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Home My WebLink AboutPermit Mechanical 2013-7-29 SPRINGFIELD 225 Fifth St • �^ CITY OF SPRINGFIELD • Springfield,OR97477 tt. a - '. Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541J26-3676 PERMIT NO: 811-SPR2013-01699 • www.springfieldor.gov permitcenter@springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/29/2013 EXPIRES: 01/24/2014 STATUS DATE: 07/29/2013 APPLIED: 07/26/2013 • SITE ADDRESS: 960 16TH ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703362204603 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Heart Associates Exhaust hood,MAU and VAV OWNER: MCKENZIE MEDICAL LLC Phone Number: ADDRESS: 541 WILLAMETTE ST STE 109 EUGENE OR 97401 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor COMFORT FLOW HEATING CO CCB 460 06/27/2015 • 541-726-0100 General Contractor MEILI CONSTRUCTION CO CCB 63771 01/20/2014 541-465-1417 INSPECTIONS REQUIRED Inspections 2115 Exhaust Duct • 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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. 7/a%3 Owner or Contractor Signature Date ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth NOTICE: in OAR 952-001-0010 through OAR 952-001- TNIS PERMIT SHALL EXPIRE IF THE WORK calling the may eras (Note1: the telephles by AUTHORIZED UNDER THIS PERMIT IS NOT fibmber for the Oregon Utility Notification COMMENCED OR IS ABANDONED FOR Center is 1-800-332-2344). ANY 180 DAY PERIOD. • • Springfield Building Permit 7/29/2013' 9:39:05AM Page 1 of 1 SPRINGFIELD-- CITY OF SPRINGFIELD r t TRANSACTION RECEIPT 225 Fifth St Spnngfteld,OR 97477 ^p" .OREGON 541-726-3753 811-SPR2013-01699 www.spnngfieldor.gov 960 16TH ST perrnitcenter @ spnngfield-or.gov RECEIPT NO: 2013001646 RECORD NO:811SPR2013-01699 DATE:07/29/2013 je7 'io1:71:4tl[o7'k�,-�._u't :12- W�?ti,±1t _tom°-_' -_`ACCOUNS:CODETI-RANSCODE . - AMOUNT DUE'. Mechanical Permit fee(based on value of work) 224-00000-425604 1006 418.46 Mechanical Plan Review Fee 224-00000-425604 1051 104.62 Special Occupancy Fee 224-00000-425602 1097 4.18 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 50.22 Technology fee(5%of permit total) 100-00000-425605 2099 20.92 TOTAL DUE: 598.40 saPrME N�.T TYPE cnsw_e.R:c cn RPe wTER :.,,,- -COMMENTS . . 12; . AMOUNTPAID- ,a...�a Credit Card Nathan Phillips - 598.40 01588G TOTAL PAID: 598.40 • • • • • IWk I55C-t -LJ Nc.1LVWed Mechanical Permit Application DEPARTMENT USE ONLY o^r--- •.._ r^ erarwano,oe " °u�C TY OHaS'PRIIGII tU1�113' WRIJGOI _k-�,, cawbl Permit no.: ,5/3'70 ' 225 Fifth Street• Springfield,OR 97477• PH(54I)726-3753 • FAX(54p726 3689 ,---, 1 � i Date: 7/2V S • 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 FEE SCHEDULE ❑Residential ❑Government /Commercial Residential tv Cost Total Q ea. cost JOB SITE INFORMATION AND LOCATION First Appliance $79.00 $ Job site address: 91 0 I b- S- Furnace/burner including ducts and vents City:phyt. B e1 I, A State: — ZIP:CrLj� Up to 100k BTU/hr. $17.00 S 1 U Over 100k BTU/hr. $20.00 $ Subdivision: Lot no.: DESCRIPTION OF WORK Unit Heaters/stoves/vents �i^ Unit heater $17.00 $ �� Fte*�Asp, fu 3d �YTT Wood/pelleUgas stove/flue $38.00 $ I.i,1 I ei �&i p w vA/ Repair/alter/add to heating appliance/ r6'w� �G6 Pan[ +t'r refrigeration unit or cooling system/ $58.00 S PROPERTY OWNER absorption system Name:Mick/nits itteeckep,X LLL Evaporated cooler $13.00 $ -.. SL{( 1.';I A I^/ (A ll i o e Vent fan with one duct/appliance vent $9.00 S Address: W 1" al- -ia' V Hood with exhaust and duct $13.00 $ City: State: ZIPg71-101 Floor furnace including vent $58.00 $ • Phone: - (06(2--i Fax: rt4 I - r tt_ otm Gas piping _ E-mail: One to four outlets $7.00 $ This installation is being made on property owned by me or a Additional outlets(each) $4.00 $ member of my immediate family, and is exempt from licensing Air-handling units,including ducts . requirements ts KM to under ORS 701.010. Up 10,000 CFM $11.00 $ Il Signature: eat N'ek Over 10,000 CFM $20.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Business name: Corvl_ ��[,pv'( I I ;47 Up to 3 hp/100k BTU $17.00 $ ��u�' ' ' -_V1 Up to 15 hp/500k BTU $29.00 $ Address:�� v } SA), Up to 30 hp/I,000 BTU $43.00 $ City:5 rinvti j ELD I State: enzip:€9.1_77 Up to 50 hp/1,750 BTU $57.00 S Phone:441-72k—Q(oQ � �'II /�Fa'x:y+ffgij—y99/- Over 50 hp/I,750 BTU $95.00 S E-mail: nlela ntf CAVVLIOt4 P1614. Qbt u Incinerators Domestic incinerator I I $20.00 I $ CCB license no.: A Commercial Print name: �I l L'VI Q Enter total valuation of mechanical system n and installation costs$ 21) OI�, Signature: o n„ ,, �/,l Q/c v"-_ Enter fee based on valuation of mechanical system,etc. $ //6 Miscellaneous fees Items Cost Total ea. cost �(� �/�•,,.-,-__.' .-11,6,�, Reinspection $58.00 $ -J„L -WV i 02VVIT'2 C* - ,••I- Specially requested inspections(per hr.) $58.00 __$ 2�' /,I 1 1 Regulated equipment(unclassed) $13.00 S ifs © tI_ S n-7o1 - o I� Each additional inspection:(I) $58.00 S 9999�� VV 1I V r Ir\LCJ APPLICANT USE (A)Enter subtotal of above fees(or enter set tea/ minimum fee of $79.00) $ y1fi�0 (B)Investigative fee(equal to[A]) $ yz (C)Enter 12%surcharge(.12 x[A+B]) $ (D)Seismic fee, I%(.01 x [A]) $ ii i- (E)Technology Fee(5%of[A]) $ �/��q^�%�' 440-2545-1(I I/08/COM) TOTAL fees and surcharges(A through E): $ �!/tt 0 ..