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Home My WebLink AboutPermit Mechanical 2013-7-16 • SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 GREG°" Building / Commercial Permit Inspection Phone: 541-726-3769 • Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01606 www.springfield-or.gov permitcenter©spnngfield-or.goy PROJECT STATUS: Issued ISSUED: 07/16/2013 EXPIRES: 01/11/2014 STATUS DATE: 07/16/2013 APPLIED: 07/16/2013 SITE ADDRESS: 529 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Type I Hood and Exhaust fan • OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number: ADDRESS: 7831 SE STARK ST STE 103 PORTLAND OR 97215 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor BILL MARTIN CONSTRUCTION INC GCB 186781 05/19/2015 541-954-9144 INSPECTIONS REQUIRED 1 Inspections 2530 Kitchen Exhaust/Commercial Hood 2999 Final Mechanical Final Mechanical: When 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. Owner or •ntractor Signature Date NOTICE: ATTENTION:ollow rules Oregon adopted by law the requires Oregon you to Utility THIS PERMIT SHALL EXPIRE IF THE WORK f • AUTHORIZED UNDER THIS PERMIT IS NOT InoOAR 9 5 2-001 10 01 0 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the teleph a;o numberCente rise 1-800-332-2344).Ification • • Springfield Building Permit 7/16/2013 2:31:47PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD • - 225 Fifth St C( e EGON TRANSACTION RECEIPT Springfield,OR 97477 541-726-3753 811-SPR2013-01606 vmnw.spnngfield-or.gov 529 W CENTENNIAL BLVD permitcenter©springfield-or.gov RECEIPT NO: 2013001545 RECORD NO: 811-SPR2013-01606 DATE:07/16/2013 {eja,iI:hi ciDI it ,cIf°d1,Q? .i ;r ; a _,. -.' 4.:ACCOUNT CODERRANS'CODE9,ti =sx.SQ'`AMOUNT DUE: 1 Mechanical Permit fee(based on value of work) 224-00000-425604 1006 162.61 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 19.51 Technology fee(5%of permit total) 100-00000-425605 2099 8.13 TOTAL DUE: 190.25 4-02:1YMENTmTYP.E W,.PAYORIcnsl$ER'c Zigil'rER __ea COMMENTS'. AMO INVA 14 ,, ' ` Check BENEDETTI's 190.25 1757 TOTAL PAID: 190.25 • • • .Mechanical Permit Application DEPARTMENT;USE ONLY 'i- tit4 uTe £ i ' » * `ti a r- a'+t?, : `i`Y"+ '* SPRINGFIELD +wr x, �eIT-Y ®.F SPRING.FIELD;QREGON P§ . 5 ; ,, Permit no.: 99,7'/(O $W ,a.5 r+ 3. dazi:.ma •,n„Y+ se?e`FC• vu.c.v.rr4 4 t^„.. _'- - ;..a'�Z rF: —7� 225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 t *: r _ Date: ( /6"fr 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. I , ;CATEGORY_,*OF;,CONSTRUCTION .21:'<`'.:5'1:i:`:5; " ,,,, y, ., ANY..._EE,SCHEDULE a' to-a w ,. t ,” Pd TeisCost Total ❑Residential ❑Government Commercial Residential ,io-y , x : Qty tr eaE,`, ..;cost=-..i .' "JOB_;'.SITE,INF,ORMATION.AND,�LO1CATION ' _ ,, First Appliance s $80.00 S Job site address: DO (o- Ce•\Aek"tisca L Q\VJ Furnace/burner including ducts and vents - City: &?Q-i 1 t3-Le,U State: Cie_ ZIP:0/y 77 Up to 100k BTU/hr. $18.50 $ J Over 100k BTU/hr. $22.00 $ Reference: Taxlot.: Heaters/stoves/vents ,,�iS 3, x, 0ESCRIPTIONi OELWWORK, ii" ' . "r,-hi Unit heater $18.50 $ ( y' -4 - / jEvg-mt S) Wood/pellet/gas stove/flue $42.00 $ Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ ' $ :' _+_^'�wS4PROPERTY"OWNER iyri, .�a"z ;,,.;;;�'r:N absorption system Name: � �-64t2 r 1,), VII Evaporated cooler $14.50 $ Vent fan with one duct/appliance vent $10.00 $ Address: Hood with exhaust and duct $14.50 $ City: Vo (A, / State: d V- ZIP: Floor furnace including vent $80.00 $ Phone: - - Fax: - - - Gas piping E-mail: One to four outlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 $ member of my immediate family, and is exempt from licensing Air-handling units, including ducts requirements under ORS 701.010. Up to 10,000 CFM $12.00 $ Signature: Over 10,000 CFM $22.00 $ u`ni4;CONTRACTOR INSTAL LATION 1Et t`;°.-,;;" Compressor/absorption system/heat pump �An /i Up to 3 hp/100k BTU $18.50 $ Business name: Y t t l� n Up to 15 hp/500k BTU $32.00 $ Address: 4L t-er1AL LOUL1r J Up to 30 hp/1,000 BTU $47.50 $ City: f.t) yy)c- State:tie ZIP: 0f1 qo 1 Up to 50 hp/1,750 BTU $62.50 $ Phone:!(--45f `(]yy,/ Fax: - - Over 50 hp/1,750 BTU $104.50 $ E-mail: $t,(@ illAtt-i-∎A C✓c� eon:Sires'C,'f Yt�r).Lp1M Incinerators t1 n � Domestic incinerator $22.50 $ f O Cl CCB license no fCommEfcial"ti,4°`,jaw y v#I g S I:{E ate0 Print name: Enter total valuation of mechanical system and installation costs$_EL°9 c 0 Signature: Enter fee based on valuation of mechanical system,etc. . $ "' ) v:as r s vt 2 s ,"t 'c' - .Cost Total ?; Miscellaneous fees dry".t.11 1 Ittems I'r':,„ea `cost,, Reinspection $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50. $ . Each additional inspection:(1) $80.00 $ "ka".' APPLICANT USEara , a r.' (A)Enter subtotal of above fees(or enter set $ `/ e> minimum fee of $80.00) l/ 2 .� O (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ NSA (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $A 440-2545-J(4/1/2013/COM) TOTAL fees and surcharges(A through E): $,9O 2 .