HomeMy WebLinkAboutPermit Mechanical 2020-02-24CtW of SPringfield
D ev etop m ent'1I ltHH'I1
snrinofield' OR 97477
s41-726-3753
.... SPRINGTIELD
OREGON
Web Address: www springfield-or' gov
Buitding Permit
Residential Mechanical
Permit Number: 811-2O-OOO353-UECH-01
IVR Number: 811047014658
Email Address : permitcenter@springfield-or'gov
Category of Construction: None Spec ified
Submifted Job Value: $0'00
Description of Work: down draft cook top
Type of Work: None SPecified
TYPE OF WORK
,OB FORMATIONINSITE
Parcel
1702353304100
Owner:
Address:
MILLER ROBERT C
536 S TOTH ST
sPRINGFIELD , oR97478
Worksite Address
536 S TOTH ST
Springfield, OR 97478
Business Name
KENDALL ROBERT BEARD -
Primary
License
CCB
License Number
220270
Phone
54L-579-02L6
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.
Scheduleortrackinspectionsatwww.buildingpermits.oregon.gov
Call or text the word "schedule" to 1-888-299-2821 use IVR number: 811047014658
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Fee Description
Technology Fee
Balance of minimum permit fees - mechanical
Ventilation fan connected to single duct
State of Oregon Surcharge - Mech (l2o/o of applicable fees)
Quantity
Total Fees:
Permits expire if work is not started within 180 Days of issuance or if work is suspended for 180 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 pr,esume to give authority to violate or cancel the provisions of any other state or local law
regulating constructlon or the performance of construction.
ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center, Those rules are set
:Y!r::"?:" es2-oo7-oolo t,,roush oaR 9s2-oo7-oo9o. You may obtain copies of the rules by calling the Center at (i03)
1
Fee Amount
$s.10
$89.00
$ 13.00
$12.24
$ 1 19.34
Att ,,ercons or entities pertorminl work under this De,
:::::::.:::;;,"i,*it,-oas ez;.;;;.i;;;;,;;;.27!:;#;7;;:"1i,:",ff,:;:;:#,.,,,*, exempted by oRs 7o1.o1o
STANDARD
Page 1 of 1
\m y Re p o ft s / re w ft s/ / p rN u ct i o n/ 0 1
*,t
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Permit Issued: February 24, 2O2O
LICENSED
SCHEDULING
PERMIT FEES
----___-------
-
Transaction ReceiPt
81 1 -20-000353-MECH-01
IVR Number: 81 1047014658
Receipt Number: 423894
Receipt Date:2124t20
CitY of SPringfield
Development and Public Works
225 Fifth Street
SPringfield, OR97477
54t-726-3753
permitcenter@springfield-or.9ov
Paid amount
$13.00
$89.00
$12.24
$5.1 0
SPRINGFIELD
$
Transaction
date
2t24t20
OREGON
Units
1.00 Ea
www.springfield-or.gov
Workslte address: 536 S TOTH ST, Springfield, OR 97478Parel:1202353304100
2t24t20 't.00 Automatic
2t24/20 1.00 Ea
2t24t20 1.00 Automatic
Payment Method: Credit card
Description
V€ntilation fan connected to single
duct
Balance of minimum permit fees _
mechanical
State of Oregon Surcharge _ Mech
(12o/o ot applicable fees)
Technology Fee
Fees Paid
Account code
224 _00000_425604_
1 03 1
224-00000_425604_ 1 03 1
821 -00000_21 5004_0ooo
204-00000 _425605_OOOO
Fee amount
$ 13.00
$89.00
$12.24
$5.1 0
16
Payer: KENDALL ROBERT
BEARD
Cashier: Katrina Anderson
Receipt Total:
Payment Amount:$119.34
$r r 9.34
Ptinled: 2t24/20 1O:02 am
Page 1 of .l
FIN_TransactionReceipt_pr
DEPARTMENT USEONLY
AD
no.
lua/a 3D,l
Date:CrrV OF SPRIN GFIELD,OnncoxMechanical P
225 Fifth Street r
ermit A lication 3PltltlGtllt.p
Springfrcld,oR97477.Fn(s+t)zzo-rzs:. FAx(541 )726-3689
This permit is issued under oAR 918-440-0050. permits expire if work is not started within 180 itays of issuance ot il workis
suspended for 180 daYs.
.5c^ei oJoaeJxntL 1D r/.tsrD-:.r'-
fr rrz,,snn LL s H eryNc? * aa-
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CATEGORY CONSTRUCTIONOF
E CommercialI Government
LOCATIONDANFOINRMATIONSITEJOB
Job site address: 5 36 5 Qotzt
nP:n 74State'.OQSPPI
Taxlot.Reference:
DESCRIPTION OF WORK
55
PROPERTY OWNER
gName:
l7Address:\
ZIP:State:City:
Fax:Phone:
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 701.010.
CONTRACTOR INSTALLATION
Business name:
Address:
State:6/a ZIP:c4 -)
Fax:PhonelS4/-5?4 -oz/o
E-mail: TerArcu*.e
CCB license no.: 22OZ-Zo
Print name:
FEE SCHEDULE
Qty Cost
Residential
ducts and vents
$to 100k BTU/hr
$
$Unit heater
$stove/fluew,
$cooler
$Vent fan with one
$Hood with exhaust and duct
$One to four outlets
$Additional outlets each
$to 10,000 CFM
$Over 10,000 CFM
$to3 OOK BTU
$1.00to 15 BTU
$to 30 1 BTU
$to 50 1,750 BTU
$Over 50 hp/l,750 BTU
$Domestic incinerator
Enter total valuation ofmechanical system
and installation costs $
-
$Enter fee based on valuation ofmechanical etc.
Cost
costMiscellaneous fees
$02.00
inspections 02.00 $
9.00 $
02.00 $Each additional I
(A) Enter subtotal ofabove fees (or enter set
minimum fee of $/
$fee
Enter 12%:o 12x $
Seismic fee. 1o/o ,01 x A $
Fee '5%o of $
TOTAL fees and surcharges (A through E):$
Last cdited 7/1/2019 Blones
Total
coster.
t23.00
Over 100k BTU,&I.
t54.00
ir9.00
$13.00
t19.00
t9.00
1s.00
rts
t1s.00
t26.00
t23.00
061.00
t78.00
1132.00
t26.00
Commercial
ea.
Reinspection
Regulated equipmcnt (unclassed)
DEPARTMENT USE