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Home My WebLink AboutPermit Mechanical 2013-8-21 • SPRINGFIELD` -- 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 6K„ tw Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01867 www.springfield-or.gav permitcenterQspringfield-or.gov PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014 STATUS DATE: • 08/21/2013 APPLIED: 08/20/2013 SITE ADDRESS: 870 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Heating System ASSESOR'S PARCEL NO: 1703274303500 - TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: MEC-Install 3 split heat pump systems OWNER: AD&H PARTNERSHIP Phone Number: 541-746-6574 ADDRESS: 870 W CENTENNIAL BLVD SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor SCOTT EDWARD CARTER CCB 191625 08/16/2014 541-731-9627 Mechanical Contractor BEYMER HEATING&SHEET METAL CO CCB 4483 11/14/2014 541-688-5004 _ INSPECTIONS REQUIRED Inspections 2300 Rough Mechanical Rough Mechanical: Prior to Cover 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 constructio . ►! .11r1 SZI1� Owner or Contractor Signature Date VU" law require Utility e on e prego!'e Set forth pTTENS10NadePeoho eruhOPR952-p0A �wDRK follow rote Gente throu0 r rules by ooi-ooio °t the DtX \\;v.c SNDj No0 PRt952-may °bta,n Nepee the tel YP cation cote e'.t y o \ uIW PE MSS S NDc..s; �D tVEO FDA 009all',n9 the the Ore9°n 332 23��. 1\-\ tD D \S PDP numberGeeker is t $oo PujNDR GED D��tpD. COpRMEN D P� P 81 0 • Springfield Building Permit 8/21/2013 11:01:12AM Page 1 of 1 SPRINGFIELD CITY OF S 1 225 Fifth SPRINGFIELD \FOR TRANSACTION RECEIPT 225 Fifth OREGON 541-726-3753 811-SPR2013-01867 www.springfleld-ar.gov 870 W CENTENNIAL BLVD permitcenter@spdngfield-or.gov . RECEIPT NO: 2013001818 - RECORD NO:811-SPR2013-01867 DATE:08/21/2013 1 0 1 .Y m i t a t c g. :4 rra-17,- 1 1 1 r a k t r ''' ACCOUNTCODE/FRANS:CODE4aa;,r.-',-;r AMOUNT DUE'ti Mechanical Permit fee(based on value of work) 224-00000-425604 1006 296.84 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 35.62 Technology fee(5%of permit total) 100-00000-425605 2099 14.84 TOTAL DUE: 347.30 PBAYMENWTYPE P.AY,OR casRieR:,Deowrsi COMMENTS. AMOUNTgPAID. Check , BEYMER HEATING&SHEET METAL 347.30 ' 50352 TOTAL PAID: 347.30 • Mechanical Permit Application , DEPARTMENT,USE ONLY 4 SPRINGFIELD �- CIT �SPRINGEIELD,;OREGON .�", k Permit no:: Y.O .� ...,�K. - �.�. 225 Fifh Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 _"_'__: 9 Date: 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'Ol CONSTRUCTION ` ' 0. i F.EE SCHEDULE ±'' .r u ,4mA ti5s ' r Cost :Tota❑Residential ❑Government Commercial &Residential v n Qh ea , ciist : JOB jSITE INFORMMr�,,1A1TIrO_N"AND ;LOCATION,;- , First Appliance $80.00 $ Job site address: $--lp Vv- (S!In-`Q alita bq Furnace/burner including ducts and vents City:� � State: ZIP:on- ,,- Up to 100k BTU/hr. $18.50 $ Over 100k BTU/hr. $22.00 $ Reference 0 3 11C-C3. S , Taxlot O5SaC Heaters/stoves/vents , tDECRIPTIONfaOFWORK. k ,,, , Unit heater $18.50 $ -Iciktkk.11 .--klivee 5f.ki }WGCCiklp / ) S, Wood/pellet/gas stove/flue $42.00 $ Rep4ir/alter/add to heating appliance/ _ refrigeration unit or cooling system/ $80.00 $ :S r ,n 111,PROPERTY,',QWNER1. ,c `z ,,,.-F't t absorption system Name: Ihprrac ito T1sSJ A b fig Pntt_c t..$ki., Evaporated cooler $14.50 $ 1 Vent fan with one duct/appliance vent $10.00 $ . Address: S 7 U W. Ct., w.