HomeMy WebLinkAboutPermit Application 2014-4-8 Mar 31 14 03:05p Priority One Heating 5416074457 p.2 .
Mechanical Permit Application DEPARTMENT USE ONLY
SPRINGFIELD
^ r S
IT1 OF PR , 1 , REC0W Permit 7F16-(57-77
C M . ,.
225 Fifth Surer♦ Springfield,OR 97477 • PH(541)726 3753 • FA.X(541)7?6-3539 t�OREGON Date: /I
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
0 Residential ❑ Government 51 Commercial Residential Qty.! Cost Total
'a. cost
JOB SITE INFORMATION AND LOCATION First Appliance I smut) 1 S
.lob site address: 2)185 CA w A-9 ' Furnace/burner including ducts and vents
CitySpf tit(a I State: et ZIP:Qw-tll Up to IOOk BTU/hr. $18.50 S
`t 6� Over 100:BTU/hr. $22.00 $
Reference: ) 763 ZZZO Taxlot.:O3/
Unit DESCRIPTION OF WORK
U nit hclCr $18.50 $
Qe-OVttC S9h-t pie Cande ■50r Wood/pelletigasstove/fue $42.00 $
Repair/alter/add to heating appliance!
refri eeration unit or cooling system/ $80.00 S
PROPERTY OWNER absorption system
Name: 1 fa✓I (Y\ Pc e-T Evaporated cooler $14.50 $
Address:
a5 L_ 1.O t-, Vent fan with one duct/appliance vent $10.00 $
/{ Hood with exhaust and duel $14.50 $
CityJLLn&-h at fi t State: Qr. I ZIP: —J s
Flour furnace including vent 580.00 S
IPhone: - - Fax: - - Gas piping
E-mail: One to four nurlels 57.50 $
. This installation is being made on properly owned by me or a Additional outlets(each) $4.50 1
member of my immediate family, and is exempt from licensing Air-handling units, including duets
requirements under ORS 701.0]0. Up to 10,000 CFM $12.00 $ I
Signature: Over 10,000 CFM $22.00 S I
I CONTRACTOR INSTALLATION Compressor/absorption system/heat pump
Business name: z(pe.A -1 �2 keash n O� Up to 3 hp!I ODk BTU $18.50 $
' I �'7 Up to 15 hpi500k BTU $32.00 $
.4ddressi.-�` c CoYVLy t.t{a `STS ( 1] -(a 1 Up to 30 hpi 1,000 BTLI $47.50 5
City: �(J Ctchrte State: OL ZIP: e,402\ Up to SO hp/1.750 BTU 562.50 $
Phene:5t-/-1 40 Qei-1odt+J Fax: 541--&)2-4( '7 45 Over 50hpil.750 BTU $104.50 $ •
E-mail: 1 Incinerators
;���� Domestic incinerator 1 $22.50 S
CCB license no.: Commercial
Print name: ally c.� V V _. y b I,aOL.4\ Enter total saltmtio o'mechanical syste
!7 t and installation c x15$ 1000
Signature: - !� a _ Enter fee based o ,- echanical system,etc. $•f Miscellaneous fees Items Cost Total
en. cost
Reinspecti on 580.00 $
• ''" ‘rKs e 7s Specially requested inspections(per hr.) $00.00 5'
A/Z,Oh �C70 ,Fief' OIVG� Regulated equipment(unclassed) $14.50 $
i7 �Vwn Each additional inspection: (I) $$80.00 S
APPLICANT USE Y 3
(A)Enter subtotal of above fees(or enter set
minimum fee of $00_00) $
• (B)Investigative fee(equal to[A]) $ O
(C)Enter 12%surcharge(.12 x[4+B]) $ / ••+\
(0)Seismic fee. 1%(.01 x [A]) $ a
• (F)Technology Fee(5%of[A]) .$ 6
440-2545-)(4/1/2013/COM) TOTAL fees and surcharges(A through C): 4 $ I
SPRINGFIELD - CITY OF SPRINGFIELD
kt .4m,,, ,�.' 225 Fifth St
r ,� TRANSACTION RECEIPT Spnngfield.OR97477
,,,. �Z::?+ 541-726-3753
OREGON 811-SPR2014-00731
www.springfield-or.gov 3185 GATEWAY ST permitcenter @spnngfield-or.gov
RECEIPT NO: 2014000754 RECORD NO: 811SPR2014-00731 DATE:04/08/2014
LDESCRIP.TION a ACCOUNT CODEITRANS:CODE AMOUNT DUE ,':.j
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
L_PAYMENTTYPE' PAYOR .CASHIER:DBOWLSBY . ^COMMENTS �. AMOUNTPAIO, - <I
Credit Card tina milligan —_._. __ 154.01
03614G
• TOTAL PAID: 154.01
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Mar 31 14 03:05p Priority One Heating 5416074457 p.3
COMcheck Software Version 3.9.2
Mechanical Compliance Certificate
2009 IECC
Section 1: Project Information
Project Type:Alteration
Project Title : Dad Mart
Construction Site: Owner/Agent: Designer/Contractor: •
Gateway Rd.
