02.00
$ t(f>(A) Enter subtotal ofabove fees (or enter set
minilnurn fee of $
lee $
$12x(C) Enter 12oh
Seismic fee. 1o/o lx $
Fee of $
$1TOTAL fees and (A th E):
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