HomeMy WebLinkAboutPermit Mechanical 2014-2-24 SPRINGFIELD 225 Fifth St
A . CITY OF SPRINGFIELD Springfeld,OR 97477
'fieooN Phone: 541-726-3753
Building / Commercial Permit Inspection Phone: 541-726-3769
• Fax: 541-726-3676
PERMIT NO: 811-SPR2014-00401
www.springfield-or.gov i permitcenter @springfield-or.gov
PROJECT STATUS: Issued ISSUED: 02/24/2014 EXPIRES:• 08/23/2014
STATUS DATE: 02/24/2014 APPLIED: 02/24/2014
SITE ADDRESS: 631 W CENTENNIAL BLVD,Springfield,OR 97477 SCOPE: Mechanical Only
ASSESOR'S PARCEL NO: 1703274305805 TYPE OF STRUCTURE: Commercial
PROJECT DESCRIPTION: Exhaust Hood with Makeup Air - _
OWNER: CENTENNIAL SHOPPING CNTR LLC Phone Number:
• ADDRESS: 7831 SE STARK ST STE 103
PORTLAND OR 97215 •
CONTRACTOR INFORMATION
Contractor Type Contractor Name Lic Type. Lic No Lic Exp Phone •
Mechanical Contractor MARKUS THOMPSON CONSTRUCTION INC CCB 158184 01/13/2016 541-284-1121
_ INSPECTIONS REQUIRED
Inspections
•
2300 Rough Mechanical Rough Mechanical: Prior to Cover
2530 Kitchen Exhaust/Commercial .
Hood •
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 contrac •rs and employees who are in compliance with ORS•701.005 will be used on this project. I further agree
to ensure that all requ' ed inspections',- requested at the proper time, that each address is readable from the street,that the
permit card is loa.te• at the fr• • _ •ro•-rty,and the approved set of plan will remain on the site at all times during
construction.
•
A / l ill, — -- #.2, "2—
Owner or Co if Signature 't. Bate
wDR�( ATTENTION: Oregon law requires you to
NOTICE' Dp1RE1FTHE follow rules adopted by the Oregon Utility
THIS PER SHAM T}iIS PERMIT 1S NOT Notification Center. Those rules are set forth .
AUTHORIZED UNDER HDDNED in OAR 952-001-0010 through OAR 952-001-
FO
OR�S ABA 0090. You may obtain copies of the rules by
COMMENCED pER10D calling the center. (Note: the telephone
ANY 180 DA number for the Oregon Utility Notification
Center is 1-800-332-2344). •
•
•
Springfield Building Permit • 2/24/2014 1:44:56PM Page 1 of 1
•
SPRINGFIELD - - CITY OF SPRINGFIELD
225 Fifth St
OREGON TRANSACTION RECEIPT Springfield,OR97477
541-726-3753
811-SPR2014-00401
www.springfleld-or.gov 631 W CENTENNIAL BLVD permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000396 RECORD NO:811-SPR2014-00401 DATE:02/24/2014
Z itizintic?',LCiNCAACCOUN'PCODE/T-FtANS NS CODE it a _- AMOUNT'DUE
Mechanical Permit fee(based on value of work) 224-00000-425604 1006 214.24
State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 25.71
Technology fee(5%of permit total) 100-00000-425605 2099 10.71
TOTAL DUE: 250.66
Pei PAYMENTmTYPE P,AYOR. ar ER:.JLARSDR COTIVIE NtinelaggirirtkM OUNTFAIQ ,SI
Credit Card MARKUS THOMPSON CONSTRUCTII 250.66
514294 INC
. TOTAL PAID: . 250.66
ti-
Mechanical Permit Application DEPARTMENT USE ONLY
.. ,r,, `f- ry7 .tF ' t °"`'" b`P 2= SPRINGFIELD
tIT. O SPRIN C IEttleiORECUN ,,, „k ? Permit no.: el t Ca I 1 00921
ett t.
225 Fifth Street• Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 viORREGON l' Date: 7-/Z 7 / / t/
r
This permit's 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 5TCommercial Residential Qty, Cost Total
ea. 1 cost
JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $
Job site address:` 621 1 W. t a-t,- ,S1 FA I ALL Furnace/burner including ducts and vents
stem, 44,ELD 114 Up to 100k BTU/hr. $18.50 $
City: s State: 0►L ZIP: Over IOOk BTU/hr. $22.00 v$
Reference: 1703 2743 Taxlot.:0$$'OS Heaters/stoves/vents'
{{!! ., DESCRIPTION OF WORK Unit heater $18.50 I'$
X1,1.01.14:5 4- �b t-/J t Wood/pellet/gas stove/flue $42.00 $
tell a1 . . . r 0.1 f Repair/alter/add to heating appliance/
V' t �"L refrigeration unit or cooling system/ $80.00 $
PROPERTY OWNER absorption system
Name: e!Eo4'ft p1)Al. 5M-or'Pl^izf &'w. LLC Evaporated cooler $14.50 ' $
76 3 1 sr s'- ' - ST• 4 [o 3 Vent fan with one duct/appliance vent $10.00 $
Address: flood with exhaust and duct $14.50 $
City:12irt't'T LA.-VC) State: a l', Z1P:4 721c
Floor furnace includin @,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. Up to 10.000 CFM $12.00 $
Signature: Over 10.000 CFM '' $22.00 $
CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
Business name: MA ra.kH3- -t-' J g b Up to 3 hp/100k BTU $18.50 • $
Up to 15 hp/500k 13'1-UI'. $32.00 _$
Address: 3"ST3R 'kia'r 4 SY A\) &
/7 q-7 -1 lip to 30 hp/1,000 BTU $47.50 - $
City:S!-X2.14c2F lead state: Dg ZIP: 746
Up to 50 hp/1,750 BTU $62.50 $
Phoney {' 2,8-4/ /2 t Fax: g -724 3473 Over 50 hp/1.750 13111! $104.50 , $
•
E-mail: nlc a, Wts%,ILK 1-141A►Mp*Dvl.GowS Incinerators
r ` Domestic incinerator . $22.50 -$
CCB license no.: ^g7 8.4
5 y Commercial _
Print name: G dC a f,� Enter total valuation of;rnechanical sy em
4L/,, ltl X T/ and installation costs$ /if 37 '1
Signature: -
3 Enter fee based on valuation of mechanical system,etc. ' $
Miscellaneous fees Items Cost ' Total
ea. cost
£ Reinspection $80.00 `$
Specially requested inspections(per hr.) $80.00 , $
Regulated equipment(tihclassed) $14.50 , $
Each additional inspection:(I) $80.00 :$
r APPLICANT USE
(A)Enter subtotal of above fees(or enter set
.. minimum fee of $80_00) $
(1))Investigative fee(equal to[A]) $
(C)Enter 12%surcharge(.12 x[A+B]) $
(D)Seismic fee. 1%(.01 x IAp $
(E)Technology Fee(5%of[A]) $.,
440-2545-J(4/12013/COM) TOTAL fees and surcharges(A through E): $ 7 cE2 61,
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