HomeMy WebLinkAboutPermit Mechanical 2020-02-21CitY of SPringfie\d
D ev ero pm ent .1I
}tffi :;'5
Springfietd' O?97477
54L-776-3753
SPRTNGFIE.LD
ON.EGON
Web Address: www.springfield-or'9ov
Building Permit
Residential Mechanical
Permit Number" a11-2O-OOO346-MECH-O1
IVR Number: 811011114486
Email Address: permitcenter@springfield-or' gov
Permit Issued: FebruarY 2L,2O2O
Category of Construction: None Specified
Submitted Job Value: $0'00
TyPe of Work: None SPecified
TYPE OF WORK
DescriPtion of Work: Bathroom remodel - adding a shower
Parcel
1702193100403
Owner:
Address:
HOWARD MARLA L
3225 HAYDEN BRIDGE RD
SPRINGFIELD, oR97477
Worksite Address
3225 HAYDEN BRIDGE RD
Springfield, OR 97477
INFORMATIONSITEJOB
INFORMATIONLICENSED
Business Name
FORESIGHT CONSTRUCTION LLC -
Primary
License
ccB
License Number
2t8258
Phone
54t-214-6786
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection GrouP
Mech Res
Mech Res
Inspection Status
Pending
Pending
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: 811011114486
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
permlts 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 speclfied herein or not.
Granting of a permit does not presume to gave 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
ro,ih in oAR ss2-oo7-oo7o throush oAR 9s2-oo7-OO9O. You may obtain copies of the rules by calling the Centef at (503)
232-a987.
All persons or entities performing work under this permit are requrred to be ticensed untesg exempted by oRs z0l.0l0(structurat'/t,*hantat), oRs 47g.s40 (ErectrrcaD,z;.t oRs 693.O70-o20 (ptumbing).Printed on: 2/27/20
Page 1 of 2
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PENDING INSPECTIONS
SCHEDULING
Permit Number: gl 1-20-000346-MEClt_o1
Fee Description
Technology Fee
Balance of minimum permit fees _ mechanical
Ventilation fan connected to single duct
State of Oregon Surcharge - Mech (t2o/o of applicable fees)
Printed on: 2i 2U20
Page 2 of 2
Quantity Fee Amount
9s.10
$89.00
913.00
$12.24
g 1 19.34Total Fees:
c:\myReports/repofts//prcdudion/o1 STANDARD
1
Page 2 of 2
PERMIT FEES
SPRINGFIETD
Transaction Receipt
81 1 -20-000346-tUECH-01
IVR Number: 811011114486
Receipt Number: 473887
Receipt Dale:2121120
City of Springfleld
Development and Public Works
225 Fifth Street
Springfield, OR 97477
541-726-3753
perm itcenter@spri ngfield -or. govOREGON
www.springfield-or. gov
Worksite address: 3225 HAYDEN BRIDGE RD, Springfield, OR97477
Parcel: 1 7021 931 00403
Fees Paid
Account codeTransaction Units
date
2121120 1.00 Ea
2121t20 1.00 Automatic
2t21t20 1.00 Ea
2121t20 '1.00 Automatic Technology Fee
Description
Ventilation fan connected to single
duct
Balance of minimum permit fees -
mechanical
State of Oregon Surcharge - Mech
('l2o/o of applicable fees)
224-00000-425604- 1 03 I
224 -00000 -42s604- 1 03 1
821 -00000-21 5004-0000
20 4 -0 0 000 - 42 5605-0000
Fee amount
$13.00
$89.00
$12.24
$5.10
Paid amount
$13.00
$89.00
$12.24
$5.1 0
Payment Method: Credit card
authorization: 064843
Payer: HOWARD charles Payment Amount:$1 19.34
Cashier: Katrina Anderson Receipt Total:$r r 9.34
Ptinled: 2l21t2o 2:51 pm Page 1 of 1 F I N_Tra nsaction Receipt_pr
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n6
Crrv or SpnrNGFrELo, OntrcoN
Mechanical Permit A lication
225 Fifth Street o Springficld, OR 97477 . PH(541\726-3753 . FAX(541)726-3689
DEPARTMENT USE ONLY
permit no.: /o- tPo 34 b-y
Date )\r\lloh,
Cctr
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.
GATEGORY OF CONSTRUCTION FEE SCHEDULE
oE'F6sidential I Govemment E Commercial Residential Qry Cost
ea.
Total
cost
JOB SITE N AND LOCATION
Job site address:! Z.Z
^J
ducts and ventsLto 100k BTU,4rr $D State: 0 lL Over l00k BTU/hr $
Reference:Taxlot.
DESCRIPTION OF WORK Unit heater $
d.f*stove/flue $L4ry1^mLL--cooler $
Vent fan with one $13.00 s13
PROPERTY OWNER Hood with exhaust and duct $r9.00 $
One to four outlets .00 $
Address: SZZV Dt.*) be^ Po Additional outlets each 15.00 q
City:Lp Stat&(*nPl
CFM 15.00
PhoneS4l U4 b
to1 $
Fax Over 10.000 CFM S
i4 op lfi.e
This installation ls being made on property owned by
ly. and is exempt frorn
0.
me or Ut to3 IOOK BTU s
member of my immediate fami licensing to 15 BTU $
'70 I .0 I Ut to 30 ,OOO BTU $
to 50 1,750 BTU S
CONTRACTOR INSTALLATION Over 50 I,750 BTU 132.00 $
Business name:LT Az)Domestic incinerator $
Address:2,Zs Dzd be. Rb Commercial
City:5 State:04-Enter total valuation ofmechanical system
and installation costs $
Phone:tu4 Fax:Enter fee based on valuation ofmechanical etc.s
r4.il lLLC Miscellaneous fees (lost
ea.
Total
cost
il02.00 s
Print name:e*<>Specially lnspectlons
Signature:Each additional
Ir02.00 $
ir9.00 S
;102.00 $
ENT USE
(A) Enter subtotal ofabove fees (or enter set
nrinimuur fee of $ lo>
fee $
(C) Enter l2%o (.12 x +$
Seismic fee, 1o/o lx A $
$
TOTAL fees and surcharges (A E):s \\q 3l
Last editcd 7/l/2019 BJones
First Annliance il 02-oo s
i23.00
ztP(? 7472 t26.00
Ileqlarc/cfnwes/wenf s
i23.00
t54.00
il9.00
s
t26.00
E-mai1:
t23.00
t41.00
t61.00
t78.00
t26.00
ztP:97477
CCB license no: /l I 258 Reinspection
Regulated equipment (unclassed)
(E) Technology Fee (5% of[A])