� ��C Hood with exhaust and duct $14.50 $ City: spices I State: all—I ZIP: InY 71 Floor furnace including vent $80.00 $ PhoneS4-7C4-GS-74- I • Gas piping E-mail: —f(jm G .44)pC_,c_dm 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 $ e= � C O NTRACT_ORINSTALATION"t, t 4: Compressor/absorption system/heat pump Business name:�J] i , A NIJ qrLx.�}V] �Cb, Up to 3 hp/100k BTU $18.50 $ __VV ✓ Up to 15 hp/500k BTU $32.00 $ Address: j� 9 ' r Up to 30 hp/1,000 BTU I $47.50 $ City: Q r Ii-Q� I State: J ZIP:Cj 119&(4" Up to 50 hp/1,750 BTU $62.50 $ Phonipl] scj c7C)ft�t+ I Fat 'f-WS f Over 50 hp/1,750 BTU $104.50 $ E-mail: C ". LQ- ;` \Otk_t t#L Can Incinerators Domestic incinerator $22.50 $ CCB license no c5 Commercials; ; '2 'rtg`1 a1 i-Na* dam ; Print name: nt+r/ U• tr 1; 11:1 — Enter total valuation of mechanical system , �a i and installation costs$ ZZ ,zq Signature: 4 '__,A,, a %._ Enter fee based on valuation of meth ¢al system,etc. $ F' xe �tc1 ^s- s.',�t*. „�rt;:.t��''t-'� Cost Total�?:' ,=Miscelanos fes_yy { tVems!�,C,ea cost Reinspection I $80.00 $ - cfpx U,^ beA-it ,y \Q F Specially requested inspections(per hr.) $80.00 $ t{ , 1n VVV Regulated equipment(unclassed) $14.50. $ H-`� S 2 -- ^ /� G Each additional inspection:(1) $80.00 $ vl Mfr: IVIS 'ar„ Aif [CA dart -teit, ig$,,a * (A)Enter subtotal of above fees(or enter set 0' minimum fee of $80.00) $ 2/r Q� (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x[A+B]) $ 3s-62- (D)Seismic fee, 1%(.01 x[A]) $ (E)Technology Fee(5%of[A]) $ l al 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ 31.I 7.. ii SPRINGFIELD • 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 .kid Phone: 541-726-3753 - OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-01868 www.springfieldor.gov - permitcenter @springfeldor.gov PROJECT STATUS: Issued ISSUED: 08/21/2013 EXPIRES: 02/16/2014 STATUS DATE: 08/21/2013 . APPLIED: 08/20/2013 SITE ADDRESS: 870 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Electrical Only ASSESOR'S PARCEL NO: 1703274303500 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: ELE-Install 3 split heat pump systems OWNER: AD&H PARTNERSHIP Phone Number: .541-746-6574 ADDRESS: 870 W CENTENNIAL BLVD • SPRINGFIELD OR 97477 • CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Electrical Contractor SCOTT EDWARD CARTER CCB 191625 08/16/2014 541-731-9627 Mechanical Contractor BEYMER HEATING&SHEET METAL CO CCB 4483 11/14/2014 541-688-5004 INSPECTIONS REQUIRED Inspections 4500 Rough Electrical Rough Electric: Prior to Cover 4999 Final Electrical Final Electric: When all electrical 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 thejront of th- • ;•erty,and the approved set of plans will remain on the site at all times during construct ( .� 411 'iv Owner or Contractor Signature Date on la'V fetu'egotk OVOW . NTION Ore ted by the(Dreg settorth K pTTE adoP those ru Rg52-oo� 1FTHE - follow rules te0p10 through oPhe rules by Ez* MIT IS NOT 1,100ca•0:270 yes r S3 NOI�PEgo slat PHIS pER in OPRyou may obea�IN e.the k,„,a,Gairon THIS ND FOR the Gen e Lego"tlti1tt234Q� AUTHORIZED FOR AS.ABA ONED ooeo COMMENCED nalmber tot the A-8p0 ss2 pAY PERIOD* ceoter is ANY 180 • Springfield Building Permit 8/21/2013 10:59:07AM Page 1 of 1 SPRINGFIELD`_, CITY OF SPRINGFIELD 225 Fifth Sl tE�oN TRANSACTION RECEIPT Spnngfield,OR97477 541-726-3753 811-SPR2013-01868 wwwspnngfield-or.gov 870 W CENTENNIAL BLVD permitcenter @spnngfield-ar.gav RECEIPT NO: 2013001817 RECORD NO:811•SPR2013.01868 . DATE:08/21/2013 liti4li:71:ansui '; `±¢C,_'!Te.Vt rtka W l ;1'}!'