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Home My WebLink AboutPermit Mechanical 2020-02-21$Pfi,lN6rl CitY of SPringfield D evero pment .:1 ;llli :;'5 SPringfield' Or.97477 54 1 -726-3753 OREGOI{ web Address : www.springfield-or'gov Building Permit Residential Mechanical Permit Number: 81 1-19-OO1 214-FlECtl-Ot IVR Number: 811086047741 ,s Email Address : permitcenter@sprrngfield-or'gov Permit Issued: FebruarY 27' 2020 Category of Construstion: None Specifi ed Submitted Job Value: $0'00 Description of Work: ADU - garage conversion Type of Workl None SPecified **NEED TO SIGN ENCROACHMENT APPLICATION** Worksite Address 632 6TH ST Springfield, OR 97477 638 5TH ST Springfield, OR 97477 Parcel 1 703352400700 0wner: Address: Owner: Address: BUSS]ULIAS&MATTHEW l 638 6IH ST SPRINGTIELD , oR 97477 BUSS]ULIAS&MATTHEW J 638 6TH ST SPRINGFIELD , AR 97477 None Specified Inspection 2999 Final Mechanical 2300 Rough Mechanical Inspection GrouP Mech Res Mech Res Inspection Status Pending Pending Various inspections are minimally required on each project and often dependent on the scope of work. Contact the issuing jurisdiction indicated on the permit to determine required inspections for this project. Schedule or track inspections at www.buildingpermits.oregon'gov Call or text the word "schedule" to l-888-299-2821 use IVR number: 8L|OB6O4774L Schedule using the Oregon ePermittlng lnspection App, search "epermitting" in the app store permits expire lf work is not started within l8O Oays of issuance or if work is suspended for 180 Days or longer depending on the lssuing agency's policy, All provisions of laws and ordinanc€s governing this type of work will be complied with whether specified herein or not. Granting of a permit does not presume to give authority to violate or cancel the ptovision$ of any other state or local law regulating construction or the performance of construction' ATTENTION: Oregon law requlres vou to follow rul€s adopted by the Oregon Utility Notiflcatlon Center' Those rules ar€ set forth in OAR 952-OO1-O010 through OAR 952-OO1-0090. You may obtain copies of the rules by calling the Center at (5O3) 232-1947. Att persans or ent'ties perfotming work uoder this permit are requlred to be licensed unlese exempted by oils 701,01a(structurat/Mechantcat), oRs 47g.540 (Etectricat)t and oRs 693,"oro-020 (pfu;bing),Pttoted on: 2/2r/2a Page I of 2 C : lm yRepofts/ repofts// prad uttion/0 1 STAN DARA Permit Number: 81 1- 19-00 1214-ttlECH-01 Page 2 of 2 Fee Description Technology Fee Balance of minimum permit fees - mechanical Mini split system Suspended heater, recessed wall heater, or floor mounted unit heater Ventilation fan connected to single duct State of Oregon Surcharge - Mech (L2o/o of applicable fees) Prtnled on: 2/2L/20 Quantity Total Fees: Fee Amount $s.10 $34.00 $ 19,00 $23.00 $26.00 $12.24 $119,34 1 1 2 Page 2 of 2 C : \myReports/reportsl/productron/0 I STANDARD PERMIT FEES SPRINGFIELD tb OITEGON www.springfi eld-or.gov Worksite address: 632 6TH ST, Springfield , OR gl4ll Parcel: 1703352400700 Transaction Receipt 8rr-19.001214-MECH{{ IVR Number: 811086047741 Receipt Number: 473884 Receipt Date:2121120 CitY of SPringfield Development and Public Works 225 Fifth Street SPringfield, OR97477 54t-726-3753 permitcenter@springfi eld-or, gov Pald amount $19.00 $23.00 $26.00 $34.00 $12.24 $5.1 0 Transactlon date 2t21t20 2t21t20 2t21t20 2t2'U20 2121/20 Unlts 1.00 Ea 1.00 Ea 2.00 Ea '1.00 Automatic 1.00 Ea Descriptlon Mini split system Fees Paid Account code 224-00000425604-1031 Suspended heater, recessed wall heater, or floor mounted unit heater 22+0000042560r-1031 Ventilation fan connected to single duct 22+00000425604-1031 Balance of minimum permit fees _ mechanical 224-00000425604-1031 821-00000-21 5004-0000 20+0000042560$0000 Fee amount $19.00 $23.00 $26.00 $34.00 $12.24 $5.10 State of Oregon Surcharge - Mech (12o/o of applicable fees) 2121120 1.OO Automalic Technology Fee Payment Method: Credit card authorization: Payer: BUSS JULIA S & N4ATTHEW J01 551 d Payment Amount:$119.34 Cashier: Katrina Anderson Recelpt Total: $1r9.34 Pnnl@Jd 2t21t20 Z:33 pm Page 1 of 1 FIN_TransactionReceip|-lor Cmv or SPnrx GFIELD'OnncoN Mechanical P ermit ation 225 Fifth Strcet r Springfieid,oR 9747?o pn(s+t)rzo-rrsl r FAX(54 1)726-3689 This permit is issued under oAR grg440-0050. permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. rSPXIdGTTELD * CATEGORY OF CONSTRUCTION ELResidential I Government E Commercial JOB SITE INFORMATION AND LOCATION rou ri,. uaa."r., biz b[ ^ Sl ciry: 5t? [ iI State: 0R zrP: 1111? I Reference:Taxlot.: DESCRIPTION OF WORK # h0\^ tw eaq*4 a- t PROPERTY OWNER Name:kl^|-la..e*-t &,,s: Address:637_., b"L_ 1V City: S,rP lJ State: O[1 ztP: f1.11-11 phonefogs? ltlC Fax: E-mail: !1^,\3 c ^l^pg. cer'-- meora licensing Signature CONTRACTOR INSTALLATION Business name Address City:c State ZIP Phone:Fax: E-mai1: CCB license no. Print name: Signature: vr<r4 FEE SCHEDULE Residential Qty.Cost'ea. Total cost First Anoliance %i102.00 s loL Furnace/burner including ducts and vents Up to l00k BTU/trr t23.00 $ Over 100kBTU/hr,N26.00 $ Heaters/stoves/vents Unit heater I 523.00 $29 Wood/pellet/gas stove/flue $54.00 s Evaporatcd cooler $19.00 $ Vent fan with one duct/appliance 2-$13.00 $ 2(2 Hood with exhaust and duct t19.00 $ One to four outlets 19.00 $ Additional outlets (each)ts.00 $ Air-handlins units. includins ducts Up to 10,000 CFM $rs.00 $ Over 10,000 CFM t26.00 $ Comnressor/absorntion svstem/heat numn Up to 3 hp/100k BTU I 123.00 $23.o Up to l5 hpi500k BTU t41.00 $ Up to 30 hp/1,000 BTU 161.00 $ Up to 50 hp/l,750 BTU t78.00 $ Over 50 hp/l,750 BTU $132.00 $ Incinerators Domestic incinerator $26.00 $ Commercial Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation of mechanical system, etc.$ Miscellaneous fees Cost ea. Total cost Reinspection t102.00 $ Specially requested inspections (per 1102.00 $ Regulated equipmcnt (unclassed)t19.00 $ Each additional inspection: (l)t102.00 $ DEPARTMENT (A) Enter subtotal ofabove fees (or enter set minirnum fee of $ {02.00), loz-. (B) Investigative fee $ (C) Enter l20% surcharge (.12 x [A+B])$ (D) Seismic fee, 1Yo (.01 x [A])$ (E) Technology Fee (5% of [A])$ TOTAL fees and surcharges (A through E):$ ONLYUSEARTMENTDEP Permit no.: qCO Date: Lasr edited 7/1/2019 BJones t1 1 P roPertY Owner Slatement Regarding c onstuction Res ponsibilities Oregon Law requires residential constructton permit applicantsWhO afe nOt \iCenSed Wfth the construction contractors Board to =igniire ioilo*ing.t"t m"nt'u;tre; building permit can be issued. (ORS 701.325 (2)) Licensed architect and engineer applicants, exempt from Iicensing submit this statement. This statement will be filed with the permit. andmechanical permits.residentialfor electrical,plumbingisThtsstatementbuilding,required not0701.01ORS needunder(7) Please check the approPriate box: I own, reside in, or will reside in the completed structure and my general contractor is Name CCB#Expiration Date I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. or I will be performing work on property I own, a residence that I reside in, or a residence that I will reside in. lf I hire subcontractors, I will hire only subcontractors licensed with the Construction Contractors Board. lf I change my mind and hire a general contractor, I will select a contractor who is licensed with the CCB and will immediately give the name of the contractor to the office issuing this Building Permit. re I have read and understand the lnformation Notice to Homeowners About Construction Responsibilities, and I hereby certify that the information on this homeowner statement is true and accurate. llt ^W*,t lJqs j Print Name of Permit Applicant 2 2 Lbr'7r Signature of Permit Date Permit #: Address: o(?_--t "tr--- lssued by:Date:a(a-,\)-<> This Copy for Permit Offices