HomeMy WebLinkAboutPermit Mechanical 2020-02-24C'rtY of SPringfield
D ev er o p m ent .}H
??H :;,Il
SPringfield' OR 97477
541-726-3753
SPRINGFIELD
OREGON
Web Address: www.springfield-or.gov
{g Building Permit
Residential Mechanical
Permit Number: 811-20-OOO228-illECH-01
IvR Number: 811004417841
Email Address: permitcenter@springfield-or.9ov
Permit Issued: FebruarY 24,2020
Category of Construction: None Specified
Submitted Job Value: $0.00
Description of Work: Master bathroom addition - bathroom fan
Type of Work: None SPecified
JOB SITE INFORMATION
Worksite Address
1715 COTTONWOOD AVE
Springfield, OR 97477
Parcel
1703273305500
Owner:
Address:
JOLICOEUR JOSHUA &
MICHELLE
1715 COTTONWOOD AVE
SPRINGFIELD, OR 97477
LICENSED PROFESSIONAL INFORMATION
Business Name
RAINBOW VALLEY DESIGN &
CONSTRUCTION INC - Primary
License
ccB
License Number
56LO7
Phone
54L-342-487t
PENDING INSPECTIONS
Inspection
2999 Final Mechanical
2300 Rough Mechanical
Inspection Group
Mech Res
Mech Res
Inspection Status
Pending
Pending
SCH EDULING 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: 8lll044l784t
Schedule using the Oregon ePermitting Inspection App, search "epermitting" in the app store
Permits expire if work is not started within 180 Days of issuance or if work ls 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 complaed with whether specified herein or not.
Granting of a permit does not presume to give authoriv 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 rutes 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 (503)
232-L947,
All persons or entities performing work under this permit are required to be licensed unless exempted by ORS 7O1.O1O
(StructuraUMechanical), oRS 479.540 (Electrical), and ORS 693.o1O-O2O (Plumbing).
Prinled oil 2l24l2o Page 1 of 2 C:\myReports/reports//production/o1 STANDARD
TYPE OF WORK
Permit fvumber; gt t- 20 -O O 02 28.MECH -O l Page 2 of 2
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)
Ptinted ant 2/24/20
Quantity Fee Amount
$s.10
$89.00
$13.00
$12.24
$ 1 19.34Total Fees:
C :\myReports/reports//production/01 STAN DARD
1
Page 2 of 2
PERMIT FEES
SPRINGFIELD
tfi
Transaction Receipt
81 1 -20-000228-MECH-01
IVR Number: 81 100'1417841
Receipt Number:473898
Receipt Date:2124120
Fees Paid
Account code
CitY of SPringfield
Development and Public Works
225 Fifth Street
Springfield, OR97477
541-726-3753
permitcenter@spri n gfi eld-or. gov
Paid amount
$13.00
$89.00
$12.24
$5.1 0
Transaction
date
2t24t20
OREGON
Units
1.00 Ea
www. sp rin gf ield-or.9ov
Worksite address: 1715 COTTONWOOD AVE, Springfietd, ORg74t7
Parel: 1703273305500
2t24t20 1.00 Automatic
2t24t20 '1.00 Ea
Description
Ventilation fan connected to single
duct
Balance of minimum permit fees _
mechanical
State of Oregon Surcharge - Mech
(12o/o ot applicable fees)
224-00000 -425604- 1 03 1
224 -00000-425604- 1 03 1
821 -00000-21 5004-ooo0
204 -0 0000 - 42 56 o5_0ooo
Fee amount
$13.00
$89.00
$12.24
$5.1 0
2t24t20 1.00 Automatic Technology Fee
Payment Method: Credit card
authorization: 135316
Cashier: Katrina Anderson
Payer: RATNBOWVALLEY
DESIGN & CONSTRUCTION
INC
Receipt Total:
$'r 19.34
$r 19.34
P rinted: Z/24 t20 1 O:38 am
Page 1 of 1
Fl N_Tra nsaction Receipt_pr
Payment Amount:
Mech anical
225 Fi11h Street '
Permit lication *PErt{diFiā¬L!3']:t:t:t:;:;:r
tl:t i; ::, -.t::Lt.,..,iilill!,:'l1t', ,w
Springfreld, OR 91477 . PH(54 l)726-3',753 . F[x(s+t)rzo-:oas
This permit is issued under oAR 91g-440-0050. permits expire if work is not started within 180 days of issuance or if work is
suspended for 180 daYs'
>o-
Permit no.
,1dDate
Residential n Govemment L l Commerctat
ducts and vents
Job site address: l?ts J,a;e-to l00k BTU/hr
State zrP: 11'l?1 Over 100k BTUlhr $
Reference:Taxlot.$Unit heater
DESI )RlPTlOl ,l ()F W,stove/flue $s4.00 $
i rt J\f4.r,cooler $19.00 $
Otn-Vent fan with one $
I
$Hood with exhaust and duct 9.00
Gas
Name o One to four outlets $
Address:Co falo-Additional outlets $
State: OA 'l u ducts
City:ZIP CFM $to1
Phone:?ll Fax:Over 10,000 CFM $26.00 $
E-mail U-L
to3 OOK BTU s
This installation IS being meora
1.00 $member of m'v immediate licensing to 15 OOK BTU
requirements under ORS 1 to 30 1 BTU .00 $
U to 50 1,750 BTU s
1,750 BTU 132.00 $
Business name:incinerator $26.00 $
Address: ]Dq *
City:L Starc: A0-zrP?l1Lla Enter total valuation ofmechanical system
and installation costs $
rnone:9{ff{L *A-t Fax Enter fee based on valuation ofmechanical etc.$
E-mail [oar.l rl t116.
(ost
18.
'I otal
cost
CCB license no.Reinspection t102.00 $
Specially requested inspections
ated
Each additional
t1 02.00 $
819.00 $
i102.00 $
(A) Enter subtotal of above fees (or enter set
minimum fee of $10
fee $
Enter 12%o 12x s
Seismic 1%01 x $
T Fee SYo of s
TOTAL fees and surcharges (A through E):$tt1.5'
Last edited 7/1/2019 BJones
DEPARTMENT USE ONLY
Crrv or OnEcox
CATEGORY OF Qty.Residential
LOCATIONANDINFORMATIONSITEJOB
PROPERTY OWNER
Over 50
CONTRACTOR INSTALLATION
Miscellaneous fees
Print name: