HomeMy WebLinkAboutPermit Mechanical 2013-9-27 SPRINGFIELD
klii 225 Fifth St
CITY OF SPRINGFIELD
Springfield,OR 97477
`V�'lc Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
' Fax: 541-726-3676
• PERMIT NO: 811-SPR2013-02177
www.springfield-or.gov parmitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 09127/2013 EXPIRES: 03/26/2014
STATUS DATE: 09127/2013 APPLIED: 09/27/2013
SITE ADDRESS: 3315 MARCOLA RD,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1702300001917 TYPE OF STRUCTURE: Industrial •
PROJECT DESCRIPTION: ME-Breakroom and locker room remodels
OWNER: KINGSFORD MANUFACTURING CO Phone Number:
ADDRESS: PO BOX 24305
OAKLAND CA 94623
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CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
•
Mechanical Contractor COMMERCIAL AIR INC CCB 110075 12/18/2013 541-461-4821
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
construe
toe 74-?Ai 3
O ner.orContractor-' .nature Date
ATTENTION: 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-
NOTICE: 0090. You may obtain copies of the rules by
THIS PERMIT SHALL EXPIRE THE WORK
calling the center. (Note: the telephone
AUTHORIZED UNDER THIS PERMIT IF IS NOT number Centerei 1800 Ut2-2344jification
COMMENCED OR IS ABANDONED FOR .
ANY 180 DAY PERIOD.
Springfield Building Permit 9/27/2013 11:23:02AM Page 1 of 1
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SPRINGFIELD
CITY OF SPRINGFIELD
!l. -A. • 225 Fifth St
=� OREGON
TRANSACTION RECEIPT Springfield,OR 97477
52425:2i
41-726-3753
811-SPR2013-02177
www.springtield-or.gov 3315 MARCOLA RD permitcenter@springfield-or.gov
RECEIPT NO: 2013002158 RECORD NO:811-SPR2013-02177 DATE:09/27/2013
CDESCRIPTION . - ,. ACCOUNTCODE/TRANSCODE-.a . -, ,AMOUNTDUE,j
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
i ; - .AMOUNT PAID, - - {
PAYMENT TYPE _;_.PAYOR; CASHIER:CCARPENTER ' - COMMENTS_ _,_�;, " •
_-.r.. _-.._ _:—
Credit Card COMMERCIAL AIR INC 166.10
00730g
TOTAL PAID: 166.10
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Mechanical Permit Application DEPARTMENT USE ONLY
$FRiNGFIELD— -7
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itliC GHO a . 4 ; Sl ? - 2/ / 7
tCLT O SPRINGF+IELD"+QREGOO ..,......„5,-,� Permit no.:
225 Fifth Street • Sprm fold.OR 97477 • PH(541)726-3753 • FAX(541)726-3689 ` �+ OREGON Date: 7/ L 7//,/
111
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
ID Residential 1:I Government %Commercial Residential Qty. C eaost Total cost
JOB SITE INFORMATION AND LOCATION First Appliance _ S80.00 $
aq (J 1G
Job site address: 33/ •-r c Lm oq-.o Furnace/burner including ducts and vents
Cit f State: n U to 100k BTU/hr. $18.50 $
.7i.1/ ��� I 02 I ZIP:`j)y j� p
9 Over IOOk BTU/hr. $22.00 $
Reference: I Taxlot.:
DESCRIPTION Heaters/stoves/vents
ESCRIPTION OF WORK
Unit heater $18.50 $
HVq.0 D ye-p-it:, C44 AJr S - Wood/pellet/gas stove/flue $42.00 $
Repair/alter/add to heating appliance/
refrigeration unit or cooling system! $80.00 $
PROPERTY OWNER absorption system
Name: ,/A//l acD ly/ Evaporated cooler $14.50 $
Address: re?ezn 2.f?O Vent fan with one duct/appliance vent $10.00 $
: f J ZIP: z,'yl Flood with exhaust and duct $14.50 $
Citys/�rrt9 State: ZIP: `J"7(1j6 v
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 UM $22.00 $
CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
Business name: COMMt`QG/ec Alp_ ,CAI[_ Up to3hp/i hp/100k BTU I . $18.50 $
/6C S2 b. �c �� Up to 15 hp/500k BTU $32A0 $
Address: Up to 30 hp/1.000 BTU $47.50 $
City: EOCENE State: 04.. ZIP:9 JyOZ Up to 50 hp/1,750 BTU $62.50 $
PhoneSN/-%/f+/ -ill/ Fast/- y6/-6/v, Over 50 hp/1.750 BTU $104.50 $
Incinerators
E-mail. 13,9✓e e Co.„.„4„.„Biz.
Domestic incinerator $22.50 $
CCB license no.: ( (CO 7,s Commercial
Print name: DA V E :k - I Enter total valuation of mechanical system
"7"...-4111311111°. and installation costs$ 78 VI
Signature: a Enter fee based on valuation of mechanical system.etc. $
(-
Miscellaneous fees Items' Cost Total
ea. cosh
Reinspectioh $BO.00 $
Specially requested inspections(per hr.) $80.00 $
Regulated equipment(unclassed) $14.50 $
Each additional inspection:(I) $80.00 $
APPLICANT ''USE
(A)Enter subtotal of above fees(or enter set /
minimum fee of $80_00) $ (C-/ifs
(B)Investigative fee(equal to[A]) S
(C)Enter 12%surcharge(.12 x[A+B]) $ /7�
(D)Seismic rec. 1%(.01 x[A]) $
(E)Technology Fee(5%of[A]) $ 7/1....)_....
440-25454(4/1/2013/COM) TOTAL fees and surcharges(A through E): $/ol t=