*,,'4 ACCOUNTCODE/TRANSCODE,; SAMOUN;Ti°UE I1 Branch circuits without service or feeder- 1st circuit 224-00000-426102 1004 60.50 Branch circuits without service or feeder-each additional 224-00000-426102 1004 32.50 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 11.16 Technology fee(5%of permit total) 100-00000-425605 2099 4.65 • TOTAL DUE: 108.81 PAYMENTT\'PE PAYOR CASHIER D WI COMMENTS nAMOUNT PAID Check BEYMER HEATING&SHEET METAL 108.81 50352 TOTAL PAID: 108.81 • • • Electrical Permit Application SPRINGFIELD w DEPARTMENT USE ONLY.' y.. CITY OF SPRINGFIELD, OREGON Permitno.: SI7- 0186 225 Fifth Street•Springfield,OR 97477♦P11(541)726-37534 FAX(541)726-3689 Date: This permit is issued under OAR 918-309-0000. Permits are nontransferable. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. .';- r., -. .L'`OCALfiGOVERNMENT APPROVAL . , :, t.'.._.... si a . ?FEE:!SCHEDULE„ „ , = ,,;: : `; Zoning approval verified? NI Yes ❑No :Number of inspections per item O,. Qty Gust ,7 Total.' -; ;=CATEGORY OF(CONSTRUCTION '.. -. -" =ea s r =cost':;, ❑Residential ❑Government Commercial J Residential,per unit,service included: ?JOB SITEINF.ORMATION AND- 'OCATION �; 000 sq.ft.or less(4) $134.00 $ Each additional 500 sq.ft.or portion Job site address: `El 0 ti. awl ..44.43 thereof $ 25.00 $ City: S'�/.J� State:_ ZIP,76{ 77 Limited energy(2) $ 32.00 $ Reference: 170 3 Z 7t( 3 Taxlo[.0310 O Each manufactured home or modular r -�;y a dwelling service or feeder(2) $ 63.00 $ -Jr(yam r DESCR[(P�_TioN:To WORt , w -R 0.1(&k. CV[U 1'4 S --Car -i kat f-f I j� S y.c-I't/Y}. Services or feeders: installation,alteration,relocation ��" 200 amps or less(2) $ 81.00 $ r .tc _,QU..l'Vl(S ' i t ;11FVROFERTir4OWNER-fit= - i 201 to 400 amps(2) $ 95.00 $ Name: ,.b fA A4.4.4,04_,s1...? _ 401 to 600 amps(2) $158.00 $ Address: It7 a e...) 03.-11....,,∎ice,! 601 to 1,000 amps(2) $205.00 $ City: S 1'p c State: OIL ZIP: 97g77 Over 1,000 amps or volts(2) $469.00 $ Phone: - - Fax: - - Reconnect only(2) $ 63.00 $ E-mail: Temporary services or feeders:installation, alteration,relocation This installation is being made on residential or farm property 200 amps or less(2) $ 63.00 $ owned by me or a member of my immediate family.This 201 to 400 amps(2) $ 87.00 $ property is not intended for sale,exchange, lease,or rent.OAR - 479.540(l)and 479.560(1). 401 to 600 amps(2) $126.00 $ Signature: Over 600 amps or 1,000 volts,see services or feeders section above . Fv ?;CONTRACTOR` INSTALLATION s = s4 m Branch circuits:new,alteration,extension per panel Business name:�d 5 E (t jp (-to a.Fee for branch circuits with purchase of a service or feeder fee: Address: 27 ti 1—oc ' 'q t/ 4 , L,-) , Each branch circuit $ 6.00 $ City: Cr-g-cl State:Cr& ZIP: e/.?Lb"( b.Fee for branch circuits without pure.. €of a s- ice or feeder fee: Phone: - -7 3"/ .-96 7 7 Fax: - - First branch circuit(2) AlliIAJ�55.00 $ E-mail: ScC&Lir"( Q an/iic(e 92,t>.wd Each additional branch circa Zfl ' $ 6.00 $ CCB license no.:/4.47c I BCD license no.: a Sr Miscellaneous fees:service or ncluded Signing supervisor's license no.: s.--6 E d C-5- Each pump or irrigation circle(2) $ 63.00 $ Print name of signing supervisor: $s g c , . � Each sign or outline lighting(2) $ 63.00 $ Signature of signing supervisor: - Signal circuit or alimited-energy panel, $ 63.00 $ -alteration,or extension(2) Each additional inspection:(I) $58.00 $ t��, ==,�K,��` fAf?PLICANTtiISEa tal Rtte (A) Enter subtotal of above fees $ ?.3 (Minimum Permit Fee$58.00) / (B)Enter 12%surcharge(.12 x[A]) $ I//6 (C)Technology Fee(5%of[Al) $ v 6le TOTAL fees and surcharges(A through C): $ /CIS fr 440-2584-J(9/08/COM) / v