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Home My WebLink AboutPermit Mechanical 2020-03-13SPRINGTIELD OREGON Web Address: www.springfield-or. gov Building Permit Residential Mechan ical Permit Number: 811-19-OOO517-MECH-01 IVR Number: 811063729828 C\t\ of SPrrngt\e\d DeveloPment and Pub\\c Norks 225 Frfth Street Spilnqtie\d, 0R9i {11 541-726-3753 Email Address: permitcenter@springfield-or.gov Permit Issued: March 13, 2020 Category of Gonstruction: None Specified Submitted Job Value: gO.0O Type of Work: None Specified Description of Work: ADU-Converti Garage into an Accessory Dwelling Unit Worksite Address 449 26THST Springfield, OR 97477 Parcel 1703361420500 Owner: Address: WILLIE THOMAS D 429 QUARRY RD SPRINGFIELD , OR 97477 JOB SITE INFORMATION LICEI{SED PROFESSIONAL Business Name SEE PROPERTY OWNER INFORMATION - Primary License Owner (Property) License Number OWNER Phone SCHEDULING INSPECTIONS Va rious inspections are minimally required on each proiect and often dependent on the scope of work. contactthe 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: 811063729g2g schedure using the oregon epermitting Inspection App, search .'epermittin g" in the app store Fee Description Technology Fee Balance of minimum permit fees _ mechanical Clothes dryer exhaust Range hood/other kitchen equipment Ventilation fan connected to single duct State of Oregon Surcharge - Mech (L2o/o of applicable fees) Note: This may not include alt the fees required for this project. Quantity Fee Amount $5.10 9s7.00 913.00 g 19.00 $13.00 912.24 $ 119.34 1 1 1 Permits explre if work ls the issurngag;;.;;;';;;:t "tarted w'thin l8o Davs of lssuance or tf work is suspended for 18o Days or ronger depending on ffl;-H,J":jj#J::lHile!i:ili",T:,H:,?J".'#ij::[f":Tf:,:1-i r whether speciried herein or not. ATTEI{Trot{: oregon law. 'n"'"'ot-'nce ofconstruction. '--' -'- provisions ofany other state or local taw,:;;,:i;j;:;;;;-11'-HJ,"H::T;[1"':lliT,illfi;,,3g;y**;fi:il,:]:I#.T::1?.:;1.:.;^::ff#::ilffi, ',:::,:*:,,,,":::i;i;Xx{;?"ffii:,:H::;:HT,-H;#1ffi;:[,Xffi,H:n,essexemptedbyoRs zot.oto Total Fees: Page 1 of 2 C:\myReports/repo rts/ / production/ O I STANDARD *.. a €6 TYPE OF WORK PERMIT FEES Permit Nurnber:8tr-t9_ooostT_,IrfEcH_o1 Page 2 of 2 C:\myReports/reports//production/01 STANDARD Page 2 of 2 Printed on: 3/13/20 SPRINGTIELD *& Transaction Receipt 81 1 -1 9-00051 7-MECH-01 IVR Number: 811063729828 Receipt Number: 474125 Receipt Date:3113120 City of Springfield Development and Public Works 225 Fifth Street Springfield, OR 97477 54t-726-3753 permitcenter@spri ngfield-or. govORIGON www.springf ield-or.gov Woksite address: 449 26T H ST, Sprin gfi eld, OR 97 47 7 Parcel: 1 703361420500 Transaction date 3t13t20 't.00 Ea Units Description Clothes dryer exhaust Ventilation fan connected to single duct Balance of minimum permit fees - mechanical State of Oregon Surcharge - Mech (12o/o of applicable fees) 224-00000-425604-1 031 224-00000-425604- 1 03 1 224-00000- 425604-'1 03 I 82 1 -00000-21 5004-0000 204-00000-425605-0000 Fees Paid Account code Fee amount $13.00 $19.00 $13.00 $57.00 $12.24 $5.1 0 Paid amount $13.00 $19.00 $13.00 $s7.00 $12.24 $5.1 0 3t13t20 3t13t20 3113t20 3t13t20 3t13t20 1.00 Ea 'r.00 Ea '1 .00 Automatic 1.00 Ea Range hoodiotherkitchen equipment 224-00000-425604-1031 1.00 Automatic Technology Fee Payment Method: Check number: 131 payer: High Caliber property Payment Amount:$1 19.34 Cashier: Katrina Anderson Receipt Total $1 19.34 Printed: 3/13/20 1:46 pm Page 1 of 1 FIN_TransactionRecerpt pr ..,8,.- I Mechanical Permit APPlication 225 Fiffh Street o Springfield,OR97477 . PH(541)726-3753 . FAX(541)726-3689 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. eJ+sF*r*cfl*LD Iryffi Permitno.: t1'OOS1a -il ,o", .al l3 >o E CommercialEl6sidentialE Government Job site address: ZlPState: Taxlot. Name Address 7 \-r-+r, ? Phone:Fax: E-mail: made on property owned by family, and is exempt from installationThis IS m orbeing ofmember immediatemy licensing '7ORS 0 0requirements Business name Address State ZIP: Phone Fax: Print name Signature: Qty.ea.cost ducts and vents $22.00 $to 100k BTU/hr $25.00 $Over i00k BTU/hr sUnit heater s22.00 stove/flue $52.00 $ cooler $18.00 $ Vent fan with one $13.00 $ Hood with exhaust and duct $18.00 $ One to four outiets $ Additional outlets ss.30 $ tol CFM $15.00 $ Over 10.CFM s25.00 $ to3 OOK BTU $22.00 $ to 15 BTU s40.00 $ to 30 ,OOO BTU $s9.00 $ to 50 ,750 BTU $76.00 $ Over 50 ,750 BTU $128.00 $ $25.00 $ Enter total valuation ofmechanical system and installation costs $ Enter fee based on valuation ofmechanical $ Reinspection $99.00 $ Specialll,'requested inspections s99.00 $ $18.00 $ Each additional r)$99.00 $ Enter(A)subtotal of above fees OI enter set mlnlmum fee of $o )fee $ Enter lzyo 12x $ ASeismic fee. 1%o (.01 x $ Fee (5% ofT $TAL E):TO fees sand (Aurcharges through $( Iisr edjred 7/1 /20 I g bjones Crrv oF SPRTNGFIELD, ORrGox DEPARTMENT USE ONLY FEE SCHEDULE Residential Cost Firct Annlience qsq on q [f ao f are/sf avps /wenf s rt s8.48 Incinerators Domestic incinerator Commercial system, etc. Miscellaneous fees Costa.Total cost CATEGORY OF CONSTRUCTION JOB SITE INFORMATION AND LOCATION DESCRIPTION OF WORK OWNER a CONTRACTOR INSTALLATION E-mail: CCB license no.: P ropertY Orrner Statemertt Resarding G onstructton Responsibili$eS Oregon Law requires residential construction permit applicants who are not licensed with the Construction Contractors Board to sign the following statement before a building permit can be issued. (ORS 701.325 (2ll 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 ia Print Name of Permit Applicant of Applicant Date l -f-^r.J 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 submit this statement. This statement will be filed with the permit. I own, reside in, or will reside in the completed structure and my general contractor is: I will inform my general contractor that all subcontractors who work on the structure must be licensed with the Construction Contractors Board. I will be performing work on property I own, a residence that I reside in, or a residence that I willreside in' lf l 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 contractorwho is licensed with the CCB and will immediately give the name of the contractor to the officeissuing this Building permit. Please check the appropriate box: Name CCB#Expiration Date lssued by;Date: tPermit #: Address: This Copy for permit Offices L [vwJ^.,