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Home My WebLink AboutPermit Mechanical 2020-03-06OREGON web Address: www.springfield-or. gov Building Permit Residential Mechan ical Permit Number: 811-20-OOO449-UECH-O1 IVR Number: 811070755219 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 541-726-3753 Email Address: permitcenter@springfield-or.9ov SPRINGTIELD Qh Permit Issued: March 06, 2020 TYPE OF WORK Category of Construction: None Specified Type of Work: None Specified Submitted Job Value: $0.00 Description of Work: Enclosing closet to add a new bathroom (toliet/shower/sink) JOB SITE INFORMATION Worksite Address 374 S 37TH ST Springfield, OR 97478 Parce! L7023t4302106 Owner: Address: LEMUS JUAN C 374 S 37TH ST SPRINGFIELD , OR 97478 LICENSED INFORMATION Business Name OWNER - Primary License CCB License Number 000000 Phone PENDING INSPECTIONS 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: 8llO7O7552L9 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 is suspended for 18O Days or longer depending on the issuing agency's policy. All provisions of laws and ordinances governing this typ€ 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 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 OreEon Utility Notlfication Center. Those rules are set forth in OAR 952-OO1-OO1O through OAR 952-OO1-OO9O. You may obtaln copies of the rules by calling the Center at (5O3) 232-1987. All persons or entities performing work under this permit are required to be ticensed unless exempted by ORS 7O1.O1O (Structural/Mechanical), ORS 479.540 (Electrlcal), and ORs 693.o10-O20 (Plumbing). printed on: 3/6/20 page 1 of 2 c:\myReports/reports//production/01 STANDARD -&-. f Permit Number: 811-20-OOO449-MECH-O1 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) Printed on: 3/6/20 Quantity Fee Amount $s.10 $89.00 $13.00 $t2.24 $ 119.34Total Fees: C : \myReports/reports//production/0 1 STAN DARD 1 Page 2 of 2 PER.MIT FEES SPRINGFIELD 'f,OREGON www.springfield-or.gov Worksite address: 374 S 37TH ST, Springfield, OR 97478 Parcel: 1702314302106 Transaction Receipt 81 t -20-000449-MECH-01 IVR Number: 811070755219 Receipt Number:474038 Receipt Date: 3/6/20 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54L-726-3753 permitcenter@spri n gfi eld-or. gov Transaction Units date 316120 1.00 Ea 316t20 3t6t20 3t6t20 Description Ventilation fan connected to single duct 1.00 Automatic Balance of minimum permit fees - mechanical 1.00 Ea State of Oregon Surcharge - Mech (12o/o ot applicable fees) 1.00 Automatic Technology Fee Fees Paid Account code Fee amount $13.00 $89.00 $'t2.24 $5.10 224-00000 -425604- 1 03 1 224-00000 -425604- 1 03 1 821 -00000-21 5004-0000 204-00000-425605-0000 Paid amount $13.00 $89.00 $12.24 $5 10 Payment Method: Cash Payer: Juan Carlos Lumus Mendez Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total:$119.34 Printed: 3/6/20 2:15 pm Page 1 of I Fl N_Transaction Receipt_pr --.J Cmv or SpnINGFIELn, ORTGoN 4 Mechanical Permit A Iication arilIg'tE-D 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. ,A 4 Permitro., D0 - UO'l'lol^ /'l I >oDate: 3l ! Government I Commercial +h3Job site address: A hel{State: O?- Taxlot. V <s4roonn+D C.;tea) Wwro>de<Name: J i)a Car ee)Ad&ess: -)a *65).7 frhS State: OR-q"1ZIP: o(PhoneSlI Fax: 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. Q,l CONTRACTOR INSTALLATION Address: State:ZIP: Phone Fax: E-mail CCB license no. Print name: Signature: First Aooliance $ Furnace/'burner including ducts and vents Up to l00k BTU/hr $ Over l00k BTU/hr.$ Eeaters/stoves/vents Unit heater $23.00 $ Wood/pelleVgas stove/fl ue $54.00 $ Evaporated cooler $19.00 $ Vent fan with one duct/appliance I $13.00 $\9 Hood with exhaust and duct $19.00 $ One to four outlets 09.00 $ Additional outlets (each)15.00 $ up to 10,000 cFM $15.00 $ Over 10,000 CFM t26.00 $ Compressor/absorption svstem/heat numn Up to 3 hp/I00k BTU $23.00 $ Up to 15 hp/500kBTU $41.00 $ Up to 30 hp/1,000 BTU $61.00 $ Up to 50 hp/I,750 BTU $78.00 $ Over 50 hp/I,750 BTU 1132.00 $ Incinerators Domestic incinerator $26.00 $ I Enter total valuation ofmechanical svstem and installation costs $ Enter fee based on valuation of mechanical system, etc.$ Miscellaneous fees Cost ea, Total cost Reinspection 1102.00 $ Specially requested inspections 1102.00 $ Regulated equipment (unclassed)i19.00 $ Each additional inspection: (l);102.00 $ ENT USE (A) Enter subtotal ofabove fees (or enter set minimum fee of $ lO2.OOl $ lo> (B) Investigative fee $ (12 x [A+B])(C)Enter 12%$ (D) Seismic fee, l% (.01 x [A])$ (E) Technology Fee (5% oflAl)$ (A through E):TOTAL fees and surcharges $ ltt.?{ Last edited 7ll/2019 Blorles 225 Fifft Street o Springfield,OR97477 . PH(541)726-3753 i FAx(541)'t26-3659 CATEGORY OF CONSTRUCTION KResidential JOB SITE INFORMATION AND LOCATION ZIP:4"qfl ReferencJ: OF WORK PROPERTY OWNER Business name: t\b# City: Residential Qtv.Cost ?q- Total cost il02 00 t23.00 t26.00 Air-handlins units. includins duc s Gommercial DEPART]UIENT USE ONLY Property Owner Statement Regarding Gonstruction Responsibilities Oregon Law requires residential construction permit applicants who are not licensed with the Conitruction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 l2ll This statement is required for residential building, electrical, mechanical, and plumbing permits' Licensed architect and engineer applicants, exempt from licensing under ORS 701.010 (7), need not it this statement. This statement will be filed with the permit.subm Please check the aPProPriate box: 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 lwill 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. t have read and understand the Information and I hereby certify that the information on Notice to Homeowners About construction Responsibilities' this homeowner statement is true and accurate. rlQn< Print Name of Permit APPlicant Sso-. r lq. r',-03- o 6- J-o Signature of Permit APPlicant Date un&-r1 {\lbl }t Permit #: lssued by >o 3 Z-DDate: Address q3 UJq Lta This Copy for Permit Offices I I own, reside in, or will reside in the completed structure and my general contractor is: \o,----. 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