Loading...
HomeMy WebLinkAboutPermit Mechanical 2014-1-23 SPRINGFIELD 225 Fifth St 1.1....iiiiiiiidili CITY OF SPRINGFIELD Springfield,OR97477 R Phone: 541-726-3753 OREGON Building 1 Commercial Permit Inspection Phone 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00142 www.springfieldor.gov permltcenter@spnngfield-or.gov PROJECT STATUS: Issued ISSUED: 01/2312014 EXPIRES: 07/22/2014 STATUS DATE: 01123/2014 APPLIED: 01123/2014 SITE ADDRESS: 417 A ST,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703353105500 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Replace 4-ton package RTU OWNER: KIT AND KAREN CHAN FAMILY LLC Phone Number: ADDRESS: 2222 MARTIN LUTHER KING JR BLVD EUGENE OR 97401 CONTRACTOR INFORMATION 1 Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor ASSOCIATED HEATING&AIR CONDITIONING INC CCB 106275 08/31/2014 541-683-2590 INSPECTIONS REQUIRED 1 Inspections 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 construction. Owner or Contractor Signature Date *'0' 0 t t,,A. .0* \EO ,. ,.\ Springfield Building Permit 1/23/2014 9:13:40AM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD TRANSACTION RECEIPT 225 Fifth St 4,,,_ Springfield,OR 97477 541-726-3753 OREGON 811-SP R2014-00142 www.springfield-or goy 417 A ST permitcentergspringfield-or.gov RECEIPT NO: 2014000141 RECORD NO:811-SPR2014-00142 DATE:01/23/2014 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 Credit Card ASSOCIATED HEATING&AIR 154.01 066455 CONDITIONING INC TOTAL PAID: 154.01 01/22/2014 11:47 FAX 541 607 0287 a 0001 Mechanical Permit A 1 plication DEPARTMENT USE ONLY 1 3?RINGf1LLD ( `ITN OF SPIZIM; �'I1 i .0 OItl�'(a)N ,�'�,, Perm1tto.:n*1� ' /II 2-- 225 NMI t,£xIngJeld,OR97477 a PH(541)726•3753 •FAX(5A1)726.36$9 OREGON Date: /l 2,3) 1 L/ This permit is issued wider 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 0 Government ` inmerclnl Residential Qty. CoaeA.t Total cost JOB SITE INFORMATION AND OCATION First Aplllinnce . 580.00 $ Job site address: l l 1.4, IA S Furnace/burner Including ducts and vents City: +M 1 �- State; tom, I ZIP: q]iq'7'7 Ilpto 100k I3TU/hr. $18.60 $ Over I 00k BTU/hi. $22.00 $ Reference: ! Texlot.: - fileaters/stoves/vents DESCRIPTION OF WORK Unit heater $18.80 $ k l a& y }by1 el/ ate Ilya+ Vinod/pellet/gas stove/nue $42.00 $ . TT Repair/Iter/add to heating appliance/ refrigeration twit or cooling system' $80.00 $ PROPERTY OWNER _abscrpliantetn_ ___ Name: K1}- lAktk — livapomted-cooler 514.50. S Vent ten with one duet/appliance vent 510.00 $ Address: j,Z yVl l,� /i� c2 � Hood with exhaust and duct $14.50 3 • City: State:r ZIP:gri`�ui Floor furnace Inclu:ling vent $50.00 $ Phone:541-li '12?Z I Fax: - - Cos piping E-mail: One to four gullets S7.50 I This Installation is being made on property owned by me or a Additional outlet>(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 CFM 522.00 $ . CONTRACTOR INSTALLATION Compressor/absorption systemibent pump Business rasing tGif1t(4 140_61.41(6 '�A k ,ANIC:. Up to 3 hpJl00k$TCI $113.50 s Up to 15 hp/500k B l U $32.00• S Address:clQz3U H-k)t GI q Up to 30hp/I,000B1U $47.60 $ City_„ �� ,((,yL - -- Stated__,_I.ZIP:_ _ ... Up to$O hp/1,750 EITU 562.50 $ Phone: +i-- 1- 33;0 qa I Fax I -( 07.6Z.�. Over30hpr1,750BTU $104.80 S F.-mail: r&I'dC.'(r g-SSO(.4.0btt "ntj•Ltev't Incinerators --- _— _—_ Domestic incinerator I [ 522.60 I $ CCI1 license no,: :} — T Commercial Print name:' 41111,( YyypChr- Enter total valuation of in cltanical s rem tnd.installation costs 5 (p4 73Z., Signature: . ^Enter fee hence on valuation of mechanical system,etc. $ Miscellaneous feels Items Cost Total ea, cost Reinspecuon $80.00 $ __Epeeist ly requested inspections(per hr) $8oA0 $ Regulated equipment(tnichuscd) _$14_00 $ Each additional isapectlon;(1) $80.00 _ $ APPLICANT USE . (A)inter subtotal of above fees(or enter set minimum fee of$ ) $ /.7/63 (H)Investigative fee(equal to[A)) S (C)Etter 12%surcharge(.12 x[A+B)) S / (D)Seismic fcc, I%(.01 x[A() _ $ (E)Technology Fee(5%of(A))—� S i 'l40-25458 0/1120l3!COM) TOTAL feu and surcharges(A through C); $