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HomeMy WebLinkAboutPermit Mechanical 2014-3-26 1r C SPRINGFIELD 225 Fifth St CITY OF SPRINGFIELD Springfield,OR 97477 ` • Phone: 541-726-3753 OREGON Building I Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00635 www.springfield-or.gov permitcenter @springfeld-or.gov • PROJECT STATUS: Issued ISSUED: 03/26/2014 EXPIRES: 09/22/2014 STATUS DATE: 03/26/2014 APPLIED: 03/26/2014 • SITE ADDRESS: 1040 GATEWAY LOOP,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703222002402 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: M-Tenant infill for dentist office OWNER: NECA-OREGON-PACIFIC-CASCADE CHAPTER • Phone Number: ADDRESS: 1040 GATEWAY LOOP STE A SPRINGFIELD OR 97477 CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone Mechanical Contractor INNOVATIVE AIR INC CCB 161742 10/11/2014 541-746-1040 General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2015 541-687-2841 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 ins.-ctions are requested at the proper time, that each address is readable from the street, that the permit card is located at th.- `rant of the property,and the approved set of plans will remain on the site at all times during construction AZ(7 YIValle C7'2 g V(7 Owner or Contract• .Signature Date• • ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility K Notification Center. Those rules are set forth 0flT10E VOA_EXPIRE IF THE wU OT n OAR 952-001-0010 through OAR 952 001• THIS PERMIT THIS PERM(T �S N 0090. You may obtain copies of the rules by D UNDER ONE0 FOR calling the center. (Note: the telephone` • pUTNORiZE. OR IS pSAND number for the Oregon Utility Notification .0MN1ENpPp PERIOD. Center is 1-800-332-2344). IY1S0 Springfield Building Permit 3/26/2014 1:53:32PM Page 1 of 1 • • SPRINGFIELD -- CITY OF SPRINGFIELD 225 Fifth St r GoN TRANSACTION RECEIPT Springfield,OR97477 Lett 541-726-3753 811-SPR2014-00635 www.springfieldor.gov 1040 GATEWAY LOOP permitcenter @springfield-or.gov. RECEIPT NO: 2014000655 RECORD NO:811SPR2014.00635 DATE:03/26/2014 o SC" 10'7)11 '-1" t,_. _:',ate.. `:"tom -.,.a :» _'iACCOUNTdCODE/TRANSTCODEf.'aT6_y1F1'AMOUNTiDUEr Mechanical Permit fee(based on value of work) 224-00000-425604 1006 224.56 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 26.95 Technology fee(5%of permit total) 100-00000-425605 2099 11.23 TOTAL DUE: 262.74 `PA.YMENTTYPE.L:"'P.AYOR'"=_cr aER::ULARSON 4i;thd 1 a COMMENTS..tee.,:..!' � ,.'S St-3.`Y� , ,;AMOUNl'�'P LID.,,9 ,�,'r-.:tk,S Credit Card Charles McClain 262.74 03456g TOTAL PAID: 262.74 • Mechanical Permit Application DEPARTMENT USE ONLY ,oY" i .. '^ k'�z" fir. SPRINGFIELD `-CITrYOF SPRINGFI lThi REGO Permit no.: S�y'w t IC 225 Filth Street • Springfield.OR 97477 • PH(541)726 3753 • FAA(541)726-.3689 , ,OREGON Date: ?racy/y This permit is issued under OAR 918-440-0050. Permits expire if work is not started within ISO days of issuance or if work is suspended for 180 days. CATEGORY OF CONSTRUCTION FEE SCHEDULE ❑ Residential ❑Government Commercial Residential 6.p, Cost Total ea. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: /1:2-ID (5 40 u7 - 1-15The Furnace/burner including ducts and vents City: f M �'{,p Q pP State: r;1L Z.I P:q7//)'� Up to I00k Mill/hr. $18.50 $ _ Over look 13'IU!hr. $22.00 $ • Reference: /73 2z?�D faxlot.: 2444 Heater's/stoves/vents DESCRIPTION OF WORK Unit heater $18.50 $ rh I ' a ,59614-(1-rbi � Wood/pellet/gas stove/flue $42.00 $ Pti, n i r, A refrigeration ration unit to heating appliance/ R - rcingorntion unit or cooling system/ $80.00 S 1 :RO'ERTY OWNER absorption system Name: 0-e r A Evaporated cooler $14.50 $ J J Vent fan with one duel/appliance vent $10.00 $ /DLO DLO ( �e„ 6(--Thlra Hood with exhaust and duct 514.50 S City: j iirjeti State: CR, I ZIP: 6n-7 Floor furnace including vent $80.00 $ Phone:C 1E 03(,---- /1.)L)3 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 S member of my immediate family, and is exempt from licensing Air-handling units, including duets requirements under ORS 701.016. Up to 10,000 CFib1 512.00 $ Signature: Over 10.000 CF\1 $22.00 $ CONTRACTOR INSTALLATION Compressor/absorption system/heal pump �, Up to 3 hp/1 OOk 131U . $18.50 5 Business name: y-h 0 n i ...}. V.-¢, A, --- Up to 15 hp/50014 BTU $32.00 $ Address: . Up to 30111)/1,000 I3U $47.50 $ City: State: ZIP: Up to 50 hp/I.750 BTIJ $6230 $ Phone: 71.-{C /Q y0 Fax: - - Over 50 lip/1.750 BTU $104.50 $ __ F-mail: Incinerators _ Domestic incinerator I I $22.50 I S CCB license no.: /�( �l� L _ — 1 Commercial Print name: Enter total valuation ofineeljnnical system and installation costs$ /') Signature: Enter fee based on valuation of mechanical system.etc. $ 2-V 5C.° Miscellaneous fees Item Cost Total ea. _ cost Reinspectioit $80.00 $ Specially requested inspections(per hr.) $80.00 $ Regulated equipment(unelnssed) $14.50 $ Each additional inspection: (1) $80.00 $ APPLICANT USE (A) Enter subtotal of above fees(or enter set �� minimum fee of $80.00) $ 2 (13) Investigative tee(equal to I Al) _ $ (C) Enter 12%surcharge(.12 x IA+B]) $ 20`75. • (D) Seismic fee. 1%(.01 x(A]) .$ (F)Technology Fee(5%of[A]) $ (/ 2:1- 440-2545-1(4/1/2013/COED 'TOTAL fees and surcharges(A through E): S 747