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Home My WebLink AboutPermit Mechanical 2013-7-31 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 rL + Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01712 www.springfield-or.gov permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 07/31/2013 EXPIRES: 01/26/2014 STATUS DATE: 07/31/2013 APPLIED: 07/30/2013 SITE ADDRESS: 3198 GATEWAY ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703222002700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace RTU OWNER: LEE FAR MAN Phone Number ADDRESS: 90790 COBURG RD EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor PRIORITY ONE HEATING 8 AIR CONDITIONING INC COB 154686 03/30/2015 541-689-1004 INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 2999 Final Mechanical Final Mechanical: Wien 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 • Oregon law requires you to Allow rules opg the Oregon Utility follow rules adopted by Notification Center. Those rules are set forth uTi CE: in OAR 952-001-0010 through OAR 952-001- HIS PERMIT SHALL EXPIRE IF THE WORK 0090. You may obtain copies of the rules by UTHORIZED UNDER THIS PERMIT IS NOT calling the center. (Note: the teleph:,,'t' on Utility Notification COMMENCED OR IS ABANDONED FOR number for the Oreg ANY 180 DAY PERIOD. • Center is 1-800-332-2344). • • Springfield Building Permit 7/31/2013 11:17:28AM Page 1 of 1 SPRINGFIELD" CITY OF SPRINGFIELD 1, 225 Fih St TRANSACTION RECEIPT Spnngfeld,OR 97477 .OREGON 541-726-3753 811-SP R2013-01712 www.spnngfieldor.goy 3198 GATEWAY ST permitcenter @spnngfield-or.gov RECEIPT NO: 2013001669 RECORD NO:811SPR2013-01712 DATE:07/31/2013 (DESCRIPTION T:: --' ACCOUNT CODE/TRANS CODE . AMOUNT DUE Mechanical Permit fee(based on value of work) 224-00000-425604 1006 141.96 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 - 17.04 Technology fee(5%of permit total) 100-00000-425605 2099 7.10 TOTAL DUE: 166.10 LPAYMENT TYPE PAYOR' CASHIER:CCARPENTER .' COMMENTS AMOUNT PAID _ Credit Card TINA MILLIGAN 166.10 08628G TOTAL PAID: 166.10 fu!201302:tCp • SPRINGFIELD .•_.,. •n ppI /�}y�t/ �+ MyY�1 RR{�E$ i,,, . ,, T';,., ouch r4.., „ ,t itil, i h`, s,:li� 0i�,it }•i �.)'!; i,ilaw ttp. _ ,� 1 putt i [r VI l '1rit11 CIF iCrrbh f.h AEI'>MT.!u�:Vl � �i ,. ! k • l APp::w.ucu❑(XI 11 2--7 l3 ,. OREGON 235 TF, TREE;.. Penns:: s,:rdiJi3FuEl.D. OP 97477 7"- °HC A, , 1,172.3-3763 LInstallation Andress. 4—_ -6...E Y.4.114/ ("Ma ��C � r'.:;.. ,.,-,17 r.. -;c,6 - `----- _ N'i'IY 5.:r:OyN.ieid-:1:_OC COMMERCIAL MECTIAVICAL PERMIT WORKSHEET • in order to determine code complian.e of the proposed installation please provide the following information in addition to the permit application: l)Legible copies of the new equipment's manufaciurer's listing.cuisheets . and installation instructions.2)CoinCheck energy compliance forms,and 3) *when required, wet-signed engineering calculations and structural details for seismic bracing. Please complete all fields-aae Nei', where not applicable. Old Eauipment New or Repiacement Equipment* Type & Model ( c_.4'(=r- (1 AC/Li e-,12, I'(:N-" ; r. Unit Weighs* .S /. Capacity(BT-U.Ton,etc.) /, - ---- Efficiency Rating(HSPF,SEER,era.)-- - -� S}�.:`- - _—.--_ ---r �-r.1,, r t:�" .— Outdoor Air supplied(CFM)*t ----_2±± 1-__c_---------- Ventilation •supplied(CENT)** _--_ C — _—_ — -- Exhaust Rate(CFM)** " rs Stn,cntral Seismic Bracing* ❑Yea ❑ No Yes DNo is this installation within a Special Flood Hazard Area as deteimined by FEMA? CI Yes Ed-No Prepared and signed by: Building Owner Cl Contractor p Design Professional❑ I certify that the information provided above is complete and accurate to the best of my knowled ;e: Signed: _ ,•• j_ . i Date / - Print Name: - %c;/.(:` �.lr/1,: .... — CC1.-3 or Design Professional license Number: j -'C1(-t; — • *New and replacement equipment shall have s:ismic bracing de_siied by an Oregon Registered Engineer and installed in aituadano: with the Engineer's design per OSSC 1613.7.6,1513.7.7 and ASCE 7-05 section !3.1,4. Exceptions: - I. Equipment weighing 400 pounds or less and mounted 4 feet or less above a floor or roof level. 2. Components weighing 75 pounds or less.(5 pounds for distribution systems)) 3. Replacement equipment which weighs the same or less than the equipment it replaces.uses the s mte seismic attachment and bracing,and is installed in the exact same location as the old equipment will he field-ovalua!ed by the Inspector for compliance.Additions;seismic bracing and accompanying engineering may be required barred an the Inspector's evaluation.The original Engineering for the replaced equipment if provided for review mcy he acceptable. **If outdoor air supply,ventilation or exhaust rate is reduced,provide calculations,specifications and plans for the mechanical ventilation system including the required outdoor air ventilation and the required exhaust ventilation showing compliance with OD,iSC section 4034 abtc 403.3 N� �poG15 . Jul 22 13 04:13p p.2 • • Mechanical Permit Application I DEPARTMENT USE ONLY SPRINGFIELD CITY OF SPRINGFIELD •OREGON Permit no.: lee- /7/2 .225 Fifih Street • Springfield,OR 97477 • PH( 4 1)7 2 6-3 7.53 t FAX(541)726-3669 1110 /�t, /.�EGON Date: / This permit is issued under OAR 918-440-0010. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. . CATEGORY OF CONSTRUCTION I FEE SCHEDULE ' ❑ Residential I ❑Government I [3Commercial Residential f Qty- Cast Total JOB SITE INFORMATION AND LOCATION I ea' cost • First Appliance $R0.00 $ Job site address:3115 (,-rot .'Y�Y-sans S'�t - Fu ranee/burner including ducts and vents City: 5p 1io e2.j� I`Sla't'e:: _. Z1P:a�C.' b1 Up to IOOk BTUdtr. $18.50 $ Reference/2)j Over Zook BTU/hr. $22.00 $ 2226 027001 Taxlot.: I Heaters/stores/vents DESCRIPTION OF WORK Unit heater $42.00{-VP& Wood/pellet/gas stove/flue 542.00 $S. Repair/alter/add to heating appliance/ PROPERTY OWNER refrigeration unit or cooling system/ $30.00 $ absorption system Name: CEr Felix- /✓en', Evaporated cooler 514.50 5 Address: Vent fan with one duct/appliance vent $10.00 S /�-r,r4. - ? c /� 97 � Hood with exhaust and duct City: (i "v'Cj Stale: [,'/ _ ZLP: / I 514.50 $ Floor furnace including vent $80.00 $ Phone: - - Fax: - - . Gas ng i t PP 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 701.01(1, Up to 10,000 CFM I $12.00 $ Signature: Over 10,000 CFM I $22.00 CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Business name: Pe o,c4 i ONE. EfTiMc� y Up to 3 hp/IOOk BTU $15.50 $ Up to 15 hpi5DDk BTU $32.00 $ Address:43ao smi ytt-ce 5T•515 I I I /T� Ttt)0 Up to 301tp/1.000 BTU $47.50 S City: � i_t State: Q ZIP:Q' oa Up to 50 hp/1,750 BTU $62.50 $ Phunt /-N- -100z4. Fla ��-CICj� Ova'501tp;1,750 BTU $104.50 ; $ E-mail: incinerators ____ CCB license no.: '�1 2a/-Nt tl/ 1- '414 Domestic incinerator $22.50 $ WIJkfZ..]L- l I Lig Commercial Print name: �,(/'1 Enter stall valuation uJ'Jrr�},talticel system and installation costs$ (�CFFQO Signature: Enter fee based on valuation of mechanical system,etc. VW`/v Miscellaneous fees Items Cost Total ea. cost t Reinspection $80.00 $ ' Specially requested inspections(per hr.) $80.00 S Regulated equipment(unclassed) $14.50 S Each additional inspection: (I) $30.00 $ APPLICANT USE (A)Enter subtotal of above fees(or cruet set minimum fee of$20_00) $ /fj . (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x [A+BI) $ os (D)Seismic fee. 1%(.01 x[A]) S (E)Technology Fee(5%of[A]) $ re-- 410-2515-f(411/2013/COM) TOTAL fees And surcharges(A through E): $/G6