Springfield,OR 97477
Section 2: General Information
Building Location(tot weather data): Springfield, Oregon •
Climate Zone: 4c
Section 3: Mechanical Systems List
Quuanti Sya em Type&Description
1 HVAC System 1 (Single Zone):
Cooling: 1 each-Split System,Capacity=60 ketu!h,Air-Cooled Condenser,No Economizer.Economizer
exception: Filtration Requirements
Proposed Efficiency= 13.00 SEER,Required Efficiency= 13.00 SEER
Fan System: Unspecified
Section 4: Requirements Checklist
Requirements Specific To: HVAC System 1 :
El I. Equipment minimum efficiency: Split System: 13.00 SEER
❑ 2. Integrated economizer is required for this location and system.
Generic Requirements: Must be met by all systems to which the requirement is applicable:
❑ 1. Plant equipment and system capacity no greater than neeced to meet loads
Exception(s):
• Standby equipment automatically off when primary system is operating
O Multiple units controlled to sequence operation as a function a'load
o 2. Minimum one temperature control device per system
❑ 3. Minimum one humidity control device per installed humidification/dehumidification system
• 4. Load calculations per ASHRAE/ACCA Standard 183.
❑ 5. Automatic Controls:Setback to 55"F(heat)and 85°F(cool);7-day dock,2-hour occupant override. 10-hour backup
Exception(s):
O Continuously operating zones
o B. Outside-air source for ventilation:system capable of reducing OSA to required minimum
O 7. R-5 supply and return air duct insulation in unconditioned spaces
• R-B supply and return air duct insulation outside the building
R-B insulation between ducts and the building exterior when ducts are part of a building assembly
Exception(s):
• Ducts located within equipment
O Ducts with interior and exterior temperature difference not exceeding 15°F.
B. Mechanical fasteners and sealants used to connect ducts and air distribution equipment
Project rile: Dan Marl • Report date: 03/28!14
Data filename: Unfitted.cck Page 1 of 2
Mar 31 14 03:05p Priority One Heating 5416074457 p.4
❑ 9. Ducts sealed-longitudinal seams on rigid ducts:transverse seams on all ducts UL 101A or 1313 tapes and mastics
• 10.Het water pipe insulation: 1.5 in.for pipes<=1.5 in. and 2 in.for pipes>1.5 in.
Chilled waterirefrigerandbrine pipe insulation: 1.5 in.for pipes<=1.5 in.and 1.5 m.for pipes>1.5 in.
Steam.pipe insulation: 1.5 in.for pipes<=1.5 in.and 3 in. for pipes >1.5 in.
Exception(s):
❑ Piping within HVAC equipment.
D Fluid temperatures between 55 and 105°F.
o Fluid not heated er cooled with renewable energy.
,] Piping within room fan-coil(with AHRI440 rating)and unit ventilators(with AHRI840 rating).
o Runouts<4 ft In length.
