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HomeMy WebLinkAboutPermit Mechanical 2014-4-4 SPRINGFIELD - 225 Fifth St kr_, .�. CITY OF SPRINGFIELD Springfield,OR 97477 , (tom Phone: 541-726-3753 OREGON Building / Commercial Permit Inspection Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00728 . www.springfield-or.gov permitce nter©s pri n gfield-or.gov PROJECT STATUS: Issued ISSUED: 04/04/2014 ' EXPIRES: 10/01/2014 STATUS DATE: 04/04/2014 APPLIED: 04/04/2014 SITE ADDRESS: 950 INTERNATIONAL WAY,Springfield,OR 97477 SCOPE: Mechanical Only ASSESOR'S PARCEL NO: 1703153000201 TYPE OF STRUCTURE: Commercial • PROJECT DESCRIPTION: Minor interior modification to add production equipment into current storage- Mechanical/Electrical/Sprinkler mod permits by separate contractors OWNER: ' GOLDEN TEMPLE OF OREGON LLC Phone Number: ADDRESS: 950 INTERNATIONAL WAY SPRINGFIELD OR 97477 CONTRACTOR INFORMATION II 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 OROELL CONSTRUCTION LLC COB 177132 07/05/2015 541-747-8734 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 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. - JO° V60 Z4 4- Q0/9 Owner or Contractor Signature Date ' ATTENTION: 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 AUTHORIZED UNDER THIS PERMIT IS NOT in OAR 952-001=0010 through OAR 952-001- COMMENCED OR IS ABANDONED FOR 0090. You may obtain copies of the rules by ANY 180 DAY PERIOD. calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). Springfield Building Permit 4/4/2014 1:35:31PM Page 1 of 1 • SPRINGFIELD CITY OF SPRINGFIELD it 225 Fifth St o E�oN -TRANSACTION RECEIPT S pringfield,OR 97477 ;� ! 541-726-3753 • 811-SPR2014-00728 www.springfield-ar.gov 950 INTERNATIONAL WAY permitcenter @springfield-or.gov RECEIPT NO: 2014000738 RECORD NO:811-SPR201400728 DATE:04/04/2014 DESCRIPTION_ • __._ ' _ ACCOUNT CODE/TRANS CODE_ :AMOUNT DUE ._.' Mechanical Permit fee(based on value of work) 224-00000-425604 1006 333.03 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 39.96 Technology fee(5%of permit total) 100-00000-425605 2099 16.65 TOTAL DUE: 389.64 i AMOUNT PAID-- k_PAYMEN7�TYPEPAYOR_-. cAS_________ TER„_w,.-_ COMMENTS..: ._ __: ___,_:,,. .„._ _ __. Credit Card INNOVATIVE AIR INC 389.64 02067g TOTAL PAID: 389.64 • • • • Mechanical Permit Application -DEPARTMENT USE ONLY nwc y v °tom,+. SP8INGFIELD L� _ (Zt� ° ,10:04`.OFSPR[NGFIELD OREGON . ` Permit no.: J. ie4- '9'r- ,cam ,rt 225 fifth Street•Springfield,OR 97477 • PH(541)726-3753 • FAX(541)726-3689 a y'i`p EGON Date: 1//9//L/ 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 21 O Commercial Residential Qty. Cost Total ca. cost JOB SITE INFORMATION AND LOCATION First Appliance $80.00 $ Job site address: 74'0 r erytt r1oeR( (/�at/ Furnace/burner including ducts and vents 1 City:.$' r nq f/g/ry State: 3(� ZIP: / Up to look BTU/hr. $18.50 $ J Over 100k BTU/hr. $22.00 $ Reference: /703 /nd Taxlot.:002-o/ Heaters/stoves/vents of OF WORK Unit heater $18.50 $ 'e_l fe 6K bit � Page f O tMj Wood/pellet/gas stove/flue $42.00 $ riJ; /_.// /*� Ar 174,1/4/16.-f rg,° Repair/alter/add to heating appliance/ I 1r/ //r /l refrigeration unit ur cooling system/ $80.00 $ ) PROPERTY OWNER absorption system Name:ay&-1) Lid �Ci�y^ L -- Evaporated cooler $14.50 $ Address: J v /fry- c L Vent fan with one duct/appliance vent $10.00 $ � ` Hood with exhaust and duct $14.50 $ City: c4G/ n State: (JZ- ZIP: /7�7 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. Up to 10.000 CFM $12.00 $ Signature: Over 10.000 CFM $22.00 $ ( CONTRACTOR INSTALLATION Compressor/absorption system/heat pump Business name: Innovative Air, INC. Upto3hp/IOOkBTU $18.50 $ Up to 15 hp/500k BTU $32.00 $ Address:5120 Franklin Blvd. , Suite 7 Up to 30 hp/I.000 BTU $47.50 $ City: Eugene, OR State: OR ZIP:97403 Up to 50 hp/1.750 BTU $62.50 $ Phone:541-746-1040 Fax: - - Over 50hp/1.750BTU $104.50 $ II_ L Incinerators E-mail ("O 'J -,t1No�9 Q%'e'Q'v'. Go.-rt Domestic incinerator $22.50 $ CCB license no.: 161742 // // Commercial Print name: /204 1-4 fp Enter total valuation of mechanical system tO/ /./'A and installation costs$d7 o Signature: 0 r 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(unclassed) $14.50 $ Each additional inspection: (I) $80.00 $ APPLICANT USE (A)Enter subtotal of above fees(or enter set 5-3 0 f minimum fee of $80.00) $J --- (B)Investigative fee(equal to[A]) $ (C)Enter 12%surcharge(.12 x IA+B)) $15-91' (D)Seismic fee. I%(.01 x[A]) $ (E)Technology Fee(5%of[Al) $lG G. - 440-2545-1(4/1/2013/COM) TOTAL fees and surcharges(A through E): $ ?91 •Y