HomeMy WebLinkAboutPermit Mechanical 2013-12-18 •
SPRINGFIELD 225 Fifth St
• CITY OF SPRINGFIELD Springfield,OR 97477
`tom
Phone: 541-726-3753
OREGON Building / Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2013-02702
www.springfield-or.gov permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 12/18/2013 EXPIRES: 06/16/2014
STATUS DATE: 12/18/2013 APPLIED: 12118/2013
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SITE ADDRESS: 1750 MAIN ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703363101600 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Replace existing fan coil unit and add heat pump unit
OWNER: RIEDELL PAUL&JOYCE F Phone Number:
ADDRESS: 26025 S BEECH CREEK DR
SUN LAKES AZ 85248
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone
• HARVEY&PRICE CO (CLE)Electrical C' 20-156CLE 07/01/2014 541-746-1621
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 orily contractors and-employees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensur- that :II require inspections are requested at the proper time,that each address is readable from the street,that the
permi and H located :tthe front of the property,and the approved set of plans will remain on the site at all times during
cons ucti•
�FA
Own:r or Contractor '.ignature Date
NOTICE: • ATTENTION: Oregon law requires you to
THIS PERMIT SHALL EXPIRE IF THE WORK follow rules adopted by the Oregon Utility
AUTHORIZED UNDER THIS PERMIT IS NOT Notification Center. Those rules are set forth
COMMENCED OR IS ABANDONED FOR in OAR 952-001-0010 through OAR 952-001-
ANY 180 DAY PERIOD. 0090. You may obtain copies of the rules by
calling the center. (Note: the telephone
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 12/18/201 2:07:25PM Page 1 of 1
SPRINGFIELD CITY OF SPRINGFIELD
<t >.x9.... 225 Fifth St
<,o E�oR TRANSACTION RECEIPT S pringfielGoR 97477
541-726-3753
811-SPR2013-02702
www.springfield-or.gov 1750 MAIN ST permitcenter @ springfielo-or.gov
RECEIPT NO: 2013002702 RECORD NO: 811-SPR2013-02702 DATE: 12/18/2013
;DESCRIPTION `, _" ACCOUNT CODE/TRANS CODE - AMOUNT DUE:_
Mechanical Permit fee(based on value of work) 224-00000-425604 1006 121.30
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 14.56
Technology fee(5%of permit total) 100-00000-425605 2099 6.07
TOTAL DUE: 141.93
PAYMENT TYPE -2PAYOR CASHIER:CCARPENTER COMMENTS - AMOUNT PAID .
Credit Card Cathy Ross 141.93
618151
TOTAL PAID: 141.93
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Mechanical Permit Application DEPARTMENT USE ONLY
r 3 r. .1 m, . ... e SPRINGFIELD
CITY .OF SPRINGFFIEW ��RECO " Permit no.: ' 027o'D.
225 Fifth Street • Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 .i`i OREGON Date: /2 /171/
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 CONSTRUCTIO FEE SCHEDULE
❑ Residential ❑Government Commercial Residential Qty. Cost Toud
ea. cost
JOB SITE INFORMATION AND OCgTION First Appliance $80.01)
Job site address: 17 CO inn alto 5 ',unlace/burner including ducts and vents —
City: C/p U'ca I Stat ze tb7 Up to look BTU!hr. $18.50 S
`, / Over 100k BTU,hr. $22.00 S
Reference: Taxlot.:
Heaters/stoves/vents
DESCRIPTION OF WORK
s Unit heater $18.50 .$
C/ ' (, . I in — ,& — Wood/pellet/gas stove/flue $42.00 S
1 Repair/alter/add to heating appliance/
....1.—AL at!-e a - r - �- refrigeration unit or cooling system/ I $80.00 $
PROP RTY, OWNER absorption system
Name:tkiji ff , Evaporated cooler $14.50 $
7 Jn ��� Vent fan with one duct/appliance vent $10.00 S
Address: r-
Hood with exhaust and duet $14.50 S
City: ea State:et 7-g7 `17 Floor furnace including vent $80.00 $
Phone: - - Fax: - - Gas piping
E-mail: One to four outlets $7.501 $
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 front licensing Air-handling units, including ducts
requirements under ORS 701.010. Up to 10.000 CFM $12.00 S
Signature: Over 10.000 GEM $22.00 $
CONTACTOR INSTAL ATION Compressor/absorption system/heat pump
Business name. Hi A t 1 0' e• �--r—
Up In ;hp!I OOk 13"f1J $1 fl.50 $
7�6S �LLgq- Up toItlhp/50(lklifLl $32.00 $
Address: l�J�-�-��-1A,-�T((1J`''f_ Up to 30 hp/I,000 BTU $47.50 $
City: P°f Qn �p Stale /, y-o3 Up to 50 hp/1,750 BTU $62.50 $
Phone: -74 —(0 Fax: - - Over 50 hp/1.750 BTU $104.50 $
E_,,,aiiceciagui r lafat t mi lPa cratms
Lumc is incinerator I
$22.50 $
3 license no.:
-- --— Commercial
Print name' • • -e_Q _ _ ,_it._-,_,,,-,,,,, Enter total valuation of mechanical system
and limit laliu❑co>u$`:z 75
Signal are: —...---....-..-..._.
-2-1/4---• Enter fee bused on valuation of mechanical system.etc. „_- $
Miscellaneous fees Items C°st it
ea. cost
Reinspectioit $80.00 $
Specially requested inspections(per hr.) $80.00 S
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) $
(B)Investigative fee(equal to[Al) $
(C)Enter 12%surcharge(.12 x[A+B[) $
(D)Seismic fee. I%(.01 x [Al) $
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(E)Technology Fee(5%or[AD $
440-2545-.1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $/(IL_,