HomeMy WebLinkAboutPermit Building 2010-10-14
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Mechanical Permit Application
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225 Fifth Stleet. Sp,ingfield. OR 97477. PH(541)726-3753 . FAX(54l)726-3689
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';?OEPARTMENT USE ONLY',',;:,
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SPRINGFIELD fi:~-,it:;,
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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. '
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Reference:
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E-mail:
This installation is being made on property owned by me or a
member of my immediate family, and is exempt ITom licensing
requirements under ORS 701.010.
Signature:
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440-2545-J (I1/08/COM)
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First AODliance I $79.00 $
Ji'urnace/burner including ducts and vents
UplO lOOk BTU/hr. $17.00 $
Over lOOk BTUlhr. $20.00 $
Heaters/stoves/vents
Unit heater $17.00 $
Wood/pelleIigas stove/flue $38.00 $
Repair/alter/add to heating appliance/
refrigeration unit or cooling system! $58.00 $
absorption system
Evaporated cooler $13.00 $
Vent fan with one duct/appliance vent $9.00 $
Hood with exhaust and duct $13.00 $
Floor furnace including vent $58.00 $
Gas piping
One to four outlets $7.00 $
Additional outlets (each) $4.00 $
Air-handling units, including ducts
Up to 10.000 CFM $11.00 $
Over 10.000 CFM $20.00 $
Com pressor/a bsorption system/heat pump
Up to 3 hpil OOk BTU $17.00 $
Upto 15 hp/500k BTU $29.00 $
Up to 30 hpil,OOO BTU $43.00 $
UplO 50 hpil, 750 BTU $57.00 $
Over 50 hp/J, 750 BTU $95.00 $
Incinerators
Domestic incinerator I $20.00 I $
, COmmerCial!:;:?"'!',,':,:';;;;""';' ;;;P':\'.';~~>i . - ,- ,; -;.,.,,),~ -~:,\;~:.. ~:'!. .-.'~;'
EntertotaJ valuation of mechanical system
and installation costs$~O_Cll) ,
Enter fee based on valuation of mechanical system. etc. $
,;;:~i'~:#:~!l~~,~?'~~,~f~~~'J<?~~f>g~~}~W~;;::: i~M~~ ~~:;:~~~;~'f,\;:, ,c, Total,
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Reinspection $58.00 $
Specially requested inspections (per hr.) $58.00 $
Regulated equipment (unclassed) $13.00 $
Each additional inspection: (I) $58.00 $
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(A) Enter subtotal of above fees (or enter set $12~ 'Z -:
minimum fee of $ 79.001
(B) Investigative fee (equal 10 [A]) $
(C) Enter 12% surcharge (.12 x [MB]) $ 1'5'/ ",-
(D) Seismic fee. 1%(.01 x [A]) $
(E) Technology Fee (5% of[A]) $ !#~
TOTAL fees and surcharges (A through E): $ it/7. 7,
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~'OREGON
www.ci.springfield.or.us
TRANSACTION RECEIPT
811-SPR2010-00516
6100 THURSTON RD
CITY OF SPRINGFIELD
225 Fifth St
Springfield, OR 97477
541-726-3753
permitcenter@ci.springfield.or.us
RECEIPT NO: 2010000575 RECORD NO: 811-SPR2010-00516 DATE: 10/14/2010
IDESCRipTi6N~' ;~.:.: '<;~4:;"', "~S:+:#j:\~"~~o~-:;:;+,::::-- ;tJr-;8c:.<iQjrN;r"-<:'QP~'_;-';~..:;{:;-'r4MQj.J1:{rDUE';' ::," 1
Mechanical Permit fee (based on value of work) 224-00000-425604 $126.25
Technology fee (5% of permit total) 100-00000-425605 $6.31
State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 $15.15
TOTAL DUE: $147,71
1:-,-PAYMENlLlipE'{Y:~_PAYORC"q~sHiERTcCAR~ENfER~ic:.b=MMEN:I$:';';::-f4":--~ ,," '-'1" "t\MOUNTPAiD _ ;;+: _ I
Credit Card
050056
SUNSET HEATING & AIR INC
$147.71
$147.71