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HomeMy WebLinkAboutPermit Mechanical 2013-7-29 (2) SPRINGFIELD 225 Fifth St • CITY OF SPRINGFIELD Springfield,OR 97477 ° Phone: 541-726-3753 DREG°" Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 • PERMIT NO: 811-SPR2013-01694 www.springfield-or.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 RTU's • 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 541-485-1417 INSPECTIONS REQUIRED Inspections 2255 Gas Pressure Test 2300 Rough Mechanical Rough Mechanical: Prior to Cover • 2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to • an appliance. _ 2995 Final Gas Final Gas: When all gas work is complete. 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 Contractor Signature Date All ELATION: Oregon law requires you to 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 NOTICE: • calling the center. (Note: the telephc:rb THIS PERMIT SHALL EXPIRE IF THE WORK number for the Oregon Utility Notification Center is 1-800-332-2344). AUTHORIZED UNDER THIS PERMIT IS NOT •COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. • Springfield Building Permit 7/29/2013 9:39:54AM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St Spnngfield,OR 97477 OREGON 541-726-3753 811-SPR2013-01694 www.spnngfield-ar.gov 960 16TH ST permitcenter©spnngfield-orgov RECEIPT NO: 2013001645 RECORD NO: 811 SPR2013-01694 DATE:07/29/2013 n ' O`$:r --n"a''t.,,?'n r ig.` ,.., V-` F1 „E ::,.v:_-CL:27.[LACCOUNT'CODERRANS CODE 14 , 7-i`AMOUN!f DUE Mechanical Permit fee(based on value of work) • 224-00000-425604 1006 1,677.33 Mechanical Plan Review Fee 224-00000-425604 1051 419.33 Special Occupancy Fee 224-00000-425602 1097 16.77 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 201.28 Technology fee(5%of permit total) 100-00000-425605 2099 83.87 TOTAL DUE: 2,398.58 - PAYMENTeTYPE :.. PAYOR,I'P: '?_- '.COMMENts---k Credit Card Nathan Phillips 2,398.58 01588G TOTAL PAID: 2,398.58 • • 'eiSt-.) Mechanical Permit Application DEPARTMENT USE ONLY ,u C 1 E) ra", t ' L C0� 4� t, /f� ✓_ n ,f Permit no.: yet ?n .726-3 d eV-4..„ ( 7/ / 225 Fifth Street• Springfield,OR 97477• PIi(541)726-3753 • FAX(541)726-3689 ' v. Date: /-7 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 (11 Residential El Government /Commercial Residential Qtr, Cost Total ea cost JOB SITE INFORMATIOyN� AND LOCATION First Appliance $79.00 S Job site address: —l1 0 (ftta —. Furnace/burner including ducts and vents City: � n t (a State: e2 ZIP:�y—j7 Up to look BTU/hr. $17.00 S• ” tS " Over 100k BTU/hr. $20.00 S Subdivi ion: (J3 Lot no.: Heaters/stoves/vents a (� , (DESCRIPTION OF JWORK ,OR KQ �l Unit heater $17.00 S • MVAc..fi'u I h-V-. -in -_1•{ akect'I C 4_- . %I Wood/pellet/gas stove/flue S38.00 $ (CAM tail _ C2\ v. `� Repair/alter/add to heating appliance/ J M refrigeration unit or cooling system/ $58.00 S PROPERTY OWNER absorption system Name: NI1 A[LC�VI-LI�Q� �t/� �a� L � n Evaporated cooler $13.00 S I ( tAil I,+ �[{ (¢ Iola Vent fan with one duct/appliance vent 59.00 S Address: f l f/I I J L # - Flood with exhaust and duct $13.00 S City: I Stale: ( ZIP: c�l.t•), ' Floor furnace including vent S58.00 S Phoned (Da— (Et"J I Fax: tom_ 6cL — 334D Gas piping E-mail: One to four outlets 57.00 S This installation is being made on property owned by me or a Additional outlets(each) $4.00 S member of my immediate family, and is exempt from licensing Air-handling units,including ducts . requirements.u'n'der ORS 01.0.10. Up to 10,000 CFM $11.00 $ Signature: 'we e( - [h4.t'E Over 10,000 CFM $20.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Up to 3 hp/100k BTU $17.00 S Business name: etvyl, ii Ftpyf 1 (I46) Up to 15 hp/500k BTU $29.00 S Address:I l i) t J st)I Up to 30 hp/1,000 BTU $43.00 S City:S g)NtA Wl-D I state: 01 ZIP:T14-77 Up to 50 hp/1,750 BTU $57.00 $ Phone:(-72k-0100 ��y ,�I //Faax:gn-q�—Cj99/- Over 50 hp/1,750 BTU $95.00 S E-mail: n1dalle.Ckj1416141Gw• COM) Incinerators VV�ll,� Domestic incinerator $20.00 S CCB license no.: OD Commercial Print name: H �.I N0 Enter total valuation of mechanical system l and installation costs S�fAQo� Signature: Enter fee based on valuation of mechanical system,etc. $tow Rai-- Miscellaneous fees Items Cost Total ea. cost 3 ' Reinspect ion $58.00 S /69'77 3 Specially requested inspections(per hr.) $58.00 S Regulated equipment(unclassed) $13.00 $ Each additional inspection: (1) $58.00 S APPLICANT USE - (A)Enter subtotal of above fees(or enter set minimum fee of $79.00) $ 1oo77.^Y . (B) ) ( R• $ eaq 71 (C)Enter 12%surcharge(.12 x [A+B]) $ 2n114 (D)Seismic fee, 1%(.01 x [A]) - $ /4 r- (E)Technology Fee(5%of[A]) $ In 440-2545-.1(I t/0S/COM) TOTAL fees and surcharges(A through E): $27frae. • •