HomeMy WebLinkAboutPermit Building 2013-05-08 (2)ffi CITY OF SPRINGFIELD
Building / Residential Permit
PERMIT NO: 811€PR2013-00800
22s Fifth st
Springfield,OR 97477
Phone: 541-726-3753
I nspection Phone: 541 -726-3769
Fax: 541-726-3676
perm itcenter@spri ngf ield-or. gov
EXPIRES: '1110312013
ww. springfleld-or. gov
PROJECT STATUS
STATUS DATE:
lssued
05/08/2013
ISSUED:
APPLIED
05/08/2013
04t19t20'13
SITE ADDRESS: 2515 31ST ST, Springfield, OR97477
ASSESOR'SPARCELNO: 1702193400400
PROJECT DESCRIPTION: Addition to SFD
SCOPE: Mechanical Only
ryPE OF STRUCTURE: Residential
OIIYNER:
ADDRESS:
BRANDT B J
PO BOX 1312
SPRINGFIELD OR97477
Phone Number:
CONTRACTOR I N FORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
Mechanrcal Contractor IVIARSHALLS INC CCB 25790 1212312013 541-747-7445
General Contractor HOME STYLES INC UUtr 89219 0?,19t2014 541-345-8000
INSPECTIONS REQUIRED
lnspections
2200 Underfl oor Mechanical
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2999 Final Mechanical Final Mechanical: \Nhen all mechanical work is complete
By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all
information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the
Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO
OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further
certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the
permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during
construction.
I -I:6rr, '' t/ (ur, r' -'
Owner or Contractor a,n*P-ete
Spnngfield Building Permit 51812013 1:45:27PM Page 1 of 1
Underfloor Mechanical. Prior to insulation or decking and including required testing.
follow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
calling tlre center. (Note: ihe telephone
nLrrrber for the Oreglon Utiiity lt:olli:ceitron
Center is 1-800-332-2i1.i+).
AINTICE:
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rvww. sprin gfi eld-or. gov
CITY OF SPzuNGFIELD
TRANSACTION RECEIPT Springfield,OR 97477
225 Fifth St
81 1-SPR2013-00800
25,15 31ST ST
541-726-3753
permitcenter@spnngfield-or. gov
RECEIPTNO: 2013000905 RECORD NO: 81 1€PR201 3-OO8OO DATE:05/08/20i3
224-00000-425604
Range hood/other kitchen equipment 224_00000425604
Single-duct exhaust (bathrooms, toilet compartments, utility roomr 224-ooooo-42s604
State of Oregon Surcharge (12% ol applicabte fees) 821-OOOOO-215004
Technology fee (5% of permit total) 100-00000-425605
1006
1006
1 006
1 099
2099
80.00
14.50
20.00
13.74
Eaa
TOTAL DUE:133.97
Credit Card
082897
HOME STYLES INC 133.97
TOTAL PAID:133.97
First Appliance Fee
TYPE CCARPENTER
Mechanical Permit Application '*"""*j"*
DEPARTMENT USE ONLY
Permit no.: t l3 - 7A0
Date: '1 l1+ / r7
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.
CATEGORY OF CONSTRUCTION
E Residential E Government flCommercial
JOB SITE INFORMATION AND LOCATION
Job site address: 2S t 5 3 t t'S +
City:\,+..^of.g1s State:(}(ztP 11tt z
Reference:Taxlot.
D OF WORK
frr.ov(- S,l-a.k l-zalat o .\.k-! ar.zK-
OWNER
Name \
Address: Z-{iS '3ir'
City: Sa-,^^L.t)State: & (zrP.. 't 7? 7 7
Phoneft'1 -lit- ?l.ts Fax:
E-mail:
me or a
licensing
)
INSTALLATION
Business name:
Address: t/ lc t
S ci\State; c .?ZIP:'i"l11L
pnonefl:hy'- -ttrs Fax
E-mail
CCB license no.
Print name:
Signature
Residential aty.Cost
ea.
Total
cost
ducts and vents
$18.50
First s80.00 $
$up to 100k BTU/hr.
urner includ
Over l00k BTU/hr $22.00 $
Heaters/stoves/vents
Unit heater $18.50 $
Wood/pellet/gas stove/fl ue $42.00 s
Repair/alter/add to heating appliance/
refrigeration unit or cooling system/
absorption system
s80.00 $
Evaporated cooler $14.50 $
Vent fan with one ducVappliance vent Z-$10.00 $zo
Hood with exhaust and duct s14.50 $/qt,
Floor furnace including vent $80.00 $
Gas piping
One to four outlets s7.s0 $
Additional outlets (each)s4.50 $
Air-handling units, including ducts
up to 10,000 cFM s12.00 $
Over 10,000 CFM $22.00 $
Compressor/absorption system/heat pump
Up to 3 hp/100k BTU $18.s0 s
Up to 15 hp/500k BTU s32.00 $
up to 30 hp/1,000 BTU s47.50 s
Up to 50 hp/1,750 BTU $62.50 $
Over 50 hp/1,750 BTU $1 04.50 $
Incinerators
Domestic incinerator $22.50 $
Enter total valuation ofmechanical system
and installation costs $ _
Enter fee based on valuation of mechanical system, etc.$
ltemsMiscellaneous fees Cost
ea,
Reinspection $80.00 s
Specially requested inspections (per hr.)s80.00 s
Regulated equipment (unclassed)$14.50 $
(A) Enter subtotal of aboye fees (or enter set
minimum fee of $ 80.00)
s80.00
lq9
$
$
USE
Each additional (r
(B) Investigative fee (equal to [A])s
(C) Enter 12oZ surcharge (.12 x [A+Bl)$ t3y
(D) Seismic fee,l%o (.01 x [A])$
(E) Technology Fee (5% of [A])$r2
TOTAL fees and surcharges (A through E):$ t)3il440 -25 4 s -r (4t I t20 13 I COM)
FEE SCHEDULE
Gommercial
Total
cost