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HomeMy WebLinkAboutPermit Mechanical 2013-10-2 SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ` . OREGON Phone: 541-726-3753 Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2013-02211 www.springfield-or goy permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 10102/2013 EXPIRES: 03/31/2014 STATUS DATE: 10/02/2013 APPLIED: 10/02/2013 SITE ADDRESS: 150 411-1 ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703353105700 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Compressors for refrigerators OWNER: NESSCO INVESTMENT CO Phone Number: ADDRESS: 91362 STALLINGS LN EUGENE OR 97408 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor WILLAMETTE VALLEY REFRIGERATION LLC COB 186538 04/30/2015 541-543-4173 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 cons uction. • fraliella Owner or Contractor Signature D to ATTENTION: Oregon law requireon Util ty follow rules adopted by the Oreg NOTICE: ,:: Notification Center. Those rules are set forth WORK in OAR 952-001-0010 through OAR 952 °01 AU HORRMID UNDER THPI PERM TEIS NOT 0090. You may obtain copies of the rules by calling the center. (Note: the telephone COMMENCED OR IS ABANDONED FOR number for the Oregon Utility Notification ANY 180 DAY PERIOD. Center is 1-800-332-2344). Springfield Building Permit 10/2/2013 11:49:45AM Page 1 of 1 SPRINGFIELD • CITY OF SPRINGFIELD '�4 .' 225 Fifth St �c TRANSACTION RECEIPT Springfield:OR 97477 ' OREGON 541-726-3753 811-S P R2013-02211 www.springfield-or.gov 150 4TH ST permitcenter @springfield-ocgav RECEIPT NO: 2013002193 RECORD NO:811-SPR2013-02211 DATE: 10/02/2013 {DESCRIPTION __- � ACCOUNTCODE/TRANS.CODE _ -.__AMOUNTDUE Mechanical Permit fee(based on value of work) 224-00000-425604 1006 110.98 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 13.32 Technology fee(5%of permit total) 100-00000-425605 2099 5.55 TOTAL DUE: 129.85 LeAYMENT TYPE ' : PAYOR CASHIER:cCARPENTEER - . .COMMENTS . ' - :AMOUNT PAID ' _ ` J Check Plank Town Brewing 129.85 1902 TOTAL PAID: 129.85 • • • Mechanical Permit Application DEPARTMENT USE ONLY " -`a � n+' " F R ^,Tro;r+}+5f $PRNGf S. CIT X OFSPRINGFI ELD OREGON " Permit no.: �a —.)21 / _, .e, c3cxxv.. +.- «raarnt .mxs..ce wn #r ,rK ` 225 Fifth Street • Springfield,OR 97477 • PI1(541)726-3753 • FAX(540726-3689 . `-°IlfriON Date: /eV if13 • This permit is issued under OAR 918-440-0050. Permits expire if work is not started within 180 clays of issuance or if work is suspended for 180 days. • CATEGORY OF CONSTRUCTION FEE SCHEDULE ❑ Residential ❑Government yj Com mercia1 Residential Qty.) Cost Total Pa. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: / Df / Sf Furnace/burner including ducts and vents City:Spriy(, rick) Slate: 0 C ZIP:q-N-77 Up to look 13'10/lir. $18.50 S Reference: O i Taxlot. {/5 7t� Over I00k 131 UIhr. $22.00 S DESCRIPTION OF WORK Unit Heaters/stoves/vents rr Unit heater $18.50 S I_Kd d a� 'I i4 COUi2 f G.G N-tp rc_ccor Wood/pellet/gas stove/flue $42.00 S Repair/alter/add to heating appliance/ refrigeration unit or cooling system/ $80.00 $ PROPERTY OWNER absorption system Name: N Evaporated cooler $14.50 S SGU � Sync(c( ��. (J' Vent fan with one duct/appliance vent $10.00 S Adchess �- lioud with exhaust and duel $14.50 'S City:eitc State: ZI P: /L�' Floor furnace including vent $80.00 $ Phone: - - Fax: - - �! Gas piping E-mail: One to four owlets $7.50 $ This installation is being made on property owned by me or a Additional outlets(each) $4.50 S member of my immediate family, ant is exempt from licensing Air-handling units, including ducts requirements under OR 701')0. /� Up to 10.000 CFM $12.00 $ Signature: .r * 4 / \/�' Over 10.000 CFM $22.00 S CONTRACTS' INS ` LA ION _Compressor/absorption system/healtump hrl a -14. Gill up toI hpf50kc $18.50 $ Business name: �t Gill Up to I$hp600k li'I'U $32.00 $ Address: Up to 30 It p11,0tH)1311) $47.50 $ City: t)jeke, State: Q,c,.. ZIP: Up to 50 hp/1,750 Bill $62.50 $ Phone:0-93 07 3 Fax: - - Over 50 hp/1.750 BTU $104.50 $ E-mail: Incinerators Domestic zo Domestic incinerator L 522.50 ] $ CC[3 license no.. D YJ�J O Commercial Print name: Enter i al u total valuation b mechanical Signature: �7 S —... —......_ Enter lee based un valuation of mechanical system.etc. $ Miscellaneous fees Items Cost Total ea. cost Reinspeetion $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unclassed) $14.50 $ Each additional inspection:(I1 580.00 5 APPLICANT USE (A)Enter subtotal of above fees(or enter set q A` minimum fee of $80.00) - $ 6 (13)Investigative fee(equal to[A]) $ l e� (C)Enter 12%surcharge(.12 x ]A+131) $ K Y2 (D)Seismic fee. 1%(.01 x IA]) S (E)Technology Fee(5%of[A]) $ 4411-2545-1(4/I/2013/COSq TOTAL fees and surcharges(A Through E): $ 2rr