• 11.Operation and maintenance manual provided to building owner
D 12.Balancing devices provided in accordance with IMC(2006)603.17
D 13.Demand control ventilation (DCV)present for high design occupancy areas(>40 person/1000 ft2 in spaces>500 ft2)and served by
systems with any one of 1)an air-side economizer,2)automatic modulating control of the outdoor air damper,or 3)a design outdoor
airflow greater than 3000 cfm.
Exception(s):
o Systems wit,heal recovery.
D Multiple-zone systems without DOC of indivicual zones communicating with a central control panel.
D Systems with a design outdoor airflow less than 1200 cfm.
D Spaces where the supply airflow rate minus any makeup or outgoing transfer air requirement is less than 1200 cfm.
D 14.Motorized,automatic shutoff dampers required on exhaust and outdoor air supply openings
Exception(s):
D Gravity dampers acceptable in builcings<3 stories
❑ 15.Automatic controls for freeze protection systems present
D 16.Exhaust air heat recovery included for systems 5,000 cfm or greater with more than 70%outside air fraction or specifically exempted •
Exception(s):
D Hazardous exhaust systems,commercial kitchen and clothes dryer exhaust systems that the International Mechanical Code
prohibits the use of energy recovery systems.
D Systems serving spaces that are heated and not cooled to less Than 60"F.
•
D Where more than 60 percent of the outdoor heating energy is provided from site-recovered or site solar energy.
.J Healing systems in climates with less than 3600 HDD.
D Cooling systems in climates with a 1 percent coaling design wet-bulb temperature less than 64'F.
D Systems requiring dehumidification that employ energy recovery in series with the cooling coil.
o Laboratory fume hood exhaust systems that have either a variable air volume system capable of reducing exhaust and makeup air
volume to 50 percent or less of cesigr:values or,a separate make up air supply meeting the following makeup air requirements:
a)at least 75 percent of exhaust flow rate, b)heated to no more than 2'F below room setpoint temperature,c)cooled to no lower
than 3°F above roam setpoint temperature,d)no humidification added,e)no simultaneous heating and cooling.
Section 5: Compliance Statement
Compliance Statement: The proposed mechanical alteration project represented in this document is consistent with the building plans,
specifications and other calculations submitted with this permit application.The proposed mechanical alteration project has been designed
to meet the 2009 IECC.Chapter 8, requirements in COMcheck Version 3.9.2 and to comply with the mandatory requirements in the
Requirements Checklist.
Name-Title Signature Date
Section 6: Post Construction Compliance Statement
• HVAC record drawings of the actual installation,system capacities,calibration information,and performance data for each equipment
proviced to the owner.
D HVAC O&M documents for all mechanical equipment and system provided to the owner by the mechanical contractor.
D Written FIVAC balancing and operations report provided to the owner.
The above post construction requirements have been dompleted.
Principal Mechanical Designer-Name Signature / j' Date
Project Title: Dan Man Report date: 03i26i14
Data filename: Untitled.cck Page 2 of 2
Mar 31 1403:05p Priority One Heating 5416074457 p.5
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GR IDa(rot' ONE SIDE, I? INDIES IHE 011130. IHE SIDE GEIFING DIE
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Mar 31 14 03:O5p Priority One Heating 5416074457 p.1
Priority One Heating & Air Conditioning, Inc. •
4325 Commerce Street, Ste 111 #427 • Eugene, Oregon 97402 • (541) 689-1004 • Fax (541) 607-4457
Fax
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From: c�J/'f (L�,�O/ �sem Pages: V to-�z�.4
Fax: 54.L 1 2- O-i Date: j-5t --( q
Office:
❑ Urgent 0 For Review 0 Please Comment ❑ Please Reply
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03/31/14 MON 15: 36 FAX 5417263689 CITY OF SPRINGFIELD f�001 .
• $.1:**1*****8:*9:9:*Y:$****
*** RX REPORT ***
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RECEPTION OK
TX/RX NO 7227
CONNECTION TEL 5416074457
•
CONNECTION ID
ST. TIME 03/31 15: 34
USAGE T 02' 21.
PGS. 5
RESULT OK
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