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