HomeMy WebLinkAboutBuilding Mechanical 2014-1-7 SPRINGFIELD i 225 Fifth St
CITY OF SPRINGFIELD Springfield,OR 97477
,:`C� Phone: 541-726-3753
OREGON Building I Commercial Permit Inspection Phone: 541-726-3769
Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00026
www.springfield-or.gov permitcenter @springfield-or.gov
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PROJECT STATUS: Issued ISSUED: 01/07/2014 EXPIRES: 07/06/2014
STATUS DATE: 01/07/2014 APPLIED: 01/07/2014
SITE ADDRESS: 305 S 4TH ST,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703353407700 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: ME-HVAC and RTU/gas
OWNER: TIMBER PRODUCTS CO Phone Number:
ADDRESS: PO BOX 269 -
SPRINGFIELD OR 97477
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type • Lic No Lic Exp Phone
Mechanical Contractor HARVEY&PRICE CO CCB 77 10/31/2014 541-746-1621
L INSPECTIONS REQUIRED
Inspections
2255 Gas Pressure Test
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2300 Rough Mechanical Rough Mechanical: Prior to Cover
2310 Rough Gas Rough Gas: After line is installed and required testing and capped if not attached to
an appliance.
2995 Final Gas Final Gas: When all gas work is complete.
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 onl ontr..ctors and -•-• •yees who are in compliance with ORS 701.005 will be used on this project. I further agree
to ensure t.-t all re•uired in .ection are requested at the proper time,that each address is readable from the street, that the
permit c- d is loc.. ed at t - front of the property, and the approved set of plans will remain on the site at all times during
constr ction.
Lt a v/ 6
I —•1111•11r
Own:r or Contractor Si. ature Da e
ATTENTI 'N: Oregon law requires you to NOTICE:
follow rules adopted by the Oregon Utility THIS PERMIT SHALL EXPIRE IF THE WORK
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001- AUTHORIZED UNDER THIS PERMIT IS NOT
0090. You may obtain copies of the rules by COMMENCED OR IS ABANDONED FOR
calling the center. (Note: the telephone ANY 180 DAY PERIOD.
number for the Oregon Utility Notification
Center is 1-800-332-2344).
Springfield Building Permit 1/7/2014 11:12:29AM Page 1 of 1
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SPRINGFIELD CITY OF SPRINGFIELD
t •, TRANSACTION RECEIPT sPS gfeld,OR 97477
�" 541-726-3753
OREGON 811-SPR2014-00026
www.springfield-or.gov 305 S 4TH ST permitcenter @springfield-or.gov
RECEIPT NO: 2014000022 RECORD NO:811-SPR2014-00026 DATE:01/07/2014
(DESCRIPTION - ACCOUNT CODE/TRANS CODE AMOUNT DUE__,
Mechanical Permit fee(based on value of work) 224-00000-425604 1006 131.63
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 15.80
Technology fee(5%of permit total) 100-00000-425605 2099 6.58
TOTAL DUE: 154.01•[_PAYMENT TYPE__PAYOR. CASHIER:CCARPENTER ,COMMENTS_- ' ' AMOUNT PAID
Check HARVEY& PRICE CO 154.01
33950
TOTAL PAID: 154.01
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Mechanical Permit Application DEPARTMENT USE ONLY
sPMINGFIELD
CIO Y S' RING' IE'LD DREGf OO N , , _, Permit no.:S/y--- 00020
�4 ' `OR /7/7
225 Filth Street Springfield,OR 97477 * PIi(541)72G-3757 o 1 AA(5d I)7?6 3GN9 � r"?-,OREGON 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 OF CONSTRUCTION FEE SCHEDULE
❑ Residential ❑ Government I�Commercial Residential Qty,. Cast Total
VyOO ea. cost
JOB SITE INFORMATION AND L CATION First Appliance $80.00 $
Job site address: 56 j _ ° -_ Furnace/burner including ducts and vents
Cit6PQ Stat /_IPg7cf-fl Up to 100k BTU/hr. $18.50 $
[v- 0 � �c( I (277du Over Heaters/stoves/vents
B vex/v $22.00 $
Reference: I'axlol.:
!� DESCRIPTION OF WORK Unit eatestoveshe�ts
�( Unit healer $10.50 S
Ao g L�We(.1 cptc P�-- LC c UJ Wood/pellet/gas stove/flue $42.00 $
� Q�.}�y`� t r� - Repair/alter/add to heating appliance/
"�/-�-t- ILUSt_J _ to tVtn refrigeration unit or cooling system/ $80.00 $
PROPERTY OW R` _ absorption system
Narne:-rsenW e_.r § Vra.r1 • C�
Evaporated cooler S14.50 $
5 V �{ ` ' Vent fat with one duct/appliance vent $10.00 $
Address: JT
Hood with exhaust and duct $14.50 S
City: SeVa. State:d1. ZIPz4 n
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. lip to 10.0011 CP:MI $12.00 $
Signature: Over 10.000 CFM $22.00
CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
I r (� Up to 3 hp/100k 13111 $18.50 $
Business name:
�T 2'-t I. Pine , La __-_---_ p to 15 hp/500k ETU $32.00 $
Address: 2.Ac (mil- Orek tae--t tip to 30 hp/1.000 BTU $47.50 $
City: -. Stat'�� I ZIPg74C5 Up to 50 hp/1.750 BTU $62.50 $
Phone:74(7- $ (o 2"\ Fax: - Over 50 hp/1,750 BTU $104.50 $
//]� Incinerators
P-m ail:
QatoV.11 " LAa-trt1Qtia✓t,.1 Qcr-cc Incsticincinerator $22.50 $
CCB license no.: .7 Commercial
Print nani s-_w ,- ) - V• _ Enter total valuation of m schanic; .v`s eft
and installation costs
Signature: a., _ Enter fee based on valuation of mechanical system.arc. .$
Miscellaneous fees Items Cost total
• ea. cost
Reinspect ion $80.00 $
Specially requested inspections(per hr.) 580.00 $
Regulated equipment(one lassed) 514.50 $
• Each additional inspection: (I) $80.00 $
- APPLICANT USE
(A) Enter subtotal of above lees(or enter set /7/. 2--
minimum fee of $80.00) $
(B) Investigative fee(equal to Al)I $
(C) Enter 12%surcharge(.12 x IA+B]) $ S O
(0)Seismic fee. 1%(.01 x IA]) $
(E)Technology Fee(5%of(Al) siz d
Y
440-2545-1(4/1/2013/COh1) l"O'1"AL fees and surcharges(A tin ough L